Assessment, Diagnosis, Planning, Implementation and Evaluation
What is the nursing process
The most appropriate action the nurse can do for her patient who "feels faint" is?
What is Assist them to a nearby chair
The patient is diagnosed with MRSA in their nares, which type of isolation precaution do they need?
What is contact precautions
Patients subjective report of this and is the authority over this experience.
What is Pain
This is the minimum amount of urine produced in one hour
What is 60 mL
This part of the nursing process appears several times during the entire plan of care
What is Assessment
Wrists, body, and ankles can be tied down to act as a What?
What is restraints
The most important infection prevention intervention is?
What is handwashing
The most dangerous side effect of narcotic pain medications is what?
What is respiratory depression
Clear, yellow (straw like), and odorless describe what?
What is normal urine
This defines an actual problem, potential problem or wellness
What is nursing diagnostic statement
A cane should be placed on which side of the patient?
What is strong side
Post-surgical patients, immunocompromised patients, and patients with multiple medical problems are most susceptible to what?
What is Infection
back rubs, warm packs, ice packs, elevation, and hypnosis are all types of what?
What is non pharmacological pain management
Kegel exercises improve which type of urinary incontinence?
What is Stress urinary incontince
Nursing interventions are selected based on what?
What is Outcome
When dressing a wound the nurse has entered this type of space
What is Intimate
Offering board games or cards, keeping the room clean, and the window shades open are interventions for which problem related to isolation precautions?
What is social isolation
The patient that needs more and more medication to produce the same effects are consider to have what?
What is tolerance
Painful urination, frequent urination, and blood in the urine are signs of this
What is UTI
Review of the outcome, (met/partially met/not met) and plan modification are done during which phase of the nursing process?
What is Evaluation
The nurse should do this when trying to understand a patient's non-verbal cues
What is Validate conclusions by asking direct questions
This is the practice that destroys all microorganisms and spores
What is sterilization
Only the patient can push this pain button
What is PCA
A non mobile patient with Stage 3 pressure injury on the coccyx, A post-abominal surgical patient, and an a patient in hypovolemic shock with serveral IV drips running are all patients that are approved to have this
What is an indwelling catheter