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Samantha Shared "Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020" - 628 Picmonics

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Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020

5 Rights of Delegation
Right Task
Right Circumstance
Right Person
Right Direction/Communication
Right Supervision/Evaluation
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1 min
Principles of Delegation
Delegation
Assigning Responsibility
Unlicensed Assistive Personnel (UAP)
Noninvasive Procedures
Licensed Practical Nurse (LPN)
Stable Patients with Predictable Outcome
Dressing Changes
Catheterization
Select Med Administration
Registered Nursing (RN)
Unstable Patients
Parenteral Therapy
Discharge Planning & Health Education
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3 mins
I-SBAR-R
Identify
Situation
Background
Assessment
Recommendation
Readback
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1 min
Assessment
Health History
Objective Data
Subjective Data
TEST-TAKING STRATEGY: KEY WORDS
Identify
Determine
Obtain Information
CONSIDERATIONS
Assessment Always Done Before Treatments
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3 mins
Diagnosis
A COMPARISON
Medical Diagnosis
Nursing Diagnosis
Collaborative Problem
Data Interpretation and Analysis
Significant Data
Patterns or Clusters
Parts of Nursing Diagnosis Statement
Problem
Etiology
Defining Characteristics
TEST-TAKING STRATEGY: KEY WORDS
Maslow’s Pyramid
Patient’s Concerns
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2 mins
Planning
Nursing Care Plan
Tailored to Patient
Short-and-Long-Term Goals
SMART GOALS
Specific
Measurable
Attainable
Realistic
Time-Oriented
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2 mins
Implementation
Types of Nursing Interventions
Direct Care Interventions
Indirect Care Interventions
A Community (Public Health) Intervention
Implementing the Care Plan
Partnership with the Patient/Family
Performing the Nursing Action
Documenting Nursing Care
Delegating Nursing Care
TEST-TAKING STRATEGY: KEY WORDS
Intervene
Priority Action
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3 mins
Evaluation
Consider the Effectiveness of Care
Reassess
Make Necessary Modifications
Continuously Ensure Favorable Patient Outcome
TEST-TAKING STRATEGY: KEY WORDS
Evaluate
Outcome
Consider the Degree of Effectiveness
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2 mins
Registered Nurse Roles
Nursing Roles in All Settings
Caregiver
Counselor
Educator/Teacher
Communicator
Advocate
Leader
Researcher
Collaborator
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2 mins
Interprofessional Team Member Roles
Roles of Members of the Health Care Team
Physician
Advanced Practice Registered Nurse
Nurse
Unlicensed Assistive Personnel
Physical Therapist
Occupational Therapist
Respiratory Therapist
Social Worker
Pharmacist
Dietitian
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4 mins
Blood Acid-Base Control
Characteristics
In a State of Acidemia
Medullary Chemoreceptors Control Ventilation Rate
Expulsion of CO2 through Lungs Increases pH
Bicarbonate Reabsorption from the Kidney Increases pH
Kidney Excretion of H+ Increases pH
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2 mins
pH - Blood and Urine Lab Value
Blood
7.35 - 7.45
Urine
4.0 - 8.0
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1 min
Clotting Overview
Characteristics
Endothelial Cells are Damaged
Platelets Respond to Exposed Collagen and Stick
Platelets Release Recruiting Factors
More Platelets are Attracted
Soluble Fibrinogen Turns to Insoluble Fibrin
Fibrin Seals the Clot
Clot Dissolves
Liver Produces Clotting Factors
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2 mins
PT/PTT Lab Values
Prothrombin Time (PT)
10-14 seconds
Activated Partial Thromboplastin Time (PTT or aPTT)
25-35 seconds
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1 min
INR Lab Value
0.8-1.2 Normal Range
Warfarin
2.0-3.0
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1 min
Respiratory Acidosis Assessment
Assessment
Decreased pH < 7.35
Increased PaCO2 > 45
Reduced Respirations
Anxiety
Change in LOC
Tachycardia
Cyanosis
Increased Electrolytes
ECG Changes
Muscle Weakness
Hyporeflexia
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2 mins
Delirium
Mechanism
Rapid Onset
Reversible
Assessment
Hallucinations
Decline in Cognition
Short Attention Span
Rapid Speech
Change in Activity Level
Mood Swings
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2 mins
5 A's of Alzheimer's Disease
Agnosia
Anomia
Aphasia
Apraxia
Amnesia
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1 min
Magnetic Resonance Imaging (MRI)
Procedure
Internal Body Images
Detects Variations of Soft Tissues
Considerations
No Metal Objects
No Pacemakers
Contrast is Non-Iodine
Safe During Pregnancy
Long Procedure
Antianxiety Medications
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2 mins
Hypokalemia
Assessment
< 3.5 mEq/L
Muscle Weakness
Arrhythmia
U Wave
Ileus
Hyporeflexia
Interventions
IV K+ Infusion at 5-10 mEq/hr
Give Orally with Food
Nursing Considerations
Monitor Respiratory Status
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3 mins

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