Chapter 43: Pain Management
1. What is the most appropriate way to assess the pain of a patient who is oriented and has
recently had surgery?
Assess the patients body language.
Observe cardiac monitor for increased
Chapter 39: Hygiene
1. A number of factors influence a patients personal preferences for hygiene. Because of
this, it is important for the nurse to realize that.
No two individuals perform hygiene in the
Chapter 29: Vital Signs
1. The posterior hypothalamus helps control temperature by
Shunting blood to the skin and
Increasing sweat production.
Chapter 28: Infection Prevention and Control
1. The nurse is caring for a patient with pneumonia with a new nurse in orientation. Which
of the following statements by the new nurse would indicate an understanding of the
Chapter 24: Communication
1. Nurses who make the best communicators
Develop critical thinking skills.
Like different kinds of people.
Learn effective psychomotor skills.
Maintain perceptual biases.
2. A nurse b
Trust vs mistrust
Autonomy vs shame
III. Early Chi
Panic Lab Values
For Adults (>13 years of age)
Maslows Hierarchy of Needs
personal growth and fulfilment
achievement, status, responsibility, reputation
Belongingness and Love needs
family, affection, relationships, work group, etc
protection, security, ord
Remove all patients, visitors, and staff to safety
Activate emergency response
Confine the disaster as much as possible
Evaluate the appropriate method of handling the disaster
To use a fire extinguisher
Pull the p
Developmental Milestones for Children Ages 3-6
By Age 3:
By Age 4:
Able to jump in place
Able to kick a ball
Able to ride a tricycle
Able to state name, age, and gender
Able to copy a cross and circle
Most speech is understandable by others
Able to sing s
5th Day CD Table to Contents
Fast Facts for Central Lines
o Location of Pearson Testing Centers-http:/www.ncsbn.org/index.asp
ER Triage Answers and Rationales
Signs and Symptoms of Abuse
o Sexual Abuse
o Physical Ab
Last year, I went to my cousin birthday party. The house
was decorated beautifully with flower and colored
candles .There, my attention goes toward the candles
were burning too fast. I wanted to find out which colored
candles burn faster.
Terms to remember
Oncogenes-Genes that can transform a normal cell
into a cancerous cell when activated by oncogenic
Tumor suppressor genes- produce proteins that
normally oppose the action of an oncogene
Nature of Pain
o Unpleasant sensory and emotional experience
o Pain is what the patient says it issubjective
o JACO monitors that patients have adequate pain control and pain assessment.
Hospitals have to provide pain assessment tools
Centered on the clients cultural perspectives
Knowing the various cultures so you know how to respond to them. Know their values
Looking native Americans in the eye is concerned rude
Nurse must respond to clients needs not vice versa
Physiology of sleep
o Important because that is the time that allows our tissues to heal and bodies to
o Rest a state of peace, ease, or quiet, physical inactivity, emotionally stable
Physically inactive but restless or emotional stress
Physician orders and non-parenteral medication administration
Check the vial of med to the MAR.
Always follow the 6 rights.
Duration does not always have to be on the order.
PRN must always have a reason whyfor sleep, pain, etc.
o 1million needle sticks a year
o Risk is blood borne pathogen transmission
o Osha has mandated that needles now have safety features.
This safety feature must be engaged
o NEVER recap USED needles-put directly in to
Physician Orders &
Physicians Drug Orders Include
Date and time
Name of the drug (generic or trade)
Dose of the drug
Route (PO, IM, IV, rectal, etc.)
Time or Frequency (daily, every 6 hours)
Essential nutrients (organic and inorganic substances)
o Water (macronutrients)
Most basic nutrient
Every cell requires a continuous supply of water
Can only go without water for 3-7 days
In Arizona at least 3L per day of free water
o Coordinated efforts of the musculoskeletal and nervous systems
Alignment and balance
o Also refers to posture
o Weight force exerted on the body
o Pregnant more at risk for falls due to off centered gravity
Used for clients with a functional GI tract
who are unable to safely swallow Why?
neuro or muscular disorders p. 1111
cancer of head or neck
6 rights of medication admin
Each facility has their own policy and procedure on how to identify patient and/or
o Every facility is different
o Policies and procedures are there to protect the patient