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This is a study guide , not a test. Advanced Care Management Final Exam Study Guide 100 Questions Book: Medical-surgical nursing concepts for interprofessional collaborative care 10th edition Ignatavicius workman Rebar Chapter 10: All QSEN nursing safety priorities Triage Emergent, Urgent, and Nonurgent (including triage coloring tags) Prioritization of care/who to see first Trauma Hospital Levels & location of centers/capability Primary & Secondary Survey Nursing interventions Injury Prevention & Safety in the Emergency Department Chapter 12: All QSEN nursing safety priorities Disaster Plans Triage Emergency preparedness plans Debriefing Psychosocial impact of disaster/mass casualty Chapter 31: All QSEN Nursing Safety Priorities Rhythm interpretation – Remember your questions/steps of interpretation Atrial Fibrillation Who’s at risk? Complications & interventions to prevent complications Adenosine Indication & therapeutic response Defibrillation Indications Patient & nursing safety interventions Permanent Pacemakers Post-op patient education Patient safety Chapter 32: All QSEN Nursing Safety Priorities Heart Failure Pathophysiology Signs of right vs left sided heart failure Effects of tachycardia on heart rate, blood pressure, urine output, etc. Patient education: nutrition, monitoring, medication, assessment Delegation: Unlicensed assistive personnel (UAP) scope of practice Pericarditis Signs and symptoms Treatment- including nonpharmacologic comfort methods Infective endocarditis Patho At risk populations Signs and symptoms Chapter 34: Types of shock (including patho) -hypovolemic, cardiogenic, distributive, obstructive Identification of at-risk populations for developing shock Mean Arterial Pressure – normal values and interpretation of high/low readings Prevention of shock Chapter 28: All QSEN nursing safety priorities Pneumonia At risk population Preventing pneumonia Chapter 29: All QSEN nursing safety priorities Acute Respiratory Distress Syndrome (ARDS) Common causes Key features Flail chest Treatment Hospital acquired pneumonia Prevention methods Pulmonary Embolism Prevention High risk population Signs and symptoms Atelectasis Prevention methods Oxygenation vs Ventilatory failure Chapter 53: All QSEN Nursing Safety Priorities Functions of the liver Signs and symptoms of liver failure Cirrhosis Assessment priorities Complications Nutrition education Portal Hypertension Pathophysiology Causes Key features of hepatic encephalopathy Lactulose Indication Patient education Chapter 54: All QSEN Nursing Safety Priorities Pancreatitis At risk population Nursing interventions Nutrition education Enzyme replacement therapy (including when to take medications) Common bile duct obstruction Causes Signs and symptoms Cholecystitis Causes Signs and symptoms Biliary drainage tube (T-tube) Expected findings Patient education – post-op care Chapter 63: All QSEN Nursing Safety Priorities Acute Kidney Injury Risk factors Signs and symptoms Chronic Kidney Disease Risk factors Treatment and management Hemodialysis Nursing considerations/monitoring Nutrition education Chapter 16: All QSEN nursing safety priorities Three processes needed for immunocompetence Function of immune cells Inflammation: neutrophils and macrophages Antibody-mediated immunity: B-lymphocytes, plasma cells, & memory cells Cell-mediated immunity: Helper T cells, Regulatory T cells, Cytotoxic T cells & natural killer cells Age related immune function changes Care for patients with decreased immunity/health promotion 5 cardinal signs of inflammation Chapter 17: All QSEN nursing safety priorities Human Immunodeficiency Virus (HIV) Infection prevention Health promotion and nutrition Acquired immune deficiency syndrome (AIDS) Assessment of patient history Classification: including lab values, CD4 count Key features Infection prevention Caring for patients with decreased immunity Chapter 18: All QSEN Nursing Safety Priorities Types of hypersensitivity reactions: Type 1-4 (Rapid, Cytotoxic, Immune Complex, Delayed) Anaphylaxis Signs/symptoms Treatment: including Epinephrine/Epi-Pen Patient education Systemic Lupus Erythematosus (SLE) Key features Patient education Chapter 38: All QSEN Nursing Safety Priorities Glasgow Coma Scale Indication & Interpretation Prioritization of care Assigning Glasgow coma score Lumbar puncture Indications Post-procedure complications Cerebral Angiogram Indications Post-procedure care/assessment Chapter 41: All QSEN Nursing Safety Priorities Stroke Hemorrhagic vs. Ischemic Signs/Symptoms High risk populations Prevention & Health Promotion Complications – including nursing interventions for prevention of complications Intracranial pressure (ICP) Early and Late signs and symptoms Methods to prevent increased ICP Chapter 46: All QSEN Nursing Safety Priorities Rheumatoid Arthritis Patho/cause Signs and symptoms Diagnostic tests Treatment/health promotion Disease modifying antirheumatic drugs (DMARDS) Methotrexate – contraindications Osteoarthritis Patho/cause Signs and symptoms Risk factors – who’s at risk? Treatment/health promotion Total Hip Arthroplasty Post-op care Patient safety interventions Chapter 36: All QSEN nursing safety priorities Clotting cascade – hemostasis (know the process/steps) Clot degradation process Accessory organs and function – Liver & Spleen Bone marrow aspiration and biopsy Procedure, patient education, post-procedure care Chapter 37: All QSEN Nursing Safety Priorities Anemias Types AND risk factors of anemia – signs and symptoms, interventions & treatments Management of patients with anemia/interventions Blood Transfusions Pre transfusion, during, and post transfusion nursing interventions/roles Nursing responsibilities pre transfusion Transfusion reactions Signs and symptoms: febrile, hemolytic, allergic and volume overload Interventions for transfusion reactions (including volume overload) Chapter 11: All QSEN Nursing Safety Priorities Heat stroke vs Heat exhaustion At risk population Interventions prehospital and in hospital Lightening injuries Prevention Emergency interventions Prioritizing nursing interventions/hospital care Drowning Emergency interventions Health promotion/water safety Chapter 23: All QSEN Nursing Safety Priorities Burns Classification/identification Phases of burn injury (include treatment and signs and symptoms) – Resuscitation/early, acute, & rehabilitation phase Assessment/systemic changes related to burns (body symptoms) Chapter 65: All QSEN Nursing Safety Priorities Mastectomy Post-op care Precautions Fibrocystic breast condition Causes and treatment Breast cancer Who’s at risk? Hysterectomy Pre-op teaching Post-op care Patient safety Mastectomy and oophorectomy Patient and family education Psychosocial considerations Chapter 66: All QSEN Nursing Safety Priorities Cystocele Patho & key features Rectocele Patho & key features Toxic Shock Syndrome Patient education Vulvovaginitis Prevention education Chapter 67: All QSEN Nursing Safety Priorities Prostatectomy Post-op care Nursing assessment Continuous bladder irrigation Benign Prostate Hyperplasia Key features Urinary catheter self-management education Chapter 69: All QSEN Nursing Safety Priorities Sexually Transmitted Infections (STIs) Prevention methods Reportable STIs Syphilis Signs and symptoms Treatment Chlamydia Signs and symptoms Treatment Gonorrhea Signs and symptoms Treatment Genital Warts Screening tools Treatment
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