Foundations of Nursing Care

These flashcards cover essential concepts related to nursing care, including patient assessment, infection control, pain management, and preventive measures.

Instructions beneficial to a patient with dry skin.

Antiseptic lotion or spray

The nurse should assess a diabetes patient's __ for sensation.

Feet assessment

__ in the hospital includes weakness in legs.

Risk factors for falls

High emotions, substance abuse, and low IQ are __.

Three risk factors for violence

Immobility, poor circulation, and inadequate nutrition are risk factors for __.

Risk factors for pressure ulcers

For a bedridden patient, the nurse should __, focus on respiratory health, stay hydrated, maintain skin integrity, and provide psychosocial support.

Encourage movement

If a person is suspected to have an infection, __ should be monitored: WBC, blood cultures, and iron.

Labs to monitor for infection

When using critical thinking to make clinical decisions, a nurse should __ in any given situation.

Consider important factors

A suitable learning assignment for a nursing instructor to evaluate students' abilities to synthesize data and identify relationships between nursing diagnoses is a __.

Concept map

If a patient reports postsurgical incision pain at a level of 9 out of 10 and the next dose of pain medicine is not due for another hour, the critically thinking nurse should first __.

Explore options for pain relief

When inserting an indwelling urinary catheter in a post-hip surgery female patient, the nurse should __ to the situation.

Adapt positioning technique

Tuberculosis (TB) is classified as __ transmission.

Airborne

COVID-19, influenza, common cold, strep throat, measles, and mumps are examples of __ transmission diseases.

Droplet

MRSA, VRE, diarrheal illnesses, open wounds, and RSV require __ precautions.

Contact precautions

Standard precautions are used for all patients when working with urine, blood, etc.

Standard precautions

For someone at risk for infection, would be a priority symptom.

High priority symptom

Among symptoms, __ is a concern that requires high priority attention.

Pain 9/10

To correctly word a diagnosis and an outcome, outcomes must be __.

Measurable outcomes

A nurse shows the patient is not ready for consultation by saying, 'I have to look up notes.'

Patient readiness for consultation

A patient confused with a foley catheter is likely to __.

Foley catheter confusion

The pain is reassessed using the __.

Pain reassessment

If a patient becomes dizzy when standing, the nurse should __ the plan by limiting walks.

Dizziness assessment

Patients undergoing __ are more at risk for infection.

Surgery patients

Irrigating the urinary catheter with sterile water is a nursing intervention that decreases the risk for __.

CAUTI prevention

__ can occur if crutches are too high.

Axillary damage

A disposable blood pressure cuff is used for a client on __ precautions.

Disposable blood pressure cuff

Central lines are at a higher risk for __.

Central lines

To prevent Stage II ulcers, position changes at least every 2 hours and a pressure-relieving mattress are essential.

Ulcer prevention