CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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What are the six QSEN competencies? Ans✓✓✓1. Patient Centered
Care
2. Teamwork and Collaboration
-Function effectively within nursing and interprofessional teams
3. Evidence-Based Practice (EBP)
-Integrate best current evidence with clinical expertise and
patient/family preferences and values for optimal healthcare
4. Quality Improvement (QI)
-Use data to monitor the outcomes of care processes and use
improvement methods to design and test changes to continuously
improve the quality and safety of healthcare systems
5. Safety
-Minimize risk of harm to patients
6. Informatics
-Use information and technology to communicate, manage knowledge,
mitigate error, and support decision making
*These competencies prepare future nurses to improve the quality and
safety in their work (QSEN 2012)
Physical Assessment Techniques: Ans✓✓✓1. Inspection: begins the
moment you first meet the person and develop a "general survey". It is
close, careful scrutiny, first of the person as a whole, and then of each
body system.
,2. Palpation: palpation applies your sense of touch to assess the
following factors: temperature, moisture, organ location and size, and
any swelling, vibration or pulsation, rigidity or spasticity, crepitation,
presence of lumps or masses, and presence of tenderness or pain.
3. Percussion: tapping the person's skin with short, sharp strokes to
assess underlying structures. The strokes yield an audible vibration and a
characteristic sound that depicts the location, size, and density of the
underlying organ.
4. Auscultation: listening to the sounds of the body such as the heart and
blood vessels and the lungs and abdomen. Uses a stethoscope.
The Nursing Process: Ans✓✓✓a. Assessment: gather information about
the patient's condition
b. Diagnose: identify the patient's problem
c. Plan: set goals of care and desired outcomes and identify appropriate
actions
d. Implement: perform the nursing actions identified in planning
e. Evaluate: determine if the goals are met and the outcomes are
achieved
Vital Sign Assessment: Ans✓✓✓1.Temperature
-Rectal:Used when other routes are not practical or for critical care. (0.7-
1 degree F) higher than an oral temperature. Most accurate route, but
time consuming, unaffordable, and invasive.
-Tympanic Membrane: eardrum using infrared emissions, quick and
noninvasive, low risk of cross contamination.
, -Temporal Artery (TAT): Uses infrared emission by sliding the probe
Across the forehead and behind the ear. (1 degree F. higher than oral)
-Axillary: Used when temperature can not be obtained. (1 degree F.
lower than oral)
2. Height
3. Weight
4. Respirations
5. Pulse
6.Blood Pressure
Normal guidelines for vital signs: Ans✓✓✓1. Temperature: 96.7-100.5
2. Pulse: 60-100 bpm
3. Respirations: 16-20 breathe per minute
4. Blood pressure: SBP: 100-140
DBP:60-90
5. O2 saturation: 90%-100%
Causes of normal variation in temperature: Ans✓✓✓1. Exercise:
Exercise stimulates muscle activity and requires an increased blood
supply and increased carbohydrate and fat breakdown. Exercise will
increase heat production and body temperature.
2. gender (Menstruation cycle): Women experience greater fluctuations
in body temperature than men. Hormonal variations occur during
menstrual cycle and menopause. Women may experience hot flashes due
to an inability to control vasodilation and vasoconstriction.