Fundamentals of Nursing Lecture Notes

Introduction

• Presenter: Professor D
• Platform: YouTube Channel
• Focus: Fundamentals of Nursing
• Audience: Suitable for all nursing students and graduates
• Call to Action: Like the video, subscribe, visit nexusnursinginstitute.com for tutoring and resources

Available Resources

• Private Tutoring: One-on-one sessions
• NCLEX Review: Part 1 (thinking like test writers), Part 2 (NCLEX type questions)
• Audio Lessons: For students needing high exam grades
• Upcoming: Nexus Nursing Test Bank for practice questions

Key Concepts Covered

Incident Reports

• True/False Question: Incident report in patient's medical record?
  • Answer: False
  • Explanation: Incident reports are separate from patient charts to enhance facility processes without legal/patient implications.

Oral Temperature

• Question: Wait time after eating/drinking/smoking?
  • Answer: 10 minutes
  • Reason: To ensure an accurate temperature reading unaffected by external factors (e.g., ice cream, smoking).

Breathing Patterns

• Question: Paroxysm of breathing in metabolic acidosis?
  • Answer: Kussmaul breathing
  • Others: Tachypnea (increased respiration), Bradypnea (decreased respiration), Apnea (absence of breathing)

Blood Pressure Cuff Size

• Question: Effect of a too-large cuff?
  • Answer: Lower reading
  • Opposite: Too-small cuff gives a high reading

RN's Non-Delegatable Tasks

• Tasks: Blood transfusions, central lines, IV pushes, piggybacks, PCAs
• Rationale: These involve critical patients or complex procedures

Reverse/Protective Isolation

• Question: Patients needing reverse isolation?
  • Conditions: Chemotherapy, long-term steroids, HIV/AIDS, severe burns
  • Rationale: These patients are immunocompromised

Lack of Exercise

• Question: Main problem caused by lack of exercise?
  • Answer: Muscle atrophy
  • Other Considerations: Osteoporosis, joint contracture, urinary tract stones

Pressure Ulcer Risk Factors

• Factors: Immobility, incontinence, poor nutrition, poor circulation, diabetes, peripheral vascular disease

Restraint Orders

• Renewal Requirement: Every 24 hours by physician after patient assessment

Application of Heat

• Question: Not an indication for heat application?
  • Answer: Vasoconstriction

Abdominal Assessment Order

• Correct Order: Inspection, auscultation, percussion, palpation
  • Rationale: Least to most invasive to avoid artificially altering clinical findings

Conclusion

• Summary: Covered essential fundamentals of nursing
• Advice: Review these basic yet important concepts for exams and practice
• Availability: Content to be uploaded on YouTube channel for further study