c




  




p | Describe the scope of Med-Surg nursing?

×| îo promote health and prevent illness or injury in patients from p
to older than p years of
age
2 | plain the recent increased focus on patient safety and quality of care?
×| ëealth care errors by ë professionals widely publicized in last ten years due to high risk issues
such as Drug adm, fall reduction, pressure ulcer prevention, communications, Noscomical
infections (Uî

3 |
dentify the purpose of the Rapid Response team (RRî?
×| îo save lives and decrease the risk for harm by providing care to patients BR a respiratory
or cardiac arrest occurs (usually 4
hrs before ͞ ode Blue͟
U nurse , Resp îherapist and

ntensivist (doc specialize in critical care
4 | plain the primary role of the MD SURG nurse?
×| îo be a patient caregiver, educator and advocate
5 |
dentify the 3 ethical principles that help guide critical decision making?
×| Self determination, Beneficence and justice
6 |
dentify best practice interventions when teaching older adults?
×| hart p-p p 4
7 | ist steps of evidence based practice process
×| p 
›
 ›


  
› 
2 å



to › 
 ›
›

›
 
››

› 
3 


  
  ›
   ›
›  ›
›

› 
4 £ 
     with own eperience, patient preferences/values to make clinical
decisions to answer question
5 £
   
 


 
 
›

6 

  

 
  
›
› 

Describe the nurse͛s role in the systematic quality improvement process?

×| p £   

to monitor quality and effectiveness in nursing care
2  

to monitor the quality and effectiveness of nursing care
3    !

to improve nursing care
4 £
 

to improve the qualities of nursing care

9
dentify 3 ways that
NRMAî
S is used in health care?

×| p lectronic medical records

2 Retrieval of data for BP process
3 Send & receive  mail

p Describe typical health care settings in which Med Surg nursing is practiced?

×| Acute are hospital

pp-2p Nursing Process questions

pp
dentify the key components of a nursing assessment?BRëPPPR

×| p Biographic Data
2 Reason for seeking health care
3 ëistory of present
llness
4 Present ëealth Status (old carts
5 Past health history
6 amily ëistory
7 Personal & Psychosocial relationships

Review of Systems

22 Discuss the scope of complementary and alternative therapies with particular attention to the
cultural aspects of their use?

×| Many systems of ë eist ach is based on a philosophy that guides practitioners to their
assessments and the therapies to use

23 Describe selected low risk complementary & alternative that nurses can use with their clients in a
variety of health care settings?

×| p Mind Body therapies-‘
 ‘
‘ 

 ‘
‘  
2 Manipulative & Body based therapies-‘‘ ‘
3 Biological based therapies-‘ 
‘‘‘‘‘ 
‘
‘
4 nergy based therapies-  
" #

$
  %  



24
dentify at least p purpose for each selected comp or alt therapy?å&'

25 Discuss the implications of MP & Aî therapies for health care professionals

×| Nurses have an important role in assessing the patient͛s use of therapies in order to discuss
safety, perceived effectiveness, and satisfaction Knowledge of use is important in planning care

26
dentify 4 subgroups of older adults

×| p   ()*&
2 ( +)  &
3 + ,,& & 


!
4 --. & 
27 Describe nursing interventions for Relocation Syndrome?
/0
+

×| p Self determination in how space will be arranged

2 have personal items͙pics, clothing, knickknacks

2
Discuss common health issues that may concern older adults

×| p fall prevention
2 hanges in vision, touch & motor ability; Presyopia
3 Driving safety
4 drug use & misuse; Polypharmacy, Absorption & metabolism in liver, decr renal blood flow
cause decr creatinine clearance thus slower ecrement (poss toicity

29 plain why older adults are at high risk for falls

×| 


#% 
1
 challenges Presyopia (farsighted may make
walking more difficult   

 decreases awareness of body orientation;
2 


 results from age related chges in neurologic system

3 State common interventions for older clients at high risk for falls

×| ëome modification
×| Avoid going out on icy days
×| oncentrate on p activity at a time

3p Describe nursing care for patients that are restrained

×| k patient evry3 to 6 minutes & release restraint every 2 hrs for turning, repositioning, and
toileting
×| Monitor skin breakdown

32 plain the effects of drugs on older adults

×| å  
 
that affect older adults are:
Ê| ess total body water
Ê|
ncr ratio of adipose tissue to lean body mass(incr storage of lipid soluble drugs
Ê| Decr albumin level
Ê| Decr cardiac output
Ê| Decr liver size, liver blood flow, liver enzyme activity(drug metabolize in liver
Ê| hges in kidney: decr blow flow & filtration cause decr creatinine clearance thus slower
ecrement (poss toicity
33 ompare & ontrast Delirium and Dementia

×| 2  is an å

 of confusion that is usually short term and reversible
×| 2 
is a broad term used for a syndrome that involves a c&3c*# &4£',
&4££'2c£ (chronic confusion
×| Represents a global impairment of intellectual function and is generally 






34
nterpret signs and system of elder neglect and abuse

×| Bruises in clusters
×| Burns commonly on buttocks, feet
×| Unusual hair loss
×| Multiple injuries, fractures
×| Pressure ulcers, contractures
×| Dehydration, malnutrition
×| Urine odor or burns; ecessive body odor
×| Depression, listlessness

35 Discuss potential economic issues for older adults

×| Property & resources are mismanaged and misused

36 Describe gov͛t & community resources that are available to older adults

×| (N
ë- 

£


  5

  
 6 
 å 
   
 7å£8 îhe purpose of these programs and units is to focus on the special
health care issues seen in the older population