push by using a needle and syringe to deliver the dose directly into a vein, I.V. 145. 96. It’s designed to meet patients’ needs by integrating the care regimens of both professions into one comprehensive approach. 106. May 8, 2020. by Draven Cueva. In categorizing nursing diagnoses, the nurse addresses life-threatening problems first, followed by potentially life-threatening concerns. 126. CiteScore values are based on citation counts in a range of four years (e.g. 154. A nursing diagnosis is a statement of a patient’s actual or potential health problem that can be resolved, diminished, or otherwise changed by nursing interventions. 27. 37. By the end of the orientation phase, the patient should begin to trust the nurse. When providing oral care for an unconscious patient, to minimize the risk of aspiration, the nurse should position the patient on the side. Hyperpyrexia is extreme elevation in temperature above 106° F (41.1° C). An appropriate nursing intervention for the spouse of a patient who has a serious incapacitating disease is to help him to mobilize a support system. 231. Choose timed or untimed mode to challenge yourself in a review or test environment. Nonmaleficence is the duty to do no harm. 113. You can simply “Print” the page using your browser and save it as PDF. Postmortem care includes cleaning and preparing the deceased patient for family viewing, arranging transportation to the morgue or funeral home, and determining the disposition of belongings. Administering an I.M. 89. 12. When a nurse is communicating with a patient through an interpreter, the nurse should speak to the patient and the interpreter. When a patient asks a question or makes a statement that’s emotionally charged, the nurse should respond to the emotion behind the statement or question rather than to what’s being said or asked. Affiliations 1 Peking University School of Nursing, #38 Xueyuan Road, Hai Dian District, Beijing 100191, PR China. 163. Samples of feces for ova and parasite tests should be delivered to the laboratory without delay and without refrigeration. 185. 25. Withdraw the needle gently at the angle of insertion. The new version includes new graphics, interactivity, and questions and answers. Factors that affect body temperature include time of day, age, physical activity, phase of menstrual cycle, and pregnancy. The nurse should provide honest answers to the patient’s questions. On the morning of surgery, the nurse should ensure that the informed consent form has been signed; that the patient hasn’t taken anything by mouth since midnight, has taken a shower with antimicrobial soap, has had mouth care (without swallowing the water), has removed common jewelry, and has received preoperative medication as prescribed; and that vital signs have been taken and recorded. A slight difference in blood pressure (5 to 10 mm Hg) between the right and the left arms is normal. Family members of an elderly person in a long-term care facility should transfer some personal items (such as photographs, a favorite chair, and knickknacks) to the person’s room to provide a comfortable atmosphere. After administering an intradermal injection, the nurse shouldn’t massage the area because massage can irritate the site and interfere with results. 239. PERRLA is an abbreviation for normal pupil assessment findings: pupils equal, round, and reactive to light with accommodation. This category includes everything that affects the circulation, including fluid and electrolyte disturbances and disease processes that affect cardiac output. It occurs in ventricular enlargement because the stroke volume varies with each heartbeat. 143. Gavage is forced feeding, usually through a gastric tube (a tube passed into the stomach through … Iron-rich foods, such as organ meats, nuts, legumes, dried fruit, green leafy vegetables, eggs, and whole grains, commonly have a low water content. A subjective sign that a sitz bath has been effective is the patient’s expression of decreased pain or discomfort. To insert a nasogastric tube, the nurse instructs the patient to tilt the head back slightly and then inserts the tube. 118. (C) Attempt to contain the fire by closing the door. 226. 227. A grade 6 heart murmur can be heard with the stethoscope slightly raised from the chest. When caring for an infant, a child, or a confused patient, consistency in nursing personnel is paramount. They are more pronounced during expiration than during inspiration. review uses national datasets to estimate the size, shape and composition of the nursing workforce. Sebaceous glands lubricate the skin. 137. It has three quiz modes; - Normal Mode - default, without time limit. Leave the needle in place for 10 seconds. The nurse should never destroy or attempt to obliterate documentation or leave vacant lines. 223. When withdrawing the catheter, the nurse should apply intermittent suction for no more than 15 seconds and use a slight twisting motion. Step 3: Establishing a plan to meet the goals Decibel is the unit of measurement of sound. Process recording is a method of evaluating one’s communication effectiveness. Malpractice is a professional’s wrongful conduct, improper discharge of duties, or failure to meet standards of care that causes harm to another. 103. A patient should be advised to take aspirin on an empty stomach, with a full glass of water, and should avoid acidic foods such as coffee, citrus fruits, and cola. To maintain package sterility, the nurse should open a wrapper’s top flap away from the body, open each side flap by touching only the outer part of the wrapper, and open the final flap by grasping the turned-down corner and pulling it toward the body. During gastric lavage, a nasogastric tube is inserted, the stomach is flushed, and ingested substances are removed through the tube. Double hearing protection is required if it exceeds 104 dB. When assessing a patient for bladder distention, the nurse should check the contour of the lower abdomen for a rounded mass above the symphysis pubis. A “shift to the right” is evident when the number of mature cells in the blood increases, as seen in advanced liver disease and pernicious anemia. Abdominal assessment is performed in the following order: inspection, auscultation, percussion & palpation. 57. The nurse should flush a peripheral heparin lock every 8 hours (if it wasn’t used during the previous 8 hours) and as needed with normal saline solution to maintain patency. 203. 222. If a patient can’t cough to provide a sputum sample for culture, a heated aerosol treatment can be used to help to obtain a sample. Patient preparation for cholecystography includes ingestion of a contrast medium and a low-fat evening meal. Antiembolism stockings decompress the superficial blood vessels, reducing the risk of thrombus formation. Isometric exercises are performed on an extremity that’s in a cast. 63. A patient’s bed bath should proceed in this order: face, neck, arms, hands, chest, abdomen, back, legs, perineum. 6. Falls in the elderly are likely to be caused by poor vision. Nursing2020 seeks qualified nurses and other health professionals willing to review and critically evaluate manuscripts to evaluate their suitability for publication, relevance to readers, and consistency with evidence-based practice. 23. It’s usually discussed in a negative sense. Active euthanasia is actively helping a person to die. Prothrombin, a clotting factor, is produced in the liver. Background: Nursing theory-guided practice helps improve the quality of nursing care because it allows nurses to articulate what they do for patients and why they do it. The nurse should count an irregular pulse for 1 full minute. The Patient’s Bill of Rights offers patients guidance and protection by stating the responsibilities of the hospital and its staff toward patients and their families during hospitalization. (R) Remove the patient. Nice and interactive notes when you want to revise fundamentals book of nursing. ... Work engagement in nursing: an integrative review of the literature. Schedule I drugs, such as heroin, have a high abuse potential and have no currently accepted medical use in the United States. The family of a patient who has been diagnosed as hearing impaired should be instructed to face the individual when they speak to him. The autonomic nervous system regulates the cardiovascular and respiratory systems. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 220 Nursing Bullets: Fundamentals of Nursing Reviewer 1, Nursing Bullets: Pediatric Nursing Reviewer 1 (40 Items), Nursing Bullets: Maternal & Child Health Nursing Reviewer 1 (350 Items), Nursing Bullets: Fundamentals of Nursing Reviewer 1 (220 Items), Nursing Bullets: Fundamentals of Nursing Reviewer 2 (246 Items), Nursing Bullets: Medical-Surgical Nursing Reviewer 1 (160 Items), Nursing Bullets: Psychiatric Nursing Reviewer 1 (225 Items), Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. 171. To avoid shearing force injury, a patient who is completely immobile is lifted on a sheet. For a subcutaneous injection, the nurse should use a 5/8″ to 1″ 25G needle. Before teaching any procedure to a patient, the nurse must assess the patient’s current knowledge and willingness to learn. The most appropriate nursing diagnosis for an individual who doesn’t speak English is Impaired verbal communication related to inability to speak dominant language (English). Ethnocentrism is the universal belief that one’s way of life is superior to others. Skeletal traction, which is applied to a bone with wire pins or tongs, is the most effective means of traction. 16. Purpura is a purple discoloration of the skin that’s caused by blood extravasation. Step 1: Identifying the trajectory phase This page is promoting a website that provides review resources for nurses and nursing students. Bradycardia is a heart rate of fewer than 60 beats/minute. The best way to prevent pressure ulcers is to reposition the bedridden patient at least every 2 hours. The following studies establish the strength of the correlation, and suggest ways to increase patient safety through adequate nurse staffing. It would be more appropriate to make further assessments. 62. After suctioning a tracheostomy tube, the nurse must document the color, amount, consistency, and odor of secretions. 164. Also included is the course syllabus with additional supplemental material to enhance your learning experience. Double-bind communication occurs when the verbal message contradicts the nonverbal message and the receiver is unsure of which message to respond to. NURSING MP3 LIVE LECTURE (50+ lectures) 10,000+ sample nursing examination in MS word format. The nurse should place a patient who has a Sengstaken-Blakemore tube in semi-Fowler position. Therapeutic Communication Techniques Quiz. Hand washing is the single best method of limiting the spread of microorganisms. To check for petechiae in a dark-skinned patient, the nurse should assess the oral mucosa. 165. The patients’ bill of rights was introduced by the American Hospital Association. Peer review provides a mechanism to ensure that new nursing standards of care are addressed. A hypotonic enema softens the feces, distends the colon, and stimulates peristalsis. 179. No pork or pork products are allowed in a Muslim diet. A Hindu patient is likely to request a vegetarian diet. Here are 350 nursing bullets about Maternal and Child Health Nursing. 52. Major, unalterable risk factors for coronary artery disease include heredity, sex, race, and age. During the evaluation step of the nursing process, the nurse assesses the patient’s response to therapy. 178. Extend and further strengthen your knowledge about the concepts of Pediatric Nursing with these 40 Nursing Bullets. ADVERTISEMENTS. 74. Fluid intake includes all fluids taken by mouth, including foods that are liquid at room temperature, such as gelatin, custard, and ice cream; I.V. The mist in a mist tent should never become so dense that it obscures clear visualization of the patient’s respiratory pattern. 9. When changing the ties on a tracheostomy tube, the nurse should leave the old ties in place until the new ones are applied. Exacerbations of chronic disease usually cause the patient to seek treatment and may lead to hospitalization. Endorphins are morphine-like substances that produce a feeling of well-being. 148. Platelets are the smallest and most fragile formed element of the blood and are essential for coagulation. Finding help online is nearly impossible. Community Health Community Health Nursing Exam by ChieChay Dub on Scribd. Two to three hours before beginning a tube feeding, the nurse should aspirate the patient’s stomach contents to verify that gastric emptying is adequate. The basal metabolic rate is expressed in calories consumed per hour per kilogram of body weight. Perfect for those who needs to a quick review. Passive range of motion maintains joint mobility. 157. 70. Nursing Bullets for Medical-Surgical Nursing is the ultimate reviewer for the NCLEX. Bananas, citrus fruits, and potatoes are good sources of potassium. To remove a patient’s artificial eye, the nurse depresses the lower lid. 119. In this case, the best choice is an assessment response unless a specific course of action is clearly indicated. This procedure is done to determine the size, shape, position, and density of underlying organs and tissues; elicit tenderness; or assess reflexes. 183. Discrimination is preferential treatment of individuals of a particular group. 73. 204. Whether the patient can perform a procedure (psychomotor domain of learning) is a better indicator of the effectiveness of patient teaching than whether the patient can simply state the steps involved in the procedure (cognitive domain of learning). During the assessment phase of the nursing process, the nurse collects and analyzes three types of data: health history, physical examination, and laboratory and diagnostic test data. CALL FOR PAPERS. Patient-controlled analgesia is a safe method to relieve acute pain caused by surgical incision, traumatic injury, labor and delivery, or cancer. Older patients commonly don’t report pain because of fear of treatment, lifestyle changes, or dependency. Step 5: Implementing interventions The nurse shouldn’t dry a patient’s ear canal or remove wax with a cotton-tipped applicator because it may force cerumen against the tympanic membrane. The Z-track I.M. 41. 160. 229. 208. For blood transfusion in an adult, the appropriate needle size is 16 to 20G. Before instilling medication into the ear of a patient who is up to age 3, the nurse should pull the pinna down and back to straighten the eustachian tube. - Fundamentals in Nursing - Maternal and Child - Medical and Surgical - Nursing Jurisprudence - Community Health Nursing - Psychiatric Nursing Also Includes: 2 DVDs Nursing Skills. 186. Cutaneous stimulation creates the release of endorphins that block the transmission of pain stimuli. 232. 22. 115. 114. Vegetables have a high fiber content. 109. To avoid staining the teeth, the patient should take a liquid iron preparation through a straw. 151. 14. Postoperative pain varies greatly among individuals. 97. infusion is as follows: (volume to be infused × drip factor) ÷ time in minutes = drops/minute. In this case, the nurse hasn’t confirmed whether the pain is cardiac. The nurse should attach a restraint to the part of the bed frame that moves with the head, not to the mattress or side rails. 192. As a general rule, nurses can’t refuse a patient care assignment; however, in most states, they may refuse to participate in abortions. For example, the patient complains of chest pain (the stimulus for the thought) and the nurse infers that the patient is having cardiac pain (the thought). 182. A foot cradle keeps bed linen off the patient’s feet to prevent skin irritation and breakdown, especially in a patient who has peripheral vascular disease or neuropathy. When administering an intradermal injection, the nurse should hold the syringe almost flat against the patient’s skin (at about a 15-degree angle), with the bevel up. Anticipatory grief is mourning that occurs for an extended time when the patient realizes that death is inevitable. 146. 191. 4.5 out of 5 stars 16. Anything that’s located below the waist is considered unsterile; a sterile field becomes unsterile when it comes in contact with any unsterile item; a sterile field must be monitored continuously; and a border of 1″ (2.5 cm) around a sterile field is considered unsterile. 8. To administer heparin subcutaneously, the nurse should follow these steps: Clean, but don’t rub, the site with alcohol. Electrolytes in a solution are measured in milliequivalents per liter (mEq/L). The three phases of the therapeutic relationship are orientation, working, and termination. 190. Galante, Christine M. About 30% of patients with … This category includes everything that affects the breathing pattern, including hyperventilation or hypoventilation and abnormal breathing patterns, such as Korsakoff’s, Biot’s, or Cheyne-Stokes respiration. And moving a patient, the patient to indicate the location of pain! 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