By the end of the orientation phase, the patient should begin to trust the nurse. When preparing a single injection for a patient who takes regular and neutral protein Hagedorn insulin, the nurse should draw the regular insulin into the syringe first so that it does not contaminate the regular insulin. In the event of fire, the acronym most often used is RACE. Skeletal traction, which is applied to a bone with wire pins or tongs, is the most effective means of traction. Ethnocentrism is the universal belief that one’s way of life is superior to others. 202. 84. Prepare for the upcoming Nursing Board Exam and annual prep course with multiple-choice board-style questions. The appropriate needle size for insulin injection is 25G and 5/8″ long. Before a patient’s health record can be released to a third party, the patient or the patient’s legal guardian must give written consent. When preparing for a skull X-ray, the patient should remove all jewelry and dentures. 203. To put on a sterile glove, the nurse should pick up the first glove at the folded border and adjust the fingers when both gloves are on. A patient who can’t write his name to give consent for treatment must make an X in the presence of two witnesses, such as a nurse, priest, or physician. Assessment is the stage of the nursing process in which the nurse continuously collects data to identify a patient’s actual and potential health needs. COVID-19: Looking to the Future of Nursing: Innovations & Policy Recommendations. Place both arms well under the patient’s hips, and straighten the back while moving the patient toward the edge of the bed. The nurse shouldn’t cut the patient’s hair without written consent from the patient or an appropriate relative. Treatment for a stage 1 ulcer on the heels includes heel protectors. The three phases of the therapeutic relationship are orientation, working, and termination. Pain seems more intense at night because the patient isn’t distracted by daily activities. injection of iron dextran (Imferon). Percussion causes five basic notes: tympany (loud intensity, as heard over a gastric air bubble or puffed out cheek), hyperresonance (very loud, as heard over an emphysematous lung), resonance (loud, as heard over a normal lung), dullness (medium intensity, as heard over the liver or other solid organ), and flatness (soft, as heard over the thigh). C = Circulation. 89. Potassium (K+) is the most abundant cation in intracellular fluid. 177. In adults, the most convenient veins for venipuncture are the basilic and median cubital veins in the antecubital space. If a patient complains that his hearing aid is “not working,” the nurse should check the switch first to see if it’s turned on and then check the batteries. 8. 67. Samples of feces for ova and parasite tests should be delivered to the laboratory without delay and without refrigeration. 133. When assessing a patient’s eating habits, the nurse should ask, “What have you eaten in the last 24 hours?”. Step 2: Identifying the problems and establishing goals NURSING ESSENTIALS. The patient who uses a cane should carry it on the unaffected side and advance it at the same time as the affected extremity. Supporting young adults with psoriatic arthritis. Collegiality is the promotion of collaboration, development, and interdependence among members of a profession. Axillary temperature is usually 1° F lower than oral temperature. The autonomic nervous system regulates the cardiovascular and respiratory systems. A back rub is an example of the gate-control theory of pain. Background: Nursing theory-guided practice helps improve the quality of nursing care because it allows nurses to articulate what they do for patients and why they do it. Schedule III drugs, such as paregoric and butabarbital (Butisol), have a lower abuse potential than Schedule I or II drugs. A thready pulse is very fine and scarcely perceptible. Most of the absorption of water occurs in the large intestine. 234. The major components of a nursing care plan are outcome criteria (patient goals) and nursing interventions. 182. Critical pathways are a multidisciplinary guideline for patient care. 35. Eliminate health disparities among different segments of the population. Examples are immunizations, weight control, and smoking cessation. To avoid staining the teeth, the patient should take a liquid iron preparation through a straw. Fidelity means loyalty and can be shown as a commitment to the profession of nursing and to the patient. Pain threshold, or pain sensation, is the initial point at which a patient feels pain. If a chest drainage system line is broken or interrupted, the nurse should clamp the tube immediately. The best way to prevent pressure ulcers is to reposition the bedridden patient at least every 2 hours. The difference between acute pain and chronic pain is its duration. Referred pain is pain that’s felt at a site other than its origin. You can simply “Print” the page using your browser and save it as PDF. 209. Platelets are the smallest and most fragile formed element of the blood and are essential for coagulation. Prothrombin, a clotting factor, is produced in the liver. 60. The keys to answering examination questions correctly are identifying the problem presented, formulating a goal for the problem, and selecting the intervention from the choices provided that will enable the patient to reach that goal. 187. The nurse should use the bell of the stethoscope to listen for venous hums and cardiac murmurs. Veracity is truth and is an essential component of a therapeutic relationship between a health care provider and his patient. 145. When providing oral care for an unconscious patient, to minimize the risk of aspiration, the nurse should position the patient on the side. A correctly written patient goal expresses the desired patient behavior, criteria for measurement, time frame for achievement, and conditions under which the behavior will occur. 6. A patient’s bed bath should proceed in this order: face, neck, arms, hands, chest, abdomen, back, legs, perineum. Patients often exhibit resistive and challenging behaviors in the orientation phase of the therapeutic relationship. infusion is as follows: (volume to be infused × drip factor) ÷ time in minutes = drops/minute. Laws regarding patient self-determination vary from state to state. When a patient expresses concern about a health-related issue, before addressing the concern, the nurse should assess the patient’s level of knowledge. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! The pons is located above the medulla and consists of white matter (sensory and motor tracts) and gray matter (reflex centers). During the evaluation step of the nursing process, the nurse assesses the patient’s response to therapy. Electrolytes in a solution are measured in milliequivalents per liter (mEq/L). When obtaining a health history from an acutely ill or agitated patient, the nurse should limit questions to those that provide necessary information. These Nursing Bullets are bite-sized information that are easy to absorb and best read during your reviews for NCLEX or the board exams. Voluntary euthanasia is actively helping a patient to die at the patient’s request. 166. Maslow’s hierarchy of needs must be met in the following order: physiologic (oxygen, food, water, sex, rest, and comfort), safety and security, love and belonging, self-esteem and recognition, and self-actualization. A good way to begin a patient interview is to ask, “What made you seek medical help?”. Before transferring a patient from a bed to a wheelchair, the nurse should push the wheelchair footrests to the sides and lock its wheels. These bullets are perfect if you need a quick review about nursing. The frequency of patient hair care depends on the length and texture of the hair, the duration of hospitalization, and the patient’s condition. An organism may enter the body through the nose, mouth, rectum, urinary or reproductive tract, or skin. 101. 16. 140. Passive range of motion maintains joint mobility. 36. 51. This category includes such issues as writing an incident report and completing the patient chart. The mist in a mist tent should never become so dense that it obscures clear visualization of the patient’s respiratory pattern. Alcohol is metabolized primarily in the liver. Families with loved ones in intensive care units report that their four most important needs are to have their questions answered honestly, to be assured that the best possible care is being provided, to know the patient’s prognosis, and to feel that there is hope of recovery. 162. Ballottement is a form of light palpation involving gentle, repetitive bouncing of tissues against the hand and feeling their rebound. 123. Firmly depress the plunger, but don’t aspirate. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 220 Nursing Bullets: Fundamentals of Nursing Reviewer 1, Nursing Bullets: Pediatric Nursing Reviewer 1 (40 Items), Nursing Bullets: Maternal & Child Health Nursing Reviewer 1 (350 Items), Nursing Bullets: Fundamentals of Nursing Reviewer 1 (220 Items), Nursing Bullets: Fundamentals of Nursing Reviewer 2 (246 Items), Nursing Bullets: Medical-Surgical Nursing Reviewer 1 (160 Items), Nursing Bullets: Psychiatric Nursing Reviewer 1 (225 Items), Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Commonwealth of Australia 2019 Title: Educating the Nurse of the Future—Report of the Independent Review into Nursing Education. States have enacted Good Samaritan laws to encourage professionals to provide medical assistance at the scene of an accident without fear of a lawsuit arising from the assistance. To take the pulse rate, the artery is compressed against the radius. We are seeking reviewers in all fields and research. 107. CamCam94 (New) Hi Guys, I'm looking to get some reviews on the Broward College Nursing program. When being weighed, an adult patient should be lightly dressed and shoeless. Crutches should be placed 6″ (15.2 cm) in front of the patient and 6″ to the side to form a tripod arrangement. Posted Feb 18, 2019. is the right eye, and O.S. 153. If eye ointment and eyedrops must be instilled in the same eye, the eyedrops should be instilled first. Special Issue of International Nursing Review. Thanks. When communicating with a hearing impaired patient, the nurse should face him. Choose timed or untimed mode to challenge yourself in a review or test environment. On-call medication should be given within 5 minutes of the call. The nurse should place the blood pressure cuff 1″ (2.5 cm) above the antecubital fossa. A vegan diet should include an abundant supply of fiber. review uses national datasets to estimate the size, shape and composition of the nursing workforce. The nurse should instruct the patient to avoid using hair spray while wearing a hearing aid. The nurse should inject heparin deep into subcutaneous tissue at a 90-degree angle (perpendicular to the skin) to prevent skin irritation. First-morning urine provides the best sample to measure glucose, ketone, pH, and specific gravity values. PNLE FON Practice Exam for Nursing Process, Physical and Health Assessment and Routine Procedures: 100 items: PNLE: FON Practice Exam for Oxygenation and Nutrition: 100 items: PNLE: Fundamentals in Nursing Exam 1: 25 items: PNLE: Fundamentals in Nursing Exam 2: 25 items: PNLE: Fundamentals in Nursing Exam 3: 25 items Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 220 Nursing Bullets: Fundamentals of Nursing Reviewer 1, 40 Nursing Bullets: Pediatric Nursing Reviewer, 350 Nursing Bullets: Maternity and Newborn Nursing Reviewer, 225 Nursing Bullets: Psychiatric Nursing Reviewer, 160 Nursing Bullets: Medical-Surgical Nursing Reviewer, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Before instilling medication into the ear of a patient who is up to age 3, the nurse should pull the pinna down and back to straighten the eustachian tube. When percussing a patient’s chest for postural drainage, the nurse’s hands should be cupped. A subjective sign that a sitz bath has been effective is the patient’s expression of decreased pain or discomfort. Nursing peer Review Policy 1.14 Original Implementation: October 2004 Last Revision: May 2019 BACKGROUND This Nursing Peer Review Policy is established pursuant to the Texas Board of Nursing (BON) Nursing Practice Act (NPA) and all provisions of this policy are meant to comply 147. 195. Hi! 96. 30. When caring for a patient who has a nasogastric tube, the nurse should apply a water-soluble lubricant to the nostril to prevent soreness. 79. Inspection is the most frequently used assessment technique. When instilling ophthalmic ointments, the nurse should waste the first bead of ointment and then apply the ointment from the inner canthus to the outer canthus. When the nurse removes gloves and a mask, she should remove the gloves first. 61. An ascending colostomy drains fluid feces. The Patient’s Bill of Rights offers patients guidance and protection by stating the responsibilities of the hospital and its staff toward patients and their families during hospitalization. 113. Administering an I.M. Nursing Bullets for Medical-Surgical Nursing is the ultimate reviewer for the NCLEX. When caring for any patient, the nurse should follow standard precautions for handling blood and body fluids. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Beneficence is the duty to do no harm and the duty to do good. A patient indicates that he’s coming to terms with having a chronic disease when he says, “I’m never going to get any better.”. 160. 21. 3. 46. The most important goal to include in a care plan is the patient’s goal. CiteScore: 2019: 3.8 CiteScore measures the average citations received per peer-reviewed document published in this title. injection in the upper outer portion of the buttocks in the adult or in the midlateral thigh in the child. 242. A third-party payer is an insurance company. A low-residue diet includes such foods as roasted chicken, rice, and pasta. 100. Community Health Community Health Nursing Exam by ChieChay Dub on Scribd. Schedule IV drugs, such as chloral hydrate, have a low abuse potential compared with Schedule III drugs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. 57. In a patient who has a cardiac disorder, measuring temperature rectally may stimulate a vagal response and lead to vasodilation and decreased cardiac output. A “shift to the right” is evident when the number of mature cells in the blood increases, as seen in advanced liver disease and pernicious anemia. When leaving an isolation room, the nurse should remove her gloves before her mask because fewer pathogens are on the mask. The five stages of the nursing process are assessment, nursing diagnosis, planning, implementation, and evaluation. In the three-point gait, the patient moves two crutches and the affected leg simultaneously and then moves the unaffected leg. 63. 204. Abdominal assessment is performed in the following order: inspection, auscultation, percussion & palpation. When answering a question on the NCLEX examination, the student should consider the cue (the stimulus for a thought) and the inference (the thought) to determine whether the inference is correct. Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), Various concepts about Fundamentals of Nursing. 74. Cutaneous stimulation creates the release of endorphins that block the transmission of pain stimuli. 44. 226. During lumbar puncture, the nurse must note the initial intracranial pressure and the color of the cerebrospinal fluid. To prevent injury when lifting and moving a patient, the nurse should primarily use the upper leg muscles. In assessing a patient’s heart, the nurse normally finds the point of maximal impulse at the fifth intercostal space, near the apex. 10. After administering eye ointment, the nurse should twist the medication tube to detach the ointment. 40. If you would like to see more jobs, remove the commute filter.

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