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Medical-Surgical Nursing

Competency-Based Assessments

Medical-Surgical NursingCompetency-Based Assessments

Competency-Based Assessments

1 .
Describe the nursing responsibilities associated with caring for a patient diagnosed with MODS. How does patient acuity influence these responsibilities?
2 .
There are numerous legal considerations associated with providing nursing care to critically ill patients. Provide an example of a legal issue that may arise in this context and explain how nurses can mitigate potential risks.
3 .
A patient admitted to the ICU after a TBI exhibits signs of ICP. Discuss the pathophysiological changes contributing to this patient’s neurological deterioration.
4 .
Place the following steps for NGT insertion in the correct order by letter:
  1. Estimate length of tube to be inserted by measuring the end of the tube from the tip of the patient's nose to the earlobe and then down to the xiphoid process. Mark this spot on the tube with tape or a marker or note the correct black measurement marking printed on the tube.
  2. Lubricate the tip of the NGT.
  3. Use hospital protocol to check correct placement of NGT. This typically involves use of a chest X-ray or aspiration of gastric fluid to check pH.
  4. Explain procedure to patient.
  5. Have the patient take sips of water through a straw while you insert the tube to facilitate its passage down the esophagus. Continue advancing the tube until the predetermined length of tube has been inserted.
5 .
Describe how the skin of patients in the ICU undergoes physiological alterations due to factors like extended periods of immobility, pressure, moisture exposure, and compromised blood flow.
6 .
When assessing a critically ill patient’s skin integrity in the intensive care setting, describe how you would recognize signs of pressure ulcers; evaluate skin elasticity, coloration, and temperature; and identify any indications of damage or infection.
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