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

Module 2-F (3) Flashcards

(63 cards)

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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
Physical restraints-
Bed rails x 4 (except if a pt requests it), Geri-chair, Wrist/ankle,waist restraints.
26
Restraint indications- Legal implications
require an MD order, emergency. Manufacturers directions, check and release according to the policy. (checking skin integrity, pulses)
27
Restraint indications- legal guidelines
Physiologic- danger of suffocation. Aspiration- Bipap/Cpap- NEVER restrained. Pressure ulcers, contractures.
28
Alternative methods to restraints.
Determine behavior pattern, pain relief, rule out causes for agitation, assess VS/meds, involve the family, reduce stimulation
29
Restraint indications- legal guidelines
Physiologic- danger of suffocation. Aspiration- Bipap/Cpap- NEVER restrained. Pressure ulcers, contractures.
30
Alternative methods to restraints.
Determine behavior pattern, pain relief, rule out causes for agitation, assess VS/meds, involve the family, reduce stimulation
31
Alternative methods to restraints.
distractions and calm voice, night lights, alarm system, walking barriers, side rails. Place patient close to the Nurisng station, Toilet Q 2 hrs
32
RACE
Rescue, Alarm,Contain, Extinguish/Evacuate
33
Accident free environment
Falls- don't leave infant unattended, eliminate slippery surfaces, good lighting, clutter free, shoes, handrails, bed/call bell.
34
Patient Abuse/Maltreatment Assessment
Emotional / Physical Abuse, Neglect, sexual exploitation, shaken baby syndrome, Munchausen Syndrome by Proxy, Elder.
35
Munchausen syndrome by proxy
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
Risk factors for child abuse
Dysfunction (usually the biggest factor), multigenerational (both parents), socioeconomic, characteristics. (below 5y/o with a developmental delay, physical delay.
37
Etiology of Child abuse (characteristics
under 5 y/o, physical abnormalities, developmentally delayed, difficult temperament
38
Risk factors for Elder abuse
^ 80 y/o, Woman, need assistance.(personal care/financial) 1-10 cases actually reported.
39
Sexual Abuse
Usually 6-9 y/o at onset, 3:1 female to male ratio, incest, molestation, pedefelia, child porn.
40
Clinical Manisfestations (Physical indicators)
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
Clinical Manisfestations (Behavioral factors)
Woriness w/ adult contact, apprehension, fear, aggression, stealing food, inconsistent schooling, habit disorders, learning disorders, ( SUICIDAL, PROMISCUITY, EATING)
42
Clinical Manisfestations (Focused assessment)
Excellent documentation, thorough physical assessment,height/weight gain, emotional state, family support system, non-judgemental in questioning.
43
RN role in child abuse
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
Infection Cycle
6 Components- Infectious agent, Resovoir, Portal of exit, Means of Transmission, Portal of entry, Susceptible host
45
Breaking the chain of Infection
Medical asepsis, RN responsibility, protection from microorganisms, immunizations, isolation
46
Factors and Risk of infection
Increased risk- (newborn/elderly, poor health/nutrition, stress, invasive/indwelling med devices.
47
Focus on the older adult
Common infections- Pneumonia (decrwased reflex in cough, due to cilia), UTI (anatomical changes, incomplete bladder emptying, decreased sphincter tone), Skin (elastiscity, vascular)
48
Nosocomial Infections (hospital acquired infections)
Not present at the time of hospitalization, 80% from Foley's,
49
Exogenous infection
other people
50
Endogenous infection
organism person harbors
51
Iatrogenic infection
Result of a treatment or procedure (diagnostic)
52
Antibiotic resistant pathogens(MRSA)
Methacilin resistant Staphylococcus aureus. "cillin" drugs will not work in treating MRSA
53
Antibiotic resistant pathogens(VRE)
Vancomycin resistant Enterococcus- Vanco resistant
54
Antibiotic resistant pathogens
Hand washing is the most effective prevention
55
Medical asepsis
Clean technique- wask hands frequently, soiled items away from you, avoid bodily fluids, avoid raising dust, clean least soiled to most soiled.
56
Medical asepsis
dispose in to appropriate containers, pour directly into the drain, sterilize items, good personal grooming, follow guidelines
57
Surgical asepsis
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
Medical asepsis
Clean technique- wask hands frequently, soiled items away from you, avoid bodily fluids, avoid raising dust, clean least soiled to most soiled.
59
Medical asepsis
dispose in to appropriate containers, pour directly into the drain, sterilize items, good personal grooming, follow guidelines
60
Psychological needs during isolation
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
CDC Guidelines
Standard precautions (wearing gloves) all hospitalized persons, blood and all bodily fluids, secretions, excretions.
62
CDC Guidelines
Transmission based precautions (airborne (TB), droplet(FLU- 3 ft or less), contact (CDiff)
63
Psychological needs during isolation
rejection, guilt, unclean, undesirable, sensory deprivation, avoided and punished. ( need education, empahasize the reasoning)

Nursing 110 (11 decks)

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