RN review nuggets If a patient cant void, the first nursing action should be bladder palpation to assess for bladder

distention. The patient who uses a cane should carry it on the unaffected side and advance it at the same time as the affected extremity. To fit a supine patient for crutches, the nurse should measure from the axilla to the sole and add 2 (5 cm) to that measurement. Assessment begins with the nurses first encounter with the patient and continues throughout the patients stay. The nurse obtains assessment data through the health history, physical examination, and review of diagnostic studies. The appropriate needle size for an insulin injection is 25G and " (1.5 cm) long. Residual urine refers to urine that remains in the bladder after voiding. The amount of residual urine normally ranges from 50 to 100 ml. The five stages of the nursing process are assessment, nursing diagnosis, planning, implementation, and evaluation. Planning refers to the stage of the nursing process in which the nurse assigns priorities to nursing diagnoses, defines short-term and long-term goals and expected outcomes, and establishes the nursing care plan. Implementation refers to the stage of the nursing process in which the nurse puts the nursing care plan into action, delegates specific nursing interventions to members of the nursing team, and charts patient responses to nursing interventions. Evaluation refers to the stage of the nursing process in which the nurse compares objective and subjective data with the outcome criteria and, if needed, modifies the nursing care plan, making the nursing process circular. In the event of fire, the nurse should (1) remove the patient, (2) call the fire department, (3) attempt to contain the fire by closing the door, and (4) extinguish the fire, if it can be done safely. Before administering any as need pain medication, the nurse should ask the patient to indicate the pains location. Jehovahs Witnesses believe that they shouldnt receive blood components donated by other people. When providing oral care for an unconscious patient, the nurse should position the patient on the side to minimize the risk of aspiration. During assessment of distance vision, the patient should stand 20 (6.1 m) from the chart. The ideal room temperature for a geriatric patient or one who is extremely ill ranges form 66 to 76 F (18.8 to 24.4 C).

Category Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing

Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Nursing Fundamentals of Normal room humidity ranges from 30% to 60%. Nursing Hand washing is the single best method of limiting the spread of Fundamentals of microorganisms. Hands should be washed for 10 seconds after routine contact Nursing

with a patient and after gloves are removed. To catheterize a female patient, the nurse should place her in the dorsal recumbent position. A positive Homans sign may indicate thrombophlebitis.

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