Exam #2 Class Flashcards

Question

Breath sounds (auscultation) Described as:

Answer 1

- clear - swish or breezy - adventitious sounds - absence of any abnormalities

Answer 2

-difficulty breathing - SIB - chest pain - ‘’ can’t catch my breath’’ - hard/small amount of air = dizzy

Answer 3

< 3seconds to return to normal Color Tells how well the tissues are being perfumed with blood

Answer 4

Decrease of O2 in the brain

Answer 5

Pulse oxygen measures the amount of O2 that hemoglobin is carrying or is saturated with Normal value: 95% - 100% Factors: - cold fingers/shaking - jaundice - nail polish - poor circulation - fake nails

Answer 6

CBC: complete blood count = hemoglobin and RBC’s ABG: arterial blood count and complete blood count = O2 & CO2

Answer 7

- decrease in iron = decrease in hemoglobin - high fat diet = obesity - fat tissues is less vascular - less O2 can be carried to tissues

Answer 8

- dehydration or decrease blood volume = decrease circulating RBC’s = decrease O2 carrying capacity of blood

Answer 9

- injury/surgery = increase risk for infection/fever = increase O2 demands because of increased metabolic demands d’or tissues repair and to fight microorganisms - hemorrhage - decrease blood volume = decrease O2

Answer 10

- as the level of activity increase the body’s O2 needs increase - physically fit = stronger heart muscle = increase cardiac output or blood flow with less effort than an unfit person

Answer 11

Anxiety, stress, excitement increase respiratory rate = increase O2 demands

Answer 12

- digitalis(drug) = increase cardiac output = increase O2 supply

Answer 13

- Decrease muscle strength - Costa; cartilage (joins the ribs to the sternum) more rigid = calcified - > 50 years tissues become less elastic = harder to inflate lungs = increase risk for DYSPNEA

Answer 14

- The composite of beliefs and feelings that a person holds about one’s self at a given time.

Answer 15

- anxiety - disturbed body image - ineffective coping - fear - hopelessness - powerlessness - low self esteem - spiritual distress

Answer 16

- IDENTITY: what makes one unique/distinguishes one from others (age, gender, social class, marital status, race, occupation. Ex: mother, volunteer, doctor) Assessing: ‘’ how would you describe yourself? ‘’ - SELF ESTEEM: an individual’s overall sense of self-worth, confidence, accomplishment. (feels like a loser) Assessing: ‘’ how do you feel about yourself? ’’ - SELF IDEAL: what one would like to be or do related to what one is capable of being or doing. (One’s hope, dreams, ambitions, regrets related to health) Assessing: ‘’ what would you change yourself in terms of your health) - BELIEFS: a person’s belief system and an evaluation of who one is in relation to the universe. ( ex: my faith gives me the strength to get through this, god, Karan) Assessing: ‘’ how would you describe your spiritual beliefs? // how do you measure up to your own standard of right living? // how do you evaluate yourself? ‘’ - BODY IMAGE: attitude related to the physical appearance, structure, function of the body (appearance, masculinity, youthfulness, sexuality, vitality) Assessing: ‘’ how do you feeling about your appearance? ‘’ PS: observe PT’s body language and posture (avoidance of a body part, level of personal hygiene…)

Answer 17

- person - environment - health - nursing

Answer 18

- we all have values and beliefs - we all interacts with people, family, groups and our communities as well as the environment

Answer 19

The person’s surroundings: - psychosocial - political - spiritual - cultural

Answer 20

- adaptation to multiple environmental factors

Answer 21

- consists in assessing health, determining and carrying out the nursing care and treatment plan - providing nursing and medical care and treatment in order to maintain - restore the health of a person in interaction with his environment - prevent illness - providing palliative care.

Answer 22

- nurse client partnership - health promotion - prevention of illness, accidents, social problems, suicide - therapeutic process - functional rehabilitation - quality of life - professional commitment

Answer 23

1o assessing the physical and mental condition of a symptomatic person; 2o providing clinical monitoring of the condition of per- sons whose state of health is problematic, including monitoring and adjusting the therapeutic nursing plan; 3o initiating diagnostic and therapeutic measures, according to a prescription; 4o initiating diagnostic measures for the purposes of a screening operation under the Public Health Act (chapter S-2.2); 5o performing invasive examinations and diagnostic tests, according to a prescription; 6o providing and adjusting medical treatment, according to a prescription; 7o determining the treatment plan for wounds and alterations of the skin and teguments and providing the required care and treatment; 8o applying invasive techniques; 9o participating in pregnancy care, deliveries and postpartum care; 10o providing nursing follow-up for persons with complex health problems; 11o administering and adjusting prescribed medications or other prescribed substances; 12o performing vaccinations as part of a vaccination operation under the Public Health Act; 13o mixing substances to complete the preparation of a medication, according to a prescription; and 14o making decisions as to the use of restraint measures; 15o deciding to use isolation measures in accordance with the Act respecting health services and social services and the Act respecting health services and social services for Cree Native persons; 16o assessing mental disorders, except mental retardation, if the nurse has the university degree and clinical experience in psychiatric nursing care required under a regulation made in accordance 17o assessing a child not yet admissible to preschool education who shows signs of developmental delay, in order to determine the adjustment and rehabilitation services required.

Answer 24

Defines the scope of practice of nurse as outlined in law