Study Guide Test 4.docx - NURS 325 Spring 2019 Test 4 Study Guide(Test 4 has 75 questions with a 1 hour and 55 minute time limit*Note Use the number of

Study Guide Test 4.docx - NURS 325 Spring 2019 Test 4 Study...

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NURS 325 Spring 2019 Test 4 Study Guide (Test 4 has 75 questions with a 1 hour and 55 minute time limit) **Note: Use the number of questions as a general guide. Many questions address more than one module. Some questions may look similar to questions on previous tests but are usually changed/different in some way (read carefully!). This is not an all-inclusive list of test items. Questions will include knowledge/comprehension and application/analysis. Be familiar with assessment, nursing diagnoses, prioritization of interventions, and evaluation of care Basic concepts to know Review WINKs for all modules o Adult Health Promotion Definitions and examples of primary, secondary, and tertiary prevention Role of the nurse in health promotion and prevention Identify common factors leading to health disparities (ethnicity, race, and culture, geographic location, income, education, and occupation, health literacy, gender, age, health care provider attitudes) Identify determinants of health (behavior, genetics, social, medical, environment) Assessment of learning needs, readiness to learn, learning style Teaching methods/strategies; be able to select the best method based on what is being taught How to evaluate learning Teaching modifications for older adults and adults with low health literacy Transtheoretical model of change: Be able to identify which stage a patient is in and appropriate nursing interventions (not time frame for each stage) o Chronic Illness: The Trajectory Model Definitions of each phase of the Trajectory Model Activities involved in each phase of the Trajectory Model Role of the nurse when caring for patients with chronic illness o Perioperative Purposes of surgery and examples for each (diagnosis, cure, palliation, prevention, cosmetic improvement, exploration) Preoperative assessment--be able to identify findings to notify provider about Preoperative teaching Informed consent Preoperative medications, NPO status Nursing role on the day of surgery Types of anesthesia--focus on intended effect, differences in level of consciousness, need for advanced airway or not, nursing interventions during anesthesia and after, complications Reversal medications for opioids and benzodiazepines
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Members of the surgical team (esp. which members are sterile vs. nonsterile) and their function What is involved in the surgical time out (before induction of anesthesia and before the initial incision) Immediate postoperative assessment and care in the PACU Postoperative complications (prevention, assessment, nursing interventions, and treatment) Blood product transfusions (indications, compatibility, what to do in the event of a reaction) Normal levels of hemoglobin, hematocrit, platelets Clinical manifestations and treatment of fluid volume deficit vs. fluid volume excess Special considerations for the older adult during the perioperative process Application questions: Some questions will ask what is the most important intervention in a given situation (this often reflects Maslow's hierarchy of needs).
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