Describe a problem-based or focused assessment
Example-
A patient is having chest pain, the nurse will focus on that problem during the assessment
When a patient makes a statement that seems very strange or unbelivable, the nurse will do what?
Ask the patient to clarify, example-
" Did I hear you say ......"To establish a positive relationship with your patient what behavior will help?
The nurse should express interest with verbal and non verbal cues, be non judgemental and give the patient your complete attention.
Respiratory rate
How to you assess the respiratory rate?
Count the breaths while your fingers are on the pulse, the patient will be unaware and not change breathing.
Math review
Get out your calculate with confidence book and look up how to solve these problems.
How to round up to the nearest whole number, the nearest 10th.
What is the next step after collection of the assessment data?
Clustering the data
When collecting health data, it is most important to ensure that the data is .......
Accurate
Be able to identify a given vital sign that is abnormal
Normal
BP 120/80
HR 60-100
Resp 12-20
Temp 98.6
Pulse ox 95-100%
Pain assessment-
PQRST
What is this?
Look this up and tell me!
New math
Solve this percentage missing problem
If a patient has a bottle of medication that had 100ml, and 30% of this spilled how much remains?
Turn the 30% into a decimal ( 0.30) Then multiply that by 100 ( .3x100=30)- so now you have 30 ml spilled. To determine how much remains, you must subtract the amount missing from the total.
100-30=70 So 70ml remains.
Name some activities that are primary prevention
Exercising
Eating a healthy diet
Immunizations
During a patient interview what techniques should the nurse use
Use statements such as
"Tell me more about that" to encourage more info
"What other symptoms have you noticed"
Actively listen to understand
Pain tolerance
This is the ability of a person to tolerate pain, this is different in each person. Example
2 people having the exact procedure may have a different tolerance to the pain. The individual may request pain medications at a 3 or 7.
Chronic vs acute pain
Acute- sudden onset from tissue damage
chronic- long term pain such as back pain. This can be intermittent or continuous.
Those with Chronic pain may not appear to be in pain, and able to carry on with life. This is due to increasing levels of tolerance.review
Review the power points and all high lighted areas in your chapters. Review your notes.
You are smart and you will be a successful nurse! You will be prepared and you can do this!
Cultural awareness is very important in health care. The nurse must remember the following:
If you are unsure, it's ok to ask the patient or family what is acceptable to them.
Each person should be treated as an individual.
Give some examples of open ended questions...
Can you describe your pain?
What type of foods do you usually eat for lunch?
When communicating with the patient remember to:
Speak slow and clearly
Use plain english, not medical terms they do not understand
Offer privacy if possible, or ask visitors to step out.
Mute the TV, but remember to unmute when you leave.
medical terminology
NPO- Nothing by mouth
CXR= Chest x-ray
MVA- motor vehicle accident
-itis (inflammation of) Hemat (blood) Card (cardiac) Nephro (Kidney) Hepatic (liver) Cervical (neck or cervix)
Isolation or standard precautions
Hand wash only with C-Diff, the gel does not kill the spores.
If patient has diarrhea, wear gown, gloves and face shied (to prevent splash)
Test Prep
Read the first few sections of your NCLEX book to help you prepare for this style of questions.
Read. Every.single.word.
Do not second guess your answers.
Determine if the question is asking for a positive or negative response.
Pay attention to the words, such as objective in the sentence. You will look for an objective answer.
Hand Hygiene
Wash your hands- all the time
Before/after contact with the patient, the environment, and equipment.
Look up posterior, anterior, superior, lateral
Positions- supine and prone
Distal, lateral, medial, superficial
Be able to describe where a body part is in relationship to the body.
example- the head is superior to the shoulder.