TITLE: PRACTICAL EXERCISES FOR NURSES
SANDRA SUAREZ RAMIREZ
MARIA ELENA GARCÍA GARCÍA
CECILIA VALDÉS MENÉNDEZ (*)
ANDRÉS NOVO ROSAS (*)
(B. Ed. and Assistant Professors at Salvador Allende School of = Medicine)
YEAR: 4th year
"Dr. Salvador Allende" School of Medicine
This booklet of exercises for Nursing students is a tool to provide = extra-class practice related to technical English and Nursing contents = studied in 4th year. Since there is no workbook for this = program, we thought it was necessary to create a supplementary material = to help us improve our knowledge and language competence. To do this we = consulted several books and made a group of exercises which cover some = of the topics studied in the lessons, arranging them in the following = order: communication, vital signs, medication administration, and wound = care.
There are different types of exercises such as True or False, = Multiple choice, Match, Completing, and others. They involve reading and = writing, as well as other subskills of the language.
This material has proved to be of great value for motivating = independent work and has been welcomed by our classmates and = teachers.
With the advance of micro-computers, second = language (L2) learning and teaching are now gaining a new dimension; so = is about times students and teachers together adapt and put into = practice the new technology in order to develop learning opportunities. = Micro-computers are now more available and new educational software are = appearing in our institutions.
A computer, used in a skillful manner, can be a = supporting and helpful tool in education. (1) Klobusicky, E. Putting = computer to work in your class. (FORUM, April 1990)
The symbiosis between man and machine for = educational purposes is sometimes criticized because of the sense of = isolation the student may feel. But our project is intended for = after-class activity. It means that the students decides on his/her own, = when he/she needs or wants to use the machine to review aspects = previously studied in class so, in a way, it gives solution to that = handicap since the machine won=92t be used during the learning = phase.
Moreover, this project is planned for fourth year nursing students = who have a computer subjects, and motivating independent work.
Aware of the limitations of different kinds we may = have and in fact, already have, we decided to prepare this modest = project.
The project develops reading skills and includes = practice exercise like Multiple Choice, T and F and others to review the = contents we=92ve studied in class.
There is no doubt that technology is falling upon = our heads at every minute. For this reason, students and teachers must = apply themselves to the challenge of computers (2) Mc. Greal, R. = Computer Assisted Instruction: Non-Human BUT NOT Inhuman. (Forum, = educational and motivational programs through this medium.
If we don=92t learn to use computers and all their = resources, we run the risk of short-changing ourselves and our = development (3) Tillger, A. How Electronic Communications are changing = our lives. (Forum 1995).
MATERIAL AND METHOD
To make this booklet different sources were consulted and they helped = us create the exercises. They were grouped into four categories: = communication, vital signs, medication administration, and wound care. = These themes are studied during the course and are related to nurses=92 = daily care activities like using equipment, carrying out procedures, = interviewing the patient, giving instructions, and others. There were = different types of exercises included, such as True or False, Match, = Multiple choice, Completion, and Recognition and through them students = can practice reading comprehension and writing skills, as well as = technical language and grammar aspects.
As a result 21 exercises have been made up to now and they have = proved to be very useful for out-of-class practice and for consolidating = knowledge and skills.
Ex.1: Nurse-patient communication is of paramount = importance. What questions may a nurse ask a patient to obtain his/her = general data during the Nurse Interview.
1-______________________________________________? = =
Ex.2: Verbal communication involves a sender and a receiver, a = message, and the environment in which the interaction takes place. Say = True or False.
3- _______ The nurse interview process has 3 phrases: orientation, = working
4- _______ Not listening attentively or imposing judgement can block =
5- _______ Nurses shouldn=92t exhibit periods of listening during an = interview.
Ex-3: List five instructions nurses should give patients during = examining the Respiratory System.
Ex.1: Select the correct answer:
To take the vital signs nurses need:
Ex-2: The sphygmomanometer has four (4) parts.
Select its parts from the following group of words:
Ex-3: To take the blood pressure nurses have to do some actions.
Match the actions with their corresponding rationale.
A = B
him/her psychologically. = .
and promotes = efficiency. =
pulse is lost. = beat. =
when pulse returns.
patient=92s chart. ___ Avoids = charting errors. =
___ Identify systolic blood pressure
Ex-4: List at least 5 parts of the body where pulse can be taken.
2- _________________ 4- _________________
Ex-5: Say True or False.
shake the mercury down.
thermometer in place for five or ten minutes.
Ex-6: You=92re going to begin the morning shift. During the report of = the previous shift the nurse noted the following findings.
" Rachel, 70-year old patient admitted to the ward for = pneumonia. Alert, oriented female; skin warm and dry; edema of the lower = extremities; T: 38 =BAC, P: 80/irregular, BP: 140/82, R: 22, with = shortness of breath, productive cough, diminished lung sounds in the = bases".
Based on the report differentiate normal from abnormal = findings.
Medication administration is one of the most frequently performed = procedures executed by the nurse.
Ex-1: There are five" RIGHTS" a nurse must check before = medication administration. Tick (v ) them from the list below:
Ex-2: Say True or False.
Ex-3: Match the wards in A with their definitions in B.
A = B
___ Small bottle for medication.
Ex-4: Select the correct answer.
The needle consists of 3 parts: hub, shaft and point. For an I.V. = injection the needle should be inserted:
Ex-5 List the most common S.Q injection sites:
Ex-6 Parenteral medications may be drawn from ampoules or vials.
Order the steps to withdraw medication from a vial.
_____ Insert syringe needle into the vial and inject air.
_____ Cleanse the vial seal with an alcohol swab.
_____ Invert the vial, keeping the needle in the fluid to allow the = pressure fill the
_____ Draw air into a syringe equal to the medication desired.
_____ Recheck the dosage and keep the syringe in a sterile place.
_____ Remove the needle from the vial and eject the air.
Ex7: Medication routes which do not involve injections are called = non- parenteral routes.
List five forms in which non-parenteral medications may come = in:
1- ___________ 2- ___________ 3- ___________
4- ___________ 5- ___________
Ex1: Wounds can be septic or aseptic.
From the list below select sings which may indicate the presence of = wound infection:
Ex2: Say True or False.
1- ____ Nurses don=92t need to assess the external condition of a = wound before
giving wound care.
Ex-3: Select the correct answer.
A sterile pack for wound care contains different = instruments.
Among them you may find:
Ex4: To perform wound irrigation you should follow these steps: = =
Put them in the correct order.
_____ Remove dressing with forceps.
_____ Irrigate wound with a syringe until debris and drainage are = washed.
_____ Identify the patient and give psychological support.
_____ Position the patient on his/her side and place basin beside = wound,
and towel under it.
_____ Wash your hands and prepare the equipment.
_____ Write your observations on the patient=92s chart.
_____ Don sterile gloves.
_____ Apply sterile dressing, if ordered.
_____ Dispose of gloves and materials and store supplies = appropriately.
Ex5: Fill in the blanks with the words from the list:
List: lubricant, chart, toilet paper, wound bag, bedpan, = soap and water,
The ________ is uncovered. Then, the dirty ________ is removed with = forceps. After that, the stoma is cleaned with ________________ first, = and then with _____________.
Next, a thin layer of ____________ is put around the stoma to prevent = skin integrity.
A sterile _____ is replaced and the colostomy is covered with new = gauze. Finally, the nurse should record her observations on the = ______.
We hope this project will help those for whom it is intended, and = that it will also
motivate specialist in the field who can give us valuable ideas to = enrich it.
1- Smith, A.J.; Young, J. Joyce Nurses Guide To Clinical = Procedures.
2- Dugas. Tratado de Enfermería = Práctica. 1ra. Edición. Cuba = 1989.
3- Corrales Fuentes, Jaime y An International Nurse. = Editorial = = coautores. Pueblo y Educación. = Cuba, 1990
4- Fuller, J; Schaller- Ayer, J Health Assessment: A = Nursing Approach.
and contributors. Lippiacot Co. Phil. = 1990.
5- Tillyer, A. 1995 How Electronic = Comms.. Are Changing
Our Lives. Forum Oct. 1995. Vol 33. =
6- Klobusicky, E. 1990 Putting Computer to = Work in your Class.
Forum, = Apr. 1990.
7- Mc. Greal, R.