Fundamentals of Nursing, 9th Ed., Potter, Perry, Stockert & Hall, 2017 | Registered Nurse (RN) School Study Aid
Oxygen Delivery Methods
- Nasal Cannula
- Simple Face Mask
- Non-Rebreather Mask
- Venturi-Mask
- Oxygen In Use Sign
- No Electrical Sparks
- Six Feet Away from Open Flames
- Dry Nasal and Upper Airway Mucosa
- Skin Irritation
- Home Education
Prevention of Falls
- Physical Aging
- Polypharmacy
- Environmental
- Call Light within Reach
- Assistive Devices Available
- Bed Alarms
- Improve Lighting
- Remove Home Hazards
- Promote Exercise
- Fall Risk Assessment
Age 2 Months - Developmental Milestones
- Holds Head Up, But Unsteady
- Moves Both Arms and Both Legs
- Opens Hands Briefly
- Tracks Objects to the Midline
- Produces Sounds Aside from Crying
- Reacts to Loud Noise
- Social Smile
- Recognizes Parents
- Soothed When Spoken to or Picked Up
Age 4 Months - Developmental Milestones
- Keeps Head Steady Without Support
- Pushes Up on Elbows While on Tummy
- Holds a Toy in Hands
- Moves Hands Towards Mouth
- Cooing
- Turns to Voice
- Chuckles
- Enjoys Looking Around
- Looks at Hands With Interest
- Opens Mouth When Hungry
Age 6 Months - Developmental Milestones
- Sits Propped Up On Hands
- Rolls
- Raking Grasp
- Makes Squealing Noises
- Blows "Raspberries"
- Turn-Taking in Sounds
- Laughs
- Enjoys Looking at Self in a Mirror
- Recognizes Familiar People
- Closes Lips to Signal Fullness
- Puts Objects in Mouth
- Reaches for Desired Toys
Age 9 Months - Developmental Milestones
- Sits Up Independently
- Transfers Objects Between Hands
- Uses Fingers to Pull Food Toward Self
- Produces Various Sounds Like "mamamama" and "bababababa"
- Raises Arms to be Lifted Up
- Separation Anxiety
- Shows Facial Expressions
- Looks When Calling Name
- Smiles or Laughs at Peek-a-boo
- Looks for Dropped Objects Out of Sight
- Bangs Two Items Together
Age 1 Year - Developmental Milestones
- Pulls Up to Stand
- First Steps
- Drinks From an Open Cup with Assistance
- Two-Finger Pincer Grasp
- Understands “No”
- Waves "Bye-Bye"
- "Mama & Dada"
- Plays Pat-A-Cake
- Puts Block in Cup
- Searches for Hidden Toys
Age 2 Years - Developmental Milestones
- Kicks a Ball
- Runs
- Walks Up Stairs With Help
- Stacks Six Blocks
- Feeds Self With a Spoon
- Two-Word Phrases
- Points to Book Items as Prompted
- Demonstrates Varied Gestures
- Identifies Body Parts When Prompted
- Shows Empathy
- Holds and Manipulates Objects Simultaneously
- Engages With Multiple Toys
Age 3 Years - Developmental Milestones
- Starts Dressing Independently
- Rides Tricycle
- Stack Nine Block Tower
- Threads Items Together
- Copies Circle
- Uses Fork
- Engages in Two-way Conversation
- 75% Speech Understood by Stranger
- Says First Name
- Avoids Hot Objects When Warned
- Joins Other Kids in Play
Age 4 Years - Developmental Milestones
- Unbuttons Some Buttons
- Catches a Large Ball
- Serves Food or Pours Water With Help
- Copies Line, Circle, Stick Figure
- 100% Speech Understandable
- Identifies Colors
- Cooperative Play
- Imaginary Friends
- Likes Being a “Helper”
- Avoids Danger
Age 18 Months - Developmental Milestones
- Walks Independently
- Climbs On/Off Furniture Without Help
- Drinks from Open Cup Independently
- Scribbles
- Eats with Fingers
- Tries to Use a Spoon
- Stacks Three Blocks
- Attempts Three-word Phrases
- Follows One-step Commands
- Checks While Moving Away
- Points to Objects
- Engages With Toys Simply
- Copies Parent Doing Chores
- Extends Hands for Washing
Age 5 Years - Developmental Milestones
- Buttons Some Buttons
- Hops on One Foot
- Prints Letters
- Counts to 10
- Uses Simple Rhymes
- >3 Back-and-forth Exchanges
- Answers Simple Questions
- Tells a Story
- Names Some Letters When Pointed
- Follows Rules
- Sings, Dances, Acts
- Does Simple Chores
Immobility
- Mobility Continuum
- Cardiovascular
- Respiratory
- Musculoskeletal
- Integumentary
- Gastrointestinal
- Urinary
- Turn, Cough, Deep Breathe (TCDB)
- Range of Motion (ROM)
- Skin Care
- Fluids
- Balanced Diet
Use of Restraints
- During Emergency
- Protecting From Harm
- For Limited Time
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
Fire - Environmental Emergencies
- R.A.C.E
- Rescue
- Alarm
- Confine
- Extinguish
- P.A.S.S.
- Fire Exits
- Do Not Use Elevators
- Manual Ventilation
Types of Head Injuries
- Open Head Injury
- Linear Fracture
- Comminuted Fracture
- Depressed Fracture
- Open Fracture
- Basilar Skull Fracture
- Closed Head Injury
- Coup and Contrecoup
- Brain Contusion
- Concussion
Types of Seizures
- Tonic-Clonic
- Tonic
- Clonic
- Absence (Petit Mal)
- Myoclonic
- Atonic
- Partial (Focal) Seizure
- Focal Aware (Formerly Called Simple Partial)
- Focal Impaired Awareness (Formerly Called Complex Partial)
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Never Restrain
- No Objects in Mouth
- Document Details