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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. Provide specific instructions about kinds of healthcare that should be provide or forgone
Living Wills
Challenges to health care access
Surgical classifications: Urgent
Autonomy
2. Goal of treatment is a comfortable dignified death & that further life - sustaining measures are no longer indicated.
Dysuria - Altered urine pattern
Comfort Measures Only
Altruism
Psychological loss
3. 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
Stoma Bag/Appliance changes
Test used for determng blood in stool
Peristomal Skin Care Assessments
How to prevent 'travelers diarrhea'
4. Changes in attitude - values - feelings (emotional)
Neurogenic - Altered urine pattern
Affective learning
Cognitive learning
Pre - operative assessment includes
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
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6. - Skin care - clean & dry - Oral & nasal care q 2 hr - Turn & reposition q 2 hr - Pain control - Maintain nutrition & hydration - Patent airway - Vision may diminish - control lighting in the room
Advocacy
Risk Factors for Altered Family Health
How a nurse can meet the physical needs of a dying patient
Slow Code
7. 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
Anticipatory loss
What disinfectant does
Surgical Classification - emergent
Nursing Consideratins for stoma care
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
Ways to prevent or treat constipation
Palliative surgery
cleasing enema
Medical Asepsis - clean technique
9. Palliative - to relieve or reduce intensity of an illness; is not curative (Ex: colostomy - arthroscopy - balloon angioplasties)
Psychomotor teaching strategy
Psychomotor learning
Palliative surgery
How to prevent 'travelers diarrhea'
10. Most significant & most commonly observed infection - causing agents in healthcare institutions
What is length of stay & How do we control it?
Bacteria
During Peristomal Bag or Applaince change - opening in karaya
Dysuria - Altered urine pattern
11. 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
Questions to ask during an abdominal health history
Causes of food poisoning
Components of a clear liquid diet
Stoma Care Cleansing
12. Respect for inherent worth & uniqueness of the individual; patient privacy & confidentiality
Factors that affect a patient's health state.
Patient teaching regarding post operative pain management.
Human dignity
How to stimulate a patients appetite
13. 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
Ways to prevent or treat constipation
Pre - operative assessment includes
Causes of food poisoning
Reasons a patient not have an appetite.
14. 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
cleasing enema
Terminal weaning from ventilator
Comfort Measures Only
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)
15. Concern for the welfare of others; patient advocacy; respect for other cultures - perspectives
How one provides continuity of care
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
Altruism
How vitamins can affect a patients nutritional state
16. Process of emptying the bladder
micturition - urination - or voiding
Stoma Care Cleansing
Stoma Care Assessments
Atherosclerosis effects on nutritional status of patient
17. Nurse knows the right thing to do but factors make it difficult to follow correct course of action.
Ethical distress
Surgical classifications: Urgent
Peristomal Skin Care Cleansing
Urgency - Altered urine pattern
18. 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
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19. Personal habits - Defecate at the same time each day - Privacy & time allotment - Positioning - sitting upright with feet on ground
Post - operative complications Often painful
Diagnostic surgery
Ways to prevent or treat constipation
Frequency - Altered urine pattern
20. Interval between pathogen's invasion of the body & the appearance of symptoms; organisms are growing & multiplying
Post - operative complications Incentive Spirometry
Incubation period
Affective teaching strategy
TPN
21. 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
Ways to prevent or treat constipation
Nonmaleficence
Stress Incontinence
urinary retention
22. Storing & recalling of new knowledge (brain)
Cognitive learning
Reconstructive surgery
ostomy
Ways to prevent food poisoning
23. ability to excrete excess nitrogen
Actual loss
How does renal disease affect a patients nutrional health
Susceptible Host
Affective teaching strategy
24. Incontinence in child after toilet control expected
Anticipatory loss
Psychomotor learning
Enuresis
Advocacy
25. Lifestyle - Psychosocial - Environmental - Developmental - Biologic risks
urinary retention
Risk Factors for Altered Family Health
Human Dimensions of Health
What happens during the pre - op phase of surgery
26. 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
How a nurse supports grieving patient's family
Situational loss
ostomy
Cognitive teaching strategy
27. 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
ANA code for nurses - ethical & professional standards for a nurse to follow.
What is length of stay & How do we control it?
Ways to prevent food poisoning
How one provides continuity of care
28. 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
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.
Autonomy
Reservoir
Ileostomy -
29. Difficulty or painful urination
Bacteria
Cognitive teaching strategy
Dysuria - Altered urine pattern
Paternalism
30. 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
Affective learning
Liver disease effects on nutritional status of a patient
Diagnostic surgery
Ways to prevent or treat constipation
31. 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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32. Result of unpredictable event (Ex: injury - disaster)
chronic illness
Situational loss
Incubation period
Actual loss
33. Specific signs & symptom
Frequency - Altered urine pattern
Full stage of illness
chronic illness
Maslow's Hierarchy of Needs & Meeting Basic Human Needs and how it's used to treat patients.
34. Medicate for pain - N/V - Rest periods before each meal - Offer mouth care prior to each meal - Be sure dentures are clean & in mouth - Offer foods patient likes & can eat - Cold - soft foods may be better tolerated - Smaller portions - More frequent
Ways to prevent or treat constipation
Community Factors Affecting Health
How to stimulate a patients appetite
Clean Catch Specimen Collection
35. Uses reagent substances to detect the enzyme peroxidase in the hemoglobin molecule
Fecal Occult Blood Test
Factors affecting UTI's
Situational loss
Stoma Bag/Appliance changes
36. Timed specimen collections (24- hour specimen): obtain correct container & preservative or ice if needed - Instruct patient/family about collection - Begin with empty bladder - end with empty bladder - Have patient void before beginning - Have patien
Serous wound drainage
Fungi
Timed specimen collections (24- hour specimen)
Patient teaching regarding post operative pain management.
37. Altered self - image
Nursing role with grief and death
Surgicale Classification - elective
Psychological loss
Stoma Care Cleansing
38. 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
What a nurse needs to do about the spiritual needs of a dying patient
Benefits of exercise as it relates to a patient's ability to heal - rest - etc.
Patient teaching necessary for post - operative pain control - Management of acute surgical pain.
Surgical classifications: Urgent
39. 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
Nurses role with 'informed consent'
Clean Catch Specimen Collection
Peristomal Skin Care Cleansing
Comfort Measures Only
40. Regular exercise
What elevates HDL
Integrity
Susceptible Host
Risk Factors for AlteresFmily health.
41. Role modeling - discussion - panel discussion - audiovisual materials - role playing - printed materials
Hesitancy - Altered urine pattern
Affective teaching strategy
TPN
Human dignity
42. Must be done immediately to preserve life - a body part - or function
micturition - urination - or voiding
Surgical Classification - emergent
Stoma Care Assessments
Signs of patient nearing death
43. 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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44. Smallest of all microorganisms - visible only with an electron microscope (Ex: common cold - AIDS)
Perceived loss
solube fiber
Virus
Ways to help a patient manage pain
45. 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
Stages of Kubler - Ross's psychosocial responses to grief & loss
Questions to ask during an abdominal health history
Surgical asepsis
Total (reflex) Incontinence
46. Avoid causing harm (Nightengale Pledge
Nonmaleficence
What disinfectant does
Integrity
Terminal weaning from ventilator
47. 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
Sanguineous wound drainage
Reasons a patient not have an appetite.
Altruism
Peristomal Skin Care Assessments
48. Demonstration - discovery - audiovisual materials - printed materials
Advocacy
How does renal disease affect a patients nutrional health
Maslows Hiearchy of Needs - Self Esteem
Psychomotor teaching strategy
49. Frequency that occurs during sleeping hours
Terminal Illness
Urge Incontinence
ostomy
Nocturia - Altered urine pattern
50. Binds fat & cholesterol to decrease absorption into bloodstream from GI tract
solube fiber
Social Justice
Ethical distress
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