NRSG 2220 Exam 2 Study Guide

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Health Science

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Apr 3, 2024

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NRSG 2220 Exam 2 Study Guide Summer 2023 Modules 4 & 5 Identify factors that affect safety in a person’s environment Identify patients at risk for falls Identify patients at risk for injury ~note there is a difference between falling and injury. How likely is someone to fall and if they do, how likely are they to be injured? And then consider what the injury could be and who is at risk for a worse injury? People who are confused or weak are certainly at risk for falls but then consider other things like if they’re on blood thinners, that fall could be much worse for someone on a blood thinner. If they fell and hit their head, they’d be at risk for a brain bleed, for example. We don’t expect you to know all of those examples yet but always keep risks in mind! Describe nursing interventions to prevent falls and injury in the healthcare setting Evaluate the effectiveness of safety interventions Describe patient teaching interventions to promote safety and prevent injury in the home Identify factors affecting personal hygiene Assess the condition of the patient's skin, oral cavity, hair, nails Plan, implement and evaluate nursing care related to patient problems involving alterations in and related to hygiene. Consider safety within different age groups Fire safety using the RACE & PASS Understand how to properly bathe a patient Understand rationale/purpose patient care procedures Identify the different types of restraints Describe nursing interventions to prevent the use of restraints in the healthcare setting Differentiate isotonic, isometric, and isokinetic exercises Explain body alignment, strength, mobility, and activity tolerance using interview and physical assessment techniques in the lab component Plan nursing care related to assessment data involving mobility, strength, and activity intolerance problems Identify patients at risk for falls/injury and how might the nurse respond to a fall Describe different mobile devices and how each is utilized Identify variables that influence movement Walking with a walker, cane, and crutches Use of a gait belt Proper transferring of patients Applying restraints Monitor a patient who is in restraints Peri care – how to and nursing considerations Oral care – how to and nursing considerations How often to clean a patient – priority cleaning Dealing with dementia and confusion with hygiene, mobility and safety

Safety with hygiene – keeping patients safe, spreading infection, proper order of hygiene / bathing – all special considerations / nursing considerations with hygiene Restraints – types of restraints, nursing considerations / assessments and actions Ambulation: gait belts, cane, walker, wheel chair – nursing actions, safety considerations Body mechanics – injury prevention – nursing care of patients and themselves Making a bed – with a patient and without – consider safety, infection control, techniques, priority actions Movements – flexion, abduction, adduction, extension, hyperextension – know examples of each – also don’t forget nurse’s safety! And nurses’ body mechanics. Prevention of HIAs related to hygiene Repositioning patients – how, why, when Methods to safely move a patient Modules 6 & 7 Routes of meds – po / oral, otic, ophthalmic, suppository, rectal, liquid, IM, SC, troche, SL, patches, lotions, ointment, intradermal For all routes, focus on correct technique and safety 5 rights and 3 checks – what are they, when, why and how are they done Injection techniques – locations and considerations, needle angles Insulin and heparin injection techniques and sites Special considerations with routes of medications Dosage calculations – simple Choosing the right equipment for different types of medications administration – correct syringe, needle, etc Describe basic principles of medication administration Discuss principles of medication administration and its relevance to working with medical insurers, calculating dosages, and administering medication safety measures Describe principles used to prepare and administer medications safely by the oral, parenteral, and topical routes Restate principles of medication administration Explain principles of medication administration to include the comprehension of medication orders, dosage calculations, and medication safety measures Describe principles used to prepare and administer medications safely by the subcutaneous and intramuscular injection routes Injections — know the size and needle type to be used for each site Properly draw up medications with a needle and safely dispose Identify injection sites and how to properly administer an injection Understand how medications orders should be written Understand how to document medications Understand the safety checks prior to administering medications How to respond to a needle stick

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