NUR 2356 Exam 2 Study Guide 2020 – Rasmussen College
Module 1-3
Review Fall priority Previous falls, observe gait and balance.
Review Risk for
... [Show More] fall – Teaching/Interventions – put things within reach, make familiar with surroundings, turn on lights, secure lose cords, no scatter rugs, grab bars and handrails.
Low platelet teaching – risk for bleeding when cut, affect clotting ability, use electric razor, watch for bruising
Pressure Ulcers/Skin integrity/ interventions – Braden scale for risk of.,
-meds that increase risk: BP meds, anti inflame, anticoagulants, chemo, some antibioitics, lavender and tea tree oil that dry skin.
Stg 1: transparent dressing, Stg 2: hydrocolloid Stg 3: Alginate Stg 4: hydrocolloid/ hydrofiber or gauze for debridement.
Intervention – increased protein, frequent turning,
Review Pain assessment P(provocative/palliative) Q(quality/quantity) R(region/radiation) S(severity 1-10 🙂😭) T(Timing) U(understand how it affects ADLs)
Therapeutic/non-therapeutic communication open vs closed questions, body language Priority care – maslow/ ABC
National Patient safety Goal The Joint Commission National Patient Safety Goal 2, aims to improve patient safety by improving communication among caregivers.
Vitals/concerning/Priority respiratory rate takes precedence over circulation over fever.
BUN 10 – 20 Glucose 70-99 fasting <140 after eating
Sodium 136-145 PaCO2 35-45
Potassium 3.5 – 5.0 HCO3 22-26
Chloride 96 - 106 pH 7.35 – 7.45
Platelets 150 – 400 thous. specific gravity 1.010 – 1.025
HDL >45 F >55 M good calcium 9-10.5
LDL <130 bad magnesium 1.3 – 2.1
Total cholesterol - <200 Phosphorus 3.0 – 4.5
Hgb hemoglobin 12-16 F 14-18 M Hct hemacrit 37-47 F 42-52 M
Digoxin – 0.5 – 2 Phenytoin 10-20
Module 4-7
Review Joint movements (extension, circumduction, rotation, flexion, abduction, etc.) ROM, PROM, AROM – active and passive
Limited movement/Adaptive devices- cane, use on good side of the body. Walker, move forward 4-6 inches at same time as the affected leg, then support with arms and move the good leg forward. Crutches, 6 inches to the front and side of feet. 4 pt gait alternating crutch and foot. 3 pt, cannot bare we [Show Less]