Hondros NUR 200 final
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. A nurse is using a thinking skill of Tanners model in the noticing step that
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requires the collection objective and subjective data. Which nursing action will
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ensure the patient data is complete and accurate? - ANS Gathers data from
all sources available to the nurse.
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. The UAP reports a patients vital signs as bp 210/112 Hr 80, Res 12 Temp 98.4
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Pulse ox99. The nurse enters the room observed and calmly listening to music
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and reading the newspaper. What action will the nurse demonstrate in tanners
skilled? - ANS Manually checking the patient bp
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3 phases of the interview process - ANS 1. Orientation/setting the agenda
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2. Working phase--collecting assessment data
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3. Termination of interview
Courteous
Connection
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4 C's for effective communication - ANS Comfort
Confirmation
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5 rights of delegation - ANS Right task
Right circumstance
Right person
Right direction and communication
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Right supervision
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A diabetic patient blood glucose reading is 48. Patient is confused drowsy
complaining of dizziness. Which intervention by the nurse will Clinical judgement
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step in responding in judgment. - ANS Administer 1 mg of glucagon by
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order.
ACES - ANS
GH Advancing Care Excellence for Seniors
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A-Assess function and expectations
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C-Coordinate and manage care
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E-use Evidence based knowledge
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S-make Situational decisions
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Advanced beginner -
-step by step approach
ANS Graduate nurse
Advocacy - ANS Acting as a last line of defense on behalf of the patient