VN 15 CLO 6 TEST REVIEW-DONE

Question 1

STEPS OF THE NURSING PROCESS

Answer 1

(A.D.P.I.E)
Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 2

DELEGATION/DELEGATING

Answer 2

*Cna & nursing students can’t: administer meds, assess lung sounds, can’t call & get lab results under VN watch.

They can do simple tasks like getting, ice or popsicles etc.

Question 3

WHAT DOES THE VN DO IN THE EVALATION?

WHAT IS THE PURPOSE OF EVALUATION?

Answer 3

Remember Priority, ABC’S

Check to see if the goals have been met. Check to see if diagnosis has been resolved.

Question 4

WHAT IS THE NURSING DIAGNOSIS FOR SLEEP APNEA?

Answer 4

Impaired gas exchange

Question 5

WHAT ARE SHORT TERM GOALS IN REGARDS TO THE NURSING PROCESS?

Answer 5

A goal within a short period of time. Like the next few hours

Question 6

WHAT IS PART OF THE ASSESSMENT?

Answer 6

In addition to objective data you’re also considering the setting you’re in to determine risk factors.
EX: a patient at a college campus clinic.

Question 7

WHAT CAN ASSISTIVE PERSONELL (CNA) DO & NOT DO?

Answer 7

Can: reapply catheter condom, bathing & cleaning, beside care unless its complicated.

Can’t: reinforce teaching, dressing changes, can’t take care of complicated clients ( health wise) EX: monitor clients vitals who is experiencing complicated health symptoms

Question 8

CLIENT HAS ACUTE DIARRHEA WHAT IS THE PRIORITY VN IS GOING TO DO WHEN LEAVING THE ROOM?

Answer 8

Hand hygiene.