Fundamentals July 11 Pentagon

93問 • 3年前

Castle Aranza

通報

問題一覧

Best site for taking temperature:

oral

iv line catheter can last up to how many hours

where is the most accurate temperature

rectal

3 major factor of nursing

role of women, religion, war

caring and nurturing of other family members

women's role

military religious orders

apprenticce period

patron saint of nurses

St Elizabeth

1st lady with a lamp

St Catherine

Period where nurses have bad image, poorly educated steals and kills

dark period

unique function of a nurse

caring

Event that initiated the start of professionalism

Establishment of St. Thomas Hospital School of Nursing

who made the negative image of nurses during dark period?

Sairey Gamp

When is Florence Nightingale's birthday Nurse's Day

May 12, 1820

Lady with a lamp

Florence Nightingale

Mother of Modern Nursing

Florence Nightingale

Where did Florence trained

Kaiserwerth

Autonomy is practice

contemporary

when is St. Thomas Hospital School of Nursing established Founder: Florence Nightingale

1860

In contemprary period nursing is defined as:

Art, Science, Adaptive, Helping profession, Health promotion, Health maintenance, Health restoration, Client centered, Holistic

Tell what nursing definition is being stated: Nursing theories, scientific method, nursing research and EBP

Science

When is nurse's week?

Last week of October

Tell what nursing definition is being stated: Age and gender specific, culturally congruent and personal preferences Person is unique, a nurse must offer highly individualized care

Client centered

Core Values

Love of God, Love of people, Love of country, Caring as the core of nursing

Love of country

Patriotism

5 Core of Nursing (c) and

compassion, competence, commitment, conscience, comportment

Cahracteristics of Active listening

Face patient squarely, Maintain eye contact, Open posture, Observe both verbal and non verbal behavior, Lean forward

Provide emotional support

Counselor

Influence, envisioned goal, work

Leader

collaborator, initiates plan of care collaborates with other health care team

Case manager

Formal delegated position, managing people and resources

manager

utilize research to improve practice

research consumer

views the patient as a whole

Holistic

a care provider, assists to meet patient needs does bedside caring like meds, and iv

care giver

Self regulatory

autonomy

Expanded career roles for nurses

Nurse practitioner, Clinical nurse specialist, Nurse anesthetists, Nurse midwifeNurse midwife, Nurse researcher, Nurse administrator, Nurse educator, Nurse enterpreneur

building block of theory

concept

Benner's Stages of Nursing Experience

Expert, Proficient, Competent, Advance beginner Novice

what stage of Benner's is stated: Intuitive

Expert

what stage of Benner's is stated: Holistic

Proficient

what stage of Benner's is stated: no clinical experience

novice

what stage of Benner's is stated: finds meaning in real situation marginally ACCEPTABLE performance

Advanced beginner

what stage of Patricia Benner's is stated: design comprehensive NCP

competent

what stage of Patricia Benner's is stated: more than 5 years

expert

what stage of Patricia Benner's is stated: multiple complex care demand

competent

what stage of Patricia Benner's is stated: flexible and highly proficient

expert

what stage of Patricia Benner's is stated: knows how to prioritize

competent

what stage of Patricia Benner's is stated: 3-5 years experience

proficient

what stage of Patricia Benner's is stated: action is limited, inflexible, require rules and regulation

novice

Theories that are based on philosophies

Florence Nightingale, Virginia Henderson, Faye Glenn Abdellah

Theories that are based on caring

Lydia Hall, Jean Watson, Dorothea Orem, Madeleine Leininger

Theories that are based on concept, framework and system theories

Imogene King, Sr. Calista Roy, Betty Neuman, Dorothy Johnson

Theories that are based on Human Beings

Martha Rogers, Rosemarie Rizzo Parse

Theories that are based on interpersonal

Hildegard Peplau, Joyce Travelbee

assist patient sick or well 14 basic needs nursing is an Art

Virginia Henderson

Nursing should be anchored in sci-knowledge 21 basic needs, nursing as science patient centered approach

Faye Glenn Abdellah

Mother of Psychiatric Nursing Interpersonal Relationship model

Hildegard Peplau

Interpersonal Aspect of Nursing Model human to human relationship, suffering original encounter, emerging identities, empathy, sympathy, rapport

Joyce Rapport

Person is an dynamic interacting system Goal Attainment Theory

Imogene King

Interpersonal aspect of nursing model human to human relationship General/Open System Theory

Joyce Travelbee

System's Model: all variables affecting an individual's response to stress whish are inter, intra and extra personal nature Level's of Prevention (primary, secondary, tertiary)

Betty Neuman

Adaptive Model every person has the ability to adapt Physiologic, Self concept, role function and independent

Sr. Callista Roy

Behavioral System Model Wholism (state of health) 7 subsystem

Dorothy Johnson

7 subsystem

Affiliative, Dependency, Ingestive, Eliminate

The nurses uses an electronic thermometer to obtain the body temperature of an adult client. The nurse should place the thermometer on what site?

underneath the tongue

The nurse counts 10 inhalations and 9 exhalations over 30 seconds on a client experiencing chest pain . What should the nurse do with this information?

Document respiratory rate as eupnic and reassess the rate as prescribed by the MD.

A client has a very shallow breathing pattern that is interrupted by periods of apnea . The nurse should chart this as :

Biot's

In order to obtain an accurate blood pressure on & client , the nurse would :

Use a cuff that is wide enough to cover the upper two - thirds of the client's arm

The nurse performs a peripheral vascular assessment. In order to palpate the dorsalis pedis pulse, the nurse should palpate the:

medial aspect of the dorsum of the foot

When obtaining client's history , the nurse takes which step ?

Asks questions about the client's reason for seeking care

When auscultating a client's abdomen, the nurse detects high-pitched gurgles over the lower right quadrant . Based on this finding, the nurse suspects:

Nothing abnormal

When should the nurse check a client for rebound tenderness?

At the end of the examination

To collect a 24-hour urine specimen correctly , the nurse should:

Discard the first void and save all urine for 24 hours

After the specimen for culture is obtained, the container must be:

Taken to the laboratory promptly in a sterile container

A client is diagnosed with a nosocomial infection caused by methicillin -resistant Staphylococcus aureus and contact precautions are initiated . The nurse prepares to provide colostomy care to the client and obtains which of the following protective items needed to perform this procedure ?

Gloves, gown, goggles and face shield

Two nurses are leaving a client's room whose care required them to wear a gown, mask and gloves. Which of the following actions by these nurses could lead to the spread of infection ?

Removing the gown without rolling it from inside out

Policy and procedure dictate that hand washing is a requirement when caring for clients. Which statement about hand washing is true?

Frequent hand washing reduces transmission of pathogens from one client to another

A client's pulse oximetry to determine hemoglobin saturation is 85%. What should the nurse do first?

Raise the head of the bed.

The client is to receive chest physiotherapy four times a day. The most appropriate times to schedule chest physiotherapy would be :

One hour before each meal and at bedtime

How should the nurse position a client to perform percussion and postural drainage to the apical segments of his lungs ?

Sitting

The nurse formulates a diagnosis of Impaired gas exchange. Which outcome is most appropriate based upon this nursing diagnosis ?

The client has normal breath sounds in all lung fields

A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing When planning this client's care, the nurse should include which intervention ?

Teaching the client how to deep-breathe and cough

The physician orders supplemental oxygen for a client with respiratory problem

Nonrebreathing mask

What method would the nurse use to most accurately assess the effective of a weight loss diet for Mr. Grey?

Checking daily weights

A client is to have gastric gavage. When the gavage tube is being inserted, the nurse should place the client in the :

High-Fowler's

Three days after admission for a brain attack (CVA) a client has a nasogastric tube inserted and is receiving intermittent feedings. To best evaluate whether a prior feeding has been absorbed, the nurse should :

Aspirate for a residual volume and reinstill it

When teaching an elderly client how to prevent constipation, which of the following instruction should the nurse include?

Be sure to get regular exercise

In a client with diarrhea , which outcome indicates that fluid resuscitation is successful ?

The client exhibits firm skin turgor

Diarrhea that occurs with a fecal impaction is the result of:

Seepage of stool around the impaction

At 3:00 pm a client has 150 cc remaining in his IV bag At 4:30 p.m. the nurse hangs a new 1000 cc bottle of IV fluid and when she checks it at 10:15 p.m. , there is 700 cc left In addition , during the nurse's shift , the client drinks two 260 cc cartons of milk and 250 cc of water He has had a liquid stool measuring 350 cc and has voided three times : 290 cc, 310 cc, and 175 cc . Which of the following should the nurse record on her I and O sheet ?

intake = 1,200 cc output = 1,125 cc

When a client with a urinary retention catheter in place complains of discomfort in the bladder and urethra , the nurse should first:

Check the patency of the catheter

After surgery a client has a urinary catheter in place. When planning for the client's safety needs in relation to this device, the nurse should:

Keep the system closed at all times

A sterile urine specimen should be obtained by:

Straight catheterizing the client

Your client has bone cancer and is experiencing constant pain. The most appropriate pain management intervention for this client is to:

Administer pain medication on a routine schedule

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問題一覧

Best site for taking temperature:

oral

iv line catheter can last up to how many hours

where is the most accurate temperature

rectal

3 major factor of nursing

role of women, religion, war

caring and nurturing of other family members

women's role

military religious orders

apprenticce period

patron saint of nurses

St Elizabeth

1st lady with a lamp

St Catherine

Period where nurses have bad image, poorly educated steals and kills

dark period

unique function of a nurse

caring

Event that initiated the start of professionalism

Establishment of St. Thomas Hospital School of Nursing

who made the negative image of nurses during dark period?

Sairey Gamp

When is Florence Nightingale's birthday Nurse's Day

May 12, 1820

Lady with a lamp

Florence Nightingale

Mother of Modern Nursing

Florence Nightingale

Where did Florence trained

Kaiserwerth

Autonomy is practice

contemporary

when is St. Thomas Hospital School of Nursing established Founder: Florence Nightingale

1860

In contemprary period nursing is defined as:

Art, Science, Adaptive, Helping profession, Health promotion, Health maintenance, Health restoration, Client centered, Holistic

Tell what nursing definition is being stated: Nursing theories, scientific method, nursing research and EBP

Science

When is nurse's week?

Last week of October

Tell what nursing definition is being stated: Age and gender specific, culturally congruent and personal preferences Person is unique, a nurse must offer highly individualized care

Client centered

Core Values

Love of God, Love of people, Love of country, Caring as the core of nursing

Love of country

Patriotism

5 Core of Nursing (c) and

compassion, competence, commitment, conscience, comportment

Cahracteristics of Active listening

Face patient squarely, Maintain eye contact, Open posture, Observe both verbal and non verbal behavior, Lean forward

Provide emotional support

Counselor

Influence, envisioned goal, work

Leader

collaborator, initiates plan of care collaborates with other health care team

Case manager

Formal delegated position, managing people and resources

manager

utilize research to improve practice

research consumer

views the patient as a whole

Holistic

a care provider, assists to meet patient needs does bedside caring like meds, and iv

care giver

Self regulatory

autonomy

Expanded career roles for nurses

Nurse practitioner, Clinical nurse specialist, Nurse anesthetists, Nurse midwifeNurse midwife, Nurse researcher, Nurse administrator, Nurse educator, Nurse enterpreneur

building block of theory

concept

Benner's Stages of Nursing Experience

Expert, Proficient, Competent, Advance beginner Novice

what stage of Benner's is stated: Intuitive

Expert

what stage of Benner's is stated: Holistic

Proficient

what stage of Benner's is stated: no clinical experience

novice

what stage of Benner's is stated: finds meaning in real situation marginally ACCEPTABLE performance

Advanced beginner

what stage of Patricia Benner's is stated: design comprehensive NCP

competent

what stage of Patricia Benner's is stated: more than 5 years

expert

what stage of Patricia Benner's is stated: multiple complex care demand

competent

what stage of Patricia Benner's is stated: flexible and highly proficient

expert

what stage of Patricia Benner's is stated: knows how to prioritize

competent

what stage of Patricia Benner's is stated: 3-5 years experience

proficient

what stage of Patricia Benner's is stated: action is limited, inflexible, require rules and regulation

novice

Theories that are based on philosophies

Florence Nightingale, Virginia Henderson, Faye Glenn Abdellah

Theories that are based on caring

Lydia Hall, Jean Watson, Dorothea Orem, Madeleine Leininger

Theories that are based on concept, framework and system theories

Imogene King, Sr. Calista Roy, Betty Neuman, Dorothy Johnson

Theories that are based on Human Beings

Martha Rogers, Rosemarie Rizzo Parse

Theories that are based on interpersonal

Hildegard Peplau, Joyce Travelbee

assist patient sick or well 14 basic needs nursing is an Art

Virginia Henderson

Nursing should be anchored in sci-knowledge 21 basic needs, nursing as science patient centered approach

Faye Glenn Abdellah

Mother of Psychiatric Nursing Interpersonal Relationship model

Hildegard Peplau

Interpersonal Aspect of Nursing Model human to human relationship, suffering original encounter, emerging identities, empathy, sympathy, rapport

Joyce Rapport

Person is an dynamic interacting system Goal Attainment Theory

Imogene King

Interpersonal aspect of nursing model human to human relationship General/Open System Theory

Joyce Travelbee

System's Model: all variables affecting an individual's response to stress whish are inter, intra and extra personal nature Level's of Prevention (primary, secondary, tertiary)

Betty Neuman

Adaptive Model every person has the ability to adapt Physiologic, Self concept, role function and independent

Sr. Callista Roy

Behavioral System Model Wholism (state of health) 7 subsystem

Dorothy Johnson

7 subsystem

Affiliative, Dependency, Ingestive, Eliminate

The nurses uses an electronic thermometer to obtain the body temperature of an adult client. The nurse should place the thermometer on what site?

underneath the tongue

The nurse counts 10 inhalations and 9 exhalations over 30 seconds on a client experiencing chest pain . What should the nurse do with this information?

Document respiratory rate as eupnic and reassess the rate as prescribed by the MD.

A client has a very shallow breathing pattern that is interrupted by periods of apnea . The nurse should chart this as :

Biot's

In order to obtain an accurate blood pressure on & client , the nurse would :

Use a cuff that is wide enough to cover the upper two - thirds of the client's arm

The nurse performs a peripheral vascular assessment. In order to palpate the dorsalis pedis pulse, the nurse should palpate the:

medial aspect of the dorsum of the foot

When obtaining client's history , the nurse takes which step ?

Asks questions about the client's reason for seeking care

When auscultating a client's abdomen, the nurse detects high-pitched gurgles over the lower right quadrant . Based on this finding, the nurse suspects:

Nothing abnormal

When should the nurse check a client for rebound tenderness?

At the end of the examination

To collect a 24-hour urine specimen correctly , the nurse should:

Discard the first void and save all urine for 24 hours

After the specimen for culture is obtained, the container must be:

Taken to the laboratory promptly in a sterile container

Gloves, gown, goggles and face shield

Two nurses are leaving a client's room whose care required them to wear a gown, mask and gloves. Which of the following actions by these nurses could lead to the spread of infection ?

Removing the gown without rolling it from inside out

Policy and procedure dictate that hand washing is a requirement when caring for clients. Which statement about hand washing is true?

Frequent hand washing reduces transmission of pathogens from one client to another

A client's pulse oximetry to determine hemoglobin saturation is 85%. What should the nurse do first?

Raise the head of the bed.

The client is to receive chest physiotherapy four times a day. The most appropriate times to schedule chest physiotherapy would be :

One hour before each meal and at bedtime

How should the nurse position a client to perform percussion and postural drainage to the apical segments of his lungs ?

Sitting

The nurse formulates a diagnosis of Impaired gas exchange. Which outcome is most appropriate based upon this nursing diagnosis ?

The client has normal breath sounds in all lung fields

A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing When planning this client's care, the nurse should include which intervention ?

Teaching the client how to deep-breathe and cough

The physician orders supplemental oxygen for a client with respiratory problem

Nonrebreathing mask

What method would the nurse use to most accurately assess the effective of a weight loss diet for Mr. Grey?

Checking daily weights

A client is to have gastric gavage. When the gavage tube is being inserted, the nurse should place the client in the :

High-Fowler's

Aspirate for a residual volume and reinstill it

When teaching an elderly client how to prevent constipation, which of the following instruction should the nurse include?

Be sure to get regular exercise

In a client with diarrhea , which outcome indicates that fluid resuscitation is successful ?

The client exhibits firm skin turgor

Diarrhea that occurs with a fecal impaction is the result of:

Seepage of stool around the impaction

intake = 1,200 cc output = 1,125 cc

When a client with a urinary retention catheter in place complains of discomfort in the bladder and urethra , the nurse should first:

Check the patency of the catheter

After surgery a client has a urinary catheter in place. When planning for the client's safety needs in relation to this device, the nurse should:

Keep the system closed at all times

A sterile urine specimen should be obtained by:

Straight catheterizing the client

Your client has bone cancer and is experiencing constant pain. The most appropriate pain management intervention for this client is to:

Administer pain medication on a routine schedule