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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. Allow individual to state in advance What their choices would be should certain circumstances develop
Post - operative complications Leg exercises
Overflow Incontinence
cleasing enema
Advance Directives
2. Statement of ethical obligations & duties of every person who enters practice of nursing; Non - negotiable ethical standard; Expression of nursing's own understanding of commitment to society
Signs of patient nearing death
Comfort Measures Only
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
Nursing Ethics
3. Primary commitment to the patient; Priority is good of individual patient rather than society in general;Evaluation of competing claims of patient's autonomy & patient well - being
Perceived loss
Dying patient's Bill of Rights
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
Advocacy
4. Taking care of the whole person - body - mind - spirit - heart - soul - Provide best quality of life by symptom management
Factors affecting UTI's
Surgical Classification - emergent
Pallative Care
Portal of Entry
5. Absence of basic human needs results in illness - Presence of basic human needs helps prevent illness or signals health - Meeting basic human needs restores health - One feels something missing when needs are unmet - One feels satisfaction when need
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6. Medications - narcotics - iron preparations - chronic use of stimulant laxatives - antibiotics - Constipation or diarrhea is common side effect of meds Treat Constipation: - increasing fiber - fluids - activity - allowing time daily - may use bulk
Portal of Entry
Ways to prevent or treat constipation
Cognitive learning
Benefits of exercise as it relates to a patient's ability to heal - rest - etc.
7. Smallest of all microorganisms - visible only with an electron microscope (Ex: common cold - AIDS)
Post - operative complications Turning in bed
Virus
Nursing Interventions to promote post - operative bowel elimination needs.
Autonomy
8. Freedom from pathogenic organisms in a specific area - Clean' vs 'Soiled' - patient or in patient's room - Achieved by: Confining pathogens within a given area - Limiting growth & numbers of pathogens - Limiting transmission of pathogens from place
Psychological loss
Ethical dilemma
Medical Asepsis - clean technique
How vitamins can affect a patients nutritional state
9. Early signs & symptoms are present but are often vague & nonspecific; patient does not realize he is contagious
Prodromal stage (most infectious stage)
What elevates HDL
TPN
Maslows Hiearchy of Needs - Self Esteem
10. Containing or mixed with blood
Altruism
Integrity
Sanguineous wound drainage
Reconstructive surgery
11. Most significant & most commonly observed infection - causing agents in healthcare institutions
Bacteria
Patient Teaching necessary to prevent potential post - operative complications.
Components of a clear liquid diet
Postmortem Care
12. Delay or problem starting urinary stream
Hesitancy - Altered urine pattern
Ways to prevent food poisoning
Virus
Ways to prevent or treat constipation
13. supports & immobilizes a body part - helps a surgical incision helps with comfort and pain.
splinting and its use in the health care setting
What antiseptic does
Bacteria
What disinfectant does
14. Rapid onset - lasts short period of time
Frequency - Altered urine pattern
Timed specimen collections (24- hour specimen)
Definition of acute illness
How vitamins can affect a patients nutritional state
15. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks
Nursing role with grief and death
Overflow Incontinence
Risk Factors for Altered Family Health
Functional Incontinence
16. Need to void without ability to hold or delay
How a nurse can meet the physical needs of a dying patient
Factors affecting grief and dying
Urgency - Altered urine pattern
Effects of cholesterol on patients nutritional status
17. Leakage when coughing - sneezing - or increased intra - abdominal pressure
Timed specimen collections (24- hour specimen)
Integrity
Reservoir
Stress Incontinence
18. Liquids can have color but must be able to see through (Coffee is ok) - No milk products - Nutritionally inadequate over time - Used as preparation for surgery - diagnostic studies - post - operative advancement - Hydrates - rests GI tract - N
Incubation period
Autonomy
Components of a clear liquid diet
micturition - urination - or voiding
19. Mixture of serum & red blood cells
Serosanguineous wound drainage
Characteristics of a colostomy
splinting and its use in the health care setting
Ways to prevent food poisoning
20. 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 is adpie & why do we use it
Social Justice
What disinfectant does
Hesitancy - Altered urine pattern
21. Helps remove mucus & is usually taught with deep breathing (esp. important for patients with increased risk of respiratory complications)
Post - operative complications Leg exercises
Post - operative complications Coughing
Functional Incontinence
Durable Power of Attorney for Healthcare
22. Result of unpredictable event (Ex: injury - disaster)
Situational loss
Nurses role with 'informed consent'
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)
Test used for determng blood in stool
23. Must be done within a reasonably short time frame to preserve health - but is not an emergency.
Slow Code
Surgical classifications: Urgent
micturition - urination - or voiding
Patient teaching regarding post operative pain management.
24. Regular exercise
Serous wound drainage
What elevates HDL
Factors that affect a patients health state
Liver disease effects on nutritional status of a patient
25. Health - state of complete physical - mental - & social well being - not merely the absence of disease - Wellness - active state - oriented toward maximizing the potential of the individual
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26. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks
Risk Factors for AlteresFmily health.
Urgency - Altered urine pattern
Durable Power of Attorney for Healthcare
Social Justice
27. Procedure that is preplanned & based on the patient's choice & availability of scheduling for the patient - surgeon - & facility; Non - urgent; does not have to be done immediately
Surgical Classification - emergent
Post - operative complications Often painful
Surgicale Classification - elective
Purulent wound drainage
28. Right of self - determination; informed choices for patients - right to choose
Portal of Exit
Components of a clear liquid diet
How a nurse provides psychological support to a dying patient
Autonomy
29. O Spiritual / Religious needs - Know & respect special ceremonies - rituals - Contact clergy to visit if patient desires
What a nurse needs to do about the spiritual needs of a dying patient
Nursing Interventions to promote post - operative urinary elimination needs.
Nonmaleficence
'informed consent'
30. 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
Nonmaleficence
What happens during the pre - op phase of surgery
Maslows Hiearchy of Needs - Self - Actualization
Questions to ask during an abdominal health history
31. Maintain patient confidentiality within legal & regulatory parameters - Act as patient advocates - Deliver care in nonjudgmental manner & are sensitive to diversity - Deliver care that protects patient autonomy - dignity - & rights - Seek available
Components of a clear liquid diet
Ethical distress
ANA code for nurses - ethical & professional standards for a nurse to follow.
Virus
32. Legal document that protects patient - physician - & healthcare institution - Person who is performing procedure (physician) is responsible for securing consent & explaining procedure to patient - Nurse signs as a witness - signifying that patient si
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33. Keep promises
Human dignity
Maslow's Hierachy of Needs - Physiologic Needs - essential to life
Fidelity
Full stage of illness
34. 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
Nursing Consideratins for stoma care
Full stage of illness
Causes of food poisoning
Post - operative complications Incentive Spirometry
35. 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
Full stage of illness
Human Dimensions of Health
Fecal Occult Blood Test
Surgical asepsis
36. Uses reagent substances to detect the enzyme peroxidase in the hemoglobin molecule
Portal of Entry
Fecal Occult Blood Test
Total (reflex) Incontinence
Ethical distress
37. Brings large intestine to surface Can be created anywhere along large intestine - Consistency of stool depends on how far stool travels through colon before diversion - May be able to train bowel to evacuate at same time each day - if solid stool
Characteristics of a colostomy
Medical Asepsis - clean technique
Full stage of illness
Reservoir
38. collected during midstream - first small amount of urine voided helps to flush away any organisms near the meatus - urine voided at midstream is most characteristic of urine body is producing - patient voids & discards a small amount of urine; contin
Advance Directives
Clean Catch Specimen Collection
Palliative surgery
Fecal Occult Blood Test
39. Salmonella bacillus from raw eggs or chicken - Bacterial enteropathogens - viruses - or parasites - cause Traveler's diarrhea - Undercooked meat
Purulent wound drainage
Peristomal Skin Care Cleansing
Virus
Causes of food poisoning
40. Assess for: - illness - fever - fatigue - N/V - medications - can alter taste or decrease appetite (chemo - steroids) - poor fitting dentures - no teeth - bad teeth - mouth problems - lesions - inflamed mucosa - pain - dislike of certain foods - unfa
Affective teaching strategy
Symptoms of UTI
Palliative surgery
Reasons a patient not have an appetite.
41. Total Parenteral Nutrition - nutritional therapy that bypasses the GI tract for patients who are unable to take food orally; meets patient's nutritional needs by way of nutrient - filled solutions administered intravenously through a central vein
Virus
Post - operative complications Turning in bed
TPN
Maslow's Hierachy of Needs - Safety and Security
42. ability to excrete excess nitrogen
Purulent wound drainage
Justice
During Peristomal Bag or Applaince change - opening in karaya
How does renal disease affect a patients nutrional health
43. Altered self - image
Community Factors Affecting Health
Altruism
Full stage of illness
Psychological loss
44. Brings small intestine to surface - usually the ileum - stool is always liquid - may drain liquid stool without any control OR - can create inverted nipple & pouch 'continent ostomy' so stool is retained until catheter is inserted to drain OR - diver
Ileostomy -
Urgency - Altered urine pattern
Affective learning
Perceived loss
45. Wash gently with gauze or clean cloth & water - Pat dry
Stoma Care Cleansing
Urge Incontinence
Community Factors Affecting Health
How one provides continuity of care
46. Increase venus return and helps prevent complications of thrombophlebitis & resultant emboli
Urge Incontinence
Cognitive learning
Post - operative complications Leg exercises
Post - operative complications Coughing
47. 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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48. Point of escape of the organism from the reservoir (Ex: Respiratory - GI - Genitourinary - break in skin)
Affective teaching strategy
Susceptible Host
Portal of Exit
Psychological loss
49. Physical: protect from potential or actual harm Emotional: Free of fear - anxiety Allow independence Explanations
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50. Inability to empty bladder
Purulent wound drainage
Retention - Altered urine pattern
Palliative surgery
Signs of patient nearing death