NR 224 Fundamentals Skills Exam 1 study guide Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+
- Elements: - CORRECT ANSWER: Assessment, Diagnosis/Analysis, Plan/Planning,
Implementation/intervention, Evaluation
- Fall prevention: - CORRECT ANSWER: Fall risk assessment of every patient upon
admission and routinely until patient is discharged.hourly rounding to reduce falls yellow color-coded wristbands identify patients at fall risk
- Normal ranges: - CORRECT ANSWER: Blood Pressure:
80 to < 120 mmHg - systolic 60 to < 80 mmHg - diastolic
Temperature:
96.8 to 100.4 degrees fahrenheit 36 to 38 degrees celsius
Pulse-Heart Rate:
60 to 100 bpm
Respiration:
12 to 20 breaths per minute
Oxygen Saturation: SpO2
95% to 100%
ADPIE - 5 Step Nursing Process: - CORRECT ANSWER: A-assessement D-diagnosis/analysis P-plan/planning I-implementation/intervention E-evaluation
Assessment: - CORRECT ANSWER: 1. Gathering Data
- patient HTTA
- chart
- lab/diagnostics
- Patient Medical History
- nurse/health professional
- family/spouse/Significant Other.
- interview patient
- Relation/Inferences/Interpreting
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- Concepts: - CORRECT ANSWER: interpretation, analysis, inference, evaluation,
explanation, self-regulation
- Interventions: - CORRECT ANSWER: standard precautions such as hand washing,
medical aspesis, surgical techniques-surgical aspesis, specific isolation precautions
- Pre-hypertension: - CORRECT ANSWER: 120 to 130/80 to 89
- Risk factors: - CORRECT ANSWER: age, nutritional status, stress, disease process,
lifestyle, high risk behavior, occupation, heredity, trauma, lowered immune system- diabetics
- Risk reduction: - CORRECT ANSWER: An environment that minimizes: falls,
procedural-related accidents, equipment -related accidents, infection control, reductions of physical hazards.
- Uses: - CORRECT ANSWER: to apply the best available evidenced to caring &
promoting human functions & responses to health & illness.
Basic Math Conversions: - CORRECT ANSWER: 1 tsp= 5 mL
- tbs= 15 mL
- oz= 30 mL
- lb = 16 oz
- kg= 2.2 lb
- L= 1000 mL
- g = 1000 mg
- mg = 1000 mcg
- hr = 60 min
Microdrip = 60 gtts/mL
- Attitudes: - CORRECT ANSWER: Truth-seeking, open-mindedness, analyticity,
systematicity, self-confidence, inquistiveness, maturity.
- Emergency Measures: - CORRECT ANSWER: R-rescue
A-activate C-confine E-extinguish
- Hypertension: - CORRECT ANSWER: Stage 1: 140 to 159/90 to 99
Stage 2: >160/>100
- Nursing Assessment: Gathering Information - CORRECT ANSWER: Step 1. Data
Collection: Interpretation & validation
Types of data: Subjective & Objective
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