NURS 130 CSN FINALS STUDY GUIDE 2024 QUESTIONS LATEST UPDATE 2024/2025 WITH 100% DETAILE, Exams of Health sciences

Download NURS 130 CSN FINALS STUDY GUIDE 2024 QUESTIONS LATEST UPDATE 2024/2025 WITH 100% DETAILE and more Exams Health sciences in PDF only on Docsity! NURS 130 CSN FINALS STUDY GUIDE 2024 QUESTIONS LATEST UPDATE 2024/2025 WITH 100% DETAILED VERIFIED ANSWERS Does scope of practice change based on setting or patient's condition? No, scope of practice does not change based on setting or after death Can you run errands for patients if you are working in a hospital, home care? NO Suspect abuse? Report to nurse your suspicions, any signs of abuse Can you perform a skill that is not in your scope of practice if the nurse delegates you; if you think it was unsafe and did it anyways what would be the consequences? You may refuse, inform nurse that you do not have training or experience for that skill. Some consequences include fines and imprisonment, liability to be charged with negligence and lose practice privileges. Nursing Process 5 step systematic method for giving care: Assessment Diagnosis Planning Implementation Evaluation -CNA reports observations that are useful in assessment & evaluation, however, cannot make assessments or diagnosis. CNA is primary in implementation of care plan & participating in care plan conferences. How many hours of employment must a CNA work every 2 years to renew certification? 40 hrs How many hours of continuum education every 2 years? 24 emesis vomiting voiding urination afebrile without fever foot drop neurological problem in which muscles in calf tighten, toes point downward. Foot board keeps feet at right angle. tronchanter roll rolled sheet or bath blanket placer under patient waist mid-thigh to prevent lateral hip rotation supine position lying face up prone positon pt on abdomen, spine straight extended legs sims position left side with leg leg extended forward, left arm extended back, right leg flexed, right arm flexed brought forward. ideal for enema administration BPH (Begin prostatic hypertension) non-cancerous enlargement of prostrate gland Respiratory system structure & function provides oxygen for cell activity, expells cell gaseous & metabolic waste (CO2) Structure: Larynx Trachea Bronchi (larger tubes) Bronchioles (tree branches) alveoli (air-filled sacs look like grapes) -hypertension -cardiovascular problems -diabetic comma -vision problems hyperglycemia precautions -protect feet; -pay close attention to skin for signs of breakdown (susceptible to pressure ulcers); -document food consumption, food not allowed on diet; -no extra nourishment without orders Muscoloskeletal system effects of aging: -Decreased: strength. endurance, muscle tone, reaction time -bone lose minerals -spine easily injured; -posture slumped, back muscle weakness -joints deteriorate reproductive system (female) effects of aging: -menses stop -infertility -vagina shorter, narrower, dryer -risk of breast cancer increases reproductive system (male) effects of aging: -testes get smaller -sperm count decreases -prostate gland enlarges Wtiness a patient having a seizure? 1. Stay with patient 2. time the seizure 3. call for help w/out leaving pt 4. keep patient safe: maintain airway (turn on side), prevent aspiration, pad surfaces.. move objects witness abuse by staff member or family member? Report to nurse Patient has angina? "chest pain" vessels unable to carry enough blood to meet heart's demands for O2 -avoid unnecessary emotional/physical distress -encourage not to smoke -report S&S of heart attack S&S of Heart attack -Pain that may radiate to jaw and left arm; -nausea/vomiting; -irregular pulse & respiration; -feelings of anxiety & weakness; -shock: drop in BP and pallor -shortness of breath -syncope (fainting) -restlessness -cyanosis or gray skin color Stages of grief 1. Denial (PT doesn't accept they're dying) 2. Anger (PT angry, irritable when can no longer deny they're dying and blames others 3. bargaining (attempts to get more time to live to achieve a goal, deals with God) 4. Depression (full realization & saddness) 5. Acceptance (understands & accepts that death is coming, completes unfinished business, helps family cope) What is the last sense to be lost before a patient expires? Hearing Procedure for post-mortem care Body cleaned gently, use gloves, treat w dignity. leave body in sleeping position, HOB elevated, collect belongings, place ID cards Rigor mortis (& when does it set in) Body rigidity sets in within 2-4 hours Subjective observations the problems as perceived by patient: cannot be seen or felt, and are commonly called symptoms Objective observation A factual or measurable event such as a pulse rate or body sign Communication with patients who are aphasic -Face PT, eye contact before speaking -say PT name, greet & explain procedure -speak slowly, clearly, normal tone -ask short response questions or easily answerable -do not blame for breakdown in communication Normal range of heart rate 60-100 bmp normal range of respiratory rate 12-20 normal range of BLOOD PRESSURE Hypotension: <90/60 Normal: (100/60-120/80) prehypertension: (120/80-139/89) Stage I hypertension: >140/90 Stage II hypertension: >160/100 Temperate Oral: normal: 98.6, low 97, high 100 Ax: normal: 97.6, low 97, high 99 Rectal/tympanic: normal: 99.6, low 98, high 101 Taking vitals for patient who is in dialysis: -Never use arm with graft or fistula (you could damage it) -need strict I&O measured -need monitoring & frequent vital signs after dialysis Pulse Oximetry (SpO2) Measures the arterial oxyhemoglobin saturation (SaO2 or SpO2) of arterial blood oxygen 95% to 100% is considered normal SpO2; values ≤90% are abnormal Hypoxia Low oxygen saturation of the body, not enough oxygen in the blood systolic/diastolic