What is the Nurse Practice Act and what is its purpose?
- Protects the public from unsafe and unqualified nurses
- NCLEX licensure
- certifications
- State board of nursing oversees the practice act
What is the role of a caregiver?
-Helps patients manage diseases and symptoms throughout the healing process.
What is a nurse educator?
Works in schools of nursing, staff developmental agencies, patient education departments
- must have clinical practice
What is a nurse researcher?
Conducts evidence based practice, and further future practices.
What is a nurse administrator
manages patient care
What is primary care?
- prenatal
- well baby
- family planning
what is preventive care?
- immunizations
- diet counseling
- mental health
What is secondary care?
- Acute care
- hospital emergency c are
What is tertiary care?
- intensive care
- inpatient
- pysch facilities
- oncology
What is continuing care?
- assisted living
- nursing centers
What is restorative care?
Rehab centers
What is evidence based practice?
-current and future practice needs to be based on current evidence not just according to education and personal experiences
What factors can influence pulse ox?
- light transmission
- nail polish
- col
- peripheral arterial pulsations
- diseases such as diabeties
What are the variations in technique over different age groups for respirations?
- INFANT (up to 1yr)- check respirations first (a disturbed baby with cry and breath harder)
- CHILD (1-12) Pulse and Respirations at same time
- 12+ : count 30 seconds pulse and double if regular, the next thirty seconds respirations without them knowing and double
When do you take vital signs?
- upon admission
- before during and after treatment
- status changes
- neurological changes
When there is an abnormal pulse, what does the nurse do next?
-Check apical pulse for one full minute
What things do you look for in health history before andduring a abdominal assessment
- Last BM, description
- Diet
- medications
- past surgical history
- weight changes
- any gas
- family history
- drug and alcohol use
females:
- last cycle, pregnancy
How do you prep a patient for an exam physically and pyschologically?
Show respect for patient by ensuring physical comfort needs
- using bathroom
- maintaining privacy
- routinely ask about comfort
Explain each step and purpose of the assessment, maintain professional approach while remaining relaxed
be mindful of cultural and social norms especially when performing the exam on the opposite gender
What findings might you find on an older adult during a head and neck assessment that you would not expect on a younger adult?
- liver spots
- basal cells
- melanoma
- squamous cell
- thinning of hair
Differences in ages of males on an assessment
- sexual maturity
- STIs
- Testicular cancer
- checking prostate
