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Health safety n104 > Misc. > Flashcards

Misc. Flashcards

1
Q

Minimum data set

A

Specific categories of information will use uniform definitions to create common language among multiple healthcare workers and data users

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2
Q

OASIS

A

Outcome and assessment information set.

Assessment instrument- measures patient outcomes for the purpose of improving the quality of care that is provided

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3
Q

Variance charting

A

The unexpected event, the cause of the event, actions taken in response to the event and discharge planning

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4
Q

Affective learning

A

Changes in attitudes, values and feelings

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5
Q

Andragogy

A

The teaching of adults

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6
Q

Difference between formal and informal teaching

A

Formal: planned teaching based on learner objectives.

Informal: unplanned teaching sessions dealing with patients immediate learning needs and concerns

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7
Q

Pedagogy

A

Science of teaching that generally refers to the teaching of children and adolescents

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8
Q

What to do in the orientation phase,

when you first enter patient’s room

A 
Get to know patient, 
develop trust, 
assess health status, 
analyze patient messages/ behaviors, 
establish goals and priorities
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9
Q

SOLER

A 
Sit facing the patient 
open posture
lean toward the patient 
establish and maintain intermittent eye contact
Relax
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10
Q

Stages of behavioral change

A 
pre-Contemplation
contemplation 
preparation 
action 
maintenance 
termination
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11
Q

List five stages of illness

A 
1-Symptoms 
2-sick role- (interferes in life)
3- medical care contact 
4-dependent client role 
5-recovery or rehabilitation

Sometimes people only go through 1st 2 then recover.

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12
Q

Bioterrorism related agents: botulism

A

Not possible to be transmitted person to person,

use standard precautions

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13
Q

Bioterrorism related agents:

Plague

A

bubonic: Not possible to be transmitted person to person, use standard precautions

pneumonic plague: possible to be transmitted person to person, use droplets precautions

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14
Q

Bioterrorism related to agents: smallpox

A

Possible to be transmitted person to person, use airborne and contact precautions

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15
Q

List the difference between different classes of fires A,B,C,D

A

Class A: paper, cloth, rubber, plastic, wood, trash, furniture

Class B: Flammable and combustible liquids such as gas, or oil’s, paint, solvents, cooking fires (do not use water to extinguish)

Class C fires electrical fires such as fuse boxes, wiring and appliances

Class D fires: Burning metals

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16
Q

Active dressings

A

Dressings that create a moist environment

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17
Q

Antibody mediated response

A

Another name for humoral or circulating immunity. Resides in B lymphocytes. The cells produce proteins called antibodies the defend the body against specific pathogens

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18
Q

Cell Mediated defense

A

Another name for cellular immunity, which resides in T cells. These cells attack and kill invading organisms

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19
Q

Chain of infection: list the steps and explain each briefly

A

1- infectious agent- Could be bacteria, viruses, fungi or parasite
2- reservoir- place where agents thrive- Could be a human or animal or an inanimate object
3-portal of exit- nose or mouth
4- Mode of transmission- unwashed hands
5- portal of entry- Orifices, mucous membranes, brakes and skin
6- susceptible host- Lacks immunity or physical resistance such as open cuts or wounds

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20
Q

Dehiscence

A

Partial or complete rupture of a sutured wound

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21
Q

Evisceration

A

Protrusion of abdominal organs through a dehisced wound

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22
Q

Hydrocolloids

A

Acid-based dressings that tend to discourage growth of bacteria

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23
Q

Shearing force

A

A force resulting from a combination of friction and pressure

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24
Q

Rhonchi

A

Rumbling sound. More pronounced during expiration then during inspiration

25
Q

How can you tell a chest drainage system is working properly

A

Fluid oscillating in the tubing

26
Q

Trousseau’s sign

A

Occlude the brachial or radial artery. Hand and finger spasms that occurred during occlusion indicate Trousseau’s sign and suggest hypocalcemia

27
Q

Appropriate needle gauge for a blood transfusion

A

16-20G

28
Q

What is intractable pain

A

Pain that incapacitates the patient and can’t be relieved by drugs

29
Q

What is the first nursing action for a patient who can’t void

A

Palpate the bladder to assess for bladder distention

30
Q

How to use a cane

A

Carry It on unaffected side and advance it as the same time as the affected extremity

31
Q

How do you fit in a supine patient for crutches?

A

Measure from axilla to the sole and add 2 inches to that measurement.
Should be wearing shoes

32
Q

Appropriate needle size for insulin injection

A

25 gauge and 5/8 inches long

33
Q

Normal amount of residual urine

A

50 to 100 ML

34
Q

Diagnosis phase:

A

Nurse makes clinical judgment about individual, family, or community responses to actual or potential health problems or life processes.

35
Q

Planning stage of the nursing process

A

Nurse :

assigns priorities to nursing diagnoses,

defines short term and long term goals

defines expected outcomes

establishes the nursing care plan

36
Q

Implementation stage of the nursing process

A

Nurse puts care plan into action,

delegates specific nursing interventions,

charts patient responses to nursing interventions

37
Q

Dorsal recumbent position

A

Patient lies on back with lower extremities moderately flexed and rotated outward.
Used for catheterizing a female.

When using stirrups and scooted all the way to end of table would be lithotomy position.

38
Q

2 safety guidelines to follow when changing trach ties.

A

Nurse should leave old ties in place until the new ones are applied.
Always have assistance when changing ties.

39
Q

What is the most abundant cation in intracellular fluid?

A

Potassium

40
Q

Why wouldn’t you take a rectal temperature on someone who has a cardiac disorder?

A

Could stimulate a vagal Response and lead to Vasodilation and decreased cardiac output

41
Q

How do you record and describe pulse amplitude and rhythm?

A

+3 Bounding pulse (Readily palpable and forceful)

+2 Normal pulse (easily palpable)

+1 thready or weak pulse (difficult to detect)

0 absent

42
Q

Something to remember about taking liquid iron by mouth:

Or about IM iron dextran (Imferon)?

A

Can stain teeth so should be taken through a straw.

Imferon should be given z track.

43
Q

List the levels of consciousness

A 
In descending order: 
alertness, 
lethargy, 
stupor, 
light coma,
deep coma
44
Q

Medical word for dropping eyelid

A

Ptosis

45
Q

Maslow’s hierarchy of needs

A 
Physiologic, 
safety and security, 
love and belonging, 
self-esteem and recognition, 
self actualization
46
Q

Type O blood

A

Universal donors

47
Q

Type AB blood

A

Universal recipients

48
Q

What is prothrombin and where is it produced?

A

A clotting factor

produced in the liver

49
Q

Medical term for normal respiration

A

Eupnea

50
Q

What makes the S1 sound of the heartbeat?

A

Closing of mitral and tricuspid valves

51
Q

What is double-bind communication?

A

When verbal message contradicts the nonverbal message and receiver isn’t sure which to respond to.

52
Q

Formula for calculating gtts per min.

A

(Volume to be infused X drip factor) divided by time in minutes= drops/ minute

53
Q

Which do you remove first when leaving room with precautions- mask or gloves?

A

Gloves

54
Q

What is a “shift to the left”?

A

Number of Immature cells (bands) in the blood increases to fight infection.

55
Q

What is “shift to the right”?

A

Number of MATURE cells in blood increases. Seen in advanced liver disease and pernicious anemia.

56
Q

3 phases of therapeutic relationship

A

Orientation
Working
Termination

57
Q

Order of abdominal assessment

A

Inspection
Auscultation
Palpation
Percussion

58
Q

What is Romberg’s test?

A

Tests gait and balance

59
Q

Where is most water absorbed in the body?

The most nutrients?

A

Water- large intestine

Nutrients- small intestine

Health safety n104 (8 decks)

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