1STUDYQUESTIONS WITHCORRECT h h h h
ANSWERS 2025 h h
plan priorites based on - CORRECT ANSWER -Purpose of care
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Current clinical picture h h
Picture of the outcome or result h h h h h
ABCDE principle: h
used when? h
define parts? - CORRECT ANSWER --used thisRwhen figuring out which patient goes first!
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A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected
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B (Breathing): Assess for respirations & ventilatory effort
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C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding too
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D (Disability): Assess client's level of consciousness. Think neuro*
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E (Exposure): Undress patient, assess client's body. Also could be under environment in the book. Assess the
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whole body
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Maslow's Hierarchy of Needs - CORRECT ANSWER -
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(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (le vel
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4) Self Esteem, (level 5) Self Actualization
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,levels of priority setting:
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level 1?h
level 2?h
level 3? -RCORRECT ANSWER -level 1: ABCs
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level 2: mental status changes, acute pain, abnormal labs/tests
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level 3: risk categories, at risk groups- safety and infection along with chronic problems
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prioritization of client care: h h h
just review - CORRECT ANSWER -UNSTABLE over STABLE
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ACUTE over CHRONIC problems
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SYSTEMIC over LOCAL problems h h h
compliation over expected findings what does this mean? - CORRECT ANSWER -
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Complication: medical emergency Stroke patient, ICP is a complication. Expected findings would be unst
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eady gait and numbness. We would pick ICP over numbness
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delegation - CORRECT ANSWER -The assignment of new or additional responsibilities to a subordinate
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assignment nurse? - CORRECT ANSWER -distribution of work to each staff member
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,RN can delegate what? - CORRECT ANSWER -what you can EAT:
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-evaluate
-assess
-teach
-nursing process h
-initial client education or assessment
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-tasks the required clinical judgement
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Five Right of Delegation - CORRECT ANSWER -1. Right task
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2. Right circumstances h
3. Right person h
4. Right direction/communication h
5. Right supervision h
five right of delegation:
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right direction and communication- Four C's of this - CORRECT ANSWER --clear
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-concise
-correct
-complete
RN delegate to PN - CORRECT ANSWER --medication everything besides IV
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-Enteral feeding h
-all task excepts blood administion and IV push
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-reassessment, reinforcement of patient teaching h h h h
RN delegate to AP - CORRECT ANSWER --ADLS
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-ambulating
, -feeding patient without swallowing precautions
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-positioning
-vitals on stable
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-bed makingh
speciment collection (not sterile) h h h
-I/O
-basic CPR h
ethics - CORRECT ANSWER -
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the principles of right and wrong that guide an individual in making decisions
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applied ethics - CORRECT ANSWER -
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The manner in which principles of ethics are incorporated into professional conduct.
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ethical theory - CORRECT ANSWER -
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varies ideas and principles used to make judgement between right and wrong
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morals - CORRECT ANSWER -values and ideas to make decision from right from wrong
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Ethical Principles - CORRECT ANSWER -
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standards of what is right/wrongRwith regard to important social values and norms
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ethical principles that impact nurses - CORRECT ANSWER --moral indifference
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-moral uncertainlty or conflict (unsure about morals for a situation)
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-moral distress- knows the right thing but unable to do it
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-moral outrage h
-moral or ethical delium
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autonomy - CORRECT ANSWER -patient has right for own body, freedom to pickRwhat they want
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