nursing review 141 – Flashcards
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Learning
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Florence Nightingale opened the first school of nursing outside a hospital that stressed?
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Ballard School
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First practical nursing school in the United states?
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Higher client acuity
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Expected to influence nursing in the 21st century?
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Provides direct patient care
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function of the LPN/LVN
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Practice standards for the LPN/LVN
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Functions with other healthcare team members in promoting health?
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NLN
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Strives to achieve accreditaion of nursing programs for LPN/LVN?
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NLN
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Strives to achieve accreditaion of nursing programs for LPN/LVN?
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Treating all clients the same
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Current trends in the delivery of healthcare include?
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Persons who are on Medicare
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Must have contributed to the plan during employment?
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Provide care in the home
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The goal of health maintenance organizations is to?
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Ethics
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refers to moral principles and values that guide human behaviors.
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Crime
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a worng committed against a person or property
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Felony
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is a serious crime.
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Misdemeanor
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is a crime that is considered not as serious as a felony.
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Liability
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is the legal responsibility for one's actons or failure to act appropriately.
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Euthanasia
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"mercy killing"
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Tort
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is an injury that occurred because of another person's intentional or unintentional actons or failure to act.
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Negligence
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defined as harm done to a client as a result of neglecting duites, procedures, or ordinary precautions.
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Malpractice
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the improper injurious or faulty treatment of a client that results in illness or injury.
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Assault
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is a threat or an attempt to do bodily harm.
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battery
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physical contact with another person with out that person's consent.
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Slander
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term given to malicious verbal statements that are false or injurious.
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HIPAA
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Health Insurance Portabiliy and Accountability Act.
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Libel
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a written statement or photograph that is false or damaging.
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Nursing Practice Act
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The law that defines and regulates the practice of nursing in the United States.
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NCLEX
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National Council Licensing Examination
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The student is held to the same standard as the licensed vocatonal nurse
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Standard of care is the vocational nursing student held to when providing care normall performed by a licensed vocatinal nurse?
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Explain all risk, complications, and alternative treatment to the client
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Nurse 's responsibility in obtaining informed consent?
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Document briefly at the end of each shift
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Safeguards for the nurse and student nurse against litigtion include?
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Abraham H. Maslow
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described a theory of human needs that identifed simple basic needs in relation to the more complex, higher -level needs?
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Aesthetic needs
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defined the basic needs of all people as progression from simple physical needs to more complex ones?
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Self-actualization
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Need to be self-fufilled learn, create, understand, and eperience one's potential?
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Self-esteem
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Need to be well thought of by oneself as well as by others
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Love, Affecton, and Belonging
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Need for affection, feeling of belongingness, and meaningful
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Security and safety
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Need for shelter and freedom for harm and danger?
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Physiologic
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Need for oxygen, food, water, rest and eliminaton. The need for sex is unnecessary for individual survival, but it si necessary for the survival of humankind?
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Report signs of abuse
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A nursing actions would help a client meet security and safety needs?
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Regression
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During an illness, it is not uncommon for a client to focus on a lower level of need?
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WHO
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The world health Organization ?
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Physical Health
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Physical fitness, the body functioning at its best?
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Emotional health
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Feelings and attitudes that make one comfortable with oneself?
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Psychological or mental health
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a mind that frows and adjusts, is in control, and is free of serious stress?
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Social health
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A sense of responsibilit and caring for the health and welfare of others
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Spiritual health
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Inner peace and security, comfort with one' shighr powrer, as one percives it?
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CAD
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Coronary artery disease
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MI
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Myocardial infarcton
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CVA
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Cerevrovascular accident?
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COPD
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Chronic obstructive pulmonary disease?
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MVA
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Motor vehicle accidents
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DM
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Diabetes Mellitus?
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Morbidity
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refers to the number of people with an illness or disorder relative to a specific population?
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Mortality
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Refers to the chances of death associated with a particular illness or disorder?
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Increased risk of heart disease and heart attack
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The nurse understands that the probable effect of a client's choosing to contiue to smoke cigarettes will?
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Disease prevention
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Today's healthcare system emphasize?
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Helping clients with diabetes to manage their weight and follow dietary guidelines
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Health promotion and disease prevention measures include?
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Lifestyle factors
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patterns of living that we choose to follow, such as the amoutn and type of exercise performed b an individual?
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Demography
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is the study of populations?
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Department of Agriculture
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Infected rat bite who reports that the entire apartment complex is infected with rats?
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Working with clients in group homes for the mentally ill or mentally retarded, day care centers, or in school settings
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The community health center in your area has hired you to assist with projects during the summer?
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Land pollution
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Encouraging families to obtain and use a radon testing kit wourl help prevent dsease related to?
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Radon
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is a chemical element that occures in nature as a by-product of the disintgration of radium?
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Pork and alcohol
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Caring for a Muslim client, which dietary restrictins would you expect to see?
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Nurition
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the study of nutrients and how the body utilizes the nutrients in food?
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MyPyramid
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Grains, Vegetables, Fruits, Milk, and Meat & Beans?
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6oz
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How much grains do you need in day?
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9
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1 g og protein?
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4
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1 g of protein?
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7
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1 g of alcohol
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vita
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is latin for life?
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Fat-soluble vitamins
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A-all
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D-dog
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...
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E- eat
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...
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K- kittens
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...
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Water-soluble vitamins
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C
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B-complex
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...
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Vit D
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If the body lacks in this vit it can cause rickets?
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Vit E
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Powerful Antixidant?
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Vit K
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A deficiency can occur from anticoagulants used to thin blood?
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Thiamine (B1)
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Deficiency caused beriberi Paralysis can cause death?
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Riboflavin
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Helps to metabolize CHO and fats?
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Niacin
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If the body lacks this can cause pelagra and the 4 d's Dernatites diarrhea dementia death?
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Folic acid
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Helps prevetn bitth defects?
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Pantothenic Acid
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Helps with energy metabolisum
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Biotin
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A deficiency can occou whren a person consumes large amounts of raw eggs whites?
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Vit C
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Lack in this vit can cause scurvy?
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Illustrate the dietary guidelines for americans
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One purpose of the MyPyramid Frame work is?
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A, D, E, K
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Fat-soluble vitamins?
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Pasta and rice
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A good sources of charbohydrates?
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Calcium
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minerals is essential in forming a maintaing ing bones?
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Difficulty chewing related to loss of teeth
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older adults are at risk for nutritional problems?
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Black Americans
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Soul food, *hypertension , obestiy, diabetes, lactose intolerance are common?
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Hispanic Americans
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Hot and cold foods needed to maintain health?
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Mexican
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corn basic grain (tortillas) rice and refried beans obesity, diabetes are high?
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cuban
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spanish cooking style do not consume a lot of milk have low Ca levels?
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Puerto Rican
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diet is importand during illness, man refude hopital foods?
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Asian Americans
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Risce is staple?
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Chinese
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stir frying is basuc cooking method. Diet usuially low fat obestiy goes down?
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Japanese
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use tofu good sourse of protein and calcium?
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Southeast Asian
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Some consider Knives @ table barbaric?
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middle Eastern Americans (Saudi arabia,. iraq, iran)
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wome are considered subservant to men and eat only after men and children are fed?
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Native Americans
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rates of obesity, diabetes, alcolism and lactose intolerance?
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Vegan
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No animal products
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lacto-vegetarians
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plants foods and dairy no eggs
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ovo- vegetarians
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plant fooods and eggs no dairy
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lacto- ova
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plant foods diary and eggs
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Jewish
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Go by kosher eating dmands ?
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Mormon
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Use no stimulants, and no alcohoic beverages., they giving up two meals on the first sunday for each month. Money saved goes to feed the poor?
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Roman Catholic
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Some are absant from eating on fridays, Those age 14 to 59 must fastadn abstain from meant on fridays during the time of lent?
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Seventh day adventist
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Are often lacto-ovo vefetarieans or vegans, nostimulants and aviod no pork, shellfish, and alcohol?
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Hindu
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Believe that all life forms are sacred because they might be the reincarnation of an ancestor?
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Islam
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Follow laws dietary laws ae similar to Jewish Kosher laws. In addition, no alcoholic beverages are allowd but tea is permitted. Fast for a month each year avoding food from dawn util after dark?
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Fortifed breakfast cereals
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Recommend to someone practicing a pure vegan diet?
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Sodium, fat,and sugar
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Recommend limiting in a vlak american's diet to help prevent the development of chronic disease?
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Plant foods, pus eggs
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An ovo-vegetarian diet?
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Lacto-ovo vegetarian
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Most hindus are?
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Fruit juice
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acceptable beverage for a Mormon?
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Ensure that client's mane band matches the name on the tray
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serving a meal try ato a hospitalized client, the nurse sould?
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Bladder Infections
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Increased fliid intake should be encouraged foe any clien who is in bed and great deal or who has difficulty moving to prvent?
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Describe the location of foods as if they were on the face of a clock
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when assisting the visually impaired client with eating what sould you do to help the client?
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perosn with a swallowing disorder
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A nurse sould be expacted to provide thickened liquids to?
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Mechanical soft
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Type of diet could be ordered for a clent who has oral problems or is edentulous?
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Clara Barton
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Founded the American Red Cross in 1881
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Melinda Ann Richards
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Who was the first trained nurse in the US?
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Isabel Hampton Robbg
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She founded the school of nursing @jhons Hoplins University, she also founded the American Nurses associaton & American Jounal Of nursing?
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Lillian wald
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Who founded American public health nursing?
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Mary E. Mahoney
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Was the first black graduate nurse in the US promoted fair treatment of african Americans in healthcare?
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Mary Breckinridge
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Was the first midwife in Kentucky, making her rounds on houseback also opened one of the first midwifery schools in the us?
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Mary Adekaude Nutting and Isabel Robb
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The two that est. the 1st colloge based nursing progam?
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Critical thingking
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A complaicated mix of inquiry, knowledge, intuition, logic, experience, and common sense?
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Nursing Process
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Framework for thinking and acting?
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Nursing Care plans
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To ensure consistency among all nursing staff, use the nursing process to develop guidelines when caring for each client?
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Nursing Assessment
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the systematic and continuous collection of data?
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Nursing Diagnosis
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the statement of he client's actual or potential problem?
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Planning
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The development of goals for care and possible activities to meet them?
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Implementation
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the giving of actual nursing care?
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Evaluation
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the measurement of the effectiveness of nursing care?
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Nursing Diagnosis
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The nursing process includes the staement of the client's actual or potentical problem?
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The client is the central focus of the process
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Is a characteristic of the nursing process?
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Giving actual nursing care
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Implementation of the nursing process involves?
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Critical Thinking
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Skill does the nurse use to determine the meaning of multiple cues when assessing clients?
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Ensure consistency of care among all nursing staff
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The primary reason for nurses to use nursing care plans it to?
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Objective data
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include all the measurable and observable pieces of informatoin about the cleint and kis or her overall state of health?
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Subjective data
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consist of the client's opinions or feeling about what is happening?
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Client's respiration are 14/minute
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what is an example of objective data?
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Client complains of chest pain
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What is an example of subjective data?
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"I'm in the hospital for hip surgery"
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what would be an example of a client's chief complaint?
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"What, if anything, helps to relieve your chest pain"
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Aclient is admitted to the hospital with complaints of chest pain during exercise. what would be a some questions would be a priority for the nurse to ask?
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Data analysis
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After the nurse completes the nursing history and physical examination, what action is most appropriate?
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Nursing diagnosis
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A statement about the actual or potential health concerns of the client that can be managed through independent nursing interventions?
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NANDA
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North America Nursing Diagnosis Association?
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Hyperthermia
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Fahrenhit, skin flush and warm to the touch," which part represents the problem?
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Chronic physical disability
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In this nursing diagnosis, "Chronic pain related to chronic physical disability as evidenced by patient's statement of pain as usually a 6 out of 10 on the pain scale, reslessness facial grimacing with movement, " what part represents the etiology?
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Client will demonstrate sterile dressing technique by tomorrow (date)
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Which is a correctly written goal?
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Ineffective airway clearance
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which of the following nursing diagnostic categories has the highest priority?
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Individualized
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When writting nursing care plans, the nurse should develop a plan for the client that is what?
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Providing a backrub for a client
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what would be a independent nursing action?
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Administering a routine mediation
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what would be a dependent nursing action?
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Technical skill
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Inserting a nasogastric tube?
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The nurse rewrites the nursing car plan because the client is unable to meet the goal of wolking in the hallway for 50 feet twice a day
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what would be the best describes the use of evaluation in the nursing process?
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B)Discharge planning should begin during the initial nursing interview and assessment.
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...
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D)Discharge planning needs to be documented in the client's record.
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choose all of the following statements that are correct regarding discharge planning?
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Assisting the client to a full-fowler's position because the client is having difficulty breathing in a supine position
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What is a priority nursing intervention?
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MAR
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Medication administration record?
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Jaundice
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Skin appears yellowish?
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Hematuria
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Blood in the urine?
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Hemoptysis
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Blood in sputum?
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Emesis
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Vomiting?
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Expectorate
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coughing and spitting up sputum?
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Hemoptysis
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spitting up blood?
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Syncope
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Losing consciousness; Fainting?
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Hyperpyrexia
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Tmperature greatly about normal?
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Arrhythmia
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Irregular beating?
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Pruritus
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Itching?
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BID
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Twice per day?
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AC
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berfore meals?
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c/o
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complains of?
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DSG
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dressing?
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FOB
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Foot of bead?
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HOB
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Head of bed?
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VS
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Vital Signs?
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STAT
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Immediately?
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Sx
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Symptom?
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R/T
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Related to?
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12 am Midnight
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0000
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12:01am
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0001
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6am
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0600
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7:30am
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0730
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12 pm Noon
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1200
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1pm
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1300
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2pm
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1400
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8pm
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2000
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11pm
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2300
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Cross out the error with a single line and write "error" and his or her initials
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The nurse has recorded nursing care in the worng clients's chart. What should the nurse do to fix this?
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Client's dressing is dry and intact
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Wich of the following is correct entry that can be made into a client's cahrt?
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Client states. "I feel nauseated."
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what would be the correct method for documenting subjective data?
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Flow sheet
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on which form would the nurse document vital sings?
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Progress note
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which form would the nurse document what a wound looked like during a dressing change procedure?
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Distended abdomen
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A client complains of feeling bloated after surgery physical examination revals the abdomen is filled with gas. THe nurse would document that findings as?
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Maintaining client safey
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Steps of a nursing procedure may vary in different facilities, but the underlying principles do not change and usually are related to?
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Nurse call signal
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When orienting a client to the hospital room, the nurse should first demonstrate how to operate the?
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"You may feel some discomfort with this procedure"
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THe nurse is ging to complete a procedure on a client that is painful. What staement could the nurse use that would be appropriate?
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Dietary department
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A client who is on a special diet is admitted to the nrsing unit. which departmetn would the nurse call?
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Respiratory therapy depatment
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A client needs to have blood drawn for a blood gas analysis. which department listed here would be most likely to draw the specimen?
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Palliative care
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Hospice Dying client and family?
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Fall Assessment
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Are the most common cause of injury for loder aduts?
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Extinguisher Type A
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Wood, paper, cloth
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Extinguisher type B
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Flammable Liquids
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Extinguisher type C
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Elecrtrical
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Extinguisher Type ABC
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Can be use on any fire
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68-72
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Air temp shold be?
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Provide information about hazardous matrials
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What is the purpose of a material sfety data sheet (MSDS)?
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Unplug the bed
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The nurse notices that a clent's electric bed has a frayed electrial cord. Which nursing acton shold be completed first?
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An external disaster
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A flood in the community area would be classified as?
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Inform the cleint this is a "no smoking" area and he or she will need to extinguish the cigarette
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A client is smoking a cigarette in a "no smoking" area. Which actin should the nurse take?
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Sounds the fire alarm
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A fire is found in a client's room. A coworker is removing the client. What action should you take?
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Microorganism or Microbe
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is an idividual living animal or plant that is so small that it can be seen only with the aid of microscope?
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Endemic
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Organisms that are present all or most of the time in and on the body are said to be?
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Pathogens
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Harmful microorganisms; these disease-producing agents are call?
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Aerobes
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Most microorganisms require oxygen for growth; these are what?
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Anaerobes
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Microorganisms that cannot survive in the presence of oxygen?
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Parasites
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Microorganisms that love on or within another living being (Host)?
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Saprophytes
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Live off the organic remains of dead plants and animals?
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Cultures
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Are used to identify the organism and in the case of a pathogen to determine ways in which to arrest the growth of the pathogen?
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Sensitivity
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Test is ordered when infection is suspected or known?
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Bordetella pertussis
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Whooping cough?
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Borrelia burgdorferi
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Lyme disease?
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Clostridium perfingens
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Gas gangrene, wound infections?
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Escherichia coli
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Urinary infections?
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Francisella tularensis
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Tularemia (Rabbit Fever)?
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Haemophilus influenza
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Meningitis, pneumonia?
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Neisseria gonorrhoeae
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Gonorrhea?
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Proleus vulgaris and P. morgani
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Gastroenteritis, urinary infections?
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Staphylococcus aureaus
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Boils, carbuncles, pneumonia, septicemia?
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Streptococcus pneumoniae
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Pneumonia?
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Opportunistic
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Cause illness in a person with a compromised immune sysem or an open wound?
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Etiology
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Specific cause of a disease?
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Contagious
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Communicable diseases that are transmitted to many individuals quickly and easily?
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Epidemic
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A large number of people in the same area are infected in realatively shor time?
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Poxvirus
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Smallpox?
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Varicella zoster
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Chickenpox(varicella), Shingles(zoster)?
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Herpesvirus simplex
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Cold sores(heroes simplex)
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Condylomata acuminata
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Human papillomavirus (HPV) infection?
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Performing handwashing
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Which of the following is the simgle most effective method to break the chanin of infection?
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Reservoir, portal of exit, vehicle of transmission, portal of entry, susceptible host
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Which of the following is the correct sequence of the chain of infection?
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To prevent the spread of diseases
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Why is it vital for nurrses to learn about microorganisms?
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Taking antibiotics as prescribed
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Whcih nursing education measure would be appropriate jto hlep prevent the development of drug-resistant bacteria?
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Bacteria
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which of the following organisms can be clasified according to physical shape, movement, Gram's stain reaction and relationship to oxygen?
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Phoebe
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first deaconess and visiting nurse?
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Saint Paula
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Established inns and hospitals for pilgrims?
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Fabiola
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Namesake of first free hospital n rome in 390 AD?
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Saint Helena
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Established first gerontological facility?
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Melinda Ann Richards
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Organized school of nursing at Massachusetts General hospital?
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Isabel Hampton Robb
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Founded the school of nursing at Jhons Hopkins University?
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Lillian Wald
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Founded American public health nursing ?
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Florence Nightingale
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Continued to care fo rthe sick when nursing was considered Menial?
