NUR2115- Fundamentals of Professional Nursing
Final Exam Concept Review
All Modules
Ø Review various nursing diagnoses related to specific
... [Show More] patient problems discussed in Fundamentals
Ø Roughly 60% of the final exam will be cumulative over mod 1-7
Module 1-3 Concepts:
Ø Importance of documentation of assessments & interventions
Ø Types of nonverbal behavior which could promote improved communication
Ø The importance of QSEN competencies in nursing education
Ø What is a sentinel event?
Ø What is the main purpose for incident reporting?
Ø Examples of health promotion activities for primary, secondary and tertiary
Ø ISBARR, DARE, SOAPIEnotes for team communication
Ø Review teaching for a patient with modifiable health risk factors
Ø Age related safety concerns across the lifespan
Ø 6 Dimensions of wellness definitions
Ø Know the importance of basing our care plan on nursing theory
Ø HP 2020 Goals
Ø Developmental theories: focus on Erickson’s
Ø EBP- what information to trust for best practices- ANA, CDC, US Dept of Health, National Institute of Health (NIH).
Ø No .com sites for professional nursing. No blogs should be used as a reference-.
Ø OK to use most .org .edu or .gov sites.
Ø P.I.C.O. statements
Ø ANA Scope of Practice
Ø ANA Standards of Professional Performance- definitions (mod 1)
Musculoskeletal:
Ø Review education on crutch, cane, walkerambulation
Ø Review safety precautions when repositioning patient in bed
Ø Review nursing interventions which would be included in caring for a patient with contractures
Ø Review the difference between active and passive range of motion
Vital Signs:
Ø Review the assessment of all vital signs including BP, HR, respirations, temperature and pulse ox.
Ø Think about how you would handle VS outside of range for each VS and Spo2
Ø What trends in VS are worrisome and how should the RN respond?
Ø Review normal values for VS: BP, HR, respirations, temperature and pulse ox across the lifespan
Ø When may it be inappropriate to delegate VS?
Module 4-7:
Ø Review definitions of the nursing process including:
Ø Assessment
Ø nursing diagnoses
Ø Planning
Ø Outcomes
Ø interventions
Ø evaluation
When you obtain your assessment data, what is the next step in the process?
After establishing goals, what is the next step?
After implementing a new teaching plan, what is the next step (using the nursing process?)
In order to create a nursing diagnosis, what details do you reference?: A. the medical diagnosis or B. the Nursing assessment?
When prioritizing the nursing diagnoses, what goes first, your actual diagnoses or the “risk for” diagnoses.
Respiratory/Cardiac:
Ø Review various lab data and normal values: BUN, electrolytes, CBC, blood glucose
Ø Review the common adventitious lungs sounds (wheezes, pleural friction rub, rhonchi, crackles and stridor) and what specific conditions you would auscultate them (COPD, pneumonia, asthma, CHF)
Ø Review respiratory terminology: dyspnea, cyanosis, tachypnea, bradypnea, apnea in beginning of Chap 38
Ø Review the ACUTE and Chronic effects of hypoxia on the respiratory system and the rest of the body.
Ø Review the anatomical locations for auscultation of cardiac and respiratory systems (aortic, pulmonic, tricuspid and mitral)
Ø Review how to determine types of pitting edema: 1+, 2+, 3+ and 4+
Ø Review interventions to decrease risks for pulmonary embolism
Ø Review grading of pulses: bounding, normal, diminished, absent
Infection/ Inflammation/ Thermoregulation:
Ø Review the difference between inflammation and infection
Ø Review the effects of excessive or ineffective inflammatory response which could occur in a patient
Ø Review the purpose/benefits of the inflammatory process including fever benefits
Ø Review infection terms: opportunistic, virulence, phagocytosis, hospital-acquired, nosocomial, immunocompromised
Ø Review the chain of infection: infectious agent, reservoir, portal of exit, portal of entry, susceptible host, mode of transmission
Ø Review stages of infection: incubation period, prodromal stage, full stage of illness, convalescent period
Ø Review types of nosocomial and hospital acquired infections (HAI’s)
Ø Review rationale of proper hand hygiene
Ø Review terminology: bacteremia
Ø Review signs and symptoms of infection
Ø Review the difference between endogenous nosocomial and exogenous nosocomial infection
(Mod 7) Integumentary and Tissue Integrity:
Ø Review the stages of pressure ulcers including I, II, II and VI ulcers as well as unstageable and suspected deep tissue injury
Ø Review integumentary changes in various developmental ages
Ø Review the importance of nutrition and wound healing
Ø Review the following precautions: protective, droplet, airborne, contact, standard, isolation, airborne
Ø Review the difference between a wound evisceration, dehiscence, fistula, hemorrhage.
Ø Review the use and advantages of negative pressure wound therapy (wound vac)
Ø Review process of healing: primary, secondary, tertiary
Ø Review the use and rationale of the Braden scale
Ø Review the difference between acute and chronic wounds
Ø Review the effect of shearing force and friction on skin integrity
40% of exam will be on the following sections:
Glucose Regulation:
Ø Review patient education a nurse would include in self administration of insulin
Ø Review the normal lab values for fasting blood glucose and A1C
Ø Review risk factors and complications of diabetes
Ø Review treatment modalities for diabetes
Ø Review treatment for hypoglycemia
Ø Review education and teaching on foot care of a diabetic patient
Gastrointestinal:
Ø Review the complete assessment of the GI system including inspection, auscultation, palpation and percussion
Ø Review conditions of diarrhea and constipation and precipitating factors of each
Ø Review the components in a focused GI assessment
Ø Review risks and treatments for constipation& diarrhea
Ø Review effects of immobility on the GI system
Ø Review the risk factors which increase irritable bowel syndrome (IBS)
Ø Review diagnostic colon cancer screening
Ø Review teaching regarding a patient undergoing a colonoscopy
Ø Review education and teaching regarding ostomy care
Ø Review side effects of diarrhea& constipation
Ø Discuss the interrelationship between GI system disorders and antibiotics
Genitourinary:
Ø Review the components of performing a GU assess
Ø Review s/s of UTI, risks for developing UTI and treatments
Ø Review the effects of immobility on the GU system
Ø Review the GU terminology: micturition, oliguria, dysuria, retention, urgency
Ø Review nursing care for urinary incontinence
Ø Review the process of obtaining a 24-hour urine collection
Ø Review the collection of a midstream urine specimen
Pain/Stress & Adaptation:
Ø Review the effects that severe/uncontrolled pain has on VS
Ø Review the types of pain: chronic, acute, intractable, neuropathic, radiating, phantom, referred psychogenic
Ø Review which pain management tasks can be delegated to nursing assistant
Ø Review alternative techniques of pain management: hypnosis, distraction, guided imagery, massage, reiki, music, aromatherapy
Ø Review risks of inadequate pain management
Ø Review care planning and prioritization of pain control
Ø Describe the body’s stress response
Ø What are the physiological effects of prolonged stress on the body?
Ø Describe sleep deprivation and establishing a care plan around sleep [Show Less]