NFDN 1002 Final Review-with 100% verified solutions-2023-2024, Exams of Health sciences

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NFDN 1002 Final Review-with 100% verified solutions- 2023-2024 What is the goal of Patient education Achieve optimal health What are the three main goals of patient educations Maintaining and promoting health and preventing illness Restoring health Coping with impaired function What is the key factor the patient has to have to learn Motivation What is cognitive domain It's an intellectual behavior that requires thought What is affective domain It's about the feelings, attitudes, options, and values What is Psycho-motor domain It's being able to show skills, like doing a demo What are so barriers to leaning Physical Emotional Sensory Developmental stage Illness Language Grieving What is charting by exception When there is a change and you chart the most common expectation What is Functional nursing The nurse's focus on the task at hand What is Team nursing The nurses help each other to achieve a goal so, the nurse never has the same patient What is Primary nursing The patient always gets the same nurse What is case management The Heath Care workers finds out the patients needs and finds the best stream of action for them (EX. being an educator, advocate, manager, researcher) What is the collaborative Practice Model It involves the intraprofessional team It's evidence-informed What is used to control odor from a wound Active Charcoal Silver Iodine Honey What are the sections in the Braden Scale Sensory When should you re position your client to reduce pressure ulcers Every 2 hours What is a sterile technique No microorganisms What is a clean technique Reducing organisms transition Where dose a sublingual medication go Under the tongue What do you need to follow a medical order The prescriber's signature What are the 11 Medication Rights (Right) Medication Dose Patient Route Time & Frequency Documentation To Refuse Reason Education Assessment Evaluation What are bulk forming foods Whole grain (high-fiber) Protein is important for Tissue growth Collagen Hormones enzymes immune cells DNA/RNA Blood Clotting Fluid Regulation Acid Base balance Nutrition and drugs are transported by protein What are the fat soluble vitamins A,D,E,K What are the water soluble vitamins C and B complex What happens to our hydration and digestive system as we age Decrease of thirst sensation Decrease in GI mobility Decrease saliva production Decrease in Vit.B12 synthesis because it gets absorbed from food What is Xerostomia Dry mouth Symptoms of aspiration Coughing Gagging Change in voice Drooling Crackles in lungs Cyanosis SOB How to prevent aspiration High Fowler's position Eat slowly DO NOT eat thin foods Place food on stronger side of mouth Aspiration can lead to Aspiration Pneumonia Hyperosmolar dehydration (feed with not enough water given) How much of a water flush do you give in between medications for G Tubes 5-10mL What is an intermittent feed Only at specific times More than 150-250mL at one time Increase the amount by 50mL every time What is a continuous feed Small amount over a 24 hr period Delivered in mL/hr Increases by 10-20mL every 12-24hr Why do we do water flushes To prevent dehydration Balances fluid and electrolytes What is the normal range for blood glucose 4-8mmol/L Why might a client develop tube occlusion Not flushing after feeding or medication What are the signs and symptoms of tube occlusion Dry cracked lips Sores in mouth Sore throats Where is an HDC inserted into The subcutaneous layer of the skin What are the sites we can use for HDC Supra-scapula Upper chest Anterior thigh Abdomen What is the angle of insertion for HDC 45 degrees What do we document when assessing urine Color Amount Clarity Odor Age changes for the urinary system Loss of muscle tone Decreased bladder capacity Decrease in sphincter contraction Increase risks for UTI's Increase in prostate size What do these illnesses and chronic disease do to our urinary function: Cerebrovascular accident/MS Parkinson's Diabetes Mellitus Alzheimer's Rheumatoid Arthritis Urgency and frequency Overactive bladder Impaired bladder contraction/Decrease in sensation Loss of full bladder sensibility Slows mobility What is a cystoscopy Insert a camera to see bladder and urethra Uses anesthesia and sedatives What is Intravenous Pyelogram A dye is used to outline the collecting ducts, renal pelvis, ureters, bladder, urethra What does a urinalysis measure pH Protein Ketones Glucose How long should you try and keep the enema solution in for 15min What is a loop colostomy Cutting the transverse colon temporary What is an end colostomy Distal end is sewn closed and proximal end forms stoma What is a double barrel colostomy Bowel is cut both ends are sewn together and brought out to make a stoma What does a pink stoma mean Anemia. REPORT this What does a purple stoma mean Poor circulation. REPORT this After a stoma is made how long does it take for the bleeding and swelling to go down 6-8 weeks What is an ampule It's a single dose of medication in glass How do you mix a clear and cloudy insulin in a syringe You inject air into cloudy, inject air into clear, withdraw from clear, withdraw from cloudy What are the sites for an intradermal injection Inner forearm Upper back Under scapula What is the angle of insertion for: ID IM SC/SQ 15 degrees 72-90 degrees 45-90 degrees Is the clear insulin long or short acting Short as to why we give it first What's the needle length and gauge for SC/SQ 3/8-5/8 inch 25-30 g What is the same about giving Heparin and Insulin. And what is different Both measured in units When giving Heparin you hold the pinch What is the needle length and gauge for IM 5/8- 1 1/2 inch 18-25 g Why do we use z-track for IM injections Prevents escape of the medication and irritation of the skin Do we massage the injection site after administration NO, can cause tissue damage When is reconstitution used When giving an IM injection were the medication is powder and you add saline to make it liquid What changes for older adults when it comes to oxygenation Increased size of trachea and bronchi Increased size of alveolis Decrease number of cilia Decreased cough mechanism Decreased lung expansion What is deep breathing used for Open the airways and increase lung volume