Podcast
Questions and Answers
Which of the following is a short-term complication associated with bariatric surgery?
Which of the following is a short-term complication associated with bariatric surgery?
What is the primary cause of dumping syndrome?
What is the primary cause of dumping syndrome?
Which of the following is NOT a potential symptom of dumping syndrome?
Which of the following is NOT a potential symptom of dumping syndrome?
Which of the following nursing interventions is MOST relevant for a patient recovering from bariatric surgery?
Which of the following nursing interventions is MOST relevant for a patient recovering from bariatric surgery?
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What is the primary purpose of incentive spirometry in the postoperative care of a bariatric surgery patient?
What is the primary purpose of incentive spirometry in the postoperative care of a bariatric surgery patient?
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What is the purpose of interprofessional collaboration in healthcare?
What is the purpose of interprofessional collaboration in healthcare?
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What does the "teach-back" method involve?
What does the "teach-back" method involve?
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What are the key components of cultural humility?
What are the key components of cultural humility?
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Which of the following factors can contribute to health disparities?
Which of the following factors can contribute to health disparities?
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What is the term used to describe normal age-related changes in organ systems?
What is the term used to describe normal age-related changes in organ systems?
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What is the difference between dementia and delirium?
What is the difference between dementia and delirium?
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Which of the following are safety considerations for reducing the risk of falls in older adults?
Which of the following are safety considerations for reducing the risk of falls in older adults?
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What is the main purpose of the Braden Scale?
What is the main purpose of the Braden Scale?
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Which of these is a contagious skin condition?
Which of these is a contagious skin condition?
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What is the most sensitive indicator of pressure injury risk on the Braden Scale?
What is the most sensitive indicator of pressure injury risk on the Braden Scale?
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What is a major benefit of bariatric surgery?
What is a major benefit of bariatric surgery?
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What is a restrictive type of bariatric surgery?
What is a restrictive type of bariatric surgery?
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What is a common symptom of delirium in older adults?
What is a common symptom of delirium in older adults?
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Which of the following is a common coping strategy for chronic illness management?
Which of the following is a common coping strategy for chronic illness management?
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What key factor is NOT related to the pathophysiology of obesity?
What key factor is NOT related to the pathophysiology of obesity?
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Which term refers to the narrowing or constriction of a passage or orifice?
Which term refers to the narrowing or constriction of a passage or orifice?
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Which of these skin conditions is NOT contagious?
Which of these skin conditions is NOT contagious?
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Which of the following is NOT a primary focus of the HCAHPS survey?
Which of the following is NOT a primary focus of the HCAHPS survey?
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Which component of the SBAR communication method focuses on the patient's current status or condition?
Which component of the SBAR communication method focuses on the patient's current status or condition?
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Which of the following is NOT a competency that QSEN focuses on?
Which of the following is NOT a competency that QSEN focuses on?
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Which of the following is a key competency in Medical-Surgical Nursing, but NOT a component of the Nursing Process?
Which of the following is a key competency in Medical-Surgical Nursing, but NOT a component of the Nursing Process?
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In the context of hospital accountability for patient-centered care, what is the primary focus of The Joint Commission (TJC)?
In the context of hospital accountability for patient-centered care, what is the primary focus of The Joint Commission (TJC)?
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Flashcards
Nursing Process Components
Nursing Process Components
Stages in nursing that guide patient care: recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, evaluating outcomes.
HCAHPS
HCAHPS
Survey collecting standardized data from patients about their hospital experience focused on communication, staff responsiveness, and cleanliness.
The Joint Commission (TJC)
The Joint Commission (TJC)
Independent organization that accredits U.S. hospitals, focusing on quality and safety through National Patient Safety Goals.
SBAR Communication
SBAR Communication
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QSEN Competencies
QSEN Competencies
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Malabsorptive procedures
Malabsorptive procedures
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Roux-en-Y gastric bypass
Roux-en-Y gastric bypass
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Dumping syndrome
Dumping syndrome
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Post-bariatric nursing assessment
Post-bariatric nursing assessment
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Symptoms of dumping syndrome
Symptoms of dumping syndrome
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Interprofessional Collaboration
Interprofessional Collaboration
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Transitional Care
Transitional Care
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Teach-Back
Teach-Back
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Cultural Humility
Cultural Humility
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Health Disparities
Health Disparities
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Senescence
Senescence
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Delirium vs Dementia
Delirium vs Dementia
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Braden Scale
Braden Scale
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Wound Assessment
Wound Assessment
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Skin Conditions Education
Skin Conditions Education
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Obesity Risk Factors
Obesity Risk Factors
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Bariatric Surgery Benefits
Bariatric Surgery Benefits
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Restrictive Bariatric Procedures
Restrictive Bariatric Procedures
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Patient-Centered Care
Patient-Centered Care
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Chronic Illness Management
Chronic Illness Management
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Study Notes
Key Competencies in Medical-Surgical Nursing
- Essential knowledge domains: Anatomy & Physiology, Pathophysiology, Chemistry, Pharmacology, Microbiology
- Nursing Process components: Recognizing cues, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, evaluating outcomes
- Key competencies: Clinical decision-making, evidence-based care, patient-centered care, quality & safety, interprofessional practice
Accountability for Patient-Centered Care
- HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems): A survey measuring patient experience. Key areas: communication with nurses/providers, staff responsiveness, medication communication, discharge info, care transition, cleanliness, quietness, overall rating, recommendation.
- TJC (The Joint Commission): An organization accrediting most U.S. hospitals. Focus: healthcare quality & safety. National Patient Safety Goals: patient identification, safety risk identification, staff communication, health equity, medication safety, alarm safety, surgical safety, infection prevention.
Communication & Collaboration
- SBAR (Situation, Background, Assessment, Recommendation): A communication tool for safe communication in healthcare, critical in shift changes and transfers
- Hand-off communication: Essential during every shift transition & transfer to ensure consistent patient care
QSEN Focus
- Quality & Safety Education for Nurses (QSEN): Emphasizes Patient-centered care, quality improvement, teamwork & collaboration, safety, evidence-based practice, informatics
Interprofessional Collaboration
- Definition: Two or more professionals working together to solve problems/coordinate care.
- Effect on patient care: Improves patient outcomes, reduces adverse drug reactions, avoids emergency hospitalizations, optimizes medication dosages
- Incorporating the patient: Communication, shared decision-making & comprehensive care plans
Patient Education and Cultural Considerations
- "Teach-back": Ensuring patient understanding by asking them to repeat information/directions.
- Cultural humility: Self-evaluating biases, self-critique and reflection toward flexibility and openness for patient interactions
- Cultural awareness: Recognizing how personal beliefs influence views of others' cultural health beliefs.
- Cultural sensitivity: Person-centered care grounded in appreciating one's own and others' cultural practices/beliefs
- Health disparities: Disadvantages stemming from social, economic, or environmental factors. Disadvantage categories include age, disability, economic instability, education level, gender, income inequality, language proficiency, mental health condition, race, sexuality, geography
Managing Language Barriers
- Solution: Interpreters or resources in different languages
Age-Related Changes
- Senescence: Normal age-related organ system changes.
- Common terms: Sclerosis (hardening), Stenosis (narrowing), Atrophy (wasting), Calcification (calcium deposits), Decreased elasticity
- Impact: Difficulty maintaining homeostasis (body's balance). Homeostenosis = failure of homeostasis.
- Important tables: Review tables 6.1, 6.2, 6.3, 6.4, 6.5, 6.8 in Chapter 6
Patient Safety & Falls
- Risk factors for falls (older adults): Impaired eyesight, slower body systems, stairs, rugs, poor lighting, pets, lack of clear walkways
- Prevention: Community resources, encourage physical activity, be aware of environmental hazards
Dementia vs. Delirium
- Delirium: Acute, reversible, commonly found in older adults.
- Dementia: Progressive cognitive decline, impacting social/occupational function.
Chronic Diseases
- Patient management: Empowering patients, educating individuals and their families, encouraging health promotion and including caregivers for support.
- Impact on patients & family: Family strain, caregiver strain, financial strain, chronic sorrow, spiritual distress, powerlessness
- Coping strategies: Educate, encourage, offer help, include family/caregivers, offer resources
Skin Assessment & Wounds
- Important factors in medical history: Medications, family history, environmental/social history
- Braden Scale: Assessing risk of pressure injuries. Higher scores are better. Scores of 1 or 2 in mobility are sensitive indicators. Scores of 18 or lower necessitate clinical decision-making for prevention strategies.
- Wound bed assessment terms: (Specific terms should be reviewed from Chapter 50)
- Skin conditions:(Specific descriptions should be reviewed from Chapter 50)
- Psoriasis patient education: Educate on medications, side effects, skin assessment during phototherapy, handwashing, adverse reactions, infection signs, sunlight avoidance (if applicable), daily skin checks
- Contagious skin conditions: Fungal infections (e.g., tinea capitis, corporis, cruris, faciei, pedis, versicolor)
Obesity
- Pathophysiology: (Review chapter's description)
- Risk factors: DM2, heart disease, metabolic syndrome, airway obstruction, chronic kidney disease, NAFLD, infertility issues, GERD, cancer, increased medication use, stroke, sleep apnea, osteoarthritis, decreased glomerular filtration and psychosocial health
- Bariatric surgery benefits: Weight loss, improved health/mental health, reduced medication/risk, increased physical activity/fertility.
- Surgical procedures: Restrictive (adjustable banding, sleeve gastrectomy, duodenal switch, inflatable intragastric balloon), malabsorptive (jejunileal bypass, biliopancreatic diversion), combination (Roux-en-Y gastric bypass)
- Complications: (Short-term and long-term). Review specific complications for each type of procedure
- Post-op assessment: Monitoring for complications, supporting dietary/lifestyle changes, nutritional deficiencies, and advocacy for social support
- Dumping syndrome: Rapid emptying of stomach contents into small intestine. Symptoms: nausea, vomiting, cramps, diarrhea, dizziness, etc. Nursing education: incentive spirometry, compression devices, ambulation, lifting restrictions, recovery activity, diet restrictions, medication side effects, wound & drain care, support groups
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Description
This quiz explores essential competencies in medical-surgical nursing, covering crucial knowledge domains such as anatomy, pharmacology, and patient-centered care. It also discusses the nursing process and accountability measures like HCAHPS and TJC. Test your understanding of clinical decision-making, interprofessional practice, and quality assurance in healthcare.