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NU 226 > Exam 1 > Flashcards

Exam 1 Flashcards

(46 cards)

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1
Q

pulse pressure

A

difference between systolic and diastolic pressure

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2
Q

radiation

A

body gives off waves of heat from uncovered surface

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3
Q

convection

A

fan moves cool air across body

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4
Q

evaporation

A

sweating

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5
Q

conduction

A

ice pack, heat is moved, body transfers heat to ice pack

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6
Q

ventilation

A

movement of gases in and out of lungs

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7
Q

orthopnea

A

breathing is easier upright

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8
Q

QSENS

A

patient centered care, teamwork and collaboration, evidence based practice, quality improvment, safety, informatics.

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9
Q

Hand hygiene moments

A
  • before touching a pt
  • before a clean or aseptic procedure
  • after body fluid exposure
  • after touching a pt
  • after touching pt surroundings
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10
Q

fomite

A

inanimate object that transfers infection (like stethoscope)

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11
Q

vector

A

living thing that spreads infection (mosquito)

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12
Q

airborne precautions

A

used for TB, covid, measles, chicken pox
- private room with neg pressure, vented outside
- door closed
- respirator n 95
transport only when needed

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13
Q

droplet precautions

A

flu, rsv, rubella, mumps
- private room
- door may be open
- PPE and visitors need to be 3 feet away
- transport only when needed

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14
Q

contact precations

A

multidrug resistant organisms, diarrhea
- private room
- can be open
- PPE (gloves and gown)
- limit movement out of room

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15
Q

culture and sensitivity test

A

sees which med or antibiotic will treat infection

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16
Q

general am care

A

assist with toileting, provide comfort measure to prepare client for the day, wash face and hands, provide mouth care

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17
Q

morning care (after breakfast)

A

toileting, oral care, bathing, back massage, special skin measures, hair, cosmetics, dressing, position for comfort, refreshing or changing bed linens, tidying up bedside

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18
Q

nursings aims

A

promote health
prevent illness
restore health
facilitate coping with disability or death

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19
Q

four blended competencies

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A

human flourishing, nursing development, professional identity, spirit of inquiry

20
Q

nursing process

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A

assessment
analysis
planning
implementation/evaluation

21
Q

guidelines for nursing practice

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A

ana standards of nursing practice
nurse practice acts (state based laws that detail practice guidelines) nursing process

22
Q

systolic

Study These Flashcards
A

ventricular contraction

23
Q

diastolic

Study These Flashcards
A

rest between beats

24
Q

when to assess vital signs

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A
  • on admission to health care facility
  • based on facility or institutional policies/regulations
  • any time there is change in patient condition
  • any time there is loss of consiousness
  • before/after surgery or invasive diagnostic process
  • before/after activity that may increase risk, such as ambulation after surgery
  • before administering medications that affect cardiovascular and respiratory function
25
interventions for HTN
encourage client to make lifestyle changes, educate client on hypertensize medicines including adverse effects
26
interventions for hypotension
increase fluids, supine position, evaluate medications, educate pt about risk for dizziness and falling, avoid extremes in temperature, stay hydrated
27
interventions for fever
sips of cool fluids, remove excess clothing, administer meds, give tepid bath, place pt in cooler environment
28
most common nosocomial infections of HAI
- catheter associated urinary tract infection - surgical site infection - central line associated blood stream infection - ventilator associated pneumonia
29
urine values
- bladder can hold up to 2L - 800-2000mL per day of urine average - less than 30mL in a day needs a doctor
30
urinary retention
- bladder is unable to fully empty - symptoms: inability to urinate, pain, abdominal distention, urinary frequency, urinary hesitancy, weak or slow urine stream, urinary leakage
31
UTI
bacteria in urinary tract - more common in women due to shorter urethra - can results in pylonephritis (kidney infection - risk factors: sexual activity, menopause, urinary retention, urinary obstruction, frequent urinary catheter use, urinary tract abnormalities - symptoms: burning or painful urination, frequent urge to urinate despite not having a lot of urine to pass
32
urinary diversions
urinary flow is diverted surgically due to obstruction - ileal conduit: ureters are diverted to ileum of small intestine, stoma is made where urine is secreted.
33
stress incontinence
coughing, sneexing, laughing, physical activity that puts pressure on bladder
34
urge incontinence
strong urge to urinate, leaking occurs before getting to toilet
35
reflex incontinence
urinary leakage as a result of nerve damage
36
overflow incontinence
incomplete bladder emptying which results in the bladder overfilling when full (enlarged prostate)
37
functional incontinence
physical inability to reach the toilet in time
38
muscle properties CEEE
contract, excite, extent, elastic
39
functions of a muscle
muscles contract and pull to generate movement
40
stage 1 pressure injury
non blanchable redness, intact skin, no maroon or purplish skin discoloration
41
stage 2 pressure injury
partial thickness skin loss, pink/red wound bed that is moist and viable, may include a ruptured or intact serum filled blister
42
stage 3
full thickness skin loss. fat (adipose) and granulation tissue can be seen in the ulcer. rolled wound edges, slough, or eschar may be present as well as tunneling and undermining. fascia, muscle, ligaments, tendons, bones and cartilage are not visible.
43
stage 4 pressure wound
full thickness loss of skin and tissue, fascia, muscle, ligaments, tendons, bones and cartilage are exposed. rolled wound edges, slough, or eschar may be presesnt as well as tunneling and undermining
44
unstageable pressure injury
slough and eschar conceal and cover the extent of tissue loss, there fore it cannot be determines whether stage 3 or 4
45
depp tissue pressure injury
localized area with a deep maroon, red, or purple discoloration which is non blanchable and may include an intact blood-filled blister or an exposed dark wound bed
46
trochanter rolls
prevents external hip rotation

NU 226 (3 decks)

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