Identify the mechanisms necessary to sustain life.
C. Growth, Metabolism, Responsiveness, Homeostasis
State the important aspects of the cell.
C. Structure, Protein Synthesis, Cell Division, Passive and Active Transport
State the location and function of the major tissue
groups.
A. Epithelial, Musicle, Nervous, Cranial
B. Connective, Muscle, Spacial, Lateral
C. Epithelial, Connective, Muscle, Nervous
D. Muscle, Lateral, Spacial, Connective
Epithelial, Connective, Muscle, Nervous
Identify the two basic groups of membranes.
B. Epithelial, Connective
Identify the major divisions of body water
A. Intracellular, Extracellular: Interstitial, Intravascular
Identify 5 legal issues that affect client care
C. Assault and Battery, Informed Consent, Slander and Libel,
False Imprisonment, Privacy/Confidentiality
List 6 common causes of nursing lawsuits.
A. Assault and Battery, uninformed Consent, Slander and Libel, False Imprisonment, Privacy and Confidentiality
B. Mal-practice, Unperformed Care, Assault and Battery, False Imprisonment, Privacy and Confidentiality
C. Assault and Battery, Medication Error, Inadequate Client Assessment
Unperformed Care, Mal-practice, Privacy and Confidentiality
D. Medication Error, falls, Inadequate Client Assessment, Unperformed
Care, Errors in transfer, Failure to communicate, Mal practice.
Medication Error, falls, Inadequate Client Assessment,
Unperformed Care, Errors in transfer, Failure to communicate, Mal practice.
State the purpose of the Nurse Practice Act
C. Scope of Practice, Limits of practice, Identification of Nurses
Define asepsis and discuss and discussion transmission of
microorganisms.
Asepsis: Medical, Surgical. Transmission of microorganism
chain
Identify three agencies that focus on safety issues and health.
B. NIOSH, OSHA, CDC
NIOSH
1. National Institute for Occupational Safety
and Health
2. Part of CDC.
3. Created to conduct research on how to prevent work related injuries and illnesses.
1. Occupational Safety and Health Administration
2. Ensure safe work environments for health care workers
3. Health care worker's safety
4. Violation Fines
5. Needleless system
CDC
1. Centers for Disease Control and Prevention
2. Under the Department of Health and Human Services
3. Protects public health by providing knowledge to enhance health
decisions.
4. Focuses on developing and applying disease
prevention
Identify risk factors when moving the gerontological client.
D. Skin Fragility, Degenerative Joins, Loss of Flexibility, Weakness and Hypotension, Altered Sensory Perception
Identify positioning for client comfort and safety.
A. Dorsal, Dorsal Recumbent, Fowlers, Orthopneic, Sims, Prone, Knee-Chest, Lithotomy, Trendelengburg, Sidelying
B. Dorsal, Tripod, Fowlers, Orthopneic, Sims, Supine, Knee-Chest, Lithotomy, Tredelengburg
C. Dorsal Recumbent, Fowlers, Orthopneic Sims, Prone, Supine, Knee-Chest, Lithotomy, Trendelengburg, Sidelying.
D. All of the above
Identify individuals at risk for developing decubitus ulcers.
Immobile
Malnourished
Incontinent
Low Hemoglobin,
Obese
Draining
Wounds
Identify the nursing interventions with a post op client.
Airway
Breathing
Circulation
Consciousness,
System Review
Wound Care
Turn Patient
Cough Deep breath
Leg exercises
Ambulation
Pain
CMS Checks
Fluids
Identify the nursing interventions with a pre-op client.
Pre-Op Teaching
A. Informed Consent, Signed Consent, Anesthesia, Surgical Check List,
Medication
Identify the normal characteristics of urine
Color, Amount, Clarity, Specific Gravity/PH
List 3 types of incontinence
Stress, Urge, Functional
List 7 factors that affect intestinal elimination
Amount of food consumed
Type
Fluid intake
Cycling
Drugs Nervous tension
Exercise
Identify characteristics of normal stool
Frequency
Color
Odor
Consistency
Components
List common alternatives in bowel elimination
Constipation
Fecal Impaction
Distention
Diarrhea
Incontinence
State the rationale and proper procedures for administration of
enemas
Large volume, tap water enema, soap
suds
enema, hypertonic, oil retention, harris flush
Discuss tubes that may be used in the GI Tract and rationale for
tubes
Nasogastric tube, Gastric tube, Intestinal Tubes
Discuss alternative methods of elimination and rationales for
methods
Colostomy, Urostomy, Jejunostomy, Ileostomy
Colostomy, Urostomy, Jejunostomy, Ileostomy
What liquids are considered clear?
Water, tea, coffee, clear broths, ginger ale or other carbonated beverages, strained and cleared juices, and plain gelatin. (537)
Describe the location and the names of all pulse points on the body.
Temporal (temples of the head, superior and lateral to the eyes)
Carotid (at the side of the neck where the carotid artery runs between the trachea and the sternocleidomastoid muscle)
Apical (located left of the sternum at the 4,5,6th intercostal space.)
Brachial (at the inner aspects of the biceps muscle of the arm)
Radial (where the radial artery runs along the radial bone, on the thumb side of the inner aspect of the wrist)
Femoral (where the femoral artery passes alongside the inguinal ligament)
Popliteal (behind the knee)
Posterior tibial (on the medial surface of the ankle where)
Dorsalis pedis (over the bones of the foot) (381)
What is an enteric coated medication and why is the medication enteric coated?
A tablet or caplet that is coated to so that medication is dissolved in the small intestine and not in the stomach. If the medicine is dissolved in the stomach, it could be neutralized by the stomach acid.
What does the nurse need to be aware of with enteric coated medications?
Enteric coated medications are not to be cut or crushed as it defeats the purpose of the coating. (651)
What kind of pill can be cut in half?
Pills that have scored marks.
What does the nurse need to be aware of when giving a time released capsule or pill?
Timed releases should never be crushed or opened because the pill is designed to slowly release medication. (651)
Describe how to apply a condom catheter and what type of care is needed by the client with one.
Prepare the patient in supine or a bed-sitting position. Drape the client with a bath blanket exposing only the penis. Inspect the penis for irritation or swelling for a baseline. Clean the genital area and dry it thoroughly. Apply the condom by rolling it over the penis, leaving 1 inch between the end of the penis and the rubber or plastic connecting tube. Secure the condom firmly by wrapping a strip of elastic tape or Velcro around the base of the penis over the condom. Securely attach the urinary drainage system. Attach the drainage bag to the bed frame, or the leg if patient is ambulatory. Change condom daily and provide perineal skin care. Patients with foreskin require extra attention to hygiene as bacteria can grow under the foreskin. Wash the area after condom removals. (586)
List all interventions a nurse should use to prevent a client from having a fall.
Encourage daily or more frequent contact with a friend or family member. Install a personal emergency response system. Maintain a physical environment that prevents falls. Encourage client to request assistance. Keep the bed in a low position. Install grab bars in the bathroom. Instruct client about orthostatic hypotension. Provide a bedside commode. More interventions on page (128).
