Final Exam Blue Print Essay Example for Free

Final Exam Blue Print EssayGowns sustain soiling clothing during contact with uncomplainingMasks should be worn when you anticipate splash or disperse of blood or body fluid and satisfy droplet/airborne precautions. Protective eyewear should be worn for procedures that develop splashes or splatters Gloves prevent the transmission of pathogens by direct/indirect contact. This equipment protects you from waste materials such as wounds, blood, stool, and urine. innate urinary catheters causes of bump for infections An indwelling urinary catheter obstructs the normal flushing action of urine flow. The presence of a catheter in the urethra b partakees the natural defenses of the body. Reflux of microorganisms up the catheter lumen from the drainage bag or backflow of urine in the tubing increases the risk of infection.Surgical asepsis uses verse medical asepsisSurgical asepsis is employ during procedures that require intentional perforation of patients skin, when skins integ rity is broken, or during procedures that involve interposition of catheters. * Sterile bearings remains sterile only when touched by another sterile object * transport only sterile objects on sterile field* Sterile object/field out of the endure of vision or held below waist is polluted * Sterile object/field becomes contaminated by prolonged exposure to air. * When sterile surface comes in contact with a wet, contaminated surface, the sterile object/field becomes contaminated by capillary action * Sterile object becomes contaminated if gravity causes contaminated fluid to flow over the objects surface * The edges of sterile field/container atomic number 18 considered to be contaminated. Medical asepsis, or clean technique, includes procedures for reducing the number of organisms position and preventing the transfer of organisms. Hand hygiene, barrier techniques, and routine environmental killing are examples of medicalasepsis.Nursing intervention when priseing bradycardia radial thrill Can cause pulse deficit. To assess a pulse deficit 2 nurses are needed to assess radial and apical pulse simultaneously and compare rates. The difference between apical and radial pulse is the pulse deficit. Assess the office of the heart to meet the demands of body tissue for nutrients by palpation a peripheral pulse or using a stethoscope to listen to heart sounds (apical rate)Pulse sitesTemporal, carotid, apical, brachial, radial, ulnar, femoral, popliteal, posterior tibial, Dorsalis pedis comminuted Thinking- chapter 15Examples of application of tiny idea (you may have to scan the chapter, no specific section to apply to the question) Know what would be considered particular thinking * Critical thinking involves recognizing that an issue exists, analyzing information about the issue, evaluating information, and making conclusions. * Critical thinking is a continuous process characterized by open-mindedness, continual inquiry, and perseverance.* Diagnostic rea soning determining a patients health status after you have assigned meaning to the behaviors and symptoms presented. * Inference process of drawing conclusions from relate pieces of evidence. * Clinical decision making careful reasoning so the best options are chosen for the best outcomes. * Nursing process five-step clinical decision-making approach. Five components of critical thinking.* Knowledge base* Experience* Critical thinking competencies* Attitudes* StandardsProfessional standard for critical thinking* Intellectual the intellectual standard is a signpost or principle for rational thought. * Professional the professional standard refers to evidence-based ethical criteria for nursing judgments used for evaluation and criteria for professional responsibility. patient of Safety- chapter 27 longanimous precaution during seizures* Seizure precautions encompass all nursing interventions to protect the patient from traumatic hurt, position for adequate airing and drainage o f oral secretions, and fork over privacy and shop at following the seizure. * Seizure precautions are nursing interventions to protect patient from traumatic injury, positioning for adequate ventilation and drainage/oral secretions, and providing privacy and support after event.Fall risk prevention and interventionsThe plan for a patient who has high risk for falls.1. Select nursing interventions to promote safety according to patients developmental and health care needs.2. Consult with OT and PT for assistive devices3. Select interventions that will improve the safety of patients home environmentInterventions* Nursing interventions for promoting safety are individualized for patients developmental stage, lifestyle, and environment. * Note the safety locks and anti-tip parallel bars on the wheelchair. * Nurses contribute to a safer environment by helping patients meet basic needs related to oxygen, nutrition, and temperature. * Adequate lighting and security measures in and around the home, including the use of nightlights, exterior lighting, and locks on windows and doors, enable patients to depress the risk of injury from crime. * Modifications in the environment will easily reduce the risk of falls. To reduce the risk of injury in the home, remove all obstacles from halls and other heavily traveled areas. * Prevention of accidental fires and poisons requires awareness of precautions such as not smoking in bed and keeping hazardous sum of moneys out of reach of children. * Safety bars provide excellent prevention against falls.Safety risk- danger at developmental stages* Children younger than 5 years of age are at great risk for home accidents that solvent in grave injury and death. * The school-aged child is at risk for injury at home, at school, and while traveling to and from school. * Adolescents are at risk for injury from automobile accidents, suicide, and substance abuse. * Threats to an adults safety are oftentimes associated with lifestyle habits (smoking, drinking, hazardous work, etc.). * Risks for injury for older patients are directly related to the physiological changes of the aging process.Risk* 16-19 car accident* 75 and up falls and car accident* Older adults have rock-bottom vision acuity and hearing loss making them at risk for MVA and hearing sirens or horns. decrease reflexes occur with aging. * Lead can be in paint, soil, water and can be inhaled or swallowed. * 64 years and older decreased vision, orthostatic hypotension, gait and balance problems, urinary incontinence, use of walking aids, personal effects of various medications (sedatives, anticonvulsants, hypnotics, analgesics. * Falls occur due to inadequate lighting, barriers along walk paths and stairways, and lack of safety devices in home. * Patients most at risk of injury are those with bleeding tendencies (disease or medications), and osteoporosis (results in fractures). Every developmental age involves specific safety risks* Children younge r than 5 years of age are at greatest risk for home accidents that result in severe injury and death. * The school-aged child is at risk for injury at home, at school, and while traveling to and from school. * Adolescents are at risk for injury from automobile accidents, suicide, and substance abuse. * Threats to an adults safety are frequently associated with lifestyle habits (smoking, drinking, hazardous work, etc.). * Risks for injury for older patients are directly related to the physiological changes of the aging process.Priority planning patient care (this is using your critical thinking skills and wouldnt be found in a section of the book)* In many situations, patients present with multiple nursing diagnoses. Use a concept map to visualize how nursing diagnoses interrelate. * Establish goals with the patients self-care abilities and resources in mind, and focus on maintaining or improving the condition of the skin and oral cavity. * Patients skin is clean, dry, and intact wit hout signs of inflammation. * Patients skin remains elastic and well hydrated. * Patients skin is free from areas of pressure. * Timing is also important in planning hygiene care. * In hospital or extended care settings, work closely with nursing assistive personnel, who often provide hygiene care. * Collaborate with other health team members as indicated (e.g., work with physical therapy and occupational therapy to resurrect the patients independence with self-care activities). * When a patient needs assistance as a result of a self-care limitation, the family often becomes a valuable resource to the nurse and helps with hygiene measures.