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NURS 325Spring 2019Test 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 careBasic concepts to knowReview WINKs for all modulesoAdult Health Promotion Definitions and examples of primary, secondary, and tertiary preventionRole of the nurse in health promotion and preventionIdentify 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 styleTeaching methods/strategies; be able to select the best method based on what is being taughtHow to evaluate learningTeaching modifications for older adults and adults with low health literacyTranstheoretical model of change: Be able to identify which stage a patientis in and appropriate nursing interventions (not time frame for each stage)oChronic Illness: The Trajectory Model Definitions of each phase of the Trajectory Model Activities involved in each phase of the Trajectory ModelRole of the nurse when caring for patients with chronic illnessoPerioperativePurposes of surgery and examples for each (diagnosis, cure, palliation, prevention, cosmetic improvement, exploration)Preoperative assessment--be able to identify findings to notify provider aboutPreoperative teachingInformed consentPreoperative medications, NPO statusNursing role on the day of surgeryTypes of anesthesia--focus on intended effect, differences in level of consciousness, need for advanced airway or not, nursing interventions during anesthesia and after, complicationsReversal medications for opioids and benzodiazepines
Members of the surgical team (esp. which members are sterile vs. nonsterile) and their functionWhat 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, plateletsClinical manifestations and treatment of fluid volume deficit vs. fluid volume excess Special considerations for the older adult during the perioperative processApplication questions: Some questions will ask what is the most important intervention in a given situation (this often reflects Maslow's hierarchy of needs).