NSE111 EXAM REVIEW | 143 QUESTIONS AND
ANSWERS | RATED 100% CORRECT.
100% Correct 143
Incorrect 0
1 of 143
Term
Four-point gait
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A way for the infectious agent to enter a new reservoir or host; same as exit.
Cuts and breaks in the skin, mucous membrane...
used when both legs can bear some weight; right foot, left crutch, left
crutch, right foot
- three points of support on floor at all times
DAF: Dress affected side first
Strive to maintain independence
Considerations:
Dress painful side 1st
Dress weak or paralyzed side 1st
, a way for the infectious agent to escape from the reservoir in which it has been
growing:
Body openings, breaks in skin, breaks in mucus membranes, blood, bodily fluids,
secretions, excretions.
Don't know?
2 of 143
Term
Nursing Process (ADPIE)
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Assessment: collection of data important to client's health status or
situation in order to fully understand client's priority needs
Diagnosis: analysis of assessment data to determine key issues and make
clinical judgements in the form of a nursing diagnosis, involves creation of
outcomes or goals for client's situation
Planning: creating plan that identifies strategies to reach outcomes or goals
Implementation: carrying out plan
Evaluation: reflection on success of reaching outcome
• Clean mouth using a brush or toothette q2h
• Check policy for using chlorhexidine
• Client may require suctioning while rinsing
Remember to speak to the client during the procedure
- eliminate halitosis, brush 4x a day, soft bristles with a small brush, check gag
reflex
- sims position with head down on the dependent side
- use padded tongue blade or depressor to open mouth
- anti disinfectant solution
, Micturition: Urination (the process of voiding), require simultaneous contraction
of bladder and relaxation of outlet
Voiding: Elimination of waste
Urinary Retention: Marked accumulation in the bladder as a result of bladders
inability to empty and respond to micturition reflex
Urinary Incontinence: Involuntary loss of urine (contractile bladder syndrome,
sensory, neurogenic, idiopathic, calculi or tumor, UTI)
Nocturia: Getting up at night to void, can be due to excessive intake of fluid
before bed, overactive bladder, heart failure, peripheral edema, prostate
enlargement, sleep apnea
- Medications (antimuscarinics, adrenoreceptor agonists, adrenergic blockers,
cholinergic agents, topical hormone replacement therapy, antidiuretic
hormone analogues
- Lifestyle modification (e.g. smoking, obesity, caffeine etc.)
- Pelvic floor muscles
- Bladder training
- Prompted voiding, timed toileting and habit retraining
- Intermittent self-catheterization
- Simulate reflex with running water, stroking inner thigh, warm water
over perineum
- 1500-2000 ml of fluid
Don't know?
3 of 143
Definition
Children: Small children are curious and try things out that can be
harmful. Poisoning, drownings, and incorrect vehicle restraints lead
to death.
Adolescents: Peer pressure, substance use, drownings and vehicle
incidents
Adults: lifestyle habits like smoking, alcohol abuse and illness
Older persons: impaired health and mobility, falls, diseases
Give this one a try later!
, Nursing responsibilities in Three categories of risks to patient
regards to restraints: Chemical safety within the health care
environment
Discuss the specific risks
to safety related to Transient Microorganisms can
individuals and each spread on surfaces and cause
developmental stage disease when....
Don't know?
4 of 143
Definition
- Should be implemented only after non-restraining measures (e.g.,
distraction, use of a sitter) have proven ineffective and with the
informed consent of the patient or their substitute decision
maker
- Proper adherence to medication administration guidelines is
vital to the safe use of chemical restraints, and the patient's
response to and need for these medications must be assessed on a
regular basis
- The use of restraints is controversial as they have been associated
with negative consequences, including injury and death
follow guidelines and standards provided by their provincial
nursing governing body as well as policies and procedures set by
their clinic
Give this one a try later!
ANSWERS | RATED 100% CORRECT.
100% Correct 143
Incorrect 0
1 of 143
Term
Four-point gait
Give this one a try later!
A way for the infectious agent to enter a new reservoir or host; same as exit.
Cuts and breaks in the skin, mucous membrane...
used when both legs can bear some weight; right foot, left crutch, left
crutch, right foot
- three points of support on floor at all times
DAF: Dress affected side first
Strive to maintain independence
Considerations:
Dress painful side 1st
Dress weak or paralyzed side 1st
, a way for the infectious agent to escape from the reservoir in which it has been
growing:
Body openings, breaks in skin, breaks in mucus membranes, blood, bodily fluids,
secretions, excretions.
Don't know?
2 of 143
Term
Nursing Process (ADPIE)
Give this one a try later!
Assessment: collection of data important to client's health status or
situation in order to fully understand client's priority needs
Diagnosis: analysis of assessment data to determine key issues and make
clinical judgements in the form of a nursing diagnosis, involves creation of
outcomes or goals for client's situation
Planning: creating plan that identifies strategies to reach outcomes or goals
Implementation: carrying out plan
Evaluation: reflection on success of reaching outcome
• Clean mouth using a brush or toothette q2h
• Check policy for using chlorhexidine
• Client may require suctioning while rinsing
Remember to speak to the client during the procedure
- eliminate halitosis, brush 4x a day, soft bristles with a small brush, check gag
reflex
- sims position with head down on the dependent side
- use padded tongue blade or depressor to open mouth
- anti disinfectant solution
, Micturition: Urination (the process of voiding), require simultaneous contraction
of bladder and relaxation of outlet
Voiding: Elimination of waste
Urinary Retention: Marked accumulation in the bladder as a result of bladders
inability to empty and respond to micturition reflex
Urinary Incontinence: Involuntary loss of urine (contractile bladder syndrome,
sensory, neurogenic, idiopathic, calculi or tumor, UTI)
Nocturia: Getting up at night to void, can be due to excessive intake of fluid
before bed, overactive bladder, heart failure, peripheral edema, prostate
enlargement, sleep apnea
- Medications (antimuscarinics, adrenoreceptor agonists, adrenergic blockers,
cholinergic agents, topical hormone replacement therapy, antidiuretic
hormone analogues
- Lifestyle modification (e.g. smoking, obesity, caffeine etc.)
- Pelvic floor muscles
- Bladder training
- Prompted voiding, timed toileting and habit retraining
- Intermittent self-catheterization
- Simulate reflex with running water, stroking inner thigh, warm water
over perineum
- 1500-2000 ml of fluid
Don't know?
3 of 143
Definition
Children: Small children are curious and try things out that can be
harmful. Poisoning, drownings, and incorrect vehicle restraints lead
to death.
Adolescents: Peer pressure, substance use, drownings and vehicle
incidents
Adults: lifestyle habits like smoking, alcohol abuse and illness
Older persons: impaired health and mobility, falls, diseases
Give this one a try later!
, Nursing responsibilities in Three categories of risks to patient
regards to restraints: Chemical safety within the health care
environment
Discuss the specific risks
to safety related to Transient Microorganisms can
individuals and each spread on surfaces and cause
developmental stage disease when....
Don't know?
4 of 143
Definition
- Should be implemented only after non-restraining measures (e.g.,
distraction, use of a sitter) have proven ineffective and with the
informed consent of the patient or their substitute decision
maker
- Proper adherence to medication administration guidelines is
vital to the safe use of chemical restraints, and the patient's
response to and need for these medications must be assessed on a
regular basis
- The use of restraints is controversial as they have been associated
with negative consequences, including injury and death
follow guidelines and standards provided by their provincial
nursing governing body as well as policies and procedures set by
their clinic
Give this one a try later!
