Midterm Flashcards

1
Q

First Hospital

A

1751

thought to be a poorhouse/asylum

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2
Q

Florence Nigtengale

A

founder of nursing
originator of professional nursing
established 1st training school for nurses
reduced mortality in crimeon war

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3
Q

dorthea dix

A

advocate for mentally ill

superintended of woman nurses union

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4
Q

clara barton

A

founder of american red cross

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5
Q

Linda Richards

Mary Eliza Mahoney

A

first trained nurse

first African american nurse

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6
Q

Harriet tubman

A

during war nursed soldiers using herbs

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7
Q

Lillian Wald

A

founder of public health nursing

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8
Q

Mary breckinridge

A

founded frontier nursing service in Kentucky
introduced midwives
decreased infant mortality

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9
Q

WIPES

A
wash hands
introduce self
privacy
environment
safety
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10
Q

SOLER

A
Sit squarely
Open posture
Lean in
Eye Contact
Relax
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11
Q

Chief complaint

A

reason for visit

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12
Q

OLD CART

A

Onset/Setting
Location
Duration

Characteristic/Quality
Associated manifestations
Relieving/aggravating factors
Treatment

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13
Q

6 Vital Signs

A
Temperature
Pulse
Respiration
Blood Pressure
Pain
Pulse Oximetry
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14
Q

Oral Temp
Axillary Temp
Rectal Temp

A
  1. 6 –> 96.4 - 100
  2. 6 –> 95.8 - 99
  3. 6 –> 97.3 - 101
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15
Q

Noscomial Infections

A

Hospital acquired infections

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16
Q

exogenous infection

A

causative organism acquired from another person

mrsa, salmonella

17
Q

iatrogenic

A

infection that results from a treatment or diagnostic procedure

catheter central line, UTI or BS infection

18
Q

endogenous infection

A

causative organism acquired from a microbial life that harvests within the body
-poor drying skin folding (yeast develops)

19
Q

C-diff

A

normally in GI tract at low levels
becomes opportunistic when a patient takes antibiotics
c.diff multiplies
MUST was hands with soap and water

20
Q

Airborne precautions

A

N-95 mask for hospital workers
visitors where surgical masks for limited time
transportation is limited

-bacteria released in the air when a patient talks sneezes or coughs –> chicken pox, measles, shingles, small pox

21
Q

droplet precautions

A

mask and gloves
-close contact with respiratory secretions

flu, pertussis, mumps, meningitis

22
Q

contact precaution

A

gown and gloves for everyone

mrsa, vre

skin to skin or contact with an object in room

23
Q

C diff precautions

A

gown and gloves

ONLY was hands with soap and water

24
Q

Aging Changes

A
Decreased eyesight/hearing
Fat distribution
Skin drier,grey hair
Decreased CO
decreased calcium in bones, muscle,strength agility 
Increase fatigue
Woman lose estrogen - increased risk of HD and osteoporosis
Men decreased androgen levels 
Response time for cognition increased 
Skin not as elastic
25
Q

Delirium in older adults caused by

A

Vitamin B12 deficiency

UTI

26
Q

SPICES

Geriatric syndromes

What doesn’t it cover? (2)

A
Sleep disorder
Problems eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown 

Doesn’t cover skin break down and constipation

27
Q

Primary purpose of documenting

A

Convey information to over HCP

28
Q

Diabetes patient exercises 5x a week. Which of the following would the nurse include in teaching?
A. Avoiding exercises if BS is >250
B. Inject insulin into exercises body areas
C. Consume extra carbs if he ate over an hour ago
D. Have a source of sugar available before and after workout
E. He should exercises on if BS <125

A

A. C. D.

29
Q

Healthy weight BMI

A

20-24.9

30
Q

Obese class 1

A

30-34.9

31
Q

Obese class 2

A

35-40

32
Q

Morbid obesity

A

40+

33
Q

Risk Factors for diabetes

A
Family hx
Obesity BMI > 25
Ethnicity 
Age > 45
BP > 140/90
Low HDL cholesterol 
Hx of gestational diabetes
34
Q

Type 1 diabetes signs and symptoms

A
Polyuria (increases urination)
Polydipsia (increases thirst)
Polyphagia (increases hunger)
Weight loss
Fatigue
Increased frequency of infections
Rapid onset
Insulin dependent 
Family tendency
35
Q

Type 2 diabetes signs and symptoms

A
Sedentary lifestyle
Family tendency
Average age 50
Hx of high BP
Fatigue
Obese
Recurrent infections
Polyuria 
Polydipsia
FBS > 126mg/dL