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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. Cultural - views on healthcare - Environmental - access to healthcare - Socioeconomic - financial resources - insurance - Physical - mobility
What disinfectant does
How to stimulate a patients appetite
Challenges to health care access
Portal of Exit

2. To restore function to traumatized or malfunctioning tissue (Ex: plastic surgery - breast reconstruction - skin graft)
How one provides continuity of care
splinting and its use in the health care setting
Reconstructive surgery
Incontinence

3. Complete lack of control over urination
Total (reflex) Incontinence
Urgency - Altered urine pattern
TPN
Nursing role with grief and death

4. Result of natural development
Affective teaching strategy
Ways to prevent or treat constipation
Dysuria - Altered urine pattern
Maturational loss

5. 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
How to stimulate a patients appetite
Maturational loss
What happens during the pre - op phase of surgery
Questions to ask during an abdominal health history

6. Integration of mental & muscular activity (physical)
'informed consent'
Post - operative complications Turning in bed
Psychomotor learning
Incubation period

7. Give each his/her due & act fairly
Postmortem Care
chronic illness
Justice
Ethical distress

8. Process by which healthcare providers give appropriate - uninterrupted care & facilitate the patient's transition between different setting & levels of care - Teaching patient & family - self - care - medications - Involve patient & family in care p
Definition of acute illness
How one provides continuity of care
Patient teaching regarding post operative pain management.
Nursing considerations for peristomal care.

9. Increase venus return and helps prevent complications of thrombophlebitis & resultant emboli
Patient teaching regarding post operative pain management.
Risk Factors for Altered Family Health
Purulent wound drainage
Post - operative complications Leg exercises

10. 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
Total (reflex) Incontinence
Susceptible Host
Most effective way to prevent spread of organisms
Test used for determng blood in stool

11. Concern for the welfare of others; patient advocacy; respect for other cultures - perspectives
Advance Directives
Altruism
Diagnostic surgery
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.

12. Inability to delay need to urinate
How to prevent 'travelers diarrhea'
Social Justice
Advocacy
Urge Incontinence

13. Diet - should include adequate fiber or bulk - Whole grains - fruits - vegetables - legumes - Eating at regular intervals helps stimulate peristalsis (gastrocolic reflex) - Food allergies or food poisoning may lead to diarrhea - Some foods cause
Test used for determng blood in stool
Ways to prevent or treat constipation
Most effective way to prevent spread of organisms
Factors Affecting Health Status - Beliefs - & Practices

14. 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
Portal of Entry
Peristomal Skin Care Cleansing
Reconstructive surgery

15. Urinary retention - inability to empty bladder
urinary retention
Perceived loss
Overflow Incontinence
Most effective way to prevent spread of organisms

16. Helps increase lung volume & inflation of alveoli which Facilitates venus return; Practice prior to surgery
urinary retention
Prodromal stage (most infectious stage)
Post - operative complications Incentive Spirometry
Post - operative complications Leg exercises

17. Keep promises
Urge Incontinence
Fidelity
Stoma Care Assessments
Nurses role with 'informed consent'

18. Acceptable environment for an infectious agent
Susceptible Host
Pre - operative assessment includes
Ethical distress
TPN

19. - Allow to verbalize feelings - fears - Do not leave alone - Include family
Terminal Illness
What a nurse needs to do about the spiritual needs of a dying patient
How a nurse provides psychological support to a dying patient
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)

20. 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
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
ostomy
TPN
Combination Directive

21. 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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22. 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
Peristomal Skin Care Assessments
Retention - Altered urine pattern
Nursing Ethics
Ways to prevent or treat constipation

23. Role modeling - discussion - panel discussion - audiovisual materials - role playing - printed materials
Affective teaching strategy
Risk Factors for Altered Family Health
Maturational loss
Surgical asepsis

24. 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
Pallative Care
What is adpie & why do we use it
micturition - urination - or voiding
Post - operative complications Often painful

25. Frequency & amount of stools - history of diarrhea - constipation - impaction - Any abnormality of stool appearance - Use of laxatives or enemas - Dietary habits - food allergies - fluids - fiber - Amount of activity & exercise - Medications - Stress
Questions to ask during an abdominal health history
Portal of Entry
Pallative Care
Ileostomy -

26. Mixture of serum & red blood cells
What a nurse needs to do about the spiritual needs of a dying patient
Slow Code
Perceived loss
Serosanguineous wound drainage

27. Reach full potential through development of capabilities - Continues throughout life: Acceptance of self & others as they are -
Post - operative complications Leg exercises
Frequency - Altered urine pattern
Nurses role with 'informed consent'
Maslows Hiearchy of Needs - Self - Actualization

28. 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
Post - operative complications Often painful
Where dietary intake of cholesterol can be found
Portal of Exit
Signs of patient nearing death

29. 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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30. Dishonesty to alleviate patient anxiety or concern
Factors affecting UTI's
Retention - Altered urine pattern
Deception
How one provides continuity of care

31. Anatomical position - Removal of soiled dressings & tubes - Who will bathe the body? - Identification tags - Personal items - Order to release body / mortuary notification - Special handling for communicable disease
Nursing Interventions to promote post - operative urinary elimination needs.
Maslow's Hierachy of Needs - Safety and Security
Actual loss
Postmortem Care

32. 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
Advance Directives
Susceptible Host
Full stage of illness
Stoma Care Assessments

33. Understanding & Acceptance: Involve family / friends in patient care - Establish trusting relationship - Refer to support groups

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34. Gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible condition with a poor prognosis.
How vitamins can affect a patients nutritional state
Terminal weaning from ventilator
Nursing role with grief and death
How one provides continuity of care

35. 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
Situational loss
Total (reflex) Incontinence
Justice
Advocacy

36. To remove a diseased body part (Ex: appendectomy - amputation)
Ablative surgery
Serosanguineous wound drainage
Ways to prevent or treat constipation
Psychological loss

37. Early signs & symptoms are present but are often vague & nonspecific; patient does not realize he is contagious
Advocacy
Nocturia - Altered urine pattern
Prodromal stage (most infectious stage)
Urgency - Altered urine pattern

38. ability to excrete excess nitrogen
Bacteria
How does renal disease affect a patients nutrional health
Susceptibility
Human Dimensions of Health

39. Containing or mixed with blood
Psychomotor learning
Maslow's Hierachy of Needs - Safety and Security
Sanguineous wound drainage
'informed consent'

40. Equal care & rights for all
Advocacy
Social Justice
Psychomotor teaching strategy
How to prevent 'travelers diarrhea'

41. Developmental considerations - child has limited understanding but needs to grieve - Family - Who has died - Socioeconomics - financial burden or loss; Cause of Death - Culture - Gender - Religion
Factors affecting grief and dying
Nonmaleficence
Hospice Care
During Peristomal Bag or Applaince change - opening in karaya

42. Point of escape of the organism from the reservoir (Ex: Respiratory - GI - Genitourinary - break in skin)
Incubation period
Post - operative complications Coughing
pre - operative assessments & screenings
Portal of Exit

43. In the case of cardiopulmonary or respiratory arrest - calling a code & resuscitating the patient are to be delayed until these measures will be ineffectual.
Integrity
Combination Directive
Slow Code
Social Justice

44. A tool nurses use to think critically - solve problems - & evaluate the way they care for patients. Dynamic - systematic or ever changing - depending on patient & all variables that impact patient - Helps nurse think about outcomes for patients & is
What is adpie & why do we use it
Stages of Kubler - Ross's psychosocial responses to grief & loss
Frequency - Altered urine pattern
How to stimulate a patients appetite

45. Leakage when coughing - sneezing - or increased intra - abdominal pressure
Cognitive learning
Fecal Occult Blood Test
Stress Incontinence
cleasing enema

46. Retention with leakage that exceeds bladder capacity
urinary retention
What elevates HDL
Overflow Incontinence
Post - operative complications Incentive Spirometry

47. Taking care of the whole person - body - mind - spirit - heart - soul - Provide best quality of life by symptom management
Maturational loss
Pallative Care
Ways to prevent or treat constipation
ostomy

48. Lecture or discussion - panel discussion - discovery - audiovisual materials - printed materials - programmed instruction - computer - assisted instruction programs
Factors that affect a patients health state
Ways to prevent or treat constipation
Social Justice
Cognitive teaching strategy

49. 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
Post - operative complications Coughing
Nonmaleficence
Nursing role with grief and death

50. Altered self - image
Psychological loss
Frequency - Altered urine pattern
Characteristics of a colostomy
Catheter Urine Specimen procedure