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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 |