Nursing Concepts 2 Flashcards

Terms Definitions
sec
seconds
cath
catheterization
sc
subcutaneous
sym
symptoms
rehab
rehabilitation
eval
evaluation
EKG
electrocardiogram
ECHO
echocardiogram
freq
frequency
NG
nasogastric
misc
miscellaneous
W/C
wheelchair
vol
volume
AV
atrioventricular
mcg
microgram
IV
intravenous
inj
injection
FHx
family history
LV
left ventricle
OT
occupational therapy
P
pulse; post
NWB
nonweight bearing
LA
left atrium;
h/o
history of
BG
blood glucose
BR
bed rest
SVT
supraventricular tachycardia
YO
years old
ac
Before meals
Se
side effects
CPR
cardiopulmonary resuscitation
s
without (sine)
ED
Emergency Department
MVP
mitral valve prolapse
MVR
mitral valve replacement
MRI
magnetic resonance imaging
MD
doctor of medicine
RUQ
right upper quadrant
?
not equal; not equal to
N & V
nausea and vomiting
C & S
culture and sensitivity
H & H
hemoglobin and hematocrit
H & P
history and physical
Q.D.
DON'T USE -- Write "daily"
-
negative; no; none; alkaline (reaction); concave lens; deficiency; subtract; not ordered
ORIF
open reduction with internal fixation
Risk
basic epidemiological concept, refers to the probablity that an unfavorable event will occur
DNR
do not resuscitate (abbreviation not acceptable as an order)
ROM
range of motion; rupture of membranes
JCAHO
Joint Commission on Accreditation of Healthcare Organizations
Community
defined in terms of function, location, physical, or emotional commonalities
Medicare
major federal health insurance program for older adults and disabled individuals; for people sixty- five years of age who are eligible for social security benefits; receive partial coverage of health services
PERLA
pupils equal, reactive to light and accommodation
Rate
a form of proportion that includes specification of time
Welfare Systems
located in UK, Norway, France, Germany, and Canada; emphasize equal services for all members of the society and are usually financed by some type of social insurance program
A,OX3
alert and oriented in 3 spheres (time, place, person)
MgSO4
DON'T USE -- Write out as "magnesium sulfate"
Active health promotion
the individual's direct involvment in an activity that will rpomote health
Health Department
the official public health agency at the local level; responsibilities are delegated by the state
Exposure Potential
the likelihood that people or groups will be exposed to the factors that contribute to the condition
Communicable disease
disease that is spread through direct contact with an infectious agent
ug
DON'T USE -- Write out as "mcg" for "micrograms"
Mortality Rate
an estimation of the proportion of the population that dies during a specified time period
Legal Duty
an obligation that one party owes to another party
Morbidity Rate
the number of cases of a particular health condition in a group or community; described in terms of incidence and prevalence
Home health nursing
provides skilled nursing care to ill individuals in their home
Healthy People 2010
a publication of the United States Department of health and human Services and reflects the work of a coalition of more than six hundred governmental agencies and national organizations; Goals:1)increasing the quality and years of life2) eliminating health disparities between ethnic groups
Relative risk ratio
the risk of death among those exposed to a factor compared to the risk of those not exposed
Passive health promotion
refers to the client as an inactive participant
Community- Based Nurse
focuses on the acute and chronic care of individuals and families; goals are to enhance the client and family's capacity for self care and promote client autonomy in decision making
OS OD OU
DON'T USE -- Write out left eye, right eye or both eyes.
Safe Medical Devices Act of 1990
states it the nurse's responsibility to report any information about serious illness, serious injury, or death related to the use of medical equipment in the community
Primary prevention
immunizations
half life abbreviation
t1/2
SGA
below 10 percentile
SOCIETY WELLNESS ENHANCES _____________
COMMUNITY
Acute Laryngotracheobronchitis(LTB) is frequently preceded by:
URI's
DO GLUCOCORTICOIDS AND MINERALOCORTICOIDS INCREASE OR DECREASE SODIUM RETENTION?
INCREASE
CLARITY
SAYING EXACTLY WHAT IS MEANT
A patient with hypoparathyroidism has
hypocalceruta.
PSYCHOLOGICAL STRESSORS
ANTICIPATING SURGERY, PAIN, HELPLESSNESS, POWERLESSNESS, LONELINESS, REJECTION, JOB LOSS
bronchial sounds
apex of the lungs
Race
based on specific physical characteristics
Patient after thyroidectomy, monitor for
hypocalcemia
ARTHROPLASTY
SURGICAL REPAIR OF A JOINT
PATTERN OF PERSISTENT INATTENATION THAT IS ACCOMPANIED BY HYPERACTIVITY &/OR IMPULSIVITY
ADHD
WHAT IS THE RDA FOR MAGNESIUM?
350mg
WHAT IS THE RDA FOR SODIUM?
1100-3300mg
AGENT
ANY ENVIRONMENT FACTOR OR STRESSOR THAT BY ITS PRESENCE OR ABSENCE CAN LEAD TO DISEASE
Diet for patient with glomerulonephritis is
low protein
Steroids are given in asthma
reduce inflammation
AIRBORNE
MICROORGANISMS THAT CAN BE SUSPENDED IN AIR; NEGATIVE AIRFLOW ROOM
four catagories of inteventions
stress reducing, alternative/complementary therapies, research derived interventions, research derived interventions and clinical practice guidelines
mediation
altered state of consciousness in which the mid is focused in passive attention and quiet resulting in an experience of transcendence. focus on object and repeat mantra
Reyes's syndrome causes mental changes due to an increase in what?
ammonia
Meds to decrease cerebral edema are:
corticosteroids
Gravida
number of times pregnant includes current pregnancy
Candidiasis
s/s: red & excoriated vulvus, intense itching of vaginal & vulvar tissues & thick, white cheesy or curdlike discharge
OCD is what type of disorder?
Anxiety-related
KYPHOSIS
INCREASE IN THORACIC CURVATURE OF SPINE
WHEN AN ___ SOLUTION ENTERS CIRCULATION THERE IS NO NET MOVEMENT OF WATER ACROSS MEMBRANES?
ISOTONIC
WHAT IS THE RDA FOR IRON?
10-18mg
HOW MANY SERVINGS/DAY ARE RECC.FOR FRUITS?
2-4
ANTIARRHYTHMIC DRUG ALSO USE PRE-OP FOR ADRENALECTOMY
INDERAL
Continuing care
assisted living, psychiatric and older adult day care
WHAT IS THE RDA FOR MANGANESE?
2-5 mg
WHAT IS THE RDA FOR B1--THIAMINE?
1.0-1.4 mg
DEFICIENCY OF THIS VITAMIN LEADS TO ABNORMAL BRAIN WAVE PATTERNS, DEPRESSION, SZ, AND ANEMIA?
B6--PYRIDOXINE
EMOTION-FOCUSED COPING
INCLUDES THOUGHTS AND AND ACTIONS THAT RELIEVE EMOTIONAL DISTRESS. DOESN'T IMPROVE THE SITUATION BUT THE PERSON FEELS BETTER
PRIMARY HEALTH PROMOTION
GENERALIZED HEALTH PROMOTION AND SPECIFIC PROTECTION AGAINST DISEASE
A patient with galactosemia should not have
dairy products
A patient on lasix (furosemide) and digoxin should be
watched for
hypokalemia
STEPS OF PLANNING
WRITE GOALS/ DESIRED OUTCOMES
SELECT NURSING STRATEGIES/ INTERVENTIONS
CONSULT OTHER HEALTH PROFESSIONALS
WRITE NURSING ORDERS AND NURSING CARE PLAN
COMMUNICATE CARE PLAN TO RELEVANT HEALTH CARE PROVIDERS
STRESS
PHYSIOLOGICAL
BODY RESPONDS TO STRESS AFFECTING ITS FUNCTIONING.
MORE BLOOD CELLS INCREASED AIR TO LUNGS
Implementation
may include any of these activities, intervening, delegating, and coordinating
primary data
nurse derives directly from the patient, can be subjective or objective
bruit
indicates turbulent flow caused by a partial femoral obstruction, requiring prompt notification of the MD>
What lab value can indicate that ulcertive colitis is improving?
ESR
Sonogram
produces a picture of the fetus through sound waves. used to confirm & date pregnancy, assesses placental location & diagnose multiple gestation.
Myelomeningocele causes
flaccid paralysis of the lower extremities
The incubation period for Herpes Simplex is
2-12 days
NONUNION
FAILURE OF BONE FRAGMENTS TO HEAL TOGETHER.
WHAT IS THE NORMAL URINE OSMOLARITY FOR NEWBORNS?
100-600mOsm/L
Third Trimester
25-40 weeks
wt gain ~1 lb weekly
DEFICIENCY OF THIS MINERAL LEADS TO COLD AND CLAMMY SKIN, DECREASED SKIN TURGOR, APPREHENSION, TREMORS, SZ, ABDOMINAL CRAMPS, N&V, AND DIARRHEA?
SODIUM
DEFICIENCY OF THIS MINERAL LEADS TO MICROCYTIC ANEMIA, PALLORM DECREASED WORK CAPACITY, FATIGUE, WEAKNESS, SPOON-SHAPED NAILS?
IRON
S/S IF METHADONE IS SUDDENLY STOPPED
TACHYCARDIA
HYPERTENSION
ABDOMINAL CRAMPING
NAUSEA & VOMITING
FLUSHING
Touch-
the use of touch is on comforting approach where the nurse reaches out to clients to communicate concern and support. **Contact touch involves obvious skin-to-skin contact. **Noncontact touch refers to eye contact.
THIS IS THE MOUNT OF ENERGY REQUIRED NEEDED TO RAISE THE TEMPERATURE OF WATER 1DEGREE CELSIUS?
KCAL
ILLNESS
PERIOD OF TIME WHEN THE CLIENT IS MANIFESTING SPECIFIC S/S
The husband had a problem at work, and came home and hit his wife. The defense mechanism is
displacement
What causes Mumps?
An inflamation of the salivary glands.
ENVIRONMENT
IS ALL FACTORS EXTERNAL TO THE HOST THAT MAY PREDISPOSE THE PERSON TO DISEASE
STRESS
SUPPRESSION
AN ATTEMPT TO KEEP UNPLEASANT MATERIAL OUT OF CONSCIOUSNESS
complementary and alternative therapy
touch therapy, massage, reflexology, accupressure, aromatherapy, chiro,
Time lapsed nursing assessment
repeated assessment obtained to compare data collected at one or more points in time with baseline data
hepatic isoenzyme syste
performs an important role in biotransformation one major enzyme is P450 system. drugs that inhibit P450 speed it up
fantasy
another way of responding to stress . if fantasy focuses on practical solution then it can be useful if a persons fantasy focuses on escape, like living alone on a tropical island then it delays problem solving.
How is Hepatitis C transmitted?
Blood and body fluids.
S/Sx of ICP:
pappiledema, changes in LOC, decreased sensory motor function, increased BP, decreased HR
Probable s/s of pregnancy
Goodell's sign, Hegar's sign, Chadwick's sign, uterine enlargement, palpable fundus, Braxton Hick's , inc pigmentation, linea nigra, chloasma, straie gravidarum, pregnancy tests
Romberg's sign
the ability to maintain the body balance when the eyes are shut & the feet close together.

Positive Romberg's sign- fall over or excessive swaying
priority nursing dx for home based hospice care
anticipatory grieving
Lab test giving the most specific indication of kidney disease is
serum creatinine
The usual mode of transmission in TB is
Airborne
TONE
THE TENSION PRESENT IN A MUSCLE AT REST; DECREASED TONE INDICATES LOWER MOTOR NEURON DISEASE, AND INCREASED TONE INDICATES UPPER MOTOR NEURON DISEASE
___ IS THE NORMAL VALUE FOR SERUM OSMOLARITY?
280-300mOsm/L
Terbutaline Sulfate(Brethine)
Not FDA approved as a tocolytic, however prefered for use.
THIS MINERAL IS A COMPONENT OF ENZYMES FOR ENERGY PRODUCTION, HEMOGLOBIN SYNTHESIS, AND TISSUE MAINTENANCE?
COPPER
URINE RESULTS FOR CUSHING'S DISEASE
ELEVATED 17-KETOSTERIODS & 17-HYDROYCORTICOSTERIODS
risk factors for falls
age greater than 65previous falls difficulty walking and getting out of bed difficulty asking someone for help use of ambulatory devices
COPING WITH STRESS
COPING STRATEGY IS AN INNATE OR ACQUIRED WAY OF RESPONDING TO A CHANGING ENVIRONMENT OR SPECIFIC PROBLEM OR SITUATION
Patient receiving Levodopa for the treatment of parkinsonism develops
a control shuffling gait
The doctor should be notified if a person with a pacemaker wakes up and their heart rate is
under 60
STRESS
RESPONSE BASED (HANS SELYE)
DEFINED STRESS AS A NONSPECIFIC RESPONSE TO ANY DEMAND MADE ON THE BODY. THESE DEMANDS ARE LABELED STRESSORS: THEY CAN BE EXTERNAL OR INTERNAL.
heart assessment - auscultate
semiflowers 30-45degree angle. s1 and s2 (lub dub) S1 = systole s2 = diastole
calculation assessment
ask patient to subtract seven or three form one hundred then continue sub. 7s these test are called the serial threes or seral sevens .normal - completion in 90 seconds
safety research for restraints
research has shown the restraints double hospital length of stay. restrained patients are 8 x more likely to die than unrestrained.
five rights for patients meds
drug, dose, client, route, time.
BABINSKIS NORMAL
toes fan out and draw together when the sole of foot is stroked.
Waht is the most effective dressing for Shingles?
cool wet dressing
Pedeling the edges of a cast with tape helps to prevent what?
infection
Rh immune globulin
if indirect & direct Coomb's test negative mother is given Rh immune globulin in 72 hrs

if both tests positive, Rh immune globulin NOT given, infant is monitored for hemolytic disease
side effects of Haldol are
drowsiness, insomnia, weakness, HA, extrapyramidal sx, akathisia, tardive dyskinesia, dystonia
Clinical manifestations of diabetes insipidus are
polydipsia, polyuria, SG 1.000-1.005, and high serum osmolality.
SUPPRESSOR T CELLS
LYMPHOCYTES THAT DECREASE THE B CELL ACTIVITY OF THE IMMUNE SYSTEM.
THIS IS THE PROCESS OF MOVEMENT OF A FLUID ACROSS A SEMI-PERMEABLE MEMBRANE WHEN ONE COMPARTMENT CONTAINS A GREATER CONCENTRATION OF SOLUTE(HYPEROSMOLAR) THAN ANOTHER (HYPOOSMOLAR)?
OSMOSIS
HOW MANY GRAMS OF FAT ARE EXCRETED IN THE FECES DAILY?
4
CONTRIBUTING FACTORS FOR CONDUCT DISORDERS
ALCOHOLIC OR ABSENT FATHERS
FAMILY HISTORY OF DRUG ABUSE
REJECTION OF HARSH DISCIPLINE
COMPONENTS OF NURSING DX.
1. ACTUAL NURSING DX. OR PROBLEM STATEMENT2. ETIOLOGY THAT IS R/T THE CAUSE OR CONTRIBUTOR3. DEFINING CHARECTERISTICS OR S/S SUBJECTIVE DATA OR CLINICAL MANIFESTATION - DX. IS VALIDATED
What happens when you take thorazine with alcohol?
You get intoxicated quicker
What is the most common symptom of a Strep infection?
Soar throat.
CRISIS OR ALARM STAGE
CNS IS AROUSED AND PHYSIOLOGIC DEFENSE IS MOBILIZED- THE FIGHT OR FLIGHT RESPONSE
Baseline data
data taken at the time of the first encounter
The drying of a cast takes about how long?
24-72 hours
recommended wt gain for pregnant woman of normal wt
25 - 35 lbs
How do you check for patency of atriovenous shunt in hemodialysis?
Presence of BRUIT
What are the normal components of a Leukocyte count?
Neutrophils 60-70%
Eosinophils 1-4%
Basophils 0-0.5%
Monocytes 2-6%
Lymphocytes 20-30%
THIS IS THE MEASUREMENT OF PRESSURE IN THE RIGHT ATRIUM OR VENA CAVA AND IS ONE OF THE MORE ACCURATE PREDICTORS OF FLUID STATUS?
CENTRAL VENOUS PRESSURE
BEHAVIOR THAT IS HARMFUL TO PEOPLE IN GENERAL & IN CONFLICT WITH THE BASIC VALUES OF SOCIETY
ANTISOCIAL PERSONALITY DISORDER
TRUE OR FALSE---DISACCHARIDES REQ NO DIGESTION?
FALSE--THEY ARE BROKEN DOWN INTO MONOSACCHARIDES FIRST
A definitive sign of COPD is
decrease in FEV (forced expiratory volume)
Mens idea weight
100#'s for first 5 feet. add on six pounds for every addl inch. add 10% for lg frame, subt 10% for a small frame
Problems with the trochlear nerve:
rotation of the eyball upward, double vision
First Stage of Labor
Onset of labor until cervix is 100% effaced & dilated 10 cm. Avg length is 10 - 14 hrs.
1. Latent - cervix 0 - 3 cm
2. Active - cervix 4 - 7 cm
3. Transition - cervix 8 - 10 cm
What is a normal WBC count in a preschooler?
5,500 to 15,500
WHY SHOULD ORAL POTASSIUM BE GIVEN WITH FOOD?
IT IS A GI IRRITANT
IDENTIFY NURSING DX ASSOCIATED WITH RISKS TO CLIENT SAFETY
Risk for injury related to impaired mobility, risk for injury related to barriers in the home environment, risk for imbalanced body temperature r/t impaired home maintenance, risk for injury r/t deficient knowledge, risk for poisoning, risk for suffocation, risk for trauma.
Pt with liver cirrhosis, discharge instruction
use soft bristle toothbrush for good oral hygiene
3 STAGES OF GENERAL ADAPTATION SYNDROME
1. CRISIS OR ALARM STAGE
2. RESISTANCE OR ADAPTION STAGE
3. EXHAUSTION STAGE
kohlbergs early childhood theory
child learns to share and to be kind, helpful etc. this behavior begining around age four is called presocial an dis performed for adult approval. Child is developing a capacity for moral thinking but would not as yet place the child at the level where moral thought occurs
Breast self examination
when period ends or at end of HT med cycle

report: lump,swelling, warmth, redness, change in shape or size, dimpling of skin, itchy, scaly sore or rash on the nipple, pulling in of nipple or other parts, nipple discharge that starts suddenly, new pain in one spot that doesnt go away
What are the 3 responses through which the immune system can attach foreign invaders?
* Phagocytic immune response
* Humoral/Antibody immune response
* Cellular/Cytotoxic immune response
WHAT ARE GOOD PLACES TO CHECK A PATIENT FOR EDEMA?
AROUND EYES, NEAR SACRUM, EXTREMITIES
WHAT IS THE BENEFIT OF INSOLUBLE FIBER?
HOLDS WATER TO INCREASE FECAL BULK AND STIMULATES PERISTALSIS
MD order for restraints
must say why and length of time to be used.
jaundice in hep A is caused by what?
bile salts deposited on teh skin
What is the mode of transmission for Yersinia?
Ingestion of contaminated food or drink; indirect contact with carrier.
WHAT HAPPENS IN THE BODY IF EXCESS AMOUNTS OF FAT-SOLUBLE VITAMINS ARE CONSUMED?
THEY ARE STORED IN LIVER AND ADIPOSE
What would be the lab values for a burn pt. that is indicative of a fluid lose?
increase K+, decreased NA+, increased H+H, metabolic acidosis
WHAT IS THE DEFINITION OF HEMOGLOBIN( FOR LAB TEST PURPOSES)?
THE PROTEIN TAHT CARRIES OXYGEN IN THE BLOOD AND ON THE RED BLOOD CELLS
evaluate the sucking reflex of the infant by________
place a nipple or gloved finger in the newborn's mouth
escar
dry dead tissue
Antidote for Lead?
penicillimine
S/S OF PHEOCHROMOCYTOMA
HEADACHE
HYPERTENSION
HYPERMETABOLSIM
HYPERGLYCEMIA
HYPERHIDROSIS
ANTIBODIES
IMMUGLOBULIN
A PROTECTIVE PROTEIN SUBSTANCE PRODUCED IN THE BODY TO COUNTERACT ANTIGENS
Polio vaccine
first given?
two months
Miotics
cause contraction of pupil
SIMPLICITY
USE OF WORDS COMMONLY UNDERSTOOD
MEASLES
koplick spots on buccal muccosa-maculopapular red rash begins on face spreads downward(onset few days after koplics
FAMILY WELLNESS ENHANCES __________
INDIVIDUAL WELLNESS
policies
written instructions designed to address a commonly occurring problm in an institutionally approved manner
Epididymitis
inflammation of epididymis. Most common intrascrotal infection. may be sexually transmitted by N. gonorrhoeae, C. trachomatis. May be caused by GU instrumentation, urinary reflux
s/s: sudden scrotal pain, scrotal edema, tenderness over spermatic cord
Dx: urine culture reveals specific organisms
Tx:elevation of scrotum, ice packs to dec edema, antibiotics
An antidepressant is a
mood elevator
DO ANESTHETICS, NARCOTICS, AND BARBITUATES INCREASE OR DECREASE THE SECRETION OF ADH?
INCREASE
LAB INDICATIONS WITH ADDISONS DISEASE
HYPONATREMIA
HYPOGLYCEMIA
HYPERKALEMIA
WHAT IS THE RDA FOR ZINC?
15mg
WHAT IS THE RDA FOR CHROMIUM?
.05-.2mg
BREVITY
ASPECT OF SIMPLICITY USING SHORT SENTENCES AND AVOIDING UNNECESSARY MATERIAL
What state follows manic state?
Depressed state
Smoking is a major cause of
HTN
PHYSICAL STRESSORS
TRAUMA, SURGERY, OXYGEN DEPRIVATION, FATIGUE, INFECTIOUS PROCESS, PAIN, SLEEP DEPRIVATION
introjection
defense mechanism - assuming and accepting the values or norms of others as ones own.
radiation
overexposure to radiation in adults may result immediately in radiaation sickness. if the patient survives the initial then = great risk of CA
Which immunoglobbulin is aquired at birth?
IgG
ABX used to treat histoplasmosis:
amphatericin B
Primapara
birth to one baby >20 wks
Herpes
genital herpes simplex virus type 2
painful vesicles on genitalia, external & internal
no cure
if active infection @end of pregnancy- Cesarian del-virus could be lethal to newborn
reurrences may be caused by infection, stress, menses
Acyclovir (Zovirax) decreases severity & duration
The treatment for phobia (irrational fear) is called
desensitization
MEMORY CELLS
CELLS RESPONSIBLE FOR RECOGNIZING ANTIGENS FROM PREVIOUS EXPOSURE AND MOUNTING AN IMMUNE RESPONSE.
THIS MINERAL FUNCTIONS IN FLUID BALANCE, ACID-BASE BALANCE, MUSCULAR IRRITABILITY, CELL PERMEABILITY, AND NERVE IMPULSE TRANSMISSION?
SODIUM
LAB INDICATIONS FOR DI
HYPONATRIUM
SPECIFIC GRAVITY <1.005
ability to breathe only in upright position
orthopnea
DEFICIENCY OF THIS MINERAL LEADS TO WEIGHT LOSS AND SKIN LESIONS?
MANGANESE
STRESSBEHAVIOR SX.
PACING, SWEATY PALMS, RAPID SPEECH, INSOMNIA, W/D AND EXAGGERATED STARTLE REFLEX
excessive intake of which fluid in renal calculi?
milk
Myelomeningocele causes
flaccid paralysis of the lower extremities
IM B-12 shots are used to treat
deficiency
PASSIVE IMMUNITY
THE HOST RECEIVES NATURAL (NURSING MOTHER) OR ARTIFICIAL (INJECTION OF IMMUNE SERUM) ANTIBODIES PRODUCED BY ANOTHER SOURCE
secondary data
sources include the patients family and friends, other nurses and professionals
yoga
system of belief and practices aimed at the union of the individual self with the universal self. takes 8 stages to get to this union
Parkinson's disease is caused by what deficiency?
dopamine
Huntingtons disease reasults in the degeneration of the ___________
cerebral cortex
Para
# of pregnancies > 20 wks regardless of outcome
pandemic
An epidemic (a sudden outbreak) that becomes very widespread and affects a whole region, a continent, or the world.
Umbilical vein
2 arteries return deoxgenated blood back to mother. the one vein carries O2 blood from mother to fetus.
excessive intake of which fluid in renal calculi?
milk
Name ABT's that fight Bacillus anthracis
PCN G
Erythromycin
Name ABT's that fight Clostridium difficle (C-diff)
Metronidazole (Flagyl)
COLONIZATION
THE PRESENCE OF MICROORGANISMS IN OR ON A HOST, WITHOUT HOST INTERFERENCE OR INTERACTION, AND WITHOUT SYMPTOMS TO THE HOST.
THIS ACTION INVOLVES THE TRANSFER OF WATER AND SOLUTES THROUGH A PERMEABLE MEMBRANE FROM REGION OF GREATER PRESSURE TO ONE OF LESSER PRESSURE?
OF
FILTRATION
Intractable pain
In(neg) tracto(to draw or haul)
Often seen with Cancer
WHAT IS THE RDA FOR PHOSPHORUS?
800 mg
THIS MINERAL FUNCTIONS IN BONE AND TOOTH FORMATION, SMOOTH MUSCLE RELAXATION, CARB METABOLISM, PROTEIN SYSTHESIS, HORMONAL ACTIVITY, AND CELL REPRODUCTION AND GROWTH?
MAGNESIUM
THIS MINERAL IS A CONSTITUENT OF ENZYMES CATALYZING OXIDATIVE REACTIONS?
MOLYBDENUM
THIS MINERAL IS FOUND IN SEAFOOD, MEAT, AND WHOLE GRAINS?
SELENIUM
OPIOD NARCOTIC ANTAGONIST USED FOR MARCOTIC & ALCOHOL ADDICATION
RE VIA
Harriet Tubman
was active in the Underground Railroad movement and assisted in leading over 300 slaves to freedom
WHERE ARE EXTRA CARBOHYDRATES STORED?
LIVER, MUSCLES, AND FAT
THIS IS THE CHEMICAL PROCESS BY WHICH NUTRIENTS ARE COMBINED WITH OXYGEN?
OXIDATION
PORTAL OF ENTRY
MEANS BY WHICH THE MICROORGANISMS ENTER THE SOURCE
A child fails to grow above 3rd percentile in 2 years. What is the clinical manifestation?
Hypopituitarism
What agent is used to treat Varicella?
Zoster Vaccine.
ACTIVE IMMUNITY
HOST PRODUCES IT'S OWN ANTIBODIES IN RESPONSE TO NATURAL ANTIGENS (INFECTION) OR ARTIFICIAL INFECTIONS (VACCINES)
Middle Adulthood 40-65
mid career and lifestyle changes. should have annual heath exams for females and 2-3 years for males. yearly mammograms, pelvic and prostate screenings. TD booster every ten years
Ultraviolet B rasy
shorter and are responsible for burning, tanning, and skin cancer. B = burn. Max exposure = btw 10am and 3pm.
intramuscular
speedier than subq b/c of the rich blood supply in muscle. up to 2ml are tolerated well massage to the site after injection accelerates absorption
SCARLET FEVER
white tongue, red papillae diffuse red rash under joint folds.
Paraplegia is a result of damage to what area?
thoracic
Aminocentesis
14 - 16 wk
withdrawal of amniotic fluids through the abd wall
0.5% risk of abortion
for evaluation of fetal lung maturity, genetic evaluation, evidence of spina bifida (a birth defect in spinal cord development), the presence of infection, or chromosome analysis
Meniere's Disease
disease of inner ear resulting from dilation of the endolymphatic system & ^ volume of endolymph

classic s/s: vertigo, tinnitus & hearing loss

atrophine (dec ANS activity)
diazepam (Valium), fentanyl, & droperidol (Innovar), vasodialators, diuretics, mild sedatives, antihistamines, low Na+ diet, restricted fluid intake, restrict caffiene & nicotine
S/S of hypokalemia are
muscle weakness, flaccid paralysis, bradycardia, oliguria, and muscle cramps.
The causative organsim in Respiratory Syncytial disease is
Respiratory Syncytial Virus
(RSV)
AGNOSIA
THE LOSS OF THE ABILITY TO RECOGNIZE OBJECTS THROUGH A PARTICULAR SENSORY SYSTEM; THIS CONDITION MAY BE VISUAL, AUDITORY, OR TACTILE.
NULL LYMPHOCYTES
A SPECIFIC TYPE OF LYMPHOCYTE THAT DESTROYS ANTIGENS ALREADY COATED WITH AN ANTIBODY
ISOMETRIC CONTRACTION
A CONTRACTION IN WHICH MUSCLE TENSION IS INCREASED, MUSCLE LENGTH IS UNCHANGED, AND THERE IS NO JOINT MOTION.
WHAT CAUSES METABOLIC ALKALOSIS?
VOMITTING, VIGOROUS NG SUCTIONING, INGESTING LARGE AMOUNTS OF ANTACIDS, ENDOCRINE DISORDERS
Involution
The return of an enlarged organ to normal size
WHAT % OF BODYWEIGHT DO MINERALS MAKE UP?
4%
CONDITION CAUSED BY HIGH LEVELS OF CORTICOSTERIODS
CUSHING'S SYNDRONE
HOW MUCH WATER MUST ONE DRINK FOR EVERY 1,OOO CALORIES CONSUMED?
1,OOO ml
STRESSREACTION FORMATION
EXPRESSION OF A FEELING THAT IS THE OPPOSITE OF ONE'S REAL FEELING
A patient who just had their gallbladder removed is at risk for what post operative condition?
atelectasis and dehiscence
After ECT, the patient should be monitored for what/
post shock amnesia
Hair follicles and inner lining of GI tract cells divide quickly and are greatly affected by
radiation therapy
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
abdominal assessment, auscultate
gurgling sounds q 5-20 seconds. before saying they're absent listen 3-5 minutes
active transport
is the movement of molecules across a cell membrane it is used to move polar ionized drugs cross cell membranes
What is the most common complication of HIV/AIDS?
Pneumocystis carinii pneumonia.
When should a pt. with Myasthenia Gravis carry out physically demanding tasks?
in the AM
S/SX of Respiratory Syncytial Vrisus:
tachypnea, paroxysmal cough, wheezing, episodes of apnea
appropriate goal for chronic pain
report adequate sleep each night
Measles, Mumps, and Ruebella vaccination
first given?
at 12 to 18 months
What meds are given to counteract extrapyramidal side effects?
Artane and Cogentin.
CONSCIOUS SEDATION
THE USE OF SEDATION TO DEPRESS THE LEVEL OF CONSCIOUSNESS WITHOUT ALTERING THE PATIENT'S ABILITY TO MAINTAIN A PATENT AIRWAY AND RESPOND THE PHYSICAL AND VERBAL STIMULI.
THIS THE PROCESS OF IONS AND OTHER MOLECULES MOVING ACROSS MEMBRANES FROM AN AREA OF LESSER CONCENTRATIONTO ONE OF GREATER CONCENTRATION?
ACTIVE TRANSPORT
WHAT ARE THE 2 ELECTROLYTES MOST CLOSELY RELATED TO MUSCULOSKELETAL PROBLEMS IN FLUID AND ELECTROLYTE IMBALANCE?
CALCIUM AND POTASSIUM
HOW MUCH WATER MUST ONE DRINK FOR EVERY 1,OOO CALORIES CONSUMED?
1,OOO ml
BLOOD TESTS USED TO DIAGNOSIS CUSHING DISEASE
DEXAMOTHASON SUPPRESION TEST
NURSING PRACTICE ACT
A STATUTE THAT IS ENACTED BY THE LEGISLATURE OF A STATE AND OUTLINES THE SCOPE OF NURSING PRACTICE IN THAT STATE
For a manic patient, which s/s needs intervention?
Patient loosing weight.
What nursing intervention can you use to decrease muscle spasms and promote healing?
Apply a warm compress.
NURSING PRACTICE ACT
A STATUTE THAT IS ENACTED BY THE LEGISLATURE OF A STATE AND OUTLINES THE SCOPE OF NURSING PRACTICE IN THAT STATE
health illness continuum
health illness status of a person is not an absolute state, but a relative placement along a continuum of health and illness
What VS indicate an increase in ICP?
rising BP, slowing HR
Paralysis occurs where according to the level of injury:
below the lever of injury
sign of impending labor
bloody show (cervix is dilating and effacing)
If a dementia pt lives at home, what to they need to wear?
ID bracelet
SPINAL CORD INJURY (SCI)
AN INJURY TO THE SPINAL CORD, VERTEBRAL COLUMN, SUPPORTING SOFT TISSUE, OR INTERVERTEBRAL DISKS CAUSED BY TRAUMA
ONE LITER OF FLUID LOST OR GAINED BY THE BODY EQUATES TO ___ CHANGE IN BODYWEIGHT?
2.2 LBS
HERB USED TO TREAT MILD TO MODERATE DEPRESSION
ST JOHNS WART
NURSING GUIDELINES FOR CONTROLLED SUBSTANCES
1. DOUBLE LOCKED 2. ONGOING RECORD KEPT 3. WASTES COSIGNED 4. COUNTED AT BEGIN AND END OF EACH SHIFT 5. DISCREPANCIES ARE REPORTED 6. SIGNED OUT WITH NAME, DATE, TIME OF ADMINISTRATION
what is CP (cerebral palsy)
A disorder usually caused by brain damage occurring at or before birth and marked by muscular impairment. Often accompanied by poor coordination, it sometimes involves speech and learning difficulties.
calculating pediatric meds
need ht, wt, and body surface area. if drug is not exceptionally toxic, can use wt as guideline.
Pts with ulcertive colitus should have what type of diet?
low residue, i.e., cottage cheese
Fourth Stage of Labor
1 to 4 hrs p birth
thirsty, hungry, shaking chills
fundus midway between sym pubis & umbilicus
The incubation period for Hookworm disease is
A few weeks to many months
WHAT ARE THE CAUSES OF HYPERMAGNESEMIA?
RENAL FAILURE, DKA, MAGNESIUM THERAPY, MG-BASED LAXATIVE USE
Compare the components of an actual and risk nursing diagnosis
The actual diagnosis describes human responses that currently exist, it includes related factors and “as evidenced by” information that indicates the current presence of the human response. The risk diagnosis describes human responses that may happen related to factors present in the patient’s life, however there is no “as evidenced by” information since the human response is not yet present
In an acute panic episode, what should you do?
Assure patient that the environment is safe.
florence Nightengale's defenition of health
being well and using every power the individual possesses to the fullest extent
What medication is used to treat Streptoccocus?
Penicillin. Erythromycin if pt. is allergic to Penicillin.
postoperative teaching for middle ear surgery
popping & cracking in ear is normal for 3 to 5 wks p surgery. P surgery blow nose gently on one side at a time for one wk. Avoid bending over, straining, and lifting over 25 lb for few weeks.
In food-borne hepatitis the causative organism is
Hepatitis A Virus OR Hepatitis E Virus.
WHAT ARE THE SIGNS AND SYMPTOMS OF HYPOMAGNESEMIA?
NEUROMUSCULAR IRRITABILITY SUCH AS TREMORS, CRAMPS, DIFFICULTY SWALLOWING, CARDIOVASCULAR CHANGES
Prior to an IVP, what does the nurse need to ask the patient?
Do you have any allergies?
allergic / immunologic reaction drug reaction
account for 10-50% of all adverse drug reactions. 4 types I,II, III, IV
Ranges of hearing loss
Normal 0 dB to 20dB
Mild loss 20 dB to 40 dB
moderate loss 40 dB to 60dB
Severe loss 60dB to 80dB
Profound loss 80dB or more
WHAT IS THE DEFINITION OF HEMATOCRIT?
THE PROPORTION OF RED BLOOD CELLS TO FLUIDS IN THE BLOOD
After ECT treatment, which way should the patient be positioned?
On his/her side, or have head turned to the side.
A child with hip dysplasia should be positioned in the bed how?
with the shoulders higher than the buttocks
WHAT IS THE SPECIAL QUALITY OF BETA CAROTENE?
IT IS A PRECURSOR FOR VITAMIN A
What are lab tests that gauge cellular (cell-mediated) immunity function?
* Total lymphocyte count
* T cell and T cell subset quantifiction w/ monoclonal antibodies
* Delayed hypersensitivity skin test
* Cytokine production
* Lymphocyte response to mitogens, antigens, and allgeneic cells.
* Helper and suppressor T cell function
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Term:
Definition:
Definition:

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