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Nursing 110 > Module 2-F (3) > Flashcards

Module 2-F (3) Flashcards

1
Q

Poison Exposure

A

Children at risk- Small size/weight, curiosity, lack of fear, evolving mobility. 1-5 High risk. School age- accidental/exposure. Adolescent- purposeful

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2
Q

Types of poisonings- Ingestion

A

most common

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3
Q

Types of poisonings-Ocular

A

getting a forgien substance in eyes

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4
Q

Types of poisonings-Dermal exposure

A

skin/pores

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5
Q

Types of poisonings-Inhalation

A

breathing in

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6
Q

Types of poisonings-Parenteral exposure

A

IV

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7
Q

Types of poisonings-Envenomation

A

venom injection-snake

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8
Q

Common Sources of Poisonings

A

plants, household and personal care products, cleaners, meds, carbon monoxide, lead, psychopharmocological drugs, alcohol

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9
Q

Therapeutic Management

A

Obtaining information

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10
Q

Common Sources of Poisonings

A

plants, household and personal care products, cleaners, meds, carbon monoxide, lead, psychopharmocological drugs, alcohol

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11
Q

Therapeutic Management

A

Obtaining information

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12
Q

Gastric Lavage

A

Over a 1/2 hr period. Not used w/ corosive substances.

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13
Q

Therapeutic Management

A

remove dermal/occular toxins (eye wash), dilute ingested toxins.(never induce vomiting)

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14
Q

Gastric Lavage

A

Over a 1/2 hr period. Not used w/ corosive substances.

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15
Q

Activated Characoal

A

1 hr or less- binds to the substance and absorbs its effects. (stimulant to counteract constipation)

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16
Q

Lead poisoning

A

paint/gas/water/soil. poor nutrition increases the effects of lead poisoning., Homes prior to 1960s

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17
Q

Clinical Manisfestations

A

CNS, Hemapoietic (RBC’s effected), GI , Skeletal, Renal (ARF)

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18
Q

Lead poisoning

A

paint/gas/water/soi. poor nutrition increases theeffects of lead posioning., Homes prior to 1960

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19
Q

Clinical Manisfestations

A

CNS, Hemapoietic (RBC’s effected), GI , Skeletal, Renal (ARF)

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20
Q

Clinical Manisfestatio.ns-serum level 10

A

harmful

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21
Q

Clinical Manisfestations-serum level 10-15

A

frequent screenings

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22
Q

Treatment-lead

A

Chelation- ridding the environment of lead products

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23
Q

Clinical Manisfestations-serum level 20 ^

A

possible removal and treatment

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24
Q

Treatment-lead

A

Chelation- ridding the environment of lead products

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25
Q

Physical restraints-

A

Bed rails x 4 (except if a pt requests it), Geri-chair, Wrist/ankle,waist restraints.

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26
Q

Restraint indications- Legal implications

A

require an MD order, emergency. Manufacturers directions, check and release according to the policy. (checking skin integrity, pulses)

27
Q

Restraint indications- legal guidelines

A

Physiologic- danger of suffocation. Aspiration- Bipap/Cpap- NEVER restrained. Pressure ulcers, contractures.

28
Q

Alternative methods to restraints.

A

Determine behavior pattern, pain relief, rule out causes for agitation, assess VS/meds, involve the family, reduce stimulation

29
Q

Restraint indications- legal guidelines

A

Physiologic- danger of suffocation. Aspiration- Bipap/Cpap- NEVER restrained. Pressure ulcers, contractures.

30
Q

Alternative methods to restraints.

A

Determine behavior pattern, pain relief, rule out causes for agitation, assess VS/meds, involve the family, reduce stimulation

31
Q

Alternative methods to restraints.

A

distractions and calm voice, night lights, alarm system, walking barriers, side rails. Place patient close to the Nurisng station, Toilet Q 2 hrs

32
Q

RACE

A

Rescue, Alarm,Contain, Extinguish/Evacuate

33
Q

Accident free environment

A

Falls- don’t leave infant unattended, eliminate slippery surfaces, good lighting, clutter free, shoes, handrails, bed/call bell.

34
Q

Patient Abuse/Maltreatment Assessment

A

Emotional / Physical Abuse, Neglect, sexual exploitation, shaken baby syndrome, Munchausen Syndrome by Proxy, Elder.

35
Q

Munchausen syndrome by proxy

A

Illness fabricated or induced in another person. Most often the mother who fabricates or causes an illness in a child to gain attention from healthcare providers.

36
Q

Risk factors for child abuse

A

Dysfunction (usually the biggest factor), multigenerational (both parents), socioeconomic, characteristics. (below 5y/o with a developmental delay, physical delay.

37
Q

Etiology of Child abuse (characteristics

A

under 5 y/o, physical abnormalities, developmentally delayed, difficult temperament

38
Q

Risk factors for Elder abuse

A

^ 80 y/o, Woman, need assistance.(personal care/financial) 1-10 cases actually reported.

39
Q

Sexual Abuse

A

Usually 6-9 y/o at onset, 3:1 female to male ratio, incest, molestation, pedefelia, child porn.

40
Q

Clinical Manisfestations (Physical indicators)

A

unexplained bruises, burns (soles, palms, buttocks), fractures in various stages of healing, inadequate weight gain, poor hygiene, bald pathces, inappropriate clothing for the season, STD’s

41
Q

Clinical Manisfestations (Behavioral factors)

A

Woriness w/ adult contact, apprehension, fear, aggression, stealing food, inconsistent schooling, habit disorders, learning disorders, ( SUICIDAL, PROMISCUITY, EATING)

42
Q

Clinical Manisfestations (Focused assessment)

A

Excellent documentation, thorough physical assessment,height/weight gain, emotional state, family support system, non-judgemental in questioning.

43
Q

RN role in child abuse

A

Be sure the stories match (biggest indicator) , story matches the injury, know what you are walking in to, Nurses have a DUTY to REPORT

44
Q

Infection Cycle

A

6 Components- Infectious agent, Resovoir, Portal of exit, Means of Transmission, Portal of entry, Susceptible host

45
Q

Breaking the chain of Infection

A

Medical asepsis, RN responsibility, protection from microorganisms, immunizations, isolation

46
Q

Factors and Risk of infection

A

Increased risk- (newborn/elderly, poor health/nutrition, stress, invasive/indwelling med devices.

47
Q

Focus on the older adult

A

Common infections- Pneumonia (decrwased reflex in cough, due to cilia), UTI (anatomical changes, incomplete bladder emptying, decreased sphincter tone), Skin (elastiscity, vascular)

48
Q

Nosocomial Infections (hospital acquired infections)

A

Not present at the time of hospitalization, 80% from Foley’s,

49
Q

Exogenous infection

A

other people

50
Q

Endogenous infection

A

organism person harbors

51
Q

Iatrogenic infection

A

Result of a treatment or procedure (diagnostic)

52
Q

Antibiotic resistant pathogens(MRSA)

A

Methacilin resistant Staphylococcus aureus. “cillin” drugs will not work in treating MRSA

53
Q

Antibiotic resistant pathogens(VRE)

A

Vancomycin resistant Enterococcus- Vanco resistant

54
Q

Antibiotic resistant pathogens

A

Hand washing is the most effective prevention

55
Q

Medical asepsis

A

Clean technique- wask hands frequently, soiled items away from you, avoid bodily fluids, avoid raising dust, clean least soiled to most soiled.

56
Q

Medical asepsis

A

dispose in to appropriate containers, pour directly into the drain, sterilize items, good personal grooming, follow guidelines

57
Q

Surgical asepsis

A

Sterile to sterile only, open packs away from you, avoid spilling any solution on cloth or paper, wet in considered contaminated, above waist, avoid reaching over a sterile field, never turn back on sterile field, sterile only to break the skin, dry, sterile forceps only, edge is contaminated.

58
Q

Medical asepsis

A

Clean technique- wask hands frequently, soiled items away from you, avoid bodily fluids, avoid raising dust, clean least soiled to most soiled.

59
Q

Medical asepsis

A

dispose in to appropriate containers, pour directly into the drain, sterilize items, good personal grooming, follow guidelines

60
Q

Psychological needs during isolation

A

rejection, guilt, unclean, undesirable, sensory deprivation, avoided and punished. ( need education, empahasize the reasoning) Emotional support, discontinue as soon as safe, Children have special needs( diversional activities, play dress up, young may feel punished)

61
Q

CDC Guidelines

A

Standard precautions (wearing gloves) all hospitalized persons, blood and all bodily fluids, secretions, excretions.

62
Q

CDC Guidelines

A

Transmission based precautions (airborne (TB), droplet(FLU- 3 ft or less), contact (CDiff)

63
Q

Psychological needs during isolation

A

rejection, guilt, unclean, undesirable, sensory deprivation, avoided and punished. ( need education, empahasize the reasoning)

Nursing 110 (11 decks)

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