However, the usefulness of nursing theory-guided practice has been questioned and more emphasis has been placed on evidence-based nursing and traditional practice. The upper respiratory tract warms and humidifies inspired air and plays a role in taste, smell, and mastication. Gastric lavage is flushing of the stomach and removal of ingested substances through a nasogastric tube. Background: Nursing theory-guided practice helps improve the quality of nursing care because it allows nurses to articulate what they do for patients and why they do it. The family of a patient who has been diagnosed as hearing impaired should be instructed to face the individual when they speak to him. A vegan diet should include an abundant supply of fiber. The intraoperative period begins when a patient is transferred to the operating room bed and ends when the patient is admitted to the postanesthesia care unit. The nurse shouldn’t cut the patient’s hair without written consent from the patient or an appropriate relative. 4. This is a compilation of 220 nursing tidbits about Fundamentals of Nursing. 73. The most appropriate nursing diagnosis for an individual who doesn’t speak English is Impaired verbal communication related to inability to speak dominant language (English). In the therapeutic environment, the patient’s safety is the primary concern. A competent adult has the right to refuse lifesaving medical treatment; however, the individual should be fully informed of the consequences of his refusal. push by using a needle and syringe to deliver the dose directly into a vein, I.V. No pork or pork products are allowed in a Muslim diet. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Here are 350 nursing bullets about Maternal and Child Health Nursing. If bruising occurs, the nurse should monitor the site for an enlarging hematoma. When caring for a comatose patient, the nurse should explain each action to the patient in a normal voice. When withdrawing the catheter, the nurse should apply intermittent suction for no more than 15 seconds and use a slight twisting motion. Wheezing is an abnormal, high-pitched breath sound that’s accentuated on expiration. 222. In an emergency, consent for treatment can be obtained by fax, telephone, or other telegraphic means. Bruits commonly indicate life- or limb-threatening vascular disease. While an occupied bed is being changed, the patient should be covered with a bath blanket to promote warmth and prevent exposure. Although a patient’s health record, or chart, is the health care facility’s physical property, its contents belong to the patient. If two eye medications are prescribed for twice-daily instillation, they should be administered 5 minutes apart. 58. Administering an I.M. Beneficence is the duty to do no harm and the duty to do good. After suctioning a tracheostomy tube, the nurse must document the color, amount, consistency, and odor of secretions. 111. In the two-point gait, the patient moves the right leg and the left crutch simultaneously and then moves the left leg and the right crutch simultaneously. The nurse obtains assessment data through the health history, physical examination, and review of diagnostic studies. To fit a supine patient for crutches, the nurse should measure from the axilla to the sole and add 2″ (5 cm) to that measurement. Help individuals of all ages to increase the quality of life and the number of years of optimal health Nurse Salary 2020: How Much Do Registered Nurses Make? Voluntary euthanasia is actively helping a patient to die at the patient’s request. Resistive exercises increase muscle mass. Patient preparation for cholecystography includes ingestion of a contrast medium and a low-fat evening meal. A nurse should have assistance when changing the ties on a tracheostomy tube. 39. For a sigmoidoscopy, the nurse should place the patient in the knee-chest position or Sims’ position, depending on the physician’s preference. Exploring all aspects of nursing research, training, education, and practice, BMC Nursing is a well-established open access peer-reviewed journal. A nurse must provide care in accordance with standards of care established by the American Nurses Association, state regulations, and facility policy. 79. Values clarification is a process that individuals use to prioritize their personal values. 174. You can copy and paste as Word file then save it as PDF. In an infant, the normal hemoglobin value is 12 g/dl. The following studies establish the strength of the correlation, and suggest ways to increase patient safety through adequate nurse staffing. To insert a nasogastric tube, the nurse instructs the patient to tilt the head back slightly and then inserts the tube. 148. 6. 145. Before moving a patient, the nurse should assess the patient’s physical abilities and ability to understand instructions as well as the amount of strength required to move the patient. 95. The nurse should use a tuberculin syringe to administer a subcutaneous injection of less than 1 ml. When evaluating whether an answer on an examination is correct, the nurse should consider whether the action that’s described promotes autonomy (independence), safety, self-esteem, and a sense of belonging. These bullets are perfect if you need a quick review about nursing. To prevent injury to the cornea when administering eyedrops, the nurse should waste the first drop and instill the drug in the lower conjunctival sac. During assessment of distance vision, the patient should stand 20′ (6.1 m) from the chart. If a patient complains that his hearing aid is “not working,” the nurse should check the switch first to see if it’s turned on and then check the batteries. Students School Programs. A primary disability is caused by a pathologic process. B = Breathing. On the morning of surgery, the nurse should ensure that the informed consent form has been signed; that the patient hasn’t taken anything by mouth since midnight, has taken a shower with antimicrobial soap, has had mouth care (without swallowing the water), has removed common jewelry, and has received preoperative medication as prescribed; and that vital signs have been taken and recorded. A nurse shouldn’t give false assurance to a patient. Electronic address: sonya915@pku.edu.cn. Percussion causes five basic notes: tympany (loud intensity, as heard over a gastric air bubble or puffed out cheek), hyperresonance (very loud, as heard over an emphysematous lung), resonance (loud, as heard over a normal lung), dullness (medium intensity, as heard over the liver or other solid organ), and flatness (soft, as heard over the thigh). 192. Falls in the elderly are likely to be caused by poor vision. Trust is the foundation of a nurse-patient relationship. 75. 70. Before transferring a patient from a bed to a wheelchair, the nurse should push the wheelchair footrests to the sides and lock its wheels. A sutured surgical incision is an example of healing by first intention (healing directly, without granulation). 106. 3. 84. Collegiality is the promotion of collaboration, development, and interdependence among members of a profession. … fluids; and fluids administered in feeding tubes. Critical pathways are a multidisciplinary guideline for patient care. 233. A community nurse is serving as a patient’s advocate if she tells a malnourished patient to go to a meal program at a local park. 114. Two to three hours before beginning a tube feeding, the nurse should aspirate the patient’s stomach contents to verify that gastric emptying is adequate. Samples of feces for ova and parasite tests should be delivered to the laboratory without delay and without refrigeration. These Nursing Bullets are bite-sized information that are easy to absorb and best read during your reviews for NCLEX or the board exams. It’s designed to meet patients’ needs by integrating the care regimens of both professions into one comprehensive approach. 123. To avoid staining the teeth, the patient should take a liquid iron preparation through a straw. Under the Controlled Substances Act, every dose of a controlled drug that’s dispensed by the pharmacy must be accounted for, whether the dose was administered to a patient or discarded accidentally. 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