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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
pre - operative assessments & screenings
Pre - operative assessment includes
How one provides continuity of care
Definition of acute illness
2. 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
How one provides continuity of care
Signs of patient nearing death
Surgicale Classification - elective
ostomy
3. Role modeling - discussion - panel discussion - audiovisual materials - role playing - printed materials
Affective teaching strategy
Patient Teaching necessary to prevent potential post - operative complications.
Overflow Incontinence
Ways to prevent or treat constipation
4. Dysuria - urinary frequency or urgency - cloudy urine with foul odor
What happens during the pre - op phase of surgery
Convalescent period
Symptoms of UTI
Nursing Interventions to promote post - operative bowel elimination needs.
5. Increase venus return and helps prevent complications of thrombophlebitis & resultant emboli
Post - operative complications Leg exercises
Incubation period
Nursing Interventions to promote post - operative urinary elimination needs.
Stoma Bag/Appliance changes
6. 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
Paternalism
urinary retention
Terminal Illness
7. 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
Stoma Bag/Appliance changes
What antiseptic does
Maslows Hiearchy of Needs - Self Esteem
Nursing considerations for peristomal care.
8. 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
Characteristics of a colostomy
Community Factors Affecting Health
Reservoir
Clean Catch Specimen Collection
9. 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
Justice
Signs of patient nearing death
Paternalism
Purulent wound drainage
10. Equal care & rights for all
Social Justice
Combination Directive
Factors affecting UTI's
Community Factors Affecting Health
11. Provide specific instructions about kinds of healthcare that should be provide or forgone
Surgicale Classification - elective
Ways to prevent or treat constipation
Maslow's Hierachy of Needs - Physiologic Needs - essential to life
Living Wills
12. Felt by person but intangible to others (Ex: loss of youth - independence)
Nursing considerations for peristomal care.
Definition of acute illness
Perceived loss
What happens during the pre - op phase of surgery
13. Uses reagent substances to detect the enzyme peroxidase in the hemoglobin molecule
Terminal weaning from ventilator
Fecal Occult Blood Test
Advocacy
ANA code for nurses - ethical & professional standards for a nurse to follow.
14. Body part or function
Dying patient's Bill of Rights
Post - operative complications Turning in bed
Physical loss
Patient Teaching necessary to prevent potential post - operative complications.
15. 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
Components of a clear liquid diet
Signs of patient nearing death
Post - operative complications Often painful
Risk Factors for Altered Family Health
16. Inability to get to toilet in time or inability to recognize need to urinate
Functional Incontinence
Nonmaleficence
Maslow's Hierarchy of Needs & Meeting Basic Human Needs and how it's used to treat patients.
Dying patient's Bill of Rights
17. Urinary retention - inability to empty bladder
Living Wills
Stoma Care Assessments
Post - operative complications Coughing
urinary retention
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
Community Factors Affecting Health
Palliative surgery
Advocacy
Overflow Incontinence
19. 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
Surgical classifications: Urgent
Bacteria
What happens during the pre - op phase of surgery
Nursing Ethics
20. Assess for: - illness - fever - fatigue - N/V - medications - can alter taste or decrease appetite (chemo - steroids) - poor fitting dentures - no teeth - bad teeth - mouth problems - lesions - inflamed mucosa - pain - dislike of certain foods - unfa
Causes of food poisoning
chronic illness
Patient teaching regarding post operative pain management.
Reasons a patient not have an appetite.
21. 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
22. Sterile technique; practices that render & keep objects & areas free from microorganisms
Pre - operative assessment includes
Surgical asepsis
Ways to prevent or treat constipation
Total (reflex) Incontinence
23. 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
Advocacy
Nursing Interventions to promote post - operative bowel elimination needs.
Maslows Hiearchy of Needs - Self Esteem
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)
24. Code of ethics; accountability
Community Factors Affecting Health
Characteristics of a colostomy
Integrity
Fecal Occult Blood Test
25. Point where an organism enters a new host; GI - GU - Respiratory - break in skin or mucous membranes
What antiseptic does
Fidelity
Portal of Entry
Frequency - Altered urine pattern
26. Give each his/her due & act fairly
Catheter Urine Specimen procedure
Justice
Ethical dilemma
Bacteria
27. Taking care of the whole person - body - mind - spirit - heart - soul - Provide best quality of life by symptom management
Factors affecting UTI's
Surgicale Classification - elective
pre - operative assessments & screenings
Pallative Care
28. Lecture or discussion - panel discussion - discovery - audiovisual materials - printed materials - programmed instruction - computer - assisted instruction programs
Cognitive teaching strategy
pre - operative assessments & screenings
Reconstructive surgery
Ways to prevent or treat constipation
29. Obtaining complete proteins - soy products
Reasons a patient not have an appetite.
Paternalism
Risk Factors for AlteresFmily health.
Factors affecting a vegan diet
30. 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
Patient teaching regarding post operative pain management.
Stoma Bag/Appliance changes
Nocturia - Altered urine pattern
Nursing Interventions to promote post - operative urinary elimination needs.
31. 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
Nocturia - Altered urine pattern
Peristomal Skin Care Cleansing
Actual loss
Clean Catch Specimen Collection
32. 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
What a nurse needs to do about the spiritual needs of a dying patient
Fecal Occult Blood Test
ANA code for nurses - ethical & professional standards for a nurse to follow.
Ileostomy -
33. A natural habitat of an organism (Ex: other humans - animals - soil - inanimate objects - water - milk - food)
Reservoir
Diagnostic surgery
Susceptibility
ANA code for nurses - ethical & professional standards for a nurse to follow.
34. 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
What is length of stay & How do we control it?
Benefits of exercise as it relates to a patient's ability to heal - rest - etc.
Characteristics of a colostomy
Anticipatory loss
35. Process of emptying the bladder
micturition - urination - or voiding
Medical Asepsis - clean technique
Prodromal stage (most infectious stage)
Test used for determng blood in stool
36. Social support systems - Community healthcare structure - Economic resources - Environmental factors - Nursing in the community
Current changes in the healthcare delivery system (chronic diseases - aging population - etc.)
Factors that affect a patient's health state.
Terminal Illness
Community Factors Affecting Health
37. 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
Atherosclerosis effects on nutritional status of patient
Ways to prevent or treat constipation
Surgical asepsis
Portal of Exit
38. Retention with leakage that exceeds bladder capacity
Overflow Incontinence
Urgency - Altered urine pattern
Stoma Care Assessments
Incubation period
39. Fluid intake - at least 2000 mL daily
Pre - operative assessment includes
Ways to prevent or treat constipation
Anticipatory loss
splinting and its use in the health care setting
40. 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
Diagnostic surgery
Fecal Occult Blood Test
Effects of cholesterol on patients nutritional status
Causes of food poisoning
41. 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 a nurse needs to do about the spiritual needs of a dying patient
Portal of Entry
Perceived loss
What is adpie & why do we use it
42. Death expected within a limited period of time - What patient needs to know - how disease will progress; go through stages of grief; support in decision making; right to consent to or refuse any & all treatment - What family needs to know - how disea
Patient teaching regarding post operative pain management.
Nursing role with grief and death
Nursing considerations for peristomal care.
Terminal Illness
43. 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
Medical Asepsis - clean technique
Peristomal Skin Care Cleansing
What antiseptic does
Human dignity
44. Concern for the welfare of others; patient advocacy; respect for other cultures - perspectives
micturition - urination - or voiding
Ablative surgery
Altruism
Serosanguineous wound drainage
45. O Spiritual / Religious needs - Know & respect special ceremonies - rituals - Contact clergy to visit if patient desires
Pallative Care
Stoma Care Cleansing
What a nurse needs to do about the spiritual needs of a dying patient
Virus
46. Result of natural development
Durable Power of Attorney for Healthcare
Maturational loss
Integrity
Perceived loss
47. Goal of treatment is a comfortable dignified death & that further life - sustaining measures are no longer indicated.
Medical Asepsis - clean technique
Reasons a patient not have an appetite.
Comfort Measures Only
How vitamins can affect a patients nutritional state
48. ability to break down nitrogen to excrete
Challenges to health care access
splinting and its use in the health care setting
Post - operative complications Coughing
Liver disease effects on nutritional status of a patient
49. Inspect
Pre - operative assessment includes
Justice
Beneficence
Abdominal physical assessment
50. Composed of white blood cells - liquefied dead tissue debris - & dead & live bacteria
Purulent wound drainage
Advance Directives
Psychological loss
Reconstructive surgery