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Nursing Fundamentals Theory

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. 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






2. Keep promises






3. Uses reagent substances to detect the enzyme peroxidase in the hemoglobin molecule






4. 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






5. Frequency that occurs during sleeping hours






6. Must be done within a reasonably short time frame to preserve health - but is not an emergency.






7. Regular exercise






8. no harsh or abrasive cleansers - use mild soap & water - dry gently - use skin protectant products to toughen area & protect from irritating stool






9. Process of emptying the bladder






10. Point of escape of the organism from the reservoir (Ex: Respiratory - GI - Genitourinary - break in skin)






11. Collect from specimen port on drainage tubing - Cleanse with alcohol & use sterile syringe to pull out urine - Collect urine only from upper tubing - never from drainage bag - Urinalysis - collect 30 mL; Culture & Sensitivity (C&S) - collect 10 mL -






12. Result of natural development






13. ability to break down nitrogen to excrete






14. - Peel fruits & vegetables - Eat dry foods & foods that are piping hot & cooked thoroughly - avoid tap water - ice cubes - fruit juice - fresh salads - unpasteurized dairy products - cold sauces & toppings - open buffets - & undercooked or reheate

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15. Patients who require in - hospital care are more acutely ill or injured than in the past - Length of stay has decreased; Often leads to re - admissions - Nurses in hospitals must have knowledge & skills to perform complex care to very ill patients






16. Inability to get to toilet in time or inability to recognize need to urinate






17. Containing or mixed with blood






18. Must be done immediately to preserve life - a body part - or function






19. Inspect






20. North American Nursing Diagnosis Association is a way to define what nurses can diagnose in the nursing realm & a way to find interventions & outcomes. Nursing Diagnosis must be a NAndA approved diagnosis - NIC - Nursing Interventions Classification






21. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks






22. Changes in attitude - values - feelings (emotional)






23. 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






24. 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






25. Respect for inherent worth & uniqueness of the individual; patient privacy & confidentiality






26. 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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27. Inability to empty bladder






28. supports & immobilizes a body part - helps a surgical incision helps with comfort and pain.






29. A natural habitat of an organism (Ex: other humans - animals - soil - inanimate objects - water - milk - food)






30. Improves venus return - respiratory function - & peristalsis - relieves skin pressure. Patient should practice before surgery






31. Avoid causing harm (Nightengale Pledge






32. 1. Denial & Isolation 2. Anger 3. Bargaining 4. Depression 5. Acceptance

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33. Complete lack of control over urination






34. Need to void without ability to hold or delay






35. 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






36. Benefit the patient.






37. Oxygen; skin color - V/S - mental responsiveness; Intake & elimination of fluids;I & O - skin turgor - weight - mucous membranes; Food;weight - muscle mass - labs; Temperature;Physical activity;Rest & sleep

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38. Wash gently with gauze or clean cloth & water - Pat dry






39. Delay or problem starting urinary stream






40. Loss that is yet to come






41. Respect values & beliefs - Role change - Body image change - Encourage to set attainable goals - Facilitate support from family / friends






42. 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






43. Most common nosocomial infection (esp. in elderly) - may cause systemic infections in elderly - more common in females - urethra is shorter; urinary meatus is closer to anus - E. coli - cause of most UTI's - Risk Factors - Sexually active female - ca

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44. Dysuria - urinary frequency or urgency - cloudy urine with foul odor






45. Difficulty or painful urination






46. 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






47. Demonstration - discovery - audiovisual materials - printed materials






48. Should be moist & red or pink if circulation is adequate - Pale or bluish indicates problem - bleeds easily (mucosa) but amount is minimal - Very edematous at first - but will shrink down to normal size as healing occurs (6-8 weeks) - Protrude above






49. HDL - 'good' type






50. 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