RON
Hood: Professional Nursing Book
Fill in the blanks
1. Health care delivery focused on minimizing deterioration associated with
disease and improving quality of life through rehabilitation measures is
known as _____________ prevention.
Tertiary
2. In community-based nursing practice, health screening, which is aimed at
early detection and prompt intervention, is considered ____________
prevention.
primary
Medication
3. Some home health agencies mandate _____________ reconciliation
______________ at
each visit, and the nurse as case manager works to develop a plan for future
discharge from home health services.
4. An interdisciplinary approach to provide health and social services with
oversight of the total health care plan is known as ___________ care.
Holistic
Palliative
5. A specialty area of nursing practice, _____________ nursing, involves
nurses providing palliative care in patients’ homes.
Maslow's
6. Addressing needs by priority reflects ___________ hierarchy of needs, which
is a useful approach to various nursing models.
Proactive
7. Wellness involves being _________________ and being involved in self-care
activities aimed toward a state of physical, psychological, and spiritual wellbeing.
8. Among these five distinct races (White, Black, Asian, Native American, and
Native Hawaiian/Pacific Islander), the __________ race showed the largest
growth rate according to the 2010 census.
Asian
9. Evidence-based practice involves identification and evaluation of current
literature and reliable __________, as well as incorporation of the findings
into care guidelines.
research
coordinated
10.Patient care must be _________________seamlessly from the inpatient
hospital environment through transitions into the community setting.
11.Define SBAR and how is it utilized in nursing?
SituationBackground Assessment Recommendation
Used for
between nurses
giving
report
are the
5 steps of the nursing process? Explain each
1.Assessment Collect
data
12.What
a.
b.
c.
d.
e.
identify ailment
2.
Diagnosis
3.
Planning Develop nursing intervention
4.
implementation implement cave
5.
Evaluation Evaluate outcome
plan
plan
13.The primary nurse is delegating tasks to the unlicensed assistive personnel
(UAP). Which delegation task warrants intervention by the charge nurse of
the unit?
1. The UAP is instructed to bathe the patient who is on telemetry.
2. The UAP is requested to obtain a bedside glucometer reading.
3. The UAP is asked to assist with a portable chest x-ray.
4. The UAP is told to feed a client who is dysphagic.
14.The RN, an licensed vocational nurse (LVN) and an unlicensed assistive
personnel (UAP) are caring for clients in a medical surgical unit. Which task
would be the most appropriate for the RN to delegate/assign?
1. Instruct the UAP to obtain the clents serum glucose level.
2. Request the LVN to change the central line dressing.
3. Ask the LVN to bathe the client and change the bed linens.
4. Tell the UAP to obtain urine output for the 12-hour shift.
15.Which tasks should the long term care nurse delegate to the unlicensed
assistive personnel (UAP)? Select all that apply:
1.
2.
3.
4.
5.
Instruct the UAP to perform a.m. care for the clients.
Tell the UAP to wash the hair of the female clients.
Request the UAP to cut the toenail of the clients.
Request the UAP to turn the cients every shift.
Instruct the UAP to empty the clients wastebaskets and mop the floors.
16.Define individual, family, and community as clients for professional nursing
care.
cared
individual
The
the
the individuals cave
is the clientbeing
for by the nurse
client as well when educatingthe
familyon
family becomes a
Cave
of the
community begins with
prevention
17.Explain the concept and elements of person-centered and person-and familycentered care. Person centered
careincludeshealthcaremembers implementing
care supportthepersonshealthand lifegoalsThefamily is involved in the persons
to
beincluded inthe persons care andgoals
cavewhenthefamily should
18.What is the differences in viewing communities as aggregates of people,
human systems, and human-field-environmental field process.
all otherdefinitions
as a socialsystem a place and as people
it includesthe community
19.Define and describe
what is QSEN.
Human field environmental field process includes
education for Nurses help develop strategies
Quality safety
safer nurses and enhance health care
for
20.Define and describe prioritization and delegation.
momentand
Prioritization is the ability to determine what is more importantatthat
dressed
shouldbe a
first
Delegation istheactoftransferring atasktoanotherteammember
21.Outline the professional nurse’s roles in quality improvement.
thatis capable
Role of cave taker Criticalthinker Client advocate counseloretc
Read chapters 15-18 in Leddy and Pepper’s and complete the corresponding prelecture quiz for each chapter and attach a screen shot of the results.
Neuromuscular
Hinkle: 15th edition
1. Identify and discribe the preventive and health education needs of the client
with a cast, splint, or brace?
Before castsplintbrance placement is done an assessmentshouldbe done
Education should begiven to the
patienton
including physical and comprehensive
cast
warningsigns andcave of the
2. Describe the nursing management of the patient with a cast, splint, or brace.
Assess for good blood flow in affected limb
3. Define the types of traction and the principles of effective traction.
skeletal tractionTractionshouldnot stopped unless intermitted traction
Skin or
Pt mustbe in good body alignment
be
is
ordered
4. Describe the nursing management of the client in traction.
Thenursingmanagementincludes assessingforandaddressing anxiety assistingwithADls and
monitoring for complications
5. Compare the nursing needs of the client undergoing total hip arthroplasty
(THA) with those of the client undergoing total knee arthroplasty (TKA).
bothsurgeriesthe nurse will beassessingforinfectionvenous thromboembolism and
with
will be promotingambulation
6. Describe the medical and nursing management of the client undergoing
orthopedic surgery.
venousthromboembolism andinfection
Preventing and managing blood loss preventing
and
managing
pain
7. Create a concept map for the client with osteomyelitis, osteoarthritis, Talipes
equinovarus, and scoliosis.
8. Describe common treatment modalities for fracture reduction, fracture
immobilization, and management of open and intra-articular fractures.
fracture
reduction bonefragments are realignedand immobilisedforhealingfracture immobilization
in
or internalfixatigging imintheaffickairthferrestraftereftentenfjestieens Intently
byexternal
is accomplished
bone and promote
infection
n
ofthe
Prevent
opaque
fractureextends into jointoftheboneandcartilage is notradio
because
9.the
Discuss the preventionthe
and management of immediate and delayed
complications of fractures.
fracture to prevent
shock management includesstabilizingthe
One of the earlypossible complications isdelayed
nonunion
union
andmal
complication couldbedelayedunion
furtherbleedingandrestoringbloodvolume A
includes
Treatment
nonsurgical
poornutrition
Prevention includesavoidingdistraction of bonefragmentsinfectionand
interventionsincludinglowintensitypulsed ultrasound andgraftedbone
10.What are the rehabilitation needs of clients with fractures of the upper and
lower extremities, pelvis, and hips?
shoulders toprepare forprotected ambulation
Careful repositioning promotingexerciseofarmsand
11.What are priority nursing interventions for managing an adult client with a
fracture of the hip?
medical
is to assesspain preventsecondary
Thepriority nursing
mobilization ofthe patient To prevent UTEthenurse
Problems and facilitate early
embolism
interventions
exercises anti
should entourage intake of fluids and foot
devices should be used as well
stockings and compression
Protection & Regulation
Hinkle:15th edition
Complete the practice and learn case study on systemic lupus erythematosus and
submit a screenshot of your results.
Fill in the blanks:
1. Three distinct characteristics of the pathophysiology of rheumatic diseases are
inflammation, autoimmunity, and Degeneration
______________.
2. The autoimmune reaction that causes rheumatoid arthritis originates in the
______________ tissue.
synovial
3. Patients with systemic lupus erythematosus (SLE) are likely to manifest a _________butterfly
shaped rash across the bridge of the nose and cheeks.
4. The major goal when caring for a patient with rheumatic disease is ____________.
pain management
5. Osteoarthritis
_______________, a noninflammatory degenerative disorder of the joints, which is the
most common form of joint disease, is routinely referred to as degenerative joint disease
Complete a concept map for each of the following: juvenile idiopathic arthritis, systemic lupus
erythematosus, scleroderma, sjogren’s syndrome, and rheumatic fever.
Fill out the medication sheet for the medications below:
•
•
•
•
Methotrexate
Erythropoietin
Corticosteroids: prednisone
NSAIDs: Ibuprofen, Naproxen,
MEDICATION TABLE
GENERIC
NAME /
BRAND
NAME
CLIENT
ASSESSMENT PHARMACOLOGIC
IS
CLASS
COMPLETE?
Rheumatrex
Trexall
epoetinalfa
Epogen
Procrit
Rayos
NSAIDs
Ibuprofen
Naproxen
MotrinAdvil
Naprosyn
IS IT SAFE?
LOW-MIDHIGH?
ofanemiaHeadachearthralgiasIsounitskgBloodpressure
whono Treatmentwith
Pts
should monitored
longerproduce
asthenia
associated
Erythropoiesis
chronicrenal fatigue
be
erythropoietin
Subathree andcontrolled
enough
stimulating
failurerelatedto dirtinesshypertension
increasedRBCs
inthekidneystreatment HIVedema
timesa
Agents
corticosteroids
nu
EXPECTED
MEDICATION
RESPONSE
NECESSARY
ASSESSMENTS
/ DATA TO
COLLECT /
MONITOR
inhibitsfolicacidBone
marrow usualdoseliverandkidneys
treatmentofreductase
leading
tosuppression
Toxic
should monitored
be
inhibition ofDna
headacheis given
effects
toxicity
PsoriasisandsynthesisandinhibitionGI pulmonary ovalor IV dueto
alsohasdrug
rheumatoid ofcellularreplicationfatigue
interactions
toxicity
arthritis
methotrexate
Erythropoietin
WHY IS
PATIENT
RECEIVING?
DOSE
SE /
INTERACTIONS
/ ADVERSE
EFFECTS
Glucocorticoids
or
of
chemotherapy
chest
pain
were
causeshypertension
be
Enterstargeted's
therapy
should
Vertigoheadache
Replacement
not used
binds intrahypotensionshock Givenorally patientwith
adrenal
and
an
cellularcorticosteroid
infectiondue
insufficiencytreatment
sodium
fluid
and
acute
daily
receptorsinitiatingretentionamenorrhea 5mg
allergic
response
reactions
immune
complex
inflammation
diabetic
cautionin
disorders
for
of
to
PO
and
in
to
duetoglucose
pts
elevation
Nonsteroidal
Reliefofthe Inhibitsprostaglandin Headache
synthesis
signsandsymptoms
Cby
oxland dizziness
blocking
ibuprofen
you
of and
Anti inflammatoryarthritis
Cox2receptor f
annauseaconstipation
osteoarthritis sitesleadingto
antiinflammatory
rheumatoid
effect
Monitorkidneys
andliverfunction
every46hr5whichcouldalter
goomgpow
metabolism
thedrug
of
Risk factors:
Complications:
skin infections
uncontrolled diabetes
Poorbloodcirculation
Signs and Symptoms:
septicarthritis
Squamouscellcarcinoma
Bone deformity
squamouscellcarcinoma
Pain in infectedarea
Feverfatigue lethargy
Swelling t inflammation
Nursing diagnosis:
Acute pain
Ineffectivetissueperfusion
Medical Diagnosis:
Osteomyelitis
Nursing interventions:
encouragebedrest
administered
Antibiotics
Encourage
Pathophysiology:
Pyogenicboneinfectioncauses
boneinflammation
Earlychildhood
Erikson’s Level:
oldage
Diagnostic Procedures and Medications:
ambulation
DUT t pressure injuryprevent
X ray MRIultrasound Education
toremovedeadbone
CTscan
surgery
Antibiotics Analgesics
Risk factors:
Complications:
Signs and Symptoms:
Pain
Genetics
chondrolysis
obesity
stressfractures
Bone death
lossof flexability
sleep disruptions
bonespurs
smoking
aging
Jointtrauma
stiffness
gratingsensation
Swelling
Nursing diagnosis:
Acutepainrelatedto inflammation
Activity
intoleraceduetoJointpain
Medical Diagnosis:
Osteoarthritis
Nursing interventions:
exercise
Good vitamin intake
Pathophysiology:
Diagnostic Procedures and Medications:
jointdiseaseTissuesinthe
iointbreakdownovertime
Degenerative
Pthistory
physical
xray
MRI
bloodtest
Oldage
Erikson’s Level:
Physical therapy
steviod injections
Protectjoints
healthyeating
control blood glucose
maintain healthy weight
Risk factors:
Complications:
malegender
Geneticsyndromes
Birth defects
Signs and Symptoms:
increased
pain
reduced range of motion
walking difficulties
foot appearstwisted
no pain usually
Nursing diagnosis:
Deficientknowledge
Riskfor impairedskinintegrity
Pathophysiology:
congenital disordercausingfoot
deformity
Medical Diagnosis:
Talipesequinovarus
Diagnostic Procedures and Medications:
Radiographs
splints
Surgicalmanagement
Erikson’s Level:
infancy
Nursing interventions:
Protect shin integrity
Health education
Risk factors:
Complications:
Signs and Symptoms:
Breathing difficulties
nerve damage
Genetic
Gender
infection
aftersurgery
Asymmetry in scapula ribs
shoulders hips
flanks
sideways curve in spine
Nursing diagnosis:
Pain management
Medical Diagnosis:
disturbed bodyimage
ineffective breathingpattern
scoliosis
Nursing interventions:
Assess breathingpattern
Pain management
Diagnostic Procedures and Medications:
Pathophysiology:
lateral curve
inspine
screening in
preadolescence
x rays MRI
NSAIDs forpain
School
Erikson’s Level:
Adolescence
age
Body image
Risk factors:
Complications:
Signs and Symptoms:
swollenstiffjoints
Growthproblems
Exposure tosmoking
Joint damage
infections
Eye inflammation
eye inflammation
fatigue
Nursing diagnosis:
Acutepainduetojointinflammation
impairedphysicalmobility
Medical Diagnosis:
Juvenile idiopathic
arthritis
Nursing interventions:
physicaltherapy
Painrelief
Diagnostic Procedures and Medications:
Pathophysiology:
Autoimmune disease
thatcauses
tests
Antibody
immunesystemtofightown cells
andtissues in synovium
NSAIDS
DMARDS
Erikson’s Level:From
earlychildhood
to Adolescence
Emotionalsupport
education
Risk factors:
Complications:
Sex
Signs and Symptoms:
shinscarring
Age
Race
stress
Genetics
Fatigue
fever
Jointdeformities
Jointpain
Widneyfailure
Butterflyshapedrash
strove
heartattack
Nursing diagnosis:
Acutepain
Medical Diagnosis:
systemic lupus
erythematosus
Nursing interventions:
encourage
Reduce
Diagnostic Procedures and Medications:
Pathophysiology:
bymultisystem inflammation
am
withgeneration of autoantibodies Azathioprine
iii
Erikson’s Level:
i
methotrexate
breathing exercises
pain
Risk factors:
Complications:
Signs and Symptoms:
Environmental
exposure Pulmonaryhypertension
Calcinosis
myositis
Esophageal dysfunction
kidneyfailure
selendactyly
wound infections
GI issues
Nursing diagnosis:
Acute
Medical Diagnosis:
pain
Ineffectivetissueperfusion
Scleroderma
Nursing interventions:
Assess vitals
cessation
Encourage smoking
Patient education
Diagnostic Procedures and Medications:
Pathophysiology:
Autoimmunetriggered chronic
fibrosingdiseasethatinvolves
earlyendothelial damage
medicalhistoryand physicalexam
ANAtest
Biopsy
steriods
immune soppresants
Erikson’s Level:
middle
age
Administer medications
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Conceptual models of the client–environment relationship provide frameworks to
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