N34164 Basic Concepts Final Exam Blueprint Fall 2021 Thurs. Dec. 2nd 2021 9 a.m. 9th floor computer labs Bring personal laptop in case you are unable to sign on to a school computer. Exam Date Exam Time Location Additional note Content Covered All Topics Explored Throughout Semester Chapters to Review Content chapters as noted in Potter and Perry; Fundamentals of Nursing text. Exam Topics Approximate # of Questions Pain/Comfort Nurses role in pain management Use of Anticipatory guidance Acute vs Chronic pain Pharmacological interventions (narcotic vs non-narcotic); PCA pump Side effects / Implications of each TPAPN and Nurse addiction 6 History of Nursing / Role / Professional Levels of education in nursing; related delegation responsibilities Major nursing organizations (ANA; NLN; Sigma Theta Tau) Influences on nursing as a profession over the years Characteristics of a professions Nurse Practice Act – purpose Texas Board of Nursing – functions / purpose Caring and Communication Effective communication techniques Poor communication examples Phases of the nurse – patient relationhsip Zones of personal space Use of SBAR Health & Wellness / Healthcare Delivery System Models of health (example Health Belief Model, Maslow, (models of health (such as H/ Belief Model, Pender’s Health Levels of health care (acute, rehab ……;_ 2 5 2 Nutrition Assess and monitor the client’s nutritional status as well. Factors that impact the status. Tube feeding/types/Care and maintenance of tubes IV Nutrition/TPN & PPN..IV site care. Nursing actions & implications Complications and nursing considerations for enteral and parenteral nutrition 6 Vital Signs / Oxygenation Signs and Symptoms of decreased oxygen levels & early hypoxia Nursing interventions related to decreased oxygen levels Implications of low pulse oximetry levels Concept of orthostatic hypotension / related nursing care Factors that may increase or decrease vital signs (temp, pulse, BP Methods to check oxygenation levels Relationship between pain and vital signs 6 Nursing Process The The structure of each phase of the PES format.; Recognizing correct and incorrect diagnostic statements; A Application of Nursing Process to patient situations 8 Mobility and Immobility– Complications related to immobility and nursing preventative interventions Patients at greatest risk for immobility complications Prevention of skeletal complications of immobility Compression stockings (TED's and SCD’S)..Nursing Implications Bedrest and oxygen demands 5 Client Safety Documentation and Patient safety JCAHO National Patient Safety Goals/purpose Use of Restraints, and nursing responsibility Use of hospital equipment Patients at risk/indicators of risk Risks in the healthcare agency Fire Safety precautions 5 Medication Administration: Implications related to Pharmacokinetic factors Patients at risk for medication toxicity Legal implications related to medication / narcotic use Safety measures for the administration of medications Appropriate procedures for administering medications through N/G tube Review of sites for IM / Subcutaneous/ID injections Legal Implications Student Nurses Conduct/Responsibility/Standards Physician Orders and Informed Consents/Nurses responsibility Laws governing Nursing Practice Civil/Criminal law issues in Nursing Practice:-ie: Tort, slander, battery, negligence Texas requirements for NCLEX application 5 6 Ethics/Values Professional Concept of Ethics/Values Nursing Code of Ethics Concepts of Ethics and Nurses role in commitment to standards Ethical Dilemma Process Accountability and Nursing Competence Infection Prevention: Blood work ( lab values) related to infection Elderly and typical signs / symptoms of infection 5 5 Ff factors contributing to nosocomial infections Ap appropriate actions related to contamination of sterile field R relationship of gloving and hand washing Terminology related to infection control / asepsis Management of Clostridium Difficile Teaching Learning(Client Ed) Basic Learning Principles Domains of Learning Teaching Strategies Roles of the Nurse Teaching Tools/Teaching plan priority Fluid Balance and Electrolytes Recognize signs and symptoms associated with electrolyte, acidbase and fluid imbalances. Explore nursing assessments as well as nursing interventions to correct fluid imbalances. Evaluate client’s response to interventions to correct fluid imbalances. Identify and treat fluid volume excesses and deficits. Identify Nursing diagnoses and nursing implications for fluid and or electrolyte imbalances 5 Loss, Death & Grief Anticipatory grieving Nurses dealing with self in regard to dying patient Stage of grieving – Kubler – Ross Priorities of nursing care to dying patient Concept of hospices care Physical care of dying patient Perceived loss versus real loss 6 Stress Coping, Adaptation and Stress Management The focus of these questions relate to the General Adaptation Syndrome (Stages) Definition of stress as well as signs and symptoms. Stress and crises management, Stages of GAS and nurses role in each stage. The nurses’ role in assessment and health promotion/prevention Complementary/Alternative therapy. 5 5 Urinary Elimination Factors that affect urinary elimination Normal Intake and output amounts; implications of abnormal findings Lab tests to evaluate function of urinary system/ nursing implications related to tests Nursing/Care and priorities related to urinary diversions ie Foley / Condom Catheters 5 Bowel Elimination Normal and abnormal characteristics of bowels Health promotion for healthy management of bowel function (constipation prevention) Nursing Care/Implications related to bowel diversions (ie: colostomy) Factors influencing Bowel Elimination Lab tests to assess bowel function / nursing implications 5 Dosage Calculation 3 Note: The above serves as a guideline for study. The number of questions may vary slightly due to final edits of exam
