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. Sterile technique; practices that render & keep objects & areas free from microorganisms
Surgical asepsis
Nursing Ethics
Actual loss
How to prevent 'travelers diarrhea'


2. 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
Situational loss
Timed specimen collections (24- hour specimen)
Nonmaleficence
Ways to prevent or treat constipation


3. 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
Post - operative complications Incentive Spirometry
Nurses role with 'informed consent'
Surgicale Classification - elective
Terminal weaning from ventilator


4. Integration of mental & muscular activity (physical)
solube fiber
Diagnostic surgery
Factors affecting a vegan diet
Psychomotor learning


5. 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
solube fiber
Total (reflex) Incontinence
Cognitive teaching strategy


6. 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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7. 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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8. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks
Risk Factors for AlteresFmily health.
Anticipatory loss
Where dietary intake of cholesterol can be found
Factors Affecting Health Status - Beliefs - & Practices


9. 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
Dysuria - Altered urine pattern
Living Wills
Pre - operative assessment includes
Reconstructive surgery


10. Changes in attitude - values - feelings (emotional)
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
Enuresis
Maslow's Hierachy of Needs - Safety and Security
Affective learning


11. Combination of Power of Attorney for Healthcare & Living Will
Combination Directive
ostomy
Dysuria - Altered urine pattern
What antiseptic does


12. To remove a diseased body part (Ex: appendectomy - amputation)
Ablative surgery
Maslow's Hierachy of Needs - Physiologic Needs - essential to life
Cognitive learning
Post - operative complications Coughing


13. Nurse knows the right thing to do but factors make it difficult to follow correct course of action.
Ethical distress
Fungi
Palliative surgery
Maslow's Hierachy of Needs - Safety and Security


14. Urinary retention - inability to empty bladder
'informed consent'
Terminal Illness
Maslow's Hierarchy of Needs & Meeting Basic Human Needs and how it's used to treat patients.
urinary retention


15. Storing & recalling of new knowledge (brain)
Nursing Interventions to promote post - operative urinary elimination needs.
Cognitive learning
What happens during the pre - op phase of surgery
Surgical Classification - emergent


16. Hematest & guaiac test are chemical tests commonly used - False - positive results - from ingesting red meat - animal liver & kidneys - salmon - tuna - mackerel & sardines - tomatoes - cauliflower - horseradish - turnips - melon - bananas - & soybean
Test used for determng blood in stool
Dysuria - Altered urine pattern
Pre - operative assessment includes
Hospice Care


17. Palliative - to relieve or reduce intensity of an illness; is not curative (Ex: colostomy - arthroscopy - balloon angioplasties)
solube fiber
What elevates HDL
Palliative surgery
Smoking destroys What type of fat


18. HDL - 'good' type
Stress Incontinence
Fidelity
Smoking destroys What type of fat
Atherosclerosis effects on nutritional status of patient


19. Respect for inherent worth & uniqueness of the individual; patient privacy & confidentiality
Urge Incontinence
Ablative surgery
Human Dimensions of Health
Human dignity


20. Code of ethics; accountability
Beneficence
Integrity
Reasons a patient not have an appetite.
Sanguineous wound drainage


21. Acceptable environment for an infectious agent
Susceptible Host
Most effective way to prevent spread of organisms
Ethical distress
Situational loss


22. Wash gently with gauze or clean cloth & water - Pat dry
Ways to prevent food poisoning
Stoma Care Cleansing
Maslows Hiearchy of Needs - Self Esteem
Factors Affecting Health Status - Beliefs - & Practices


23. To make or confirm a diagnosis (Ex: breast biopsy - laparoscopy)
Slow Code
Cognitive learning
Diagnostic surgery
Patient teaching regarding post operative pain management.


24. Uses reagent substances to detect the enzyme peroxidase in the hemoglobin molecule
Ways to prevent or treat constipation
Abdominal physical assessment
Fecal Occult Blood Test
TPN


25. 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
Maturational loss
ANA code for nurses - ethical & professional standards for a nurse to follow.
Risk Factors for AlteresFmily health.
Signs of patient nearing death


26. provided for people with limited life expectancy - often in the home - focuses on the needs of the dying - comfort & dignity; encompasses biomedical - psychosocial - & spiritual aspects
Maslow's Hierachy of Needs - Physiologic Needs - essential to life
Hospice Care
Factors Affecting Health Status - Beliefs - & Practices
Social Justice


27. 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
Nurses role with 'informed consent'
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
Frequency - Altered urine pattern
TPN


28. 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
micturition - urination - or voiding
Factors that affect a patient's health state.
Peristomal Skin Care Assessments
Nursing Interventions to promote post - operative bowel elimination needs.


29. identify factors that may place the patient at greater risk for complications during & after surgery - often conducted several days before surgery as part of pre - operative laboratory screening & teaching
How does renal disease affect a patients nutrional health
Terminal Illness
pre - operative assessments & screenings
Nocturia - Altered urine pattern


30. Recognized by others as well as patient (Ex: loss of job - spouse)
ostomy
Maslow's Hierarchy of Needs & Meeting Basic Human Needs and how it's used to treat patients.
What elevates HDL
Actual loss


31. 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
Affective teaching strategy
Maslow's Hierachy of Needs - Safety and Security
Susceptible Host


32. 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
Questions to ask during an abdominal health history
Community Factors Affecting Health
splinting and its use in the health care setting
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.


33. Permanent change - cause is irreversible alterations in normal anatomy & physiology - require long period of care
Pre - operative assessment includes
Total (reflex) Incontinence
Combination Directive
chronic illness


34. Deep breathing (TCDB - Turn - Cough - Deep Breathing) - During surgery - cough reflex is suppresses - mucus accumulates - & lungs do not ventilate fully. After surgery - respirations are less effective due to anesthesia - pain meds - & pain - hyperv
Ablative surgery
Patient Teaching necessary to prevent potential post - operative complications.
Stages of Kubler - Ross's psychosocial responses to grief & loss
Stoma Care Assessments


35. Inspect
Affective learning
Surgicale Classification - elective
Abdominal physical assessment
Factors that affect a patient's health state.


36. skin should be intact - free of redness - Watch for any irritation - rash - signs of infection - Erosion around stoma can cause stoma to become flat or indented
Benefits of exercise as it relates to a patient's ability to heal - rest - etc.
Ablative surgery
Liver disease effects on nutritional status of a patient
Peristomal Skin Care Assessments


37. Role modeling - discussion - panel discussion - audiovisual materials - role playing - printed materials
Dysuria - Altered urine pattern
Hesitancy - Altered urine pattern
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
Affective teaching strategy


38. Current Trends in Nursing - Nursing shortage - Evidence - based practice - Community- based nursing - Decreased length of hospital stay - Aging population - Increase in chronic care conditions - Independent nursing practice - Culturally competent ca
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)
Bacteria
Situational loss
Terminal weaning from ventilator


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

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41. Two or more clear moral principles apply but support mutually inconsistent courses of action
Surgical Classification - emergent
Maslow's Hierachy of Needs - Safety and Security
Ethical dilemma
What antiseptic does


42. Most significant & most commonly observed infection - causing agents in healthcare institutions
Post - operative complications Coughing
How to prevent 'travelers diarrhea'
Bacteria
How a nurse supports grieving patient's family


43. 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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44. Frequency that occurs during sleeping hours
How to prevent 'travelers diarrhea'
Nocturia - Altered urine pattern
Maslow's Hierachy of Needs - Love and belonging
splinting and its use in the health care setting


45. Equal care & rights for all
Social Justice
ostomy
What is length of stay & How do we control it?
Maturational loss


46. 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
Incubation period
What happens during the pre - op phase of surgery
Most effective way to prevent spread of organisms
Factors that affect a patients health state


47. Delay or problem starting urinary stream
Reservoir
Hesitancy - Altered urine pattern
Susceptibility
What is adpie & why do we use it


48. Allow individual to state in advance What their choices would be should certain circumstances develop
Peristomal Skin Care Cleansing
What a nurse needs to do about the spiritual needs of a dying patient
Advance Directives
Community Factors Affecting Health


49. 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
Terminal weaning from ventilator
Nurses role with 'informed consent'
Surgical classifications: Urgent


50. 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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