AND ANSWERS SURE A+
✔✔Seizure Precautions - ✔✔Make sure rescue equipment is available; Stay with the
patient and call for help; Lower to the floor/bed and protect the head; Do NOT restrain;
Do NOT place anything into the mouth.
✔✔Fall Precautions - ✔✔Remove throw rugs/cords/trip hazards; Using a shower chair
and grab bars and non-skid bathroom mats; Use mobility aids (canes); Use non-slip
socks; Patient wear 'fall risk' band; Place sign on door; Have bed/chair alarm.
✔✔ ABCs - ✔✔Airway, Breathing, Circulation
✔✔Prioritization - ✔✔The process of deciding which problems need to be addressed
first based on factors such as problem urgency, future consequences, patient
preference, and computer-assisted diagnosing.
✔✔Scope of Practice - ✔✔The range of responsibilities and activities that a nurse is
legally permitted to perform.
✔✔Actions without a Doctor's Order - ✔✔Turning a patient, providing comfort, raising
the head of the bed, grooming/bathing, applying ice packs/heat pads (with some
, exceptions), patient education, assisting in ADLs, preventing falls, and promoting
hydration and nourishment (with some exceptions).
✔✔Out of Scope Actions - ✔✔If asked to perform out of scope, refer to the facility's
policies and procedures. If they cover the action, it is within scope; if not, it may not be.
✔✔Primary Prevention - ✔✔Designed to prevent or slow the onset of disease through
actions such as eating healthy foods, exercising, wearing sunscreen, obeying seat belt
laws, using car seats, using condoms, and keeping up with immunizations.
✔✔Secondary Prevention - ✔✔Screening activities and education for detecting
illnesses in the early stages, including breast self-exams, testicular exams, regular
physical exams, BP and diabetic screenings, bone density screenings, and TB skin
tests.
✔✔Tertiary Prevention - ✔✔Focuses on stopping the disease from progressing and
returning the individual to the pre-illness phase, with rehab as the main intervention
during this stage, including preventing pressure ulcers, cardiac stent procedures,
support groups, physical rehab, and speech therapy.
✔✔Nursing Process - ✔✔A systematic approach to patient care consisting of
Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE).
✔✔Non-linear Nursing Process - ✔✔The nursing process is not a linear sequence; it
involves continuous assessment and adjustment.
✔✔Assessment - ✔✔Involves gathering data about the patient and their health status;
Info is related to the physiological, psychological, sociocultural, developmental, and
spiritual status of the individual.
✔✔Primary data - ✔✔Data obtained directly from the patient.
✔✔Subjective data - ✔✔What the patient SAYS/TELLS you.
✔✔Objective data - ✔✔What you can SEE for yourself.
✔✔Secondary Data - ✔✔Data obtained secondhand, from the medical record or
another care provider.
✔✔Diagnosis - ✔✔Using critical-thinking skills, the nurse analyzes the Assessment to
identify patterns in the data and draw conclusions about the client's health status
(strengths, problems, and factors contributing to the problem).