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Test your basic knowledge |
Nursing Fundamentals Theory
Start Test
Study First
Subjects
:
health-sciences
,
nursing
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Lab / Screenings - Chest x- ray - is there fluid or anything pressing on the heart? - ECG - heart health - circulatory - ischemia - CBC - WBC's - infection - RBC's - platelets - bleeding time - Chemistry profile - Urinalysis
Ways to help a patient manage pain
What happens during the pre - op phase of surgery
Nursing considerations for peristomal care.
Nursing role with grief and death
2. Interval between pathogen's invasion of the body & the appearance of symptoms; organisms are growing & multiplying
Incubation period
How a nurse supports grieving patient's family
Stress Incontinence
Total (reflex) Incontinence
3. Code of ethics; accountability
Integrity
Catheter Urine Specimen procedure
Factors affecting UTI's
Social Justice
4. To make or confirm a diagnosis (Ex: breast biopsy - laparoscopy)
Ethical distress
Liver disease effects on nutritional status of a patient
Diagnostic surgery
How vitamins can affect a patients nutritional state
5. Provide specific instructions about kinds of healthcare that should be provide or forgone
Justice
Living Wills
Human dignity
Ileostomy -
6. Teach patient & family that pain meds will be ordered by physician & administered by nurse - Patient should ask for pain meds before pain becomes severe - A different med can be ordered if the med does not control pain or has unpleasant side effects
Palliative surgery
TPN
Risk Factors for AlteresFmily health.
Patient teaching regarding post operative pain management.
7. Hand Hygiene - Wash - before & after touching patient; before & after wearing gloves - Alchohol - based handrubs - if hands are not visibly soiled - Soap & water - if hands are visibly soiled or contaminated with blood or body fluids; wash for 15 sec
Purulent wound drainage
Serosanguineous wound drainage
Risk Factors for Altered Family Health
Most effective way to prevent spread of organisms
8. Goal of treatment is a comfortable dignified death & that further life - sustaining measures are no longer indicated.
Comfort Measures Only
Nursing Interventions to promote post - operative urinary elimination needs.
Psychomotor learning
Nursing role with grief and death
9. Palliative - to relieve or reduce intensity of an illness; is not curative (Ex: colostomy - arthroscopy - balloon angioplasties)
What disinfectant does
Justice
Symptoms of UTI
Palliative surgery
10. Urinary retention - inability to empty bladder
Retention - Altered urine pattern
Nocturia - Altered urine pattern
Human dignity
urinary retention
11. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks
Pre - operative assessment includes
Maturational loss
Risk Factors for AlteresFmily health.
DNR and the nurse's duty
12. Keep promises
Patient teaching regarding post operative pain management.
Fidelity
Sanguineous wound drainage
Purulent wound drainage
13. Activity - movement stimulates intestinal muscle action = peristalsis - abdominal & pelvic muscle exercises to maintain tone for intra - abdominal pressure
Portal of Exit
Maslow's Hierachy of Needs - Love and belonging
Ways to prevent or treat constipation
solube fiber
14. Personal emotional involvement - Need to explore own beliefs about death - Burn - out from work in areas of frequent death - Critical Care - ER - Hospice - Long Term Care
Ways to prevent or treat constipation
Nursing role with grief and death
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
Nursing Consideratins for stoma care
15. Give each his/her due & act fairly
Justice
Factors that affect a patient's health state.
Factors affecting a vegan diet
Virus
16. Do - not - resuscitate - an order specifying that there be no attempt to resuscitate a patient in the event of cardiopulmonary arrest - Nurse is obligated to attempt CPR if there is no DNR order - Nurse should clarify the patient's code status: if th
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17. O Spiritual / Religious needs - Know & respect special ceremonies - rituals - Contact clergy to visit if patient desires
Palliative surgery
What a nurse needs to do about the spiritual needs of a dying patient
Nonmaleficence
Causes of food poisoning
18. Smallest of all microorganisms - visible only with an electron microscope (Ex: common cold - AIDS)
Virus
solube fiber
chronic illness
Ways to prevent food poisoning
19. Improves musculoskeletal system - Improves cardiovascular function - Improves circulation - tissues get oxygen & nutrients - Promotes relaxation
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20. no harsh or abrasive cleansers - use mild soap & water - dry gently - use skin protectant products to toughen area & protect from irritating stool
What happens during the pre - op phase of surgery
Hesitancy - Altered urine pattern
Cognitive teaching strategy
Peristomal Skin Care Cleansing
21. For bowel diversions that bring portion of small or large intestine to abdominal surface for stool elimination - Permanent or temporary diversion - If permanent - may do abdominal - perineal resection to close off rectum & anal area (esp. if cancer i
How to stimulate a patients appetite
ostomy
Cognitive teaching strategy
What is length of stay & How do we control it?
22. Helps remove mucus & is usually taught with deep breathing (esp. important for patients with increased risk of respiratory complications)
'informed consent'
Surgical asepsis
Post - operative complications Coughing
TPN
23. Nurse knows the right thing to do but factors make it difficult to follow correct course of action.
Ethical distress
What a nurse needs to do about the spiritual needs of a dying patient
Ways to prevent or treat constipation
Stoma Bag/Appliance changes
24. Stool production will usually not begin for a few days after surgery - surgery inhibits peristalsis - patient has been NPO - enemas to cleanse prior - Mucus may be passed from stoma prior to production of stool - Colostomy may require irrigation to
Ways to prevent or treat constipation
Nursing Consideratins for stoma care
Risk Factors for AlteresFmily health.
Situational loss
25. Benefit the patient.
Beneficence
Stress Incontinence
Integrity
Stoma Care Cleansing
26. In the case of cardiopulmonary or respiratory arrest - calling a code & resuscitating the patient are to be delayed until these measures will be ineffectual.
Surgicale Classification - elective
Hesitancy - Altered urine pattern
Prodromal stage (most infectious stage)
Slow Code
27. Health history & physical assessment within 24 hrs of surgery to identify risk factors & allergies - Identifying medications & treatments patient is currently receiving - surgery cancels all prior medication orders (Ex: no cumadin - Plavix - aspirin
Incubation period
Convalescent period
Pre - operative assessment includes
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
28. Only in animal products
Affective learning
Maslows Hiearchy of Needs - Self - Actualization
Where dietary intake of cholesterol can be found
Living Wills
29. ability to excrete excess nitrogen
Portal of Entry
How does renal disease affect a patients nutrional health
Nursing Interventions to promote post - operative bowel elimination needs.
Factors that affect a patient's health state.
30. Plantlike organisms - molds (Ex: Athlete's foot - Ringworm)
Fungi
How a nurse supports grieving patient's family
cleasing enema
Justice
31. Understanding & Acceptance: Involve family / friends in patient care - Establish trusting relationship - Refer to support groups
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32. supports & immobilizes a body part - helps a surgical incision helps with comfort and pain.
Maturational loss
Ablative surgery
What disinfectant does
splinting and its use in the health care setting
33. Bowel sounds - auscultate every 4 hrs when patient is awake - reduced or absent; should return within 8-24 hrs after surgery - Distention - assess; esp. if bowel sounds are absent or high - pitched (could indicate paralytic ileus) - Is there an infe
Frequency - Altered urine pattern
Nursing Interventions to promote post - operative bowel elimination needs.
Reconstructive surgery
Sanguineous wound drainage
34. Loss of voluntary control of urination
Incontinence
Total (reflex) Incontinence
Psychomotor teaching strategy
Affective learning
35. Avoid causing harm (Nightengale Pledge
Nonmaleficence
Post - operative complications Often painful
Maslow's Hierachy of Needs - Safety and Security
How a nurse provides psychological support to a dying patient
36. Pain reported by patient is determining factor of pain control - Assess pain q 2 hrs after major surgery - Older patient is at risk for undertreatment & overtreatment of pain
Nonmaleficence
Sanguineous wound drainage
Ethical distress
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
37. Physical - genetic inheritance - age - developmental level - race - & gender - Emotional - how the mind affects body function & responds to body conditions - Intellectual - cognitive abilities - educational background - & past experiences - Environme
Factors affecting grief and dying
Convalescent period
Post - operative complications Turning in bed
Human Dimensions of Health
38. Can be harmful if taken in large amounts - All nutrients work with others to promote good health - Adding large amounts of one vitamin can make the body believe it is deficient in another vitamin - Food is the best source of nutrients - Supplements s
Patient teaching regarding post operative pain management.
Susceptible Host
How vitamins can affect a patients nutritional state
Convalescent period
39. To remove a diseased body part (Ex: appendectomy - amputation)
Ablative surgery
Advocacy
Nursing Interventions to promote post - operative bowel elimination needs.
Hospice Care
40. Disposable one - piece bags may be used at first - will have karaya or stomahesive attached - After stoma is stable - two - piece bag may be used - face plate attaches to skin around stoma - bag attaches to face plate - easy to remove & empty bag w
Symptoms of UTI
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
Factors that affect a patient's health state.
Peristomal Bag or Applicance changes
41. So patient should be taught to splint the incision (support with pillow or folded bath blanket) & cough during period after pain medication has been administered
Post - operative complications Often painful
Post - operative complications Turning in bed
Characteristics of a colostomy
Maslows Hiearchy of Needs - Self - Actualization
42. - Allow to verbalize feelings - fears - Do not leave alone - Include family
Total (reflex) Incontinence
Nursing Ethics
How a nurse provides psychological support to a dying patient
Post - operative complications Leg exercises
43. Death expected within a limited period of time - What patient needs to know - how disease will progress; go through stages of grief; support in decision making; right to consent to or refuse any & all treatment - What family needs to know - how disea
Terminal Illness
Smoking destroys What type of fat
Hospice Care
Surgical asepsis
44. Result of unpredictable event (Ex: injury - disaster)
Fecal Occult Blood Test
What a nurse needs to do about the spiritual needs of a dying patient
Beneficence
Situational loss
45. Inability to swallow - Pitting edema - Decreased GI & GU activity - Incontinence - Loss of motion - sensation - reflexes - Elevated temp but cold - clammy skin - Cyanosis - Lowered BP - Noisy - irregular respirations - Cheyne - Stokes - May
Actual loss
Nursing Interventions to promote post - operative urinary elimination needs.
Nursing Consideratins for stoma care
Signs of patient nearing death
46. Wash gently with gauze or clean cloth & water - Pat dry
Nursing role with grief and death
Autonomy
Stoma Care Cleansing
Terminal weaning from ventilator
47. Kills organisms but not spores & is bacteriocidal - Betadine - alcohol - chlorine - Depends On what organisms & How many are present - Type of item being disinfected - Time & strength of disinfecting agent is critical
What disinfectant does
Susceptibility
Factors affecting a vegan diet
Susceptible Host
48. Delay or problem starting urinary stream
solube fiber
What disinfectant does
Hesitancy - Altered urine pattern
How a nurse provides psychological support to a dying patient
49. I & O - monitor for fluid volume deficit or overload - Bladder distention - assess by palpating above pubic symphysis if patient has not voided within 8 hrs after surgery or if patient has been voiding frequently in amounts less than 50 mL
Integrity
Post - operative complications Often painful
chronic illness
Nursing Interventions to promote post - operative urinary elimination needs.
50. Result of natural development
Ways to help a patient manage pain
Nursing Ethics
Urgency - Altered urine pattern
Maturational loss