Nursing Concepts Flashcards

Terms Definitions
heme
blood
hr
hour/s
HA
headache
STAT
immediately
Hx
history
OA
osteoarthritis
ht
height
sup
superior
R
right
drsg
Dressing
GI
gastrointestinal
GB
gallbladder
dil
dilated
T
temperature
Neuro
neurology
w/u
workup
trach
tracheostomy
lab
laboratory
lytes
electrolytes
x
times
wt
weight
int
internal
PV
peripheral vascular
MI
myocardial infarction
OJ
orange juice
ICH
intracranial hemorrhage
gtt
guttae (drops)
po
(by mouth)
T-AX
temperature, axillary
T-O
temperature, oral
CC
chief complaint
ST
sinus tachycardia
VTE
Venous Thromboembolism
+++
increased (reflexes)
AKA
above-knee amputation
Rx
prescription; treatment
CVA
cerebrovascular accident
qam
every morning
UTI
urinary tract infection
QNS
quantity not sufficient
RDS
respiratory distress syndrome
NSR
normal sinus rhythm
TPN
total parenteral nutrition
NPO
nothing by mouth
BMI
body mass index
HPI
history of present illness
Prevention
aversion of disease development
add; ADD
adduction; attention deficit disorder
BS; bs
bowel sounds; breath sounds
SQ
DON'T USE -- Subcutaneous…write subQ
S & S
signs and symptoms
L & R
left and right
PVD
peripheral vascular disease; posterior vitreous detachment
Qid, QID
Four times a day
HEENT
head, eyes, ears, nose, throat
I & O
intake and output
PTA
prior to arrival; percutaneous transluminal angioplasty
Pandemic
involves populations in widespreaf geographical areas of the world
Primary Prevention
precedes disability and dysfunction
IU
DON'T USE -- Write "international unit"
CDC
Center For Disease Control And Prevention
Medicare Part A
covers inpatient hospital services
Medicaid
a major state managed health-care program and must provide a minimum set of federally mandated benefits
PM
post meridiem, (time from noon to midnight)
Incidence
the frequency of newly occuring cases of a disease in a specified population during a given time period
Medicare Part B
covers services from physicians, nurses, or other health professionals working under the direction of a physician
Secondary Prevention
the early diagnosis and prompt treatment of disease
HS
DON'T USE -- Hour of sleep…write out "at bedtime"
World Health Organization
agency that deals with international health concerns; attached to the United Nations; funded through subscription by member nations and is responsible for monitoring the incidence of disease throughout the world
International Red Cross
active international agency that is particularly visible in its efforts to assist individuals when natural disaster occur
Objectives of epidemiology
define the risks associated with various states of health; identify causes of disease; support the need for health care services to intervene in the case of specific conditions
Prodromal Period
the period between the first symptom and the appearance of symptoms that typify the disease
Prevalence
the measure of the total number of cases of a given disease in a specified population at a designated time
.1 mcg
DON'T USE -- Write out as "0.1 mcg"
Causality
the act of relating one event to the effect it produces
Socialist Systems
Located in Cuba and the republic of China; government has almost complete control of the health care system; no client copay, control is centralized, and hospitals are part of a national system
Case Fatality Rate
the percentage of people in the population wh have the condition under study and who die from it
Health promotion
the art and science of moving people, groups, and communities toward a state of optimal health
Free enterprise system
located in the United States; care delivered through an open market; with minor government control over supply, demand, and the cost of services; operates on a fee for service basis
Ms or MS04
DON'T USE -- Write out as "morphine" or "morphine sulfate"
Direct causal relationship
those in which a factor causes disease with no other factor intervening
Community Health Nurse
focuses on the health needs of the aggregate ; promotes wellness, health protection, and disease and injury prevention
Subspecialties in Community Health Nursing
public health nursing  and home health nursing
Diagnosis- related groups (DRGs)
health facilities are paid a flat fee for services that are set in advance by Medicare; based on client's diagnoses
2.0 mg
DON'T USE -- Write out as "2 mg" - do not use trailing zeros
Nipride:
anti-HTN
Bulimia is
binge eating
icterus gravis
marked jaundice
BACTERIOSTATIC
PREVENTS MULTIPLICATION OF BACTERIA
Buerger's test
arterial adequacy test
Prostate specific antigen (PSA)
<4ng/ml
THIS VITAMIN PROMOTES BLOOD FORMATION, MAINTAINS NERVOUS TISSUE, AND IS NECESSARY FOR AMINO ACID METABOLISM?
B6--PYRIDOXINE
PUSTULE
ELEVATED LESION CONTAINING PURULENT MATERIAL (ACNE)
COMMUNITY WELLNESS ENHANCES _________
FAMILY ENVIROMENT
common advic
based on unprofessional opinion
Paraplegia is secondary to:
thoracic injury
Hypothalamus
master gland
regulates pituitary gland by several "releasing" hormones
REFLEX
AN AUTOMATIC RESPONSE TO STIMULIT
Functional Health Practices
facititate optimal health
Florence Nightingale
established the first nursing philosophy based on health maintenance and restoration. Her views on nursing reflected the changing needs of society. 1860 she developed the first organized program for training nurses, the Nightingale Training School for Nurses
DEFICIENCY LEADS TO ANEMIA, BONE DEMINERALIZATION , AND DECREASED IMMUNITY?
COPPER
MODERATE ANXIETY
SUBJECTIVE DISTRESS OR TENSION, DECREASED PERCEPTION AND ATTENTIONALERT ONLY TO SPECIFIC INFORMATIONPOSSIBLE TENDENCY TO COMPLAIN OR ARGUEPOSSIBLE HEADACHE, DIARRHEA, NAUSEA OR VOMITING
STRESSPROJECTION
ATTRIBUTION OF ONE'S OWN THOUGHTS, FEELINGS OT IMPULSES OF OTHERS
ANTIBIOTICS
administerat re intervals to maintain constant sserum levels of the med and increase effectiveness(good point ofr pt teaching.
STRESS
DISPLACEMENT
THE TRANSFERRING OR DISCHARGING OF EMOTIONAL REACTIONS FROM ONE OBJECT OR PERSON TO ANOTHER OBJECT OR PERSON
inspiratory ration
1-2 (short inspiration, long expiration) at bronchial level, 1-1 at bronchovesicular, 5-2 at at vesicular (long inspiration short expiration
intellectualization
defense mechanism. distance one's self from an emotionally painful event by subjecting tyhe incident to intellectual analysis
INFECTION
infant response tends to be generalized ex may have diahrrhea with a URI.
Apraxia:
neurological disorder that results in a loss of the ability to carry out meaningful task
Dysarthria
motor speech disorder characterised by poor articulation
due to a disorder in nervous system
Excessive blinking, vermiform tongue movement, abnormal involuntary sucking, chewing, licking, and pursing movements of tongue and mouth are all signs of
tardive dyskinesia.
Name ABT's that fight Corynebacterium diptheriae
Erythromycin
DIZZINESS
THE ALTERED SENSATION OR ORIENTATION IN SPACE
Cocaine use during pregnancy=risk for
Abrupto Placenta
THIS VITAMIN PROMOTES NORMAL FUNCTION OF ALL CELLS, ESPECIALLY OF NERVOUS SYSTEM, PROMOTES BLOOD FORMATION, AIDS IN SYNTHESIS OF DNA AND RNA?
B12--COBALAMIN
COMMON S/S OF CSF LEAKAGE
FREQUENT SWALLOWING
pressure ulcers has how many stages?
4 stages
THIS VITAMIN IS FOUND IN ENRICHED GRAINS, CEREALS, PORK, AND LEGUMES?
B1-THIAMINE
WHAT IS THE RDA FOR COBALT?
NO RDA!!!
THIS MINERAL IS A COMPONENT OF ENZYMES FUNCTIONING AS ANTIOXIDANTS?
SELENIUM
STRESS SUPPRESSION
AN ATTEMPT TO KEEP UNPLEASANT MATERIAL OUT OF CONSCIOUSNESS
What should you watch for in phenylketonuria?
Protein
What is the causative organism for epiglottitis?
Meningitis.
that fibroid tumors may cause
abnormal vaginal bleeding
PRIMARY HEALTH PROMOTION
GENERALIZED HEALTH PROMOTION AND SPECIFIC PROTECTION AGAINST DISEASE
assessment
refers to the gathering of health data
Which healthcare worker is most at risk for contracting Hep C?
Phlebotomist
A condition that results from the demylenation of neurons is what?
MS
When taking dilantin, a pt should increase what in thier diet?
K+
Trichomoniasis
itching & redness of vulva & skin inside thighs as well as copius watery, frothy vaginal discharge - flagyl
What hormone is deficient in diabetes insipidus?
ADH
The incubation period for Lymphogranuloma venereum is
Weeks to Years
TRAPEZE
AN OVERHEAD DEVICE TO ASSIST PATIENT WITH MOBILITY IN BED.
A DECREASED IN THIS ELECTROLYTE MAY CAUSE MUSCLE WEAKNESS AND VASCULAR AND INTESTINAL MOTILITY PROBLEMS?
POTASSIUM
Risk
The probability that an event will occur
DEFICIENCY OF THIS VITAMIN LEADS TO ORAL LESIONS, DERMATITIS, CHEILOSIS( CRACKS IN THE CORNER OF THE MOUTH), RED AND SWOLLEN TONGUE, REDDENING OF CORNEA?
B2--RIBOFLAVIN
THIS MINERAL FUNCTIONS IN BONE AND TOOTH FORMATION, SMOOTH MUSCLE RELAXATION, CARB METABOLISM, PROTEIN SYSTHESIS, HORMONAL ACTIVITY, AND CELL REPRODUCTION AND GROWTH?
MAGNESIUM
Treatment for malignant hypertension
Nipride and muscle relaxants
Actual Nursing Diagnosis
describes human responses to health conditions or life processes. It is based on defining characteristics (signs & symptoms).
WHAT IS THE 2ND AND LONGEST PORTION OF THE SMALL INTESTINE CALLED?
JEJUNUM
PORTAL OF EXIT
MEANS BY WHICH THE MICROORGANISM LEAVES THE SOURCEEX: SPUTUM, EMESIS, BLOOD, STOOL, URINE, WOUND DRAINAGE, GENITALIA SECRETIONS
DOSE ON HAND /QUANTITY ONHAND =DESIRED DOSE/QUANITY DESIRED
AMOUNT TO ADMINISTER
Why use Lugol's solution before thryoidectomy?
Devascularize the gland
pulmonary hypertension is a cause of
right heart failure
STEPS TO EVALUATING
JUDGE WHETHER GOALS/ OUTCOMES HAVE BEEN ACHIEVED
RELATE NURSING ACTIONS TO CLIENT OUTCOMES
MAKE DECISIONS ABOUT PROBLEM STATUS
REVIEW AND MODIFY THE CARE PLAN AS INDICATED OR TERMINATE NURSING CARE
cranial nerve III
oculomotor, assess they pupils for symmetry
health beliefs
the aymara of Bolivia believe that loss of blood is associated with loss of the persons spirit. health beliefs reflect the influence of a persons culture
standards of care
1. assessment, 2.diagnosis, 3. outcome ID 4. planning, 5. implementation, 6. evaluation
stress
sometimes it refers to the forces or stimul that impinge upon an individual, - stressors. When streass is deffined as a stimulus the resulting model is called a stimulus based stress model
What is the zoster vaccine used to treat?
varicella
SE of Isonizide:
diarrhea, visial changes, numbness or tingling in teh ext., unusual bleeding or bruising
Mortality
the death rate from a specific illness or in a particular population
Why use Lugol's solution before thryoidectomy?
Devascularize the gland
What is the mode of transmission for chicken pox?
Airborne
The incubation period for Hep D & G is
UNCLEAR
OPSONIZATION
THE PROCESS OF COATING AN ANTIGEN WITH A THICK SUBSTANCE TO AID IN PHAGOCYTOSIS.
AT WHAT % INCREASE IN BODY WATER WEIGHT DOES PITTING EDEMA OCCUR?
10%
WHAT IS THE NORMA PH IN BODY'S ECF?
7.37-7.43
DEFICIENCY OF THIS VITAMIN LEADS TO RICKETS, MALFORMED TEETH, AND BONE DEFORMITIES?
VITAMIN D
THIS MINERAL IS A COMPONENT OF ENZYMES FUNCTIONING AS ANTIOXIDANTS?
SELENIUM
Task-orientated touch
is used when performing a task or procedure.
THIS VITAMIN IS FOUND IN FISH OILS, CARROTS, SWEET POTATOES, BROCCOLI, AND GREEN LEAFY VEGETABLES
VITAMIN A
NURSE/CLIENT RELATIONSHIPINTRODUCTORY OR ORIENTATION PHASE
NURSE INTRODUCES SELF AND SETS TONE FOR REST OF RELATIONSHIP
Clinical manifestations of diabetes insipidus are
polydipsia, polyuria, SG 1.000-1.005, and high serum osmolality.
What is the first sign of Syphillis?
A painless chancre.
STANDARDS OF PRACTICE
MAY BE OUTLINED IN POLICY AND PROCEDURE MANUALS OF A FACILITY
HEALTH PROMOTION AND ILLNESS PREVENTION
PRIMARY CARE AGENCIES
HEALTH PROMOTION, PREVENTIVE CARE, HEALTH EDUCATION, ENVIRONMENTAL PROTECTION, EARLY DETECTION AND TX.
EX: PUBLIC HEALTH, PHYSICIANS OFFICE, AMBULATORY CARE CENTER
depression
is more than a passing blue mood. it may be endogenous (stemming from inside) or exogenous (situational or reactive.
independent nursing intervention
include repositioning a patient in bed who is at risk of impaired skin integrity.
DPT immunization is a immunization for what?
diptheria, tetanus, pertussis
Pressure garmets used in burn pts. are used to:
prevent scarring
No pain is experienced with what type of burn:
third degree
cerebral angiography
contrast dye injected into one or both carotids then x rayed
Cortisol is given in patient with what disease?
Addison's disease
What are ABT's that fight Streptococcus pneumoniae?
PCN G or V
PREADMISSION TESTING
THE DIAGNOSTIC TESTING DONE PRIOR TO A SURGICAL PROCEDURE
NORMAL URINE OSMOLARITY IS___?
50-1200mOsm/L WITH THE AVERAGE BEING 200-800
50-60% OF THIS CATION IS IN BONES WITH REMAINDER IN SOFT TISSUE AND BODY FLUIDS; PRIMARILY AN ICF ION; IMPORTANT IN REGULATING NEUROMUSCULAR FUNCTION AND CARDIAC ACTIVITY; REGULATED BY KIDNEYS?
MAGNESIUM
WHAT IS THE % OF DAILY INTAKE FOR FATS?
25-30%
Identify how professional standards influence a nurse’s clinical decisions.
a. Ethical standards are one component of professional standards that influence a nurse’s clinical decisions. Being able to focus on a client’s values and beliefs to helps the nurse to make decisions that are just, faithful to the client’s choices k and beneficial to the client’s well being.b. The use of evidence based criteria enables the nurse to asses client’s condition and to determine the efficacy of nursing interventions c. The standards of professional responsibility that a nurse tries to achieve are cited in the Nurse Practice Acts, institutional practice guidelines, and professional organization’s standards of practice such as the ANA’s standards of professional performance. These standards raise the bar for responsibilities and accountabilities that a nurse assumes in guaranteeing quality health care to the public.
SCHEDULE II CONTROLLED SUBSTANCE
MEDICAL USE WITH HIGH POTENTIAL FOR ABUSEAMPHETAMINES, CODEINE, MEMPRIDINE, METHADONE
If a dementia pt lives at home, what to they need to wear?
ID bracelet
PURPOSE OF IMPLEMENTING
TO ASSIST THE CLIENT TO MEET DESIRED GOALS/OUTCOMES; PROMOTE WELLNESS; PREVENT ILLNESS AND DISEASE; RESTORE HEALTH; AND FACILITATE COPING WITH ALTERED FUNCTIONING
REASSESS THE CLIENT TO UPDATE DATABASE
glomerular filtration rate
as fluid volume increases, the rate of filtration increases and the rate of reabsorption decreases
Brief of transaction based model of stress
cognitive (interpretive) affective (mood) and adaptive mechanisms that influence the relationship between an environmental stimulus and a persons response.
Para Amino Benzoic acid (PABA)
frequently found in sunscreens. it increases the efectiveness of the screen.
What are the SX of Meningitis?
Headache, nuchal rigidity, Kernig's sign.
What visual changes are seen with MS:
Nystagmus, diplopia, blurred vision
Weber Test
placed on top of skull. pt hears fork loudest in affected ear with conductive hearing loss.
The first priority for the nurse in helping a battered wife is
the physical safety
T/F--SERUM OSMOLARITY ALSO INDICATES INTRACELLULAR OSMOLARITY?
T--BECAUSE WATER MOVES FREELY ACROSS ALMOST ALL CELL MEMBRANES
During pregnancy the pulse may
increase 10-15 beats or remin normal
List guidelines for a written goal/outcome statement
Client centered - should reflect client behaviors and responses expected as a result of nursing interventions. Starts with “Client will ambulate down the hall…” rather than “Will ambulate the client down the hall…”Singular goal or outcome - do not combine multiple goals, list them completely separate, this makes them easily measurableObservable - must be a specific, observable response “Client will appear less anxious” is not acceptable because nothing specific is observed or measuredMeasurable - Should be written with specific standards against which to measure client responses to care. Do not use vague terms such as “normal, acceptable or stable.”Time Limited - Specific time frame for each goal/outcomeMutual Factors - goals should be set with the client to make sure client agrees with them. This increases client motivation.Realistic - set goals the client is able to reach. This will provide a sense of hope that will further encourage rather than discourage the client.
How can peripheral problems in diabetic patients be prevented?
Examine the skin daily for lesions.
ILLNESS PREVENTION
SECONDARY CARE AGENCIES
DEDICATED TO DX. AND TX OF ILLNESS
EX. HOSPITALS, PHYSICIANS OFFICE, CLINICS
Older adulthood - young old
65-74 task of adapting to retirement and accepting changes in physical ability.
What should pts. with allergies to insect stings avoid?
Wearing bright clothing, perfumes, walking barefoot.
S/SX of a head injury:
blurred vision, change in LOC, blood or watery drainage from ears and nose, pupils slow to react or are unequal
A sign of potential emotional problems in an adolescent is if he makes the fwg. statement:
I don't have any friends
What is the mode of transmission for Campylobacter?
Ingestion of contaminated water
WHAT IS THE NORMAL SERUM LEVEL OF PHOSPHATE?
2.5-4.5MG/DL (HIGHER IN CHILDREN)
WHAT ARE THE DIETARY SOURCES OF SODIUM?
MEATS, VEGETABLES, CONDIMENTS, PICKLED FOODS, HAM, SOFT WATER, FOODS PREPARED IN BRINE SOLUTIONS, MILK, CARROTS, CELERY, BEETS, AND SPINACH
WHAT ARE THE DIGESTIVE AGENTS FOR FAT?
BILE FROM THE GALLBLADDER, AND DIGESTIVE ENZYMES FROM THE PANCREAS AND THE SMALL INTESTINE
What medication is used to treat Streptoccocus?
Penicillin. Erythromycin if pt. is allergic to Penicillin.
perform motor function tests
pt. sits on table - finger to nose, finger to nurses finger, finger to finger, finger to thumb, alternating supinatyion/pronation of hand on thighs test
Main S/SX of Gonorrhea is?
Dysuria in both men and women and purulent drainage
A post-op patient told the nurse, "I didn't know that the scar is as bad as this." The nurse responds
Tell me about what you know.
WHAT ARE THE MAIN CAUSES OF HYPERKALEMIA?
RENAL FAILURE, CELLULAR DAMAGE IN WHICH POTASSIUM IS RELEASED INTO ECF, INSULIN DEFICIENCY CAUSING LESS POTASSIUM TO MOVE INTO CELLS, ADRENAL DEFICIENCY CAUSING LESS ALDOSTERONE TO BE PRODUCED, RAPID INFUSION OF IV POTASSIUM
LIST THE DIFFERENT TYPES OF ECF?
PLASMA, CSF, GI FLUIDS, LYMPH, AND INTERSTITIAL FLUID
To check the neurologic status of hydrocephalus pt
ask pt about place, person, and time
Prior to initiating ABX therapy on a pt. with Haemophilus Influenza, the nurse should do what?
obtain sputum, blood, and CSF cultures
What is the mode of transmission for Salmonella?
Ingestion of contaminated food or drink.
WHAT ARE THE SIGNS AND SYMPTOMS OF WATER DEFICIT?
INCREASED SPECIFIC GRAVITY OF URINE, LETHARGY, DISORIENTATION, DELUSIONS, IRRITABILITY, CONVULSIONS, COMA, THIRST, OLIGURIA OR ANURIA, TACHYCARDIA, AND SOMETINES FEVER, AND INADEQUATE WATER INTAKE
STRESS
LIFE CHANGE THEORY (HOLMES AND RAHE)
STRESS OF LIFE IS DEFINED BY TERMS OF UNITS OF LIFE CHANGE
Which of the fwg. nursing dx should be given priority in the care plan of a pt who has chronic pancreatitis?
Alteration in nutrition, less than body requirements, R/T altered ability to digest nutrients.
oxygen is given at low flow rates to COPD patients to
Keep from suppressing their drive to breathe.
If a patient has a positive outlook on surgery, what does it mean?
The goal has been met, which is self-actualization.
BACTERICIDAL
KILLS MICROORGANISMS
PANIC
MAJOR PERCEPTUAL DISTORTION
IMMOBILIZATION
INABILITY TO FUNCTION
FEELINGS OF TERROR
POSSIBLE HARM TO SELF AND OTHERS
Primagravida
1st time pregnant
STRESSRATIONALIZATION
INTELLECTUAL EXPLANATION OR JUSTIFICATION OF IDEAS FEELINGS OR BEHAVIOR
right drug
medication administration record,Kardex and the drug label must all agree
oliguria
decreased production of urine
STRESSREPRESSION
PREVENTING STRESSFUL THOUGHTS AND FEELINGS FROM ENTERING THE THE CONSCIOUS
Treatment for psychogenic amnesia is
hypnosis
EXPECTED OUTCOMES
IDENTIFIED AFTER GOALS ESTABLISHED
MORE SPECIFIC THAN GOALS
REALISTIC AND MEASURABLE
GsPD
glucose 6 phosphate dehydrogenase. controls level of methaemoglobin. affects drug metabolism.
TX for hypovolemic shock:
fluids, transfusion
Varicocelectomy
removal of varicocele
may increase fertility when removed
FLACCID
LIMP, FLOPPY, AND/OR LACKING TONE
LAB INDICATIONS WITH ADDISONS DISEASE
HYPONATREMIA
HYPOGLYCEMIA
HYPERKALEMIA
Initial planning
occurs following the admission assessment and initial selection of nursing diagnoses
LIST 3 SIMPLE CARBOHYDRATES?
GLUCOSE, FRUCTOSE, GALACTOSE
STRESS SPIRITUAL SX.
ALIENATION, SOCIAL ISOLATION, FEELINGS OF EMPTINESS
After a thyroidectomy, assess for laryngeal damage that is manifested by
hoarseness.
RUBELLA
pink maculopapular rashon face first moves downward.
BREVITY
ASPECT OF SIMPLICITY USING SHORT SENTENCES AND AVOIDING UNNECESSARY MATERIAL
standing orders
are institutionally and departmentally approved instructions granting the nurse the authority to act in the bsence of a physician
NP and narcotics
can not prescribe them.
ANTIBIOTICS
administerat re intervals to maintain constant sserum levels of the med and increase effectiveness(good point ofr pt teaching.
Superficial layers of skin _____ easily in pts. with Kawasaki disease
desquamate
cerclage
placeent of fasia or artificial material to constrict cervix (ie suture)
relief of ss of conjunctivitis
cold compresses
Diet for patient with glomerulonephritis is
low protein
The incubation period for Mononucleosis is
4-6 wks
DELIRIUM
THE TRANSIENT LOSS OF INTELLECTUAL FUNCTION, USUALLY DUE TO SYSTEMIC PROBLEMS SUCH AS IMPROPER METABOLISM, INFECTION, AND ACUTE INTOXICATION
Uterine enlargement
from hypertrophy and limited hyperplasia
WHAT IS THE RDA FOR FLUORIDE?
1.5-4mg
DISCHARGE TEACHING WITH ADDISONS DISEASE
STRESS MANAGEMENT
DEFICIENCY OF THIS MINERAL DOES NOT OCCUR UNLESS SEVERE PROTEIN DEFICIENCY IS PRESENT?
SULFUR
WHAT % OF DAILY INTAKE SHOULD CARBOHYDRATES BE?
50-60%
STEPS OF IMPLEMENTING
DETERMINE NEED FOR NURSING ASSISTANCEPERFORM OR DELEGATE PLANNED NURSING INTERVENTIONCOMMUNICATE WHAT NURSING ACTIONS WERE IMPLEMENTEDDOCUMENT CARE AND CLIENT RESPONSE TO CAREGIVE VERBAL REPORTS AS NECESSARY
Portal vein HTN is associated with
liver cirrhosis.
What causes Myesthenia Gravis?
A deficinency of acetylcholine.
BPH (benign prostatic hyperplasia) is present in men by
40th birthday
NURSING CARE PLAN
ORGANIZED FORMAL STATEMENTS OF STRATEGIES THAT WILL BE IMPLEMENTED AND IS WRITTEN IN A PLAN
structure
the setting or the environment in which the care is given
compensation
defense mechanism - compensates for a weakness by overachieving or overcompensating in another area
drug name
chemically it contains the same therapeutic or active ingredients, but different binding agents
What is indicative of Measles Rubela?
Koplik spots
Alterations in magnesium can cause:
toxic shock syndrom
Pts with ICP may recieve what diuretic?
Manitol
Mild Preeclampsia
BP of 140/90, +30 systolic/+15 diastolic on 2 consecutive occasions 6 hr apart
Rinne Test
Place vibrating fork on mastoid process until sound is no longer heard then fork is immediately placed just outside the ear. Normally, the sound is audible at the ear.
A) Normal hearing clients will note air conduction twice as long as bone conduction.
B) With conductive hearing loss, bone conduction sound is heard longer than or equally as long as air conduction.

C) With sensorineural hearing loss, air conduction is heard longer than bone conduction in affected ear, but less than 2:1 ratio
Nonbacterial prostatitis
inflammation of the prostate gland which results in painful ejaculation
clinical manifestations of Gushing's syndrome
edema (kidney problem)
The causative organism in Tuberculosis is
Mycobacterium
tuberculosis bacteria
SPASTICITY
AN ABNORMAL INCREASE IN MUSCLE TONE THAT CAUSES THE MUSCLE TO RESIST BEING STRETCHED.
WHAT IS A CATION?
A POSITIVELY CHARGED ION
Goodells Sign
softening of the uterus & cervix
DEFICIENCY OF THIS VITAMIN LEADS TO BERI-BERI, MENTAL CONFUSION, ANOREXIA, FATIGUE, AND MUSCLE WEAKNESS?
B1--THIAMINE
DEFICIENCY OF THIS MINERAL LEADS TO DENTAL CARIES?
FLUORIDE
DEFICIENCY OF THIS MINERAL LEADS TO ANOREXIA, WEAKNESS, PARESTHESIAS, HYPERVENTILATION?
PHOSPHORUS
Primary disorder related to adreal hyposecretion
Addison's Disease
Illness
is a state in which a person’s physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired compared with previous experience
IF A PATIENT WERE RECEIVING TPN WHAT VITAMIN MIGHT THEY BECOME DEFICIENT IN?
BIOTIN
NURSING DIAGNOSIS
FIRST ACTUAL NURSING DX. IS THE PROBLEM STATEMENT OR DIAGNOSING LABEL
STRESSDENIAL
AVOIDING THE THREAT OF A STRESSOR BY REINTERPRETING THE EVENT AS SOMETHING LESS THREATENING
S/S of hypokalemia are
muscle weakness, flaccid paralysis, bradycardia, oliguria, and muscle cramps.
arteriography is best way to diagnose ________
pulmonary embolism
NURSING PROCESS
A SYSTEMATIC PROCESS THAT IS RATIONAL, CONTINUOUS, CYCLICAL AND DYNAMIC, GOAL-ORIENTED, CLIENT CENTERED AND INTERPERSONAL, COLLABORATIVE AND UNIVERSALLY APPLICABLE
Traditional rememdies
some contain lead. Greta and azarcon are mexican tx for disgestive issues & have lead in them
mummy restraing
blanket wrapped ina special way to enclose a childs body to prevent mvmt during a procedure
peer review
is an audit perfomred by one's colleagues, using standards of practice or other standardized criteria to evaluate performance
Nursing dx goals
patient centered future oriented and action / direction oriented. always expressed in terms of patients goals to be achieved. most often use the very will do not refer to a nurses to do list, not statements of what tx are to be performed
bone marrow supression signs and symptoms
anemia, neutropenia, thrombocytopenia,
Kernigs sign:
stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed 90 degrees
Priority assesment in a pt. with frost bite is:
neurovascular
betamethasone sodium phosphate
(Celestoral)
improves L/S ratio of lung surfactants
IM q 12hrs X 2, the q wk until 34 wks
Morbidity
the incidence of a specific illness in the population at a particular time
The purpose of aerosol spray is
to liquify secretions
Types of ABT's that inhibit protein synthesis and impede replication of genetic information
Nalidixic acid
Griseofulvin
Novobiocin
Rifamppin
Pyrimethatmine
The usual mode of transmission for Hep G is
Percutaneous
SPRAIN
AN INJURY TO LIGAMENTS AND OTHER SOFT TISSUE AT A JOINT
WHAT IS THE EXPECTED SERUM FOR HYPOCALCEMIA?
<8.9 MG/DL
WHAT IS THE MOST COMMON DIETARY FAT CALLED?
TRIGLYCERIDES
Dorothea Lynde Dix
superintendent of the female nurses of the Union Army.
THIS VITAMIN IS FOUND IN YEAST, FISH LIVER OILS, FORTIFIED MILK AND CEREALS?
VITAMIN D
medical asepsis- clean technique
hand washing, gloving, and gowning, and disinfecting help contain microbial growth and prevent spread of organisms from one place to another
Medication for N/V due to cholecystitis
Compazine, Meclazine, and Tigan
What is the bennefit to Buck's traction?
Decreases muscle spasms
PRIORITIES ACCORDING TO MASLOW'S HIERARCHY OF NEEDS
1. PHYSIOLOGICAL
2. SAFETY AND SECURITY
3. LOVE AND BELONGING
4. SELF ESTEEM
5. SELF ACTUALIZATION
ASPECTS OF THERAPEUTIC COMMUNICATION
OBTAIN OR PROVIDE INFO.
DEV ELOPE TRUST
SHOW CARING
EXPLORE FEELINGS
psychologic indicators of stress
include anxiety fear, anger depression and unconscious ego defense mechanism.
Piagets early childhood theory
preconceptual phase 2-4 year olds, manifested by egocentrism and begin the intuitive thought phase 4-7 yo which is manifested by decreased egocentrism and kidea formation.
young adulthood 20-40
20-40 yo. recommended to have a cmplete health exam every one to three years for emales and every five years for males.
monthly testicular self examins or males and breast exams for females. pap smear for all over 18. clinical breast exam q 3 years by a Dr.
Priority NSG Dx for pyelonephritis?
altered comfort R/T inflammatory process
What SE is common with fractures of the femur?
fat emboli
Grasp reflex
Stroking the palm of a baby's hand causes the baby to close his/her fingers in a grasp. The grasp reflex lasts only a couple of months and is stronger in premature babies.
3rd sign of sexual maturation in girls
onset of menses
What lab value is elevated in the end stage of cirrhosis of the liver?
ammonia
What is the duration of the incubation period for Chancroid?
3-5 dayes
WHO HAS A GREATER BODY FLUID LEVEL FAT OR LEAN PEOPLE?
LEAN
___ IS THE COLLECTION OF FLUID IN THE PERTONEAL CAVITY WITHIN THE INTERSTITIAL SPACE?
ASCITES
3 Government Tiers of Public Health
Federal-oversees medicare tanf etc.
State( primarily responsible for health matters)
Local- oversees + impliments ordinences etc.
WHAT ARE COMPLIMENTARY PROTEINS?
THOSE WHICH, WHEN EATEN TOGETHER, SUPPLY ALL 9 ESSENTIAL AMINO ACIDS
Discuss potential implications when client and caregiver views of caring are different-
Frequently clients and nurses differ in their perceptions of caring. For that reason, focus on building a relationship that allows learning what is important to the client. *Ex: a client who is fearful of having an intravenous catheter inserted & you are still novice at inserting a catheter- instead of giving a lengthy description of the procedure to relieve anxiety, it is better to make the decision that the client will benefit more by obtaining assistance from a skilled staff member. ** Knowing who clients are helps to select caring approaches that are most appropriate to the clients’ needs**
TERTIARY INTENTION
THERE IS A DELAY B/T THE INJURY AND WOUND CLOSURE OR DELAYED PRIMARY CLOSURE, WOUND IS PURPOSELY LEFT OPEN, DEEPER WIDER SCAR IS COMMONEX: BAD TRAUMA OR INFECTIONS FROM SURGERY GANGRENOUS
What happens in diabetic ketoacidosis?
the fatty acids are broken down
SCHEDULE V CONTROLLED SUBSTANCE
MEDICAL USE WITH MINIMAL RISK OF ABUSE
OPIOID DIARRHEALS AND COUGH SYRUPS
Schedule III and IV
limited by the federal government to one hundred dosage units or to 33 days whichever is less
Cranial nerve VI
abducens, ask if there is any double vision
What is the most common symptom of a Strep infection?
Soar throat.
What is homonymous hemianopsia?
when the brain can only interprete half of the feild of vision
Blood lead levels
10 - 14 mg/dL provide educ & follow up services
15 - 19 mg/dL continue above
20 - 44 mg/dL coordinate services & include environmental control
45 - 69 mg/dL chelation therapy should begin

1950 lead in paint was decreased
1978 lead was banned
Babinski reflex
When the sole of the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan out. This is a normal reflex up to about 2 years of age.
A client is receiving the antipsychotic med Clozaril. Which significant toxic risk must be assessed?
blood dyscrasia, monitor WBC count
WHAT IS AN ELECTROLYTE?
A CHEMICAL COMPOUND IN SOLUTION THAT PARTIALLY SEPARATES INTO PARTICLES. EACH PARTICLE, KNOWN AS AN ION, CARRIES AN ELECTRICAL CHARGE
Disease Casuality
The act of relating one event to the effects it produces
List 5 characteristics of a profession-
1. A profession requires an extended education of its members, as well as a basic liberal foundation.2. A profession has a theoretical body of knowledge leading to defined skills, abilities, and norms.3. A profession provides a specific service.4. Members of a profession have autonomy in decision making and practice.5. The profession as a whole has a code of ethics for practice.
After a thyroidectomy, what signs should you report to the doctor?
tingling of fingers and extremities because of the damage to the parathyroid gland.
STEPS OF MEDIATED DEFENSES
1. B CELLS ARE ACTIVATED AND RECOGNIZE A FOREIGN INVADER OR ANTIGEN
2. THEY THEN DIFFERENTIATE INTO PLASMA CELLS WHICH SECRETE ANTIBODIES
3. THE ANTIBODIES INITIATE A VARIETY OF ELIMINATION PROCESSES
4. Ig M, G, A , D, E
IgM SHOWS A CURRENT INFECTION
IgG INDICATES A PAST INFECTION
brachioradialis deep tendon reflex
spinal cord level C3-C6, two to five cms above the wrist.
Mannitol is used in electrical burns to:
restore and maintian urinary output
Problems with the spinal accessory:
dropping of the shoulder, inability to rotate the head away fromm the affected side
A father lost his job and is very upset. What should be assessed first?
previous coping mechanism
The usual mode of transmission for Herpes simplex is
Contact with mucous membrane secretion
WHAT COMPENSATORY MECHANISM DOES THE BODY USE FOR RESPIRATORY ACIDOSIS?
BECAUSE OF HYDROGEN BUILDUP, KIDNEYS INCREASE EXCRETION OF HYDROGEN INTO URINE AND RETURN BICARBONATE TO BLOOD
WHAT ARE THE OMPONENT MOLECULES OF PROTEIN?
CARBON, HYDROGEN, OXYGEN, AND NITROGEN
THE PERCEPTION OF THE STRESSOR IS WHAT DETERMINES ________________________
THE EFFECT IS POSITIVE OR NEGATIVE
hip pain one month after prostate surgery may be
the cancer spread to the bone
stage one of pressure ulcer
the skin is intact but a nonblanching erythema is present
What type of NSG Dx is priority for a pt on bed rest?
impaired skin integrity
Primary nursing action for patient with anorexia nervosa
give support at mealtime and record amount eaten
WHAT ARE THE SIGNS AND SYMPTOMS FOR HYPERMAGNESEMIA?
DEPRESSION OF MUSCLE IRRITABILITY CAUSING HYPOTENSION, WEAKNESS, DEPRESSED REFLEXES, PARALYSIS, BRADYCARDIA, RESPIRATORY FAILURE, CARDIAC ARREST
WHAT ARE THE DIETARY SOURCES OF MAGNESIUM?
LEAFY GREEN VEGETABLES, NUTS, DRIED PEAS AND BEANS, SEAFOOD, COCOA, AND CHOCOLATE
What is the purpose of the Mantoux test?
Test large populations for exposure to TB.
The proper NSG intervention for a sparined ankle is:
apply ice for teh first 24 hours
is there a difference between infectious and communicable diseases?
An infectious disease is a state of illness due to an infections. On the other had, a communicable disease is and infectious disease that may be transmitted to others.
WHAT IS AN ATTRIBUTE OF HYPEROSMOLAR SALINE?
IT DRAWS FLUID INTO THE BLOODSTREAM AND OUT OF THE CELLS
response based model of stress - negatives
doesn ot explain why some people are more inclined to stress than others
The incubation period for Hepatitis A & E is
Hep A is 15-50 days
Hep E is UNCLEAR
The older the pt is, the more risk for what complication?
hypoxemia and hypercapnia produced by hypoventilation
WHAT IS THE FORMULA FOR FIGURING A PT'S SERUM OSMOLARITY?
(SERIUM SODIUM X 2) + ( SERUM GLUCOSE/ 18)
EXPRESSED IN mOSM/L
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Term:
Definition:
Definition:

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