HESI
Stages of Grief
1. Denial 2.Anger 3. Barginning 4. Depression 5. Acceptence
steps of evidence-based practice (EBP) in order Asking the relevant clinical question Collecting the most relevant and best evidence Evaluating the practice decision Critically appraising the evidence collected Sharing the outcomes of EBP changes with others Integrating all evidence with one's clinical expertise and client preferences
1.Asking the relevant clinical question 2.Collecting the most relevant and best evidence 3.critically appraise the evidence gathered 4.Then integrate all the evidence into one's clinical expertise and client preferences and values to make a practice decision or change 5. share the outcomes of EBP changes with others.
To provide relief at night for pressure ulcer's sleep in what position?
30 degree laterial position
Which data indicates need to evaluate further for altered nutrition A. Conjuncival Sac is pale B. Blanching in fingernail bed C. Skin over sternum tents when pinched Lips are dry and cracked
A. Conjuncival Sac is pale C. Skin over sternum tents when pinched Lips are dry and cracked
Which selections are good source of protein? Oatmeal w/ sliced banana Pancakes w/ maple syrup hash brown and English muffin Scrambled eggs and sausage egg, potato and onion omelet
A.Scrambled eggs and sausage B.egg, potato and onion omelet
Which critical thinking skill does the nurse associate with the concept of maturity? Eagerness to acquire knowledge Being tolerant of different view Trust in own reasoning processes Ability to reflect on own judgments
Ability to reflect on own judgments
A client who is human immunodeficiency virus (HIV) positive is admitted to a surgical unit after an orthopedic procedure. The nurse should institute appropriate precautions with the awareness that HIV is highly transmissible through what means? Select all that apply. Feces Semen Urine Sweat tears
Blood semen
Which phemopon theory explains grieve and carrying? Grand Descriptive Presciptive theories middle range
Descriptive
Which professional standard does the nurse feel is most important for critical thinking? Logical thinking Evaluation criteria Accurate knowledge Relevant information
Evaluation Criteria
What type of PPE do you need when taking care of someone with MRSA?
Gloves, gown, googles, face mask
What principal components are associcated with nursing time managaement Select all that apply: Autonomy Goal setting priority setting intruption control Right communication
Goal setting priority setting interuption control
A nursing student is listing risk factors that affect the health and wellness of a client. Which risk factors listed by the nursing student are accurate? Select all that apply Lifestyle Environment Genetic and physiological factors Spirtiual factors emotional factors
Lifestyle Environment Genetic and physiological factors
Nursing Nightingale Orem's Watson's Leiningers
Nightingale's theory is based on facilitating the body's reparative processes by manipulating the client's environment. Orem's self-care deficit theory focuses on the client's self-care needs. Watson's theory is based on promoting health, restoring the client to health, and preventing illness. Leininger's theory is based on providing care consistent with emerging science and knowledge, with caring as the central focus.
Sigmund Freud's model
Oral anal 12-18 months phallic latency Gentital
Which nursing theory focuses on the client's self-care needs? Roy's theory Orem's theory Watson's theory Leininger's theory
Orem's theory
Which serum lab values reflect altered nutrition Na 144 Calcium 9.5 Postassim 3.8 Protein 5.0
Protein
Which nursing practice is associated with the self-regulation skill? Reflecting on one's experience Reflecting on one's own behavior Supporting one's findings and conclusions Clarifying any data that one is uncertain about
Reflecting on one's experience
When assessing a client's fluid and electrolyte status, the nurse recalls that the regulator of extracellular osmolarity is what? Sodium Potassium Chloride Calcium
Sodium
The nurse is providing teaching to a client with atrial flutter who has received a prescription for an oral anticoagulant. The client asks the nurse to provide a list of foods that are high in phytonadione and that should be avoided. What should the nurse include on the list? Select all that apply. Spinach Oranges Broccoli Chicken breast Sweet potatoes
Spinach Broccoli
What is the primary focus of nursing care in the "family as context" approach? The relationship among family members The health and development of an individual The ability of the family to meet their basic needs The family's process of caregiving for a sick member
The health and development of an individual
The nurse providing care for a client with a diagnosis of neutropenia reviews isolation procedures with the client's spouse. The nurse determines that the teaching was effective when the spouse states that protective environment isolation helps prevent the spread of infection in which direction? To the client from outside sources From the client to others From the client by using special techniques to destroy infectious fluids and secretions To the client by using special sterilization techniques for linens and personal items
To the client from outside sources
Use what type of dressing for stage 1 pressure ulcer?
Transparent film dressing
5 Rights of nursing delegation
right circumstance right person right direction/comm right supervision/eval
When irragating a wound use
steady pressure using a 35ml Syringe w/ 19 gauge needle