Nursing Bullets: Medical-Surgical Nursing Part II
Nursing Bullets: Medical-Surgical Nursing Part II
- An adverse effect of gingival hyperplasia may occur during Phenytoin (DIlantin) therapy.
- Urine output increased: best shows that the mannitol is effective in a client w/ increased ICP.
- A client w/ C6 spinal injury would most likely have the symptom of quadriplegia.
- Falls are the leading cause of injury in elderly people.
- Primary prevention is true prevention. Examples are immunizations, weight control, and smoking cessation.
- Secondary prevention is early detection. Examples include purifiedv protein derivative (PPD), breast self-examination, testicular self-examination, and chest X-ray.
- Tertiary prevention is treatment to prevent long-term complications.
- A patient indicates that he’s coming to terms with having a chronic disease when he says, “I’m never going to get any better.”
- On noticing religious artifacts and literature on a patient’s nightv stand, a culturally aware nurse would ask the patient the meaning of the items.
- A Mexican patient may request the intervention of a curandero, orv faith healer, who involves the family in healing the patient.
- In an infant, the normal hemoglobin value is 12 g/dl.
- The nitrogen balance estimates the difference between the intake and use of protein.
- Most of the absorption of water occurs in the large intestine.
- Most nutrients are absorbed in the small intestine.
- When assessing a patient’s eating habits, the nurse should ask, “What have you eaten in the last 24 hours?”
- A vegan diet should include an abundant supply of fiber.
- A hypotonic enema softens the feces, distends the colon, and stimulates peristalsis.
- First-morning urine provides the best sample to measure glucose, ketone, pH, and specific gravity values.
- To induce sleep, the first step is to minimize environmental stimuli.
- Before moving a patient, the nurse should assess the patient’sv physical abilities and ability to understand instructions as well as the amount of strength required to move the patient.
- To lose 1 lb (0.5 kg) in 1 week, the patient must decrease his weeklyv intake by 3,500 calories (approximately 500 calories daily). To lose 2 lb (1 kg) in 1 week, the patient must decrease his weekly caloric intake by 7,000 calories (approximately 1,000 calories daily).
- To avoid shearing force injury, a patient who is completely immobile is lifted on a sheet.
- To insert a catheter from the nose through the trachea for suction, the nurse should ask the patient to swallow.
- Vitamin C is needed for collagen production.
- Only the patient can describe his pain accurately.
- Cutaneous stimulation creates the release of endorphins that block the transmission of pain stimuli.
- Patient-controlled analgesia is a safe method to relieve acute painv caused by surgical incision, traumatic injury, labor and delivery, or cancer.
- An Asian American or European American typically places distance between himself and others when communicating.
- Active euthanasia is actively helping a person to die.
- Brain death is irreversible cessation of all brain function.
- Passive euthanasia is stopping the therapy that’s sustaining life.
- A third-party payer is an insurance company.
- Utilization review is performed to determine whether the care provided to a patient was appropriate and cost-effective.
- A value cohort is a group of people who experienced an out-of-the-ordinary event that shaped their values.
- Voluntary euthanasia is actively helping a patient to die at the patient’s request.
- Bananas, citrus fruits, and potatoes are good sources of potassium.
- Good sources of magnesium include fish, nuts, and grains.
- Beef, oysters, shrimp, scallops, spinach, beets, and greens are good sources of iron.
- Intrathecal injection is administering a drug through the spine.
- When a patient asks a question or makes a statement that’sv emotionally charged, the nurse should respond to the emotion behind the statement or question rather than to what’s being said or asked.
- The steps of the trajectory-nursing model are as follows:
- – Step 1: Identifying the trajectory phase
- – Step 2: Identifying the problems and establishing goals
- – Step 3: Establishing a plan to meet the goals
- – Step 4: Identifying factors that facilitate or hinder attainment of the goals
- – Step 5: Implementing interventions
- – Step 6: Evaluating the effectiveness of the interventions
- A Hindu patient is likely to request a vegetarian diet.
- Pain threshold, or pain sensation, is the initial point at which a patient feels pain.
- The difference between acute pain and chronic pain is its duration.