More for Quiz #4

I think that the study guide is a GUIDE to help us focus on particular SUBJECTS that we will be tested on. I usually research the subject of the question rather than just answer it and so far I have been doing pretty good. Yeah, I was a bit thrown by the last one too but this one looks pretty straight forward and coorelates with our lecture.
Also try grouping the questions that relate to the same subject. That way you don't have to go back and forth and can get a real sense of the subjects. Use your Critical Thinking skills to apply this information to a nursing situation; assessment, nursing diagnosis, planning, implementation and evaluation. Remember that the written test is an evaluation of our understanding of the subjects and that we need the additional information to pass the real test which is application of the subject in a clinical setting. I rewrote the study guide and added what I look for...
1. Describe the various types of wound drainage. Also: Why does a wound need to drain? What equipment is needed and how is it used?
2. Differentiate between primary and secondary wound healing. Why would one wound need primary and another need secondary? What is the expected outcome of each?
4. Discuss the etiology of pressure ulcers. Look for causes, manifestations, prevention, client education, delegation of care and goals/outcomes.
10. Discuss the nursing interventions for the immobile client to PREVENT skin breakdown. What are the causes? What are the risks? What is the difference in prevention of a mobile client vs immobile client? What can a nurse do to decrease the incidence of skin breakdown?
12. Discuss the purpose of wound irrigation. Why is it done? Who can do it? How is it done? What are the risks if it is done incorrectly?
3. Discuss the assessment of a client with chronic pain. Compare chronic/acute pain. What are the causes and manifestations? How can you tell if a client has chronic pain: subjective/objective?
7. Discuss goals of the terminally ill client in the various stages of pain. What are the stages? Options? What are the CLIENT CENTERED goals/outcomes?
9. Describe and discuss the components of pain assessment. What are the components? For each component: causes, manifestations, signs/symptoms, interventions, goals/outcomes.
5. Discuss the assessment of a client with infection or inflammation. Compare infection vs inflammation. What are the causes, manifestations, interventions and goals/outcomes? Compare local vs systemic. How would you document?
8. Discuss potential risks for developing nosocomial infections. What are the causes? Who is susceptible? What is prevention? What is the risk to clients, health care workers?
11. Discuss the education necessary for the client with an infection. Again, local vs systemic. What is the most important thing they need to know. How would you educate your client if they were young, old, confused?
13. Discuss the EVALUATION of the client with an infection. Local vs systemic. What goals/outcomes were successfull? What interventions would need to be adapted? What would you need to prioritize?
14. Discuss the health education necessary to PREVENT the transmission of infections. Name the parts of the Chain and describe each in detail; give examples. Who is responsible for prevention/education? How would you educate you client (young, old, confused, etc)? What is the priority?
6. Give examples of sterile procedures. What is sterile vs clean? Why would you need sterile? What are the "rules" of a sterile procedure (ie: keep sterile equipment above waist level or else it is considered contaminated)?
Dig deep! You may not need to write it all down as answers but if you keep the extra questions in mind while you are looking, it will help you to realize the application of the information. I know it is a lot more work but you can be a nurse or a good nurse. To be a good nurse it takes initiative, persistance and perseverance. We have all done well enough to make it this far... and that was hard work too!
Don't get discouraged. I always remember a saying that I think was quoted from Henry Ford: "The person that thinks they can and the person that thinks they can't are both right. Which one are you?"