Editing Fundamentals of Nursing (section)

== High yield points for the licensure examination ==

* Assess before you act, unless the situation is an emergency requiring immediate intervention.
* Airway, breathing, and circulation outrank everything else. Then use Maslow, then safety, then acute before chronic.
* The patient's self report is the most reliable indicator of pain.
* Sedation precedes respiratory depression in opioid therapy.
* Reposition at least every 2 hours in bed and every 1 hour in a chair, and never massage a reddened bony prominence.
* Keep the head of the bed elevated at least 30 degrees during and after enteral feeding.
* Keep the urinary drainage bag below the bladder and off the floor, and remove the catheter as early as possible.
* The cane goes on the strong side; the strong leg goes up the stairs first.
* Wash from clean to dirty and from the inner to the outer canthus of the eye.
* Use soap and water, not alcohol rub, for ''Clostridioides difficile''.
* Only the patient presses the patient controlled analgesia button.
* Four raised side rails constitute a restraint.
* Compare every finding to the patient's own baseline.

[[Category:Fundamentals of Nursing]]
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