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Core
Final Exam
Questione s | Answer |
---|---|
Describe the students legal action under the RN | Work within your scope. Work under the supervision of an RN. Legally responsible for your own actions |
What do you if your patient's radial pulse is irregular? | Take the apical pulse for 1 minute. |
Define Nurse Practice Act. | stae law defines the scope of practice in a state, provides regulation of profession by state board of nursing, includes definition for RN/LPN licensure |
Define legal scope of practice | you can only do the skills you've been taught. |
Code of Ethics | actions & beliefs approved by a particlular group of people |
How can a nurse make sure communication is understood? | By asking for feedback, return demonstration |
Defense Mechanism. | strategies used to protect us from increasing anxiety |
Give an example of defense mechanism | denial, regression |
projection | when you have a characteristic but you say the other person has it |
denial | defense mechanism in which the existance of intolerable conditions is unconsciously rejected |
rationalization | make excuses or explain why something you did was ok |
Describe peripheral | away from the center of the body |
Describe distal | farther than, away from point of attatchment |
Biohazard | biologic agent or condition that can be harmful to a person's health |
culture | values, beliefs & practices shared by the majority within a group of people |
collaboration | working together in a joint intellectual effort |
illness | disease of body or mind |
pyrogen | substance that causes fever |
crime | violation of a public law |
stress | sum of biologic reactions that take place in response to any adverse stimulus |
auscultatory gap | period where no sound is heard |
List the phases of the Korotkoff Sounds | tapping, auscultatory gap, swishing, knocking, muffling, silence |
factors that affect the pulse. | age, body build & size, blood pressure, drugs, excercise, emotions, blood loss, increased body temperature, pain |
Hospice care | philosophy of caring for the dying, based on the acceptance of death as a natural part of life, emphasizing the quality of life remaining, focused on symptomatic & comfort care |
Explain cultural competence | knowing your own self, your values, beliefs,prejudices and attitudes; includes cultural awareness |
How would you protect your patient from a fall? | toilet often, keep call bell within reach, lock bed wheels, keep bed low, night light, keep area clear of clutter |
When is using protective eye wear necessary? | whenever there's a chance of coming into contact with body fluid |
What is necessary for informed consent to occur? | knowledge of risk+benefits, alternatives, who's performing procedure |
Why do you use Maslow's Hierarchy? | to prioritize the needs of the patient |
What is the order of Maslow's Hierarchy? | physiological, safety & security, love & belonging, self-esteem, self-actualization |
Explain medical asepsis in regards to hand washing. | clean your hands 15 seconds at beginning of shift and between patients |
Describe 3 major roles of the nurse. | caregiver, educator & collaborator |
Explain the educational career ladder | CNA to LPN to RN to BSN to Master's |
What did early nursing education provide women in the USA? | work & education provided independence |
The 2 entry level positions in nursing are what? | lpn & rn |
acute illness | rapid onset & quickly resolves itself |
function of the AMA | Code of Ethics and Standards of Care |
normal respiration in the adult | 12-20 |
idiopathic | unknown cause |
What is the normal range for pulse? | 60-100 |
What is the average pulse? | 72 |
List the 11 organ systems | circulatory, lymphatic, respiratory, endocrine, integumentary, skeletal, muscular, nervous, digestive, urinary, reproductive |
Describe anatomical position | body standing erect, with the face forward, arms at sides & toes and palms of hands directed forward |
Describe superior | above, closer to the head |
Describe inferior | below, toward the feet |
What is the most common occupational injury in nursing? | lower back pain |
stereotyping | taking beliefs about a common group of people nd applying them to the individual |
What are the groups & measurements of the Food Pyramid | Grains 6oz, Veggies 2 1/2 cups, Fruits 2 cups, Oils 6 tsp, dairy 3 cups, Meat & beans 5 1/2 oz |
When are standard precautions used? | with all patient care |
Advanced Directive | living will |
What is the proper way to use non-sterile gloves? | wash hands immediately before and after use |
Define DNR | Do Not Resuscitate-no cpr or rescue breathing |
For patient safety what should always be in reach? | call button |
What should you always do before entering a patient's room? | knock and identify yourself |
If there is a fire in a patient's room what should you do first? | Rescue the patient |
The abdomen has how many quadrants? | 4 |
List the abdomen's quadrants. | RUQ, RLQ, LUQ, LLQ |
factors that affect patient learning | poor vision/hearing, impaired motor skills, illiteracy, patients can be overwhelmed, strength, pain/fatigue, anxiety/distraction |
How do you calculate the pulse? | take for 1 full minute |
fever | body temperature over 100.2 |
What are the stages of death & dying? | denial, anger, bargaining, depression, acceptance |
Define dyspnea | difficult breathing |
Define eupnea | normal breathing |
What would cause a patient's blood pressure to drop? | an increase in pulse, hemmorhage |
What would cause a patient's blood pressure to elevate? | stress |
What do you do before you take a patient's BP? | get the correct sizes cuff |
homeostasis | body's ability to maintain a constant internal environment in a changing external environment |
How do you count a patient's respirations? | without them knowing |
ethnic group | found within a race, differentiated by geographic, religious, social/language differences, |
belief | conviction or opinion that one considers to be true |
factors that affect communication | Culture, past experiences, emotions & mood, self-concept, attitude, physical problems |
Sign of stress | Dry mouth,Increased Blood Pressure, Shakiness, Dizziness |
Muslim & Jewish, what are the similar dietary restrictions? | no pork, meat must be slaughtered & prepared according to their religious law |
matriarchal | household that is female dominated |
etiology | study of the cause of a disease; origin |
Group of tissues arranged to accomplish a particular function | organ |
cyanosis | bluish discoloration or skin color changes particularly around the mouth & in the nail beds due to lack of oxygen |
Factors that affect temperature | time of day, environmental temp, age, excercise, hormones, emotional stress, disease, drugs |
What is the purpose of teaching? | promote wellness & prevent illness |
tachycardia | fast heartbeat |
nonverbal communication | communication without words |
self-actualization | reaching one's full potential |
Explain the levels of Maslow's Hierarchy | Paul Sees Lucy Sitting Stillphysiological, safety & security, love & belonging, self-esteem, self-actualization |
Hypertension | high blood pressure higher than 140 over 90 |
Hypotension | low blood pressure less than 90 over 60 |
List the modes of learning | auditory, visual, kinesthetic |
List the domains of learning | cognitive, affective, psychomotor |
3 things that affect health & illness | culture, education, socioeconomic status |
Hospice care | paliative care; focus on comfort not cure |
culture | values, beliefs & practices shared by the majority within a group of people |
incongruence | not in agreement |
anterior | towards the front |
ventral | towards the front |
medial | the middle of the body, towards the midline |
lateral | towards the side of the body, away from midline |
standards of a student nurse | Professional behavior, communication, assessment, caring, planning & intervention, managing |
Explain 4 cultural aspects to consider when caring for a patient from a different culture | personal space, eye contact, interpreter, decision maker, touch, age, gestures, appearance |
Example of an open-ended questions | Tell me about your day |
What can personal touch convey? | Caring |
Active listening? | focused on person, concentration on what is being said |
2 characteristics of a nurse | acceptance & non-judgemental |
convalescence | recovery after illness and regaining health |
Standards of care | professional behavior, communication, ADO PIE (Assessment, Diagnosis, Outcomes, Planning, Implementation, Evaluation) |
protocol for handwashing | before shift and between patients |
I & O | intake & output |
O2 | oxygen |
NPO | nothing by mouth |
OOB | out of bed |
PO | orally |
PRN | as needed |
OS/OU | left eye/both eyes do not use anymore |
tid | three times a day |
s (with line over it) | without |
c (with line over it) | with |
ac | before meals |
pc | after meals |
stat | immediately |
ad lib | as desired |
bid | twice a day |
brady- | slow |
dys | bad, painful, difficult, abnormal |
hepat- | liver |
AD | toward |
eu | good, normal |
hemi | one half |
post | after |
gastr | stomach |
hypo | under below |
mono | one |
peri | around |
pseudo | false |
sub | under below |
therm | heat |
uni | one |
-centesis | puncture in the cavity |
-cele | hernia, swelling, sac |
-megaly | expansion |
-ectomy | removal of something |
hemat | blood |
sis | condition |
-lith | stone |
megaly | enlargement |
-plasty | shape |
ology | study or science of |
oma | tumor |
-orrhea | flow |
-pathy | disease |
-phagia | eating |
-rrhea, -orrhea | discharge, flow |
-tomy | incision, cutting |
-stomy | creating an opening |
poly- | multi, more than one |
tachy- | fast |
homo- | same |
a- | without |
epi | above, upon |
aden- | gland |
abd | abdomen |