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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. 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
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)
Pre - operative assessment includes
Postmortem Care
Incontinence
2. - Allow to verbalize feelings - fears - Do not leave alone - Include family
How a nurse provides psychological support to a dying patient
Purulent wound drainage
What a nurse needs to do about the spiritual needs of a dying patient
Deception
3. Recovery period; returns to a healty state; feeling better
Liver disease effects on nutritional status of a patient
Convalescent period
Atherosclerosis effects on nutritional status of patient
Stoma Care Assessments
4. 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
How to stimulate a patients appetite
Frequency - Altered urine pattern
Ethical distress
Nursing Consideratins for stoma care
5. 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
6. no harsh or abrasive cleansers - use mild soap & water - dry gently - use skin protectant products to toughen area & protect from irritating stool
What is adpie & why do we use it
Peristomal Skin Care Cleansing
How vitamins can affect a patients nutritional state
cleasing enema
7. Palliative - to relieve or reduce intensity of an illness; is not curative (Ex: colostomy - arthroscopy - balloon angioplasties)
Nocturia - Altered urine pattern
Actual loss
Palliative surgery
Ethical dilemma
8. Mixture of serum & red blood cells
Post - operative complications Coughing
Abdominal physical assessment
Serosanguineous wound drainage
Frequency - Altered urine pattern
9. Personal habits - Defecate at the same time each day - Privacy & time allotment - Positioning - sitting upright with feet on ground
During Peristomal Bag or Applaince change - opening in karaya
Ways to prevent or treat constipation
Peristomal Skin Care Cleansing
Peristomal Bag or Applicance changes
10. 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
Overflow Incontinence
Human Dimensions of Health
Dying patient's Bill of Rights
Medical Asepsis - clean technique
11. Acceptable environment for an infectious agent
Susceptible Host
Where dietary intake of cholesterol can be found
Ethical dilemma
Susceptibility
12. 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
Advance Directives
ostomy
Stoma Care Cleansing
DNR and the nurse's duty
13. 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
Atherosclerosis effects on nutritional status of patient
Where dietary intake of cholesterol can be found
Questions to ask during an abdominal health history
14. 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
Patient teaching regarding post operative pain management.
Surgical Classification - emergent
Palliative surgery
DNR and the nurse's duty
15. Equal care & rights for all
How does renal disease affect a patients nutrional health
Psychomotor teaching strategy
Social Justice
Advocacy
16. Improves musculoskeletal system - Improves cardiovascular function - Improves circulation - tissues get oxygen & nutrients - Promotes relaxation
17. 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
Ways to help a patient manage pain
Stress Incontinence
Clean Catch Specimen Collection
Maslows Hiearchy of Needs - Self - Actualization
18. 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
Maslow's Hierachy of Needs - Physiologic Needs - essential to life
Advocacy
Hesitancy - Altered urine pattern
pre - operative assessments & screenings
19. Composed of white blood cells - liquefied dead tissue debris - & dead & live bacteria
Components of a clear liquid diet
Overflow Incontinence
Purulent wound drainage
Ways to prevent or treat constipation
20. Result of natural development
How one provides continuity of care
Risk Factors for Altered Family Health
Maturational loss
cleasing enema
21. Bladder - nervous system damage
Neurogenic - Altered urine pattern
Stress Incontinence
Factors Affecting Health Status - Beliefs - & Practices
Surgical Classification - emergent
22. Early signs & symptoms are present but are often vague & nonspecific; patient does not realize he is contagious
How a nurse supports grieving patient's family
Frequency - Altered urine pattern
Prodromal stage (most infectious stage)
Ways to prevent or treat constipation
23. In the case of cardiopulmonary or respiratory arrest - calling a code & resuscitating the patient are to be delayed until these measures will be ineffectual.
splinting and its use in the health care setting
Slow Code
Psychomotor teaching strategy
Factors affecting UTI's
24. Keep promises
Nursing Interventions to promote post - operative bowel elimination needs.
Abdominal physical assessment
Fidelity
ANA code for nurses - ethical & professional standards for a nurse to follow.
25. Rapid onset - lasts short period of time
Psychomotor learning
Overflow Incontinence
Definition of acute illness
Ethical distress
26. Build - up of fat - cholesterol & calcium on inside of artery walls - Leads to hardening of walls with loss of elasticity or ability to expand fully - Plaque build up roughens walls so clotting factors can stick to walls - Plaque narrows lumen of art
Peristomal Skin Care Assessments
Retention - Altered urine pattern
Atherosclerosis effects on nutritional status of patient
Abdominal physical assessment
27. 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
Symptoms of UTI
Clean Catch Specimen Collection
Factors affecting grief and dying
Actual loss
28. Two - piece bag may be used - face plate attaches to skin around stoma - bag attaches to face plate - easy to remove & empty bag without disturbing seal on skin - bag is changed only when it leaks or seal is lost - opening in karaya should be cut 1/8
Anticipatory loss
urinary retention
Stoma Bag/Appliance changes
Total (reflex) Incontinence
29. ability to break down nitrogen to excrete
How a nurse can meet the physical needs of a dying patient
Liver disease effects on nutritional status of a patient
Benefits of exercise as it relates to a patient's ability to heal - rest - etc.
pre - operative assessments & screenings
30. - 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
31. Fluid intake - at least 2000 mL daily
Total (reflex) Incontinence
Ways to prevent or treat constipation
Bacteria
Nurses role with 'informed consent'
32. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks
Risk Factors for Altered Family Health
Peristomal Skin Care Cleansing
'informed consent'
Surgical Classification - emergent
33. Uses reagent substances to detect the enzyme peroxidase in the hemoglobin molecule
Fecal Occult Blood Test
Patient Teaching necessary to prevent potential post - operative complications.
Ways to prevent food poisoning
Fungi
34. Helps remove mucus & is usually taught with deep breathing (esp. important for patients with increased risk of respiratory complications)
Terminal Illness
Factors affecting a vegan diet
Post - operative complications Coughing
TPN
35. 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
Ways to prevent or treat constipation
Most effective way to prevent spread of organisms
Post - operative complications Coughing
Psychomotor teaching strategy
36. Demonstration - discovery - audiovisual materials - printed materials
Psychomotor teaching strategy
Incubation period
Maturational loss
Factors affecting a vegan diet
37. Right of self - determination; informed choices for patients - right to choose
Nurses role with 'informed consent'
Virus
Maturational loss
Autonomy
38. Inability to delay need to urinate
Serous wound drainage
Ways to prevent or treat constipation
Urge Incontinence
ANA code for nurses - ethical & professional standards for a nurse to follow.
39. Regular exercise
Urge Incontinence
What elevates HDL
Human dignity
Actual loss
40. 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
41. Cholesterol: Heredity is biggest factor in how body produces - handles - & excretes cholesterol - Type & amount of fat in diet - Saturated fats: carry cholesterol and stimulate liver to make cholesterol - Higher fat diets can elevate cholesterol blo
Surgicale Classification - elective
Situational loss
Purulent wound drainage
Effects of cholesterol on patients nutritional status
42. 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
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
Prodromal stage (most infectious stage)
Cognitive learning
Nursing Ethics
43. Urinary retention - inability to empty bladder
urinary retention
Portal of Entry
How a nurse can meet the physical needs of a dying patient
chronic illness
44. Code of ethics; accountability
Integrity
Cognitive learning
Autonomy
Overflow Incontinence
45. Process of emptying the bladder
Surgicale Classification - elective
Living Wills
What happens during the pre - op phase of surgery
micturition - urination - or voiding
46. Allow individual to state in advance What their choices would be should certain circumstances develop
Effects of cholesterol on patients nutritional status
Advance Directives
Nonmaleficence
Abdominal physical assessment
47. 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
48. Patient's voluntary agreement to undergo a procedure or treatment after receiving the following information in layman's terms: Description of procedures & potential alternatives - Underlying disease process & its course - Name & qualifications of per
49. Sterile technique; practices that render & keep objects & areas free from microorganisms
Ablative surgery
Terminal weaning from ventilator
Surgical asepsis
Post - operative complications Leg exercises
50. 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
Clean Catch Specimen Collection
Maslow's Hierachy of Needs - Safety and Security
Bacteria
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.