Nursing Bullets: Medical-Surgical Nursing Part II

  1. An adverse effect of gingival hyperplasia may occur during Phenytoin (DIlantin) therapy.
  2. Urine output increased: best shows that the mannitol is effective in a client w/ increased ICP.
  3. A client w/ C6 spinal injury would most likely have the symptom of quadriplegia.
  4. Falls are the leading cause of injury in elderly people.
  5. Primary prevention is true prevention. Examples are immunizations, weight control, and smoking cessation.
  6. Secondary prevention is early detection. Examples include purifiedv protein derivative (PPD), breast self-examination, testicular self-examination, and chest X-ray.
  7. Tertiary prevention is treatment to prevent long-term complications.
  8. 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.”
  9. 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.
  10. A Mexican patient may request the intervention of a curandero, orv faith healer, who involves the family in healing the patient.
  11. In an infant, the normal hemoglobin value is 12 g/dl.
  12. The nitrogen balance estimates the difference between the intake and use of protein.
  13. Most of the absorption of water occurs in the large intestine.
  14. Most nutrients are absorbed in the small intestine.
  15. When assessing a patient’s eating habits, the nurse should ask, “What have you eaten in the last 24 hours?”
  16. A vegan diet should include an abundant supply of fiber.
  17. A hypotonic enema softens the feces, distends the colon, and stimulates peristalsis.
  18. First-morning urine provides the best sample to measure glucose, ketone, pH, and specific gravity values.
  19. To induce sleep, the first step is to minimize environmental stimuli.
  20. 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.
  21. 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).
  22. To avoid shearing force injury, a patient who is completely immobile is lifted on a sheet.
  23. To insert a catheter from the nose through the trachea for suction, the nurse should ask the patient to swallow.
  24. Vitamin C is needed for collagen production.
  25. Only the patient can describe his pain accurately.
  26. Cutaneous stimulation creates the release of endorphins that block the transmission of pain stimuli.
  27. Patient-controlled analgesia is a safe method to relieve acute painv caused by surgical incision, traumatic injury, labor and delivery, or cancer.
  28. An Asian American or European American typically places distance between himself and others when communicating.
  29. Active euthanasia is actively helping a person to die.
  30. Brain death is irreversible cessation of all brain function.
  31. Passive euthanasia is stopping the therapy that’s sustaining life.
  32. A third-party payer is an insurance company.
  33. Utilization review is performed to determine whether the care provided to a patient was appropriate and cost-effective.
  34. A value cohort is a group of people who experienced an out-of-the-ordinary event that shaped their values.
  35. Voluntary euthanasia is actively helping a patient to die at the patient’s request.
  36. Bananas, citrus fruits, and potatoes are good sources of potassium.
  37. Good sources of magnesium include fish, nuts, and grains.
  38. Beef, oysters, shrimp, scallops, spinach, beets, and greens are good sources of iron.
  39. Intrathecal injection is administering a drug through the spine.
  40. 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.
  41. The steps of the trajectory-nursing model are as follows:
  42. – Step 1: Identifying the trajectory phase
  43. – Step 2: Identifying the problems and establishing goals
  44. – Step 3: Establishing a plan to meet the goals
  45. – Step 4: Identifying factors that facilitate or hinder attainment of the goals
  46. – Step 5: Implementing interventions
  47. – Step 6: Evaluating the effectiveness of the interventions
  48. A Hindu patient is likely to request a vegetarian diet.
  49. Pain threshold, or pain sensation, is the initial point at which a patient feels pain.
  50. The difference between acute pain and chronic pain is its duration.
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