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NUR 2356 / NUR2356 Multidimensional Care I Final exam Review / MDC I Final Exam | Rated A Complete Guide | Rasmussen College

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NUR 2356 / NUR2356 Multidimensional Care I Final exam Review / MDC I Final Exam | Rated A Complete Guide | Rasmussen College 1. Psoriasis - Silvery scales - large patches of red, flaky skin ... 2. Nursing Process - Assessment - Diagnosis - Planning - Implementation - Evaluate 3. Priorities ABC (ALWAYS ASSESSED FIRST) - Airway - Breathing - Circulation 4. Maslow's Hierarchy of Needs - Physiological Needs (food, rest, water) - Safety(security) - Love/Belonging(intimate relationships, friends) - Esteem(feeling of accomplishment) - Self-Actualization(achieving one's full potential) 5. normal b/p - 90/60 to 120/80 - Systolic: 90-120 - Diastolic: 60-80 6. Normal temperature - 96.4F-99.5F - Rectal is +1 to oral - Axillae is -1 to oral 7. regular Pulse - 60-100 8. Pulse Oximetry (SpO2) - 95%-100% 9. respirations - 12-20 per minutes 10. nurses can’t delegate? - Evaluation - Assessment - Teaching/Education 11. Fall Prevention in Homes: - Remove items that could cause the client to trip(throw rugs and loose carpets) - Place electrical cords and extension cords against a wall behind furniture - Monitor gait and balance, and provide aids as needed - Make sure that steps and sidewalks are in good repair - Place grab bars near the toilet and in the tub or shower and install a stool riser 12. Fall Prevention in Hospitals - Fall bracelets and yellow socks - Bed alarm - Remove clutter - Keep items within reach (call light, personal items) - Gait Belts - "Call, don't fall" o Orient them to the call light and educate them to use call light to get help rather than getting up without assistance. Nurses should respond to call light in a timely manner - Put them in room close to nurses station - Have good lighting (especially at night) - BEDS: - Put in low position - Lock wheels - Use side rails appropriately [Show More]

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