Quiz 1 Flashcards

Question

difference between nursing diagnosis and medical

Answer 1

nursing is concerned with the impact of the health challenge on the whole person, and their responses to health challenges

Answer 2

Specific, measurable, attainable, realistic and time sensitive

Answer 3

-patient centered, specific goals, desired outcomes, nursing interventions

Answer 4

-reassessing client, resources, nursing intervention

Answer 5

-data collection, relate nursing action to client goal and outcome, draw conclusion about problems

Answer 6

specific to general

Answer 7

general to specific

Answer 8

reflect on values, assumptions, and thinking

Answer 9

stays in one spot

Answer 10

the practices which make an environment free of bacteria, viruses and other microorganisms

Answer 11

the clean technique prating to reduce the number and spread of microorganisms

Answer 12

Also known as “sterile technique” Prevents contamination during invasive medical procedures Aims to create a sterile environment to reduce the risk of infections

Answer 13

infections that were obtained at the hostpital

Answer 14

-the place where infectious agent can survive (ex. humans, animals, environment)

Answer 15

Respiratory droplets (cough, sneeze) Gastrointestinal tract (feces) Genitourinary tract (STIs, urine) Skin lesions Blood Direct contact

Answer 16

contact, droplet, airborne, vehicle, vector

Answer 17

-Direct or indirect

Answer 18

-fall 1 m -land on nose or oral of new host -transfers through something like sneezing

Answer 19

-carried by microorganisms that stay in the air, they are inhaled

Answer 20

-Contaminated source such as food, IV fluid, Water, blood, or equipment

Answer 21

-gloves, gowns, goggles, facesheilds, masks, shoe coves

Answer 22

-private room -HH -gloves -gown -only transport when essential

Answer 23

-maintain at least 6 feet if patient is sharing rooms -HH -Gloves and eye protection -transport only when essential

Answer 24

-Resp, GU and GI tract, open wounds, mucous membrane, parenteral route

Answer 25

-door must be closed -HH -N-95

Answer 26

before interacting with patient, before procedure, after body fluid exposure, when leaving

Answer 27

the state or fact of being likely or liable to be influenced or harmed by a particular thing.

Answer 28

direct or indirect

Answer 29

infectious agent, reservoir, portal of exit, vehicle, total of entry, suspectible host

Answer 30

an infection after medical or surgical management, whether or not the patient was hospitalized.

Answer 31

WHolis: how can we provide wholistic care for you

Answer 32

logistics, what can help you understand and safety find access through this journey

Answer 33

environment, how we comfort you

Answer 34

What we are told by the patients

Answer 35

What we can see

Answer 36

client interview, observation, vital signs

Answer 37

healthcare team, medical records, scientific literature,

Answer 38

targets specific pathogens based on the person’s exposure to antigens

Answer 39

provides immediate, generalized protection

Answer 40

Label the entry “Late Entry” to indicate it is out of sequence. Record time and date of entry. In body of entry, record time and date it should have been made

Answer 41

cross out and write error

Answer 42

-be factual, specific, accurate, complete, and organized

Answer 43

-what products are being used -why they are being used -how to properly use them

Answer 44

Shower: stand-up or sit-down with shower chair Tub- see agency policy for water temp Complete bed bath Partial bed bath Bag bath Partial bath at sink or with basin

Answer 45

hair loss, lice, dandruff and dermatitis

Answer 46

Brushing (don’t forget to brush the tongue!) Flossing Rinsing Lip care

Answer 47

Best to have patient remove their own dentures If nurse is to remove, use a piece of gauze to improve grip Can be cleansed with toothpaste/water or commercial product Store in a denture cup labelled with patient name After cleaning dentures, don’t forget to clean and assess gums Handle with care- dentures are expensive! Do not accidentally put them in the water cup!!!

Answer 48

Upper inner thighs Labia majora Folds between the labia majora and minora positioning for female peri-care ideal is dorsal recumbent

Answer 49

upper inner thighs Penis Scrotum Uncircumcised men, the foreskin of the penis is retracted in order that the glans of the penis can be properly washed and dry. ***WHEN DONE foreskin is rolled back into place ***

Answer 50

Attends Mesh panties Pull ups Pad inserts Pads

Answer 51

a glassy substance used to coat the surface of metal, glass, or pottery.

Answer 52

the sensation of oral dryness, which can result from diminished saliva production

Answer 53

an infestation of the hairy parts of the body or clothing with the eggs, larvae or adults of lice.

Answer 54

an ornamental tablet, typically of metal, porcelain, or wood, that is fixed to a wall or other surface in commemoration of a person or event.

Answer 55

a hard crust that forms on the teeth and consists of plaque that has become hardened with mineral salts (as of calcium) tartar.

Answer 56

swelling and redness of the lining of your mouth.

Answer 57

a system for documenting exceptions to normal illness or disease progression, using a shorthand method of charting what's usual and normal.

Answer 58

spinal cord

Answer 59

ear/hearing

Answer 60

disease, suffering, emotion

Answer 61

fast, rapid

Answer 62

above, excessive

Answer 63

surrounding area

Answer 64

pain, suffering

Answer 65

hernia, tumor, swelling

Answer 66

surgically puncture to remove fluid

Answer 67

surgical fixation of bone joint, to bind or tie together

Answer 68

stretching, enlargement

Answer 69

a picture or record

Answer 70

breakdown, separation, destruction, loosening

Answer 71

abnormal softening

Answer 72

specialist

Answer 73

the science or study of

Answer 74

disease, suffering, emotion

Answer 75

The reduction of and mitigation of unsafe acts within the healthcare system, as well as the use of best practices shown to lead to optimal patient outcomes

Answer 76

is an outcome based on respectful engagement that recognizes and strives to address power imbalances inherent in the healthcare system. It results in an environment free of racism and discrimination, where people feel safe when receiving health care.

Answer 77

Previous falls Illness or infection Hydration and nutrition Medication Vitamin D and calcium Pain Environment Fear of falling Inactivity

Answer 78

-fall, fear of falling, inactivity, wearing of muscles, increased risk of falling

Answer 79

-hearing aids and glasses -non skid socks -staying active -eat healthy and nutritious meals -ensure your pain is under control -have personal items in reach

Answer 80

Physical restraint Environnemental restraint Chemical restraint

Answer 81

is anything near or on the body that restricts movement. They are used when the client may interfere with clinical care or attempt to cause harm to themselves or the staff.

Answer 82

a form of medical restraint in which a drug is used to restrict the freedom or movement of a client or to sedate the client

Answer 83

1. Assessing the continued need for restraints in the client 2. Mental status 3. Type of restraints used and location 4. Circulation and sensation assessment 5. Range of motion (ROM) exercises 6. Skin integrity 7. Food and fluid offered 8. Toileting offered 9. Education to client and family regarding restraints 10. Include in plan of care 11. Documentation frequency per agency protocol

Answer 84

injuries to the skin and underlying tissue, primarily caused by prolonged pressure on the skin. They can happen to anyone but usually affect people confined to bed or who sit in a chair or wheelchair for long periods.

Answer 85

The area looks red and feels warm to the touch.

Answer 86

The area looks more damaged and may have an open sore, scrape, or blister.

Answer 87

The area has a crater-like appearance due to damage below the skin's surface.

Answer 88

The area is severely damaged and a large wound is present.

Answer 89

sitting up 45%

Answer 90

sitting up in 90%

Answer 91

lying flat down

Answer 92

nothing by mouth

Answer 93

water, tea, clear soda, gelatine, broth

Answer 94

all fruit or all veggie juices, broth, strained or pureed vegetable soup, cream based soup, milk, coffee, milkshake, pudding, Herbert, ice cream, supplement shakes

Answer 95

eggs, mach potatoes, cottage cheese, baked fish, yogurt, soft fruit, well cooked veggies

Answer 96

fully blundered food with thickened liquid

Answer 97

healthy vision, skin, bones, and teeth

Answer 98

helps convert food into engird and is critical for nerve functioning

Answer 99

helps convert food into energy, and food for skin, hair, blood, and brain

Answer 100

helps convert food into energy and is essential for healthy nervous system

Answer 101

helps make red blood cells

Answer 102

food to energy and break down glucose

Answer 103

Vital for new cells creation and DNA synthesis

Answer 104

Breaks down fatty acids

Answer 105

antioxidants help make new cells and improve immune system

Answer 106

Strengthens and helps form bones and teeth via calcium and phosphorus

Answer 107

Acts as an antioxidant helps stabilize cell membranes

Answer 108

Essential for blood clotting and helping regular blood calcium

Answer 109

anthrometry, weight, BMI, Skinfold thickness, underwater weighing

Answer 110

Assess, diagnose, plan, implement, evaluate

Answer 111

hair growth in body and face of a women

Answer 112

chronic ecsematoud rash

Answer 113

A: ask for permission to discuss weight and explore readiness A: assess obesity related causes "root cause of obesity" A: advice health risk and options A: agree on health outcomes and behavioural goals A: assist in accessing appropriate resource for provider

Answer 114

coughing, choking, drooling, pocketing of food in cheeks, facial weakness, gurgle hoariest, multiple swallows, decline in respiratory status, prolonged meal time, weightloss, chest colds, pain with swallowing, increased avoidance liquids

Answer 115

Mildly thick :Nectar kinda thin coating Moderate thick: honey with a slow drip Extremely thick: pudding Managing hydration: add thickening

Answer 116

* Includes foods on a clear diet plus additional smooth texture dairy products. . Strained soup, custard, refined cereals, veggie juice * After surgery or acute illness * Must verify non lactose diets * Not recommended for long time

Answer 117

* Foods that do not require swallowing * Head, neck, or oral surgery Can be modified accordingly

Answer 118

* Consists od other diets but includes lightly salted siced meets, flaked fish, cottage cheese, rice, potatoes, pancakes, other mushy foods * Avoid tough meets, nuts, bacon and fruit with skin * Chewing problem or GI track * Transitional

Answer 119

* Pastas, casseroles, moist tender meats canned cooked fruits and veg * Foods that are easy to chew * no fatty rich foods * Low fiber

Answer 120

Foam overlay- moderate to high risk patients -Water overlay- use for high risk patients -Gel overlay-use for moderate to high risk patients who are wheel chair dependant -Non power air filled over lay: can reposition selves -low-air overlay Air-fluidized bed: 3-4 pressure injury or burn -low air loss bed: need pressure relief and cannot be repositioned often, spinal, ski breakdown

Answer 121

1. Dysphagia/swallowing. 2. Altered mental status or decreased alertness and attention span. 3. Esophageal motility disorders/vomiting. 4. Enteral (tube) feeding. 5. Poor oral hygiene, decrease in salivary clearance. 6. Increased impulsiveness or agitation. 7. Use of medications such as psychotropic, neuroleptic, antidepressants, anticholinergic, or phenothiazine drugs. 8. Hyperextended neck or contractures. 9. Facial or neck reconstruction, cancers and their treatments. 10. Long-termintubation. 11. Advancingageduetodecreasedmusclemassreducingpharyngealcontractionandbolus drive. 12. Supineposition.

Quiz 1 Flashcards

(188 cards)