Nursing Fundamentals for Finals Mod A
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| American Nurses Association (ANA) | show 🗑
|
||||
| Florence NIghtingale | show 🗑
|
||||
| show | founder of the American Red Cross
🗑
|
||||
| show | underground railroad
🗑
|
||||
| show | a nurse who completes a practical nursing program and passes a licensure exam. Practices under the supervision of an RN or other licensed person.
🗑
|
||||
| show | completion of an associates degree, diploma/baccalaureate degree program in nursing
🗑
|
||||
| In-service education | show 🗑
|
||||
| Code of Ethics | show 🗑
|
||||
| show | 1. Cure
2. Cure
3. Coordination
🗑
|
||||
| Nurse Practice Act (NPA) | show 🗑
|
||||
| Caregiver | show 🗑
|
||||
| show | protect your patient's human and legal rights and will provide assistance in asserting these rights if the need arises (acting on behalf of your patient)
🗑
|
||||
| Advanced Practice Registered Nurse (APRN) | show 🗑
|
||||
| show | APRN who is an expert clinician in a specialized area of practice
🗑
|
||||
| Nurse Practitioner (NP) | show 🗑
|
||||
| Certified Nurse-Midwife (CNM) | show 🗑
|
||||
| show | APRN with advanced education in anesthesia accredited program
🗑
|
||||
| Nurse Educator | show 🗑
|
||||
| Nurse Administrator | show 🗑
|
||||
| show | investigates problems to improve nursing care and further define and expand the scope of nursing practice
🗑
|
||||
| Professional Organization | show 🗑
|
||||
| National League for Nursing (NLN) | show 🗑
|
||||
| show | the protection, promotion, and optimization of health and abilities
🗑
|
||||
| International Council of Nurses (ICN) | show 🗑
|
||||
| Genomics | show 🗑
|
||||
| Health | show 🗑
|
||||
| Health beliefs | show 🗑
|
||||
| show | addresses the relationship between a person's beliefs/behaviors
🗑
|
||||
| Health Promotion Model | show 🗑
|
||||
| Maslow's Hierarchy of Needs | show 🗑
|
||||
| Holistic Model | show 🗑
|
||||
| Passive strategies of health promotion | show 🗑
|
||||
| show | individuals adopt specific health programs
🗑
|
||||
| show | activities such as routine exercise and good nutrition; motivate to act positively
🗑
|
||||
| show | teaches people how to care for themselves in a healthy way
🗑
|
||||
| Illness Prevention | show 🗑
|
||||
| 3 Levels of Health Prevention | show 🗑
|
||||
| show | any situation, habit, environmental condition, physiological condition, or other variable that increases an individual/group vulnerability to an illness/accident
🗑
|
||||
| show | a state in which a person's physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished/impaired
🗑
|
||||
| Acute illness | show 🗑
|
||||
| Chronic illness | show 🗑
|
||||
| show | cognitive, affective and behavioral reactions; how a person interprets their symptoms, take remedial action and use health care system
🗑
|
||||
| show | perception of symptoms and nature (acute or chronic) way a patient behaves when ill
🗑
|
||||
| External Variables | show 🗑
|
||||
| Professional Standards Review Organizations (PSRO) | show 🗑
|
||||
| show | review admissions, diagnostic testing and treatments provided by HCP's
🗑
|
||||
| Prospective Payment System (PPS) | show 🗑
|
||||
| show | fixed reimbursement amount w/ adjustments for cost severity (set dollar amount)
🗑
|
||||
| show | payment mechanism in which provider's receive a fix amount per month per patient or enrollee of a health care plan
🗑
|
||||
| show | systems in which a payer has control over primary health care srvs.
🗑
|
||||
| show | a set of providers and services organized to deliver a coordinated continuum of care to the population of patients in a specific market or geographic area
🗑
|
||||
| show | 1. Preventive
2. Primary
3. Secondary
4. Tertiary
5. Restorative
6. Continuing Care
🗑
|
||||
| show | patient's who have signs and symptoms of disease are diagnosed and treated
🗑
|
||||
| show | settings and services in which pt's who are recovering from illness or disability receive rehab and supportive care
🗑
|
||||
| Primary Care | show 🗑
|
||||
| Secondary Care | show 🗑
|
||||
| show | -intensive care, psychiatric
🗑
|
||||
| Restorative Care | show 🗑
|
||||
| show | -assisted living, psychiatric /older-adult day care
🗑
|
||||
| show | centralized, coordinated, multidisciplinary process that ensures that a pt. has a plan for care after leaving hospital
🗑
|
||||
| show | The moment a patient is admitted!!!!!
🗑
|
||||
| show | ICU/CCU
unstable/critically ill
close monitoring
most expensive
🗑
|
||||
| show | pt's w/ emotional/behavioral problems
voluntary/involuntary
Inpatient/Outpatient services
🗑
|
||||
| Rural Hospitals | show 🗑
|
||||
| Restorative Care | show 🗑
|
||||
| Home Care | show 🗑
|
||||
| Rehabilitation | show 🗑
|
||||
| show | intermediate care, skilled care, long-term care, assisted living
🗑
|
||||
| show | nursing home reform act
🗑
|
||||
| show | required by omnibus; uniform data set established by Dept. of Health (DHS), framework for any state-specified assessment instruments used to develop a written/comprehensive plan of care
🗑
|
||||
| show | short-term relief for people providing home care
🗑
|
||||
| Adult Day Care | show 🗑
|
||||
| show | family-centered care that allows patients to live and remain at home w/ comfort and dignity caused by terminal illness
🗑
|
||||
| Patient-Centered Care | show 🗑
|
||||
| show | to recognize health care organizations that achieve excellence in nursing practice
🗑
|
||||
| show | makes an appropriate plan of care based on assessment
🗑
|
||||
| show | a person who studies in the branch of medicine and deals with the incidence, distribution, and possible control of diseases
🗑
|
||||
| show | judicial decisions or case law precedent
🗑
|
||||
| Statutory law | show 🗑
|
||||
| Nurse Practice Acts (NPA) | show 🗑
|
||||
| Due Process | show 🗑
|
||||
| show | federal/state laws; crime certain actions that inflict/threaten substantial harm to individuals
🗑
|
||||
| show | wrongful act/acts against a person/persons property that are compensated by awarding monetary damages to the individual violated
🗑
|
||||
| show | deliberate act of wrongful conduct (assault/battery)
🗑
|
||||
| show | intentional threat toward another person that places that person in harmful, imminent , or unwelcome contact
🗑
|
||||
| show | intentional offensive touching w/o consent
🗑
|
||||
| Negligence | show 🗑
|
||||
| show | failure to use the degree of care that a reasonable nurse would use under the same circumstances
🗑
|
||||
| Standards of Care | show 🗑
|
||||
| show | identifying possible risks, analyzing them, acting to reduce them and evaluating the measures taken to reduce them (occurrence report)
🗑
|
||||
| show | preventable errors (falls, UTI's) that should never happen in a hospital setting
🗑
|
||||
| show | laws that limit liability and offer legal immunity if a nurse helps at a scene of an accident
🗑
|
||||
| Consent | show 🗑
|
||||
| show | patient's agreement to allow something such as surgery to happen based on full disclosure
🗑
|
||||
| Restraint | show 🗑
|
||||
| 2 standards to determine death | show 🗑
|
||||
| Advanced Directives | show 🗑
|
||||
| show | instructing a provider to withhold/withdraw life-sustaining procedures
🗑
|
||||
| show | designates an individual to give consent when a patient is no longer able
🗑
|
||||
| Confidentiality | show 🗑
|
||||
| show | standards of conduct, right/wrong behavior
🗑
|
||||
| Morals | show 🗑
|
||||
| Value | show 🗑
|
||||
| Bioethics | show 🗑
|
||||
| show | person's independence; (nurse makes decision to give treatment w/o order due to pt's symptoms)
🗑
|
||||
| Justice | show 🗑
|
||||
| show | agreement to keep promises
🗑
|
||||
| show | promotes taking "positive/good" steps to help others
🗑
|
||||
| show | to do harm
🗑
|
||||
| Accountability | show 🗑
|
||||
| Deontology | show 🗑
|
||||
| Ethics of Care | show 🗑
|
||||
| Evidence-Based Practice (EBP) | show 🗑
|
||||
| show | P = patient of interest
I = intervention of interest
C = comparison of interest
O = outcome (achieve)
T = Time (how long)
🗑
|
||||
| show | unexpected occurrence involving death/serious physical/psychological injury of a patient
🗑
|
||||
| show | continuous process characterized by open-mindedness, willing to look at each unique patient situation and determine which identified assumptions are true/relevant
🗑
|
||||
| show | 1. Basic
2. Complex
3. Commitment
🗑
|
||||
| Scientific Method | show 🗑
|
||||
| show | information obtained and applying it together with what you already know
🗑
|
||||
| Intrapersonal Communication | show 🗑
|
||||
| show | interaction that occurs between two people/small group
🗑
|
||||
| show | individuals that use a common language
🗑
|
||||
| Connotative Meaning | show 🗑
|
||||
| Pacing | show 🗑
|
||||
| show | verbal/nonverbal exchanges between the nurse and the patient
🗑
|
||||
| SBAR (sit back and assess the recommendation) | show 🗑
|
||||
| Language | show 🗑
|
||||
| show | ability to understand and accept another person's perspective
🗑
|
||||
| Clarifying | show 🗑
|
||||
| show | directs conversation to a specific topic/issue when a discussion becomes unclear
🗑
|
||||
| show | restating a sender's msg. in your own words
🗑
|
||||
| Summarizing | show 🗑
|
||||
| Self-disclosure | show 🗑
|
||||
| show | "sense of possibility"
🗑
|
||||
| Overusing Medical Vocabulary | show 🗑
|
||||
| Sympathy | show 🗑
|
||||
| show | key intervention strategy to improve health behaviors
🗑
|
||||
| Teaching | show 🗑
|
||||
| Learning | show 🗑
|
||||
| Referent | show 🗑
|
||||
| show | -cognitive - what a person knows
-affective - person's feelings
-psychomotor - person can do physically
🗑
|
||||
| show | the mental state that allows a learning to focus on and understand the material
🗑
|
||||
| Participating | show 🗑
|
||||
| Entrusting | show 🗑
|
||||
| show | using a stimulus that increases the probability of a response
🗑
|
||||
| Demonstration | show 🗑
|
||||
| show | permits patient to perform skill as nurse observes
🗑
|
||||
| Analogies | show 🗑
|
||||
| Caring | show 🗑
|
||||
| show | 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
🗑
|
||||
| show | information obtains through the senses (see)
🗑
|
||||
| Inference | show 🗑
|
||||
| Gordon's 11 functional health patters | show 🗑
|
||||
| Subjective Data | show 🗑
|
||||
| Objective Data | show 🗑
|
||||
| show | describes situation in more than 1 or 2 words; leads to discussion
🗑
|
||||
| show | using words as "all right" "go on" or "uh huh"
🗑
|
||||
| show | limit patients answers to 1 or 2 words such as "yes" or "no"
🗑
|
||||
| show | comparison of data with another source to confirm accuracy
🗑
|
||||
| Critical Thinking involves | show 🗑
|
||||
| show | model for organizing nursing diagnosis for documentation, auditing, and communication process
🗑
|
||||
| show | condition that responds to nursing intervention
🗑
|
||||
| PES Format | show 🗑
|
||||
| Patient-centered goal | show 🗑
|
||||
| show | 1. know scientific rationale (reason)
2. possessing psychomotor/interpersonal skills
3. function within particular setting; using available resources
🗑
|
||||
| Independent Nursing | show 🗑
|
||||
| Dependent Nursing | show 🗑
|
||||
| Standard of Care | show 🗑
|
||||
| RBC (red blood cells circulating) | show 🗑
|
||||
| Hgb (hemoglobin) the 14 yr. old goblin goes trick/treating while transporting candy) | show 🗑
|
||||
| Hct (hematocrit) men (42) minus 5 for women (37) | show 🗑
|
||||
| ESR | show 🗑
|
||||
| Cultures | show 🗑
|
||||
| show | looks for presence of WBC's, bacteria, etc in urine
🗑
|
||||
| WBC (white blood count) | show 🗑
|
||||
| WBC 4,000 and below | show 🗑
|
||||
| show | WBC containing bacteria combating granules
🗑
|
||||
| show |
WBC = no granules
🗑
|
||||
| show | Neutrophils Lymphocytes Monocytes / Eosinphils Basophils
Granulocyte Agranulocyte
🗑
|
||||
| Neutrophils (granulocyte) | show 🗑
|
||||
| show | 20 - 40%
-fight bacteria and acute vial infections
🗑
|
||||
| Monocytes (granulocyte) | show 🗑
|
||||
| Basophils (Agranulocyte) | show 🗑
|
||||
| show | 1 - 4%
-as the allergic response increases so the number of eosinophils
-do not respond to bacteria
🗑
|
||||
| show | high, up
🗑
|
||||
| show | low, down
🗑
|
||||
| Adult blood pressure | show 🗑
|
||||
| Adult pulse | show 🗑
|
||||
| show | 12 - 20
🗑
|
||||
| show | 96.8 - 100.4 F
🗑
|
||||
| show | Inspect
Palpation
Percussion
Auscultation
Smell
🗑
|
||||
| show | step 1: ASK
step 2: GATHER
step 3: CLARIFY
step 4: VERBALIZE
step 5: IDENTIFY
step 6: NEGOTIATE PLAN
step 7: EVAULATE
🗑
|
||||
| Crackles | show 🗑
|
||||
| show | wasted or reduced size of tissue
🗑
|
||||
| show | Abnormal lung sounds
🗑
|
||||
| show | normal resiliency of the skin
🗑
|
||||
| show | dark stool
🗑
|
||||
| show | inflammation of a vein
🗑
|
||||
| show | tiny red/purple spots; minute hemorrhages
🗑
|
||||
| show | paleness/lack of color in the skin
🗑
|
||||
| show | abnormal condition in which a person must sit up or stand to breathe confortably
🗑
|
||||
| Cerumen | show 🗑
|
||||
| Jaundice | show 🗑
|
||||
| Erythema | show 🗑
|
||||
| show | abnormal accumulation of fluid in the interstitial spaces
🗑
|
||||
| show | difficulty breathing
🗑
|
||||
| show | back
🗑
|
||||
| show | bluish color of the skin
🗑
|
||||
| show | skin hardening
🗑
|
||||
| show | ear
🗑
|
||||
| show | joint
🗑
|
||||
| Pre- | show 🗑
|
||||
| show | science/study of
🗑
|
||||
| show | after
🗑
|
||||
| show | fast
🗑
|
||||
| show | red
🗑
|
||||
| show | to form an opening
🗑
|
||||
| adeno- | show 🗑
|
||||
| show | double, two, twice
🗑
|
||||
| show | kidney
🗑
|
||||
| show | bronchi
🗑
|
||||
| show | skin
🗑
|
||||
| -megaly | show 🗑
|
||||
| show | heart
🗑
|
||||
| show | nerve
🗑
|
||||
| show | gall/bile
🗑
|
||||
| show | surgical removal of
🗑
|
||||
| show | disintegration
🗑
|
||||
| -osis | show 🗑
|
||||
| costo- | show 🗑
|
||||
| show | repair/reconstruction
🗑
|
||||
| vaso- | show 🗑
|
||||
| show | pain
🗑
|
||||
| show | bladder
🗑
|
||||
| -lithiasis | show 🗑
|
||||
| show | bad/poor
🗑
|
||||
| dorso- | show 🗑
|
||||
| show | pertaining to intestines
🗑
|
||||
| glosso- | show 🗑
|
||||
| pan- | show 🗑
|
||||
| pneumo- | show 🗑
|
||||
| show | arm
🗑
|
||||
| brady- | show 🗑
|
||||
| ambi- | show 🗑
|
||||
| show | above, beyond, increased
🗑
|
||||
| gastro- | show 🗑
|
||||
| show | hemorrage
🗑
|
||||
| ileo- | show 🗑
|
||||
| show | gallbladder
🗑
|
||||
| show | inflammation of
🗑
|
||||
| -lith | show 🗑
|
||||
| neo- | show 🗑
|
||||
| show | origin/beginning
🗑
|
||||
| -rhea | show 🗑
|
||||
| a- / an- | show 🗑
|
||||
| hemi- | show 🗑
|
||||
| -cele | show 🗑
|
||||
| auto- | show 🗑
|
||||
| hemo- | show 🗑
|
||||
| show | female
🗑
|
||||
| extra- | show 🗑
|
||||
| show | difficult/abnormal
🗑
|
||||
| show | to/toward
🗑
|
||||
| leuko- | show 🗑
|
||||
| hepato- | show 🗑
|
||||
| -cide | show 🗑
|
||||
| hemato- | show 🗑
|
||||
| -emia | show 🗑
|
||||
| osteo- | show 🗑
|
||||
| show | tissue
🗑
|
||||
| show | normal heat loss through radiation, conduction, convection, and evaporation
🗑
|
||||
| Diaphoresis | show 🗑
|
||||
| show | FEVER
🗑
|
||||
| Febrile | show 🗑
|
||||
| show | without fever
🗑
|
||||
| Sustained Fever | show 🗑
|
||||
| Intermittent Fever | show 🗑
|
||||
| Remittent Fever | show 🗑
|
||||
| Relapsing Fever | show 🗑
|
||||
| Antipyretics | show 🗑
|
||||
| show | elevated body temperature due to inability to promote heat loss
🗑
|
||||
| show | prolonged exposure to the sun or high temperatures
🗑
|
||||
| show | heat loss during prolonged exposure to cold
🗑
|
||||
| show | easy accessible; no patient position change
🗑
|
||||
| Tympanic Temp. | show 🗑
|
||||
| show | Gold standard for core temp.; more reliable than oral; difficult/ impossible to obtain
🗑
|
||||
| show | safe/inexpensive; used on newborns, children, or unconscious
🗑
|
||||
| Skin Temp. | show 🗑
|
||||
| Temporal Artery | show 🗑
|
||||
| 5 major parts of a stethescope | show 🗑
|
||||
| show | over temporal bone of head; above lateral eye
🗑
|
||||
| show | along medial edge of sternocleidomastoid in neck
🗑
|
||||
| Apical Pulse | show 🗑
|
||||
| show | groove between biceps/triceps muscles at antecubital fossa
🗑
|
||||
| show | radial/thumb side of forearm at the wrist
🗑
|
||||
| Ulnar Pulse | show 🗑
|
||||
| show | below inguinal ligament; midway between symphysis pubis and anterior superior iliac spine
🗑
|
||||
| Popliteal Pulse | show 🗑
|
||||
| show | inner side of ankle; below medial malleolus
🗑
|
||||
| show | along top of the foot; between tendons of great and first toe
🗑
|
||||
| show | speed of the heartbeat measured by the number of contractions of the heart per minute (bpm)
🗑
|
||||
| Tachycardia | show 🗑
|
||||
| Bradycardia | show 🗑
|
||||
| Dysrhythmia | show 🗑
|
||||
| show | force EXERTED on the walls of an artery created by pulsing blood under pressure from the HEART
🗑
|
||||
| Systolic Pressure | show 🗑
|
||||
| show | MINIMAL pressure; bottom number (DBP)
🗑
|
||||
| Pulse Pressure | show 🗑
|
||||
| show | persistently elevated blood pressure;
systolic greater than 140 : diastolic greater than 90
-if measured high like this 2 times
🗑
|
||||
| show | low blood pressure; systolic less than 90 : diastolic less than 60
🗑
|
||||
| Auscultation | show 🗑
|
||||
| Korotkoff Sound | show 🗑
|
||||
| Auscultatory Gap | show 🗑
|
||||
| show | mechanism the body uses to exchange gases between the atmosphere, blood, and cells
🗑
|
||||
| Ventilation | show 🗑
|
||||
| show | movement of oxygen and carbon dioxide between the alveoli and the red blood cells
🗑
|
||||
| Perfusion | show 🗑
|
||||
| show | normal rate and depth of ventilation
🗑
|
||||
| Respiration rate | show 🗑
|
||||
| show | respiratory rate less than 12 / min. or lower
🗑
|
||||
| show | respiratory rate more than 20 / minute or higher
🗑
|
||||
| Apnea | show 🗑
|
||||
| Pulse Oximetry | show 🗑
|
||||
| ETCO2 (end-tidal carbon dioxide) | show 🗑
|
||||
| show | why patient is seeking health care
🗑
|
||||
| Inspection | show 🗑
|
||||
| Percussion | show 🗑
|
||||
| show | SMELL
🗑
|
||||
| Integument | show 🗑
|
||||
| show | a legal document used for malpractice issues; correct time of events, signing orders and billing
🗑
|
||||
| show | electronic record of patient health information generated by one or more encounters in any care delivery setting
🗑
|
||||
| Meaningful Use | show 🗑
|
||||
| show | when an actual/potential injury happens, but is not part of a patient record
🗑
|
||||
| Infection | show 🗑
|
||||
| show | the presence and growth of microorganisms within a host
🗑
|
||||
| show | pathogens that multiply and cause clinical signs and symptoms are not present
🗑
|
||||
| Chain of Infection | show 🗑
|
||||
| show | person that hosts a disease, but shows no symptoms
🗑
|
||||
| Flora | show 🗑
|
||||
| Suprainfection | show 🗑
|
||||
| Fomites | show 🗑
|
||||
| Inflammation | show 🗑
|
||||
| show | of or pertaining to the death of tissue in response to disease/injury
🗑
|
||||
| show | foreign material
🗑
|
||||
| show | patient develops an infection that was not present at the time of admission
🗑
|
||||
| Exogenous-Infection (OUT) | show 🗑
|
||||
| show | occurs when part of a patients flora becomes altered INSIDE the body
🗑
|
||||
| Aseptic Technique | show 🗑
|
||||
| show | the absence of disease
🗑
|
||||
| Medical Asepsis | show 🗑
|
||||
| show | sterile technique, includes procedures to eliminate all microorganisms from an area
🗑
|
||||
| Standard Precautions | show 🗑
|
||||
| show | eliminates all pathogenic organisms with the EXCEPTION of bacterial spores
🗑
|
||||
| show | eliminates/destroys ALL forms of microbial life
🗑
|
||||
| 3 types of transmission | show 🗑
|
||||
| Homeostasis | show 🗑
|
||||
| show | affects a person's oxygenation by binding strong with hemoglobin; reducing supply of oxygen delivered to tissues
🗑
|
||||
| show | process by which RESISTANCE to an infectious disease is produced or increased
🗑
|
||||
| show | I'm CONCERNED
I'm UNCOMFORTABLE
SAFE ("this is not safe, you should stop now")
🗑
|
||||
| show | Rescue
Activate
Confine
Extinguish
🗑
|
||||
| show | hearing
🗑
|
||||
| Tactile | show 🗑
|
||||
| show | taste
🗑
|
||||
| Proprioception | show 🗑
|
||||
| show | LOW vision/blindness; problem w/ reception; rely on other senses
🗑
|
||||
| show | INADEQUATE quality/quantity of stimuli; impairs perception
🗑
|
||||
| Sensory Overload | show 🗑
|
||||
| Presbycusis | show 🗑
|
||||
| Accommodation | show 🗑
|
||||
| Ototoxic | show 🗑
|
||||
| Tinnitus | show 🗑
|
||||
| show | gradual decline in ability of the lens to focus
🗑
|
||||
| Meniere's Disease | show 🗑
|
||||
| Gerontology | show 🗑
|
||||
| Geriatrics | show 🗑
|
||||
| show | form of dementia
🗑
|
||||
| show | generalized impairment of intellectual functioning that interferes with social and occupational functioning; gradual; progressive
🗑
|
||||
| Ischemic Vascular Dementia | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Smccunn
Popular Nursing sets