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Comprehensive Nursing Review
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advance affected leg & crutch then advance
3 patient gait
the unaffected leg
Preserve life, Prevent further injury, Promote
3P's for FIRST AID
recovery
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4 MAIN ETHICAL Autonomy, Beneficence, Non-Maleficence,
PRINCIPLES OF Justice.
NURSING PRACTICE
Hemostasis - 4-5 minutes; Inflammatory - 1-5
4 stages of wound
days; Proliferative - 3-24 days; Maturation - 21
healing
days to 1 year
5 A Day Variety of fruits and vegetables for health.
5 portions of fruits & Non-insulin dependent DM patient
vegetables
5 RIGHTS OF Task, Circumstances, Person,
DELEGATION Direction/Communication, Supervision.
Care, Compassion, Commitment, Courage,
6 C's
Competence, Communication.
Values based for leading change, adding value,
THE 6 C's framework for Nursing & midwifery and care
staff
Time, Dose, Patient, Documentation, Route,
6 Rights
Drug
8 y.o. patient Talk to the patient using age specific approach
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9 RIGHTS OF 1. Patient 2. Medicine 3. Route 4. Time 5. Dose 6.
MEDICINE Documentation 7. Reason/Action 8.
MANAGEMENT Response/Form 9. Requirement.
20 CRITICAL Highly important, should be 90% above or with
QUESTIONS 18 points correct answer.
65 y.o. above Alzheimer's (Dementia)
80 y.o. patient with Sensory deprivation
MRSA
Abdominal Aortic Most common aneurysm in elderly patients.
Aneurysm
Abdominal Incision 35-45 degrees
Abdominal Supine in bed, head raised 45-50cm with a
Paracentesis back rest
MOST RELIABLE method in testing the
placement of enteral tube; if PRIOR to
Abdominal X-ray
FEEDING: aspiration of gastric contents (acidic
<5.5pH)
Measures both Oxygen and Carbon Dioxide
ABG level & therefore can give indication with both
ventilation & oxygenation.
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According to WHO: 95mmHg and above
High diastolic
According to WHO: 160mmHg and above
High systolic
Individuals are responsible for their own action
Accountability
and may be asked to justify them.
Accountable for RN Him/Herself
actions
Accurate method in In 1 full minute, one cycle= patient's chest
calculating Respiratory complete rise and fall.
Rate
Aching muscles Not a sign and symptom of infection
Check the cupboard, record book & order
Actions for
book & inform the RN or person in charge with
discrepancy in
the clinical area. If the missing drugs are not
controlled drug
found, then inform the most senior nurse on
record
duty. You will also complete an incident form.
Full set of observations: BP, RR, O2 sat, temp.
Actions for racing
Essential to perform 12 lead ECG, the patient
heart
should be reviewed by the MD.
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