Test 1 Flashcards

(61 cards)

1
Q

performing nursing interventions to promote, maintain, or restore client health

A

Implementation

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2
Q

nurse utilizes the client’s assessment data to identify nursing interventions which will achieve measurable client goals/outcomes

A

Planning

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3
Q

The nurse identifies patterns or trends, compares the data with expected standards or reference ranges and draws conclusions to direct nursing care

A

Analysis

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4
Q

the application of nursing knowledge to the collection, organization, validation, and documentation of data about a client’s health status and needs

A

Assessment

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5
Q

Assessment of a clients response to nursing interventions and determination if outcome goals were met or if additional planning is required

A

Evaluation

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6
Q

step of the nursing process in which the nurse collects organize and validates data by using critical thinking skills

A

assesment

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7
Q

are based on facts measurable and what the nurse can observe or notice by using senses ex. vital signs

A

objective data

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8
Q

are derived from the clients self report or from a family member ex. pain a patient feels

A

subjective data

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9
Q

RN reviews the client’s assessment findings to determine the clients problems and formulates a plan of care

A

analysis

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10
Q

RN makes plans to address the client’s problems by formulating individualized interventions and goals is to ensure the client achieves a positive outcome

A

Planning

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11
Q

involves taking action to provide nursing care as outlined

A

Implementation

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12
Q

RN views the effectiveness of the interventions provided and documents the clients response

A

Evaluation

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13
Q

mental process used when analyzing all the data pertaining to a clinical situation and making decision based on that analysis

A

Clinical reasoning

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14
Q

is the clinical reasoning across an expanse of time

A

Clinical Judgement

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15
Q

What is maslows hierachy of needs (1)?

A

physiological needs

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16
Q

What is maslows hierachy of needs (2)

A

safety needs

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17
Q

What is maslows hierachy of needs (3)

A

love and belonging

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18
Q

What is maslows hierachy of needs (4)

A

Esteem

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19
Q

What is maslows hierachy of needs (5)

A

self actualization

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20
Q

focuses on decreasing the risk for development of medical conditions by changing behaviors or minimizing exposures ex. vaccinations, lifestyle changes

A

primary prevention

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21
Q

consists of early screening to detect a disease process before it progresses to cause symptoms or complications in the client ex. screening test

A

secondary prevention

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22
Q

focuses on controlling the chronic effects of a health issue that has already occured and on restoring the individual optimal functioning e. education about self care

A

tertiary prevention

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23
Q

a positive state of mind comprising the actions taken by individuals to achieve their fullest potential for complete holistic health

A

wellness

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24
Q

is the response of a person to a disease; its is a process in which the person’s level of functioning is change when compared with a previous level

A

illness

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25
is a state of complete physical mental and social well being
health
26
views health as a constantly changing state with high level wellness and death at opposite end of a graduated scale
wellness continuum
27
the cancer screening nemonic
CAUTION
28
abnormally low count of RBCs, hemoglobin concentrations, sometimes both, diminished O2 carrying capacity
Anemia
29
What are the lab tests done for Anemia?
CBC count, RBC indices, sickle cell tests
30
conditions in the environment in which people are born in and learn work pay worship and age that affect a wide range of health functioning and quality of life outcomes and risks
social determinants of health
31
is the amount of blood supplied to an area
perfusion
32
what is normal pulse rate
60-100 bpm
33
increased heart rate
tachycardia
34
what is the rate for tachycardia?
100-180 bpm
35
slower heart rate
bradycardia
36
what is the rate for bradycardia
pulse rate below 60 bpm
37
quality of pulse in terms of its fullness and reflects the strength of left ventricular contraction
pulse amplitude
38
the pattern of the beats and pauses between them
pulse rhythm
39
irregular heartbeat pattern
dysrhythmia
40
what is a normal BP amount
below 120/80mmHg
41
what is the hypotension rate?
90/60 mmHg
42
Is BP above normal rate for a sustained period
hypertension
43
what is the hypertension rate?
130/80mmHg or higher
44
difficult or labored breathing
dyspnea
45
What is a healthy adult breath/min
12 to 20 breath/min
46
What is the 3 step to the sick role?
Assuming dependent role
47
What is stage 1 of the sick role
Expiriencing symptoms
48
What is the second step of the sick role?
Assuming sick role
49
what is senior 65+ breathing rate?
16- 24 breaths/min
50
Rapid breathing
Tachypnea
51
increased rate and depth of ventilation above the body's normal metabolic requirements
hyperventilation
52
slow breathing
Bradypnea
53
inadequate o2 to the body decrease in gas exchange
Hypoxia
54
heard over the larynx and trachea are high pitched harsh blowing sounds with sound on expiration being longer than inspiration
Bronchial breath sounds
55
are heard over mainstem bronchus and are moderate blowing sounds with inspiration equal to expiration
Bronchovesicular
56
are soft low pitched whispering sounds heard over most of the lungs fields with sound on inspiration longer than expiration
vesicular breath sounds
57
abnormal sounds are normally heard in the lungs and result from air moving through moisture, mucus or narrow airways
adventitious breath sounds
58
frequently heard on inspiration are soft high pitched discontinuous popping sounds
crackles
59
are continous musical sounds produced as air passes through airways constricted by swelling, narrowing secretions ir tumors
wheezes
60
continous gurgling or bubling sounds
Rhonchi
61
different breathing techniques
deep breathing using incentive spirometry pursed lip breathing diaphragmatic breathing