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FUNDAMENTALS OF NURSINGMATERNAL AND CHILD HEALTH NURSINGMEDICAL SURGICAL NURSING

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PSYCHIATRIC NURSINGCompiled by:ROBERT C. REA, BSN

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2009

NURSING BULLETS ________________________________________________________________________FUNDAMENTALS OF NURSING.A blood pressure cuff thats too narrow can cause a falsely elevated blood

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pressure reading..When preparing a single injection for a patient who takes regular and neutralprotein Hagedorn insulin, the nurse shoulddraw the regular insulin into the syringe first so that it does not contaminatethe regular insulin..Rhonchi are the rumbling sounds heard on lung auscultation. They are morepronounced during expiration than duringinspiration..The nurse can elicit Trousseaus sign by occluding the brachial or radial artery.

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Hand and finger spasms that occur during.Gavage is forced feeding, usually through a gastric tube (a tube passed into thestomach through the mouth)..According to Maslows hierarchy of needs, physiologic needs (air, water, food,

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shelter, sex, activity, and comfort) havethe highest priority..The safest and surest way to verify a patients identity is to check the

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identification band on his wrist..In the therapeutic environment, the patients safety is the primary concern.

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.Fluid oscillation in the tubing of a chest drainage system indicates that thesystem is working properly..The nurse should place a patient who has a Sengstaken-Blakemore tube in semi-Fowler position.occlusion indicate Trousseaus sign and suggest hypocalcemia.

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.For blood transfusion in an adult, the appropriate needle size is 16 to 20G..suctioning and drug administration.Intractable pain is pain that incapacitates a patient and cant be relieved by

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drugs..

In an emergency, consent for treatment can be obtained by fax, telephone, or othertelegraphic means..Decibel is the unit of measurement of sound..Informed consent is required for any invasive procedure..A patient who cant write his name to give consent for treatment must make an X in

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the presence of two witnesses, suchas a nurse, priest, or physician..The Z-track I.M. injection technique seals the drug deep into the muscle, therebyminimizing skin irritation and staining.It requires a needle thats 1" (2.5 cm) or longer.

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.In the event of fire, the acronym most often used is RACE. (R) Remove the patient.(A) Activate the alarm. (C) Attemptto contain the fire by closing the door. (E) Extinguish the fire if it can be donesafely..A registered nurse should assign a licensed vocational nurse or licensed practicalnurse to perform bedside care, such as.If a patient cant void, the first nursing action should be bladder palpation to

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assess for bladder distention..The patient who uses a cane should carry it on the unaffected side and advance itat the same time as the affectedextremity..To fit a supine patient for crutches, the nurse should measure from the axilla tothe sole and add 2" (5 cm) to thatmeasurement.