Fundamentals of Nursing Section 1
Nurse is talking about organ donation with family, what is the role of the nurse?
What is nurse serve as witness?
patient cannot brush their teeth by themselves what should the nurse do?
what is a soft toothbrush ?
nurse is teaching a patient about the best way to prevent insomnia what could the nurse teach the patient ?
what is a consistent schedule?
what are some complications of restraints?
What is?
An Infectious disease LPN would understand that
- Airborne precaution
- Droplet precaution
- Contact precaution
what is ?
Airborne example: Pulmonary TB, Measles (Rubeola), Chikenpox (Varicella), Influenza A, Avian H7N9, and Asian H5N1
Droplet example: Rubella, Streptococcal Pneumonia, Meningococcal meningitis, whooping cough, Cornavirus 19
Contact example: Gastrointestinal, respiratory skin, wound infection that are drug resistant. Gas gangrene, acute diarrhea, acute viral conjunctivitis
A patient that agrees with their cancer diagnosis and is receiving palliative care, what would the patient response be?
what is, "this may relieve what bothering me"
patient is about to expire and wants to provide their organs what should the nurse do first?
what is organ procurement organization (OPO)?
Elderly is trying to rest, what could the nurse teach the assistive personnel not to do while the patient is sleeping?
What is?
- flush the toilet
- turn on bright lights
- ask the patient to wake up
- talk loudly
Confused patient trying to escape the medical surgical unit and or patients room, what should the nurse do?
what is placing an alarm?
what does "RACE" mean?
What is?
- Remove the clients from the room
- activate the fire alarm
- close the door
-extinguish the fir
A patient in a persistent vegetative state, what is the priority action?
what is Airway, Breathing, Circulation (ABC)
Think, something dislodged in the airway can cause airway obstruction?
What can interfere with an elderly that cannot sleep?
What is ?
- Prefer warmer room temperatures
- More comfortable with own bed furnishings
- Difficulty falling asleep
- Chronic conditions may interfere with sleep:
- Pain
- Difficulty breathing
- Frequent urination
a nurse can identify that sleep apnea sounds like what?
what is Intermittent nocturnal breathing disturbances characterized by periods of loud respiration followed by abrupt inspiratory sounds causing brief arousal from sleep?"
A nurse would understand that this patient would require physcial restraints?
What is?
What does respite care mean?
What is?
allows family/primary caregiver time away from day to day activity in reasonability with the family that requires care.
Patient need to be turned how often if they cannot do it themselves?
What is every 2 hours?
nurse teaches a patient about healthy sleeping habits
what is:
- Darkness, dim light
- consistent sleep schedule
- relaxation
-comfort
-quiet
What doesn't help?
- watching tv late at night before bed
- noise
-difficulty breathing
a patient that suffers from hypersomnia would benefit from what to promote better sleep?
what is?
- Identify nursing diagnoses: develop plan of care
- Sleep-promoting nursing measures
- Maintaining sleep rituals
- Reducing intake of stimulating chemicals like caffeine before bedtime.
- Promoting daytime exercise
- Sleep-promoting nursing measures
- Adhering to a regular schedule for retiring and waking
- Progressive relaxation
oBack massage
§Various techniques and purposes
Nurse notices a patient has multiple skin lesions from a possible droplet type of infection what should the nurse wear?
What is a mask ?
What are the stages of dying?
What is?
1st - denial, "no not me"
2nd - anger, "why me?"
3rd - Bargaining, "yes, me, but if only..
4th - Depression, "yes me.."
5th - Acceptance, "i am ready".
Nurse notices a patient in a vegetative state, what would require suctioning of the patient?
what is gurgling?
what are the sleep requirements of all ages?
What is:
- Newborns (0-3 months; 14 - 17 hours
- Infants (4-11 months; 12-15 hours)
- Toddlers (1-2 years; 11-14 hours)
- Preschoolers 3-5 years; 10 - 13 hours)
- School age children 6- 13 years; 9-11 hours)
- Tennagers 14-17 years old; 8-10 hours)
- Young adults 18-25 years old; 7-9 hours)
-Adults 26-64 years old; 7-8 hours)
LPN notices a smoke what would be the priority action of the nurse?
what is rescue ?
correct steps for doffing PPE ?
What is?
- remove gloves
- remove eyewear
- remove gown
- remove mask
Family mentions that patient has dementia and wonder at night would priority action would the nurse take?
What is Keep personal items close to the bedside