AUDIO ASSESSMENT - BNKN602 newest actual / EXAM QUESTIONS AND ANSWER verified/graded +
List some Circulation Interventions ----Answers---Hydration
- Oral Care
Intravenous Fluid as prescribed
Administer prescribed medication - consider DVT prophylaxis
Mobilizing - foot pedaling, frequent mobilization as able, regular repositioning
Rationale for circulation interventions ----Answers---To ensure adequate tissue perfusion.
List some disability assessments ----Answers---Level of Consciousness - AVPU.Check if oriented to time, person and place.
Restlessness/agitation (hypoxemia)
Anxiety - breathlessness, fear of dying, dyspnea (SOB)
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Pain - COLDSPA, opioid analgesia causing decrease in RR and LOC
Disability Interventions - ----Answers---•Pain management •Select appropriate analgesia •Administer analgesia as prescribed
Anxiety reduction to reduce SNS response - patient education, communication with plan, involve family/whanau.
Rationale for Disability Interventions ----Answers---To maintain patient safety and prevent further complications.
List some environment assessments ----Answers---Patient Risk Assessments
- Falls risks
Braden Scale(pressure injury) Smoking/vaping status
Past medical/surgical history
- previous respiratory issues
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Medications Drug reactions Allergies EWS - trends/actions required?