Nursing Practice and Evidence-Based Care

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Questions and Answers

Which of the following diseases require airborne precautions?

  • C-dif
  • Measles (correct)
  • Diphtheria
  • Meningitis

What is one of the general principles regarding isolation?

  • Establish contaminated and clean zones (correct)
  • Always wear shoes in the isolated area
  • Keep the patient in an open environment
  • Remove all contaminated items immediately

Which practice is important for infection prevention at home?

  • Neglecting pets' hygiene
  • Washing hands often (correct)
  • Using antimicrobials for every surface
  • Avoiding vaccinations

What body position involves the patient lying face down?

<p>Prone (B)</p> Signup and view all the answers

When transferring a patient, which body mechanic guideline should be followed?

<p>Keep feet shoulder-width apart (D)</p> Signup and view all the answers

Which of the following positions is used for a rectal exam?

<p>Sims position (A)</p> Signup and view all the answers

What should be avoided when lifting or pulling an object?

<p>Jerking or sudden pulling motions (A)</p> Signup and view all the answers

Which factor is not identified as a risk for pressure injuries?

<p>Physical exercise (B)</p> Signup and view all the answers

What action should be taken if there are needle stick injuries?

<p>Report the incident immediately (B)</p> Signup and view all the answers

What is one of the primary nursing actions to prevent falls in patients?

<p>Lock bed wheels (B)</p> Signup and view all the answers

Which of the following is a symptom of dehydration?

<p>Cool, dry skin (D)</p> Signup and view all the answers

What is the normal range for sodium levels in the body?

<p>135-145 (D)</p> Signup and view all the answers

Which symptom is associated with hyperkalemia?

<p>Cardiac arrhythmias (C)</p> Signup and view all the answers

What manifestation is typically seen in hypernatremia?

<p>Confusion (D)</p> Signup and view all the answers

What nursing intervention can help manage a patient at high risk for falls?

<p>Install grab bars (A)</p> Signup and view all the answers

Which of the following is a sign of hypocalcemia?

<p>Tetany (A)</p> Signup and view all the answers

What is a common symptom associated with hypermagnesemia?

<p>Hypotension (A)</p> Signup and view all the answers

Which of the following conditions can cause respiratory acidosis?

<p>Severe pneumonia (C)</p> Signup and view all the answers

What is the recommended daily intake of fiber for adults?

<p>21-38 g (A)</p> Signup and view all the answers

Which vitamin is classified as water-soluble?

<p>Vitamin C (C)</p> Signup and view all the answers

What condition commonly occurs due to metabolic alkalosis?

<p>Vomiting (C)</p> Signup and view all the answers

Which mineral is indicated for its role in maintaining fluid balance?

<p>Potassium (C)</p> Signup and view all the answers

Which group is most at risk for inadequate nutrition?

<p>Older adults (B)</p> Signup and view all the answers

What effect can substance use have on nutritional intake?

<p>Reduced food intake (B)</p> Signup and view all the answers

What is the primary purpose of Nurse Practice Acts?

<p>To define the legal scope of nursing practice and protect the public (B)</p> Signup and view all the answers

Which component is NOT part of the EBM Triad?

<p>Clinical case studies (A)</p> Signup and view all the answers

What is the primary goal of acupuncture in the context of yin and yang?

<p>To restore balance between yin and yang (C)</p> Signup and view all the answers

What does Evidence-Based Practice (EBP) help to determine?

<p>Best practices and standards of care (A)</p> Signup and view all the answers

Which of the following is NOT included in the planning phase of nursing care?

<p>Implementing therapeutic regimens (A)</p> Signup and view all the answers

In which cultural group is it common to seek help from family first when facing illness?

<p>Hispanic Americans (D)</p> Signup and view all the answers

In the context of nursing, what is the purpose of implementation?

<p>To execute the nursing care plan to achieve goals (B)</p> Signup and view all the answers

What is a significant aspect of health care practices among American Indians?

<p>Linking health care practices to spirituality (D)</p> Signup and view all the answers

What challenge do European Americans often face concerning extended family support?

<p>Geographic distance disrupting support (A)</p> Signup and view all the answers

What is a critical responsibility for nurses as outlined in the practice acts?

<p>To collaborate with other healthcare team members in promoting health (D)</p> Signup and view all the answers

Which of the following accurately describes the nursing process?

<p>A systematic method for planning, implementing, and evaluating nursing care (C)</p> Signup and view all the answers

What is one common practice for African American families regarding family structure?

<p>Preference for matriarchal leadership (D)</p> Signup and view all the answers

Which food-related practice is commonly associated with Arab Americans?

<p>Offering food as a form of care (D)</p> Signup and view all the answers

What is meant by 'best practices' in nursing?

<p>Changes made in medicine aimed at improving patient care based on evidence (B)</p> Signup and view all the answers

What is a key aspect of end-stage symptom management for a dying patient?

<p>Recognizing and alleviating expected symptoms (D)</p> Signup and view all the answers

How should pain control be approached for dying patients according to best practices?

<p>Narcotics can be safely increased in response to pain (C)</p> Signup and view all the answers

Which of the following symptoms indicate hypoxia?

<p>Increased blood pressure and resp (A)</p> Signup and view all the answers

What type of pain is characterized by being short in duration and associated with injuries?

<p>Acute pain (C)</p> Signup and view all the answers

What is a primary nursing consideration when inserting a nasogastric (NG) tube?

<p>Verify proper tube placement before feeding (B)</p> Signup and view all the answers

Which category do NSAIDs fall under in pain management?

<p>Nonopioid pain medications (A)</p> Signup and view all the answers

What is a critical aspect of complementary health approaches?

<p>They can be used alongside conventional treatments (A)</p> Signup and view all the answers

Which pain assessment tool is suitable for neonatal patients?

<p>FLACC Scale (B)</p> Signup and view all the answers

What is an important consideration regarding oxygen administration?

<p>It is treated as a drug and requires a prescription (D)</p> Signup and view all the answers

Which statement about neuropathic pain is true?

<p>It is related to dysfunction in the nervous system (A)</p> Signup and view all the answers

Flashcards

Evidence-Based Practice (EBP)

Using the best available research evidence to guide clinical decision-making in nursing.

Clinical Practice Guidelines

A set of guidelines to promote quality care based on accumulated research.

EBP Triad

The interconnectedness of best research evidence, nursing expertise, and patient values to guide clinical decisions.

Nurse Practice Acts

To establish a legal framework for nursing practice and protect the public.

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Nursing Care Plan

A specific, action-oriented plan developed by a nurse by first assessing a patient's needs then identifying goals to achieve.

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Assessment/ Data Collection

The process of gathering information on a patient's health status, including their family and community.

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Implementation (Nursing Care Plan)

Implementing the actions outlined in the nursing care plan to achieve the identified goals.

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Evaluation (Nursing Care Plan)

To critically evaluate the effectiveness of the nursing care plan, identify areas for improvement, and adjust strategies as needed.

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Pressure Injury Risk Factor

A condition that increases the risk of developing a pressure injury.

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Immobility

Staying still for long periods, which can cut off blood flow and lead to pressure injuries.

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Moisture

Moisture on the skin can cause skin breakdown, making it more susceptible to pressure injuries.

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Malnutrition

A lack of nutrients can weaken the body and make it more prone to pressure injuries.

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Advanced Age

People who are older are more likely to develop pressure injuries due to thinner skin and reduced blood flow.

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Altered Sensory Perception

Being unable to feel pain or pressure can make it harder to identify and prevent pressure injuries.

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Protective Device

A protective device used to prevent falls, but it can also restrict movement and increase the risk of pressure injuries.

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Shear

This occurs when the skin slides over a surface, causing damage to underlying tissues.

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Airborne Precautions

Airborne precautions are used to prevent the spread of infections that can travel through the air, like measles, chickenpox, tuberculosis, and SARS.

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Droplet Precautions

Droplet precautions are used to prevent the spread of infections that travel on larger droplets, like coughs, sneezes, or talking, like meningitis, pneumonia, and pertussis.

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Contact Precautions

Contact precautions are used to prevent the spread of infections through direct contact with an infected person or their environment, like C-diff, scabies, and MRSA.

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Standard Precautions

This involves using personal protective equipment (PPE) like gloves, gowns, and masks to reduce the risk of contamination during patient care.

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Body Mechanics

Body mechanics refer to the efficient and safe use of your body to move and lift objects, avoiding injury.

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Fowler's Positions

Fowler's positions involve raising the head of the bed to different angles, allowing for better breathing and comfort for patients.

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Patient Positioning

This involves positioning patients safely and comfortably, considering their specific needs and conditions.

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Lifting and Transferring Patients

Proper body mechanics are essential for safe patient handling and transferring, minimizing the risk of injury for both the patient and healthcare worker.

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What are some traditional healing practices used to restore balance in Hispanic cultures?

Practices used to restore balance between yin and yang, including acupressure, acupuncture, and acumassage.

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What is the core belief regarding health amongst American Indians?

A belief that health is maintained through harmony between humans and the universe, encompassing individual, family, community, tribe, environment, and spirit world.

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What kind of family structure is common among African Americans?

A system where the mother has authority and plays a central role in the family structure.

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What is anticipatory guidance in end-of-life care?

Providing guidance and information to the dying patient and their families about physical changes, symptoms, and potential complications to prepare them.

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What is end-stage symptom management in end-of-life care?

Managing symptoms like pain, nausea, dyspnea, fatigue, and delirium that are common in the dying patient due to metabolic changes.

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What is important to remember about pain control for dying patients?

Pain management for dying patients using narcotics without fear of addiction or reaching a safety limit.

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How is caring expressed in Arab American culture?

The cultural practice of offering food as a gesture of care and concern.

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How do Hispanic Americans often approach health and illness?

The cultural belief that illness is a sign of imbalance between yin and yang and often involves seeking help within the family first, sometimes consulting a curandero (folk healer).

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Hyper-anorexia

A serious eating disorder characterized by extreme food restriction and a distorted body image, often leading to severe health problems such as bone loss, electrolyte imbalances, and cardiovascular issues.

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Hypocalcemia

A state of abnormally low blood calcium levels causing muscle cramps, twitching, tremors, seizures, and potentially life-threatening cardiac arrhythmias.

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Hypokalemia

A condition with abnormally low blood potassium levels, characterized by muscle weakness, fatigue, and potential cardiac problems.

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Metabolic Acidosis

A state of excessively high blood acidity, often caused by conditions like diabetes or kidney failure, leading to symptoms like fatigue, confusion, and rapid breathing.

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Metabolic Alkalosis

A state of excessively low blood acidity, often caused by conditions like hyperventilation or excessive vomiting, leading to symptoms like dizziness, tingling sensations, and muscle spasms.

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Malabsorption

A condition characterized by a decreased ability to absorb nutrients from food, often due to substance abuse, leading to malnutrition and potential health problems.

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Hypernatremia

A medical condition that involves an excess of sodium in the body, which can contribute to fluid retention, high blood pressure, and cardiovascular complications.

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Older adults and nutrition

A group of individuals who are at a higher risk for nutritional deficiencies and health complications due to age-related factors and potential changes in their dietary habits.

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Nociceptive Pain

A type of pain caused by injury or tissue damage, often felt in the skin, joints, or internal organs.

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Neuropathic Pain

A type of pain that arises from damage or dysfunction of the nervous system. Pain receptors become overly sensitive and send exaggerated pain signals.

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Assisted Feeding

Assisted feeding methods used when a patient can't swallow safely.

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Enteral Feeding Principles

Principles focusing on safe and effective administration of nutrition directly into the stomach or small intestine.

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Nasogastric (NG) Tube Insertion

A technique for providing nutrition through a tube inserted into the nose and passing into the stomach.

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Complementary Health Approaches

A group of therapies, not part of conventional medicine, that may complement or replace conventional medical practices.

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FLACC Pain Scale

A scale used to assess pain in infants and young children, taking into account facial expressions, leg movements, activity level, crying, and consolability.

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CRIES Pain Scale

A measure of pain intensity in infants and young children, using indicators such as crying, oxygen requirements, vital signs, expressions, and sleep disturbances.

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Study Notes

Evidence-Based Practice

  • Best researched evidence guides clinical decision-making
  • Helps determine best practices and standards of care
  • Improves patient wellbeing and quality of care
  • Clinical practice guidelines use best evidence, nursing expertise, and patient values

Nurse Practice Acts

  • Protect the public and define the legal scope of practice
  • Nurses must accept assigned responsibilities within their educational preparation and experience
  • Function within the scope of duties related to assigned care
  • Function with other team members to promote health, prevent disease, and care for those with altered states
  • Utilize the nursing process to plan, implement, and evaluate health services for individuals and groups
  • Include assessment, planning, implementation and evaluation

The Nursing Process

  • A cyclical process involving ongoing assessment, data analysis, problem identification, planning, implementation, and evaluation
  • Assess the patient, family, and community
  • Report gathered information
  • Identify health goals
  • Implement plans to achieve goals, which includes observation and recording, applying nursing knowledge, and assisting with ADLs
  • Evaluate the plan to measure progress and make adjustments as needed

Holistic Approach to Care

  • Considers the person's biologic, psychological, sociological, and spiritual aspects and needs.

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