Unit 1 Flashcards

(64 cards)

1
Q

Direct Auscultation

A

unaided ear, listening to respiratory wheeze or creaking joint

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2
Q

Indirect Auscultation

A

uses stethoscope

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3
Q

Diaphragm of Stethoscope

A

high-pitched sounds (bronchial)

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4
Q

Bell of Stethoscope

A

low pitched sounds (heart)

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5
Q

Spoon-shape nail

A

Koilonychia

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6
Q

Clubbing

A

nail bed is 180 degrees

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7
Q

exophthalmos

A

protrusion of the eyeballs with elevation of the upper eyelids

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8
Q

visual acuity

A

degree of detail the eye can discern in an image

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9
Q

visual fields

A

the area an individual can see when looking straight ahead

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10
Q

myopia

A

nearsighted

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11
Q

hyperopia

A

farsighted

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12
Q

presbyopia

A

loss of ability to see close objects

-old age

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13
Q

Snellen chart

A

different letters

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14
Q

Crackles (rales)

A

crackling sounds -fine, short
inspiration
heard in bases of lungs

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15
Q

rhonchi

A

low-pitched gurgling coarse sounds
expiration
tracheas and bronchi

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16
Q

friction rub

A

creaking sounds
inspiration and expiration
thoracic expansion

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17
Q

wheeze

A

high-pitched, squeaky, musical sounds
expiration
all over lung fields

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18
Q

precordium

A

area of chest overlying the heart

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19
Q

systole

A

ventricles contract

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20
Q

diastole

A

ventricles relax

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21
Q

S1

A

AV valves close

lub

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22
Q

S2

A

semilunar valve closes

dub

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23
Q

bruit

A

blowing or swishing sound
elevated cardiac output
turbulence of blood flow

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24
Q

thrill

A

vibrating sensation

purring of cat

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25
Critical Analysis
a set of questions one can apply to a particular situation to determine essential information and ideas and discard bad information
26
Socratic Questioning
a technique one can use to look beneath the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view, and differentiate what one knows from what one believes.
27
Inductive Reasoning
generalizations are formed from a set of facts or observations
28
Deductive Reasoning
reasoning from a general premise to the specific conclusion
29
Nursing Process
a systemic, rational method of planning and proving individualized nursing care
30
Problem Solving
a mental activity in which a problem is identified that represents an unsteady state
31
Trial and Error
a number of approaches are tried until a solution is found
32
Intuition
a problem-solving approach that relies on a nurses inner sense
33
Clinical judgement
a decision-making process to ascertain the right nursing action to be implemented at the appropriate time in the clients care.
34
Research Process
a formalized, logical, systematic approach to problem solving
35
Independence
thinking for yourself
36
Fair-Mindedness
assess all viewpoints with the same standards and do not base their judgments on personal or group bias or prejudice
37
Insight into Egocentricity
open to the possibility that their personal biases or social pressures and customs could unduly affect their thinking they actively try to examine their own biases and bring them to awareness each time they think or make a decision
38
Intellectual Humility
having an awareness of the limits of ones own knowledge
39
Intellectual Courage to Challenge the Status Quo and Rituals
a nurse is willing to consider and examine fairly his or her own ideas or views
40
Integrity
individuals apply the same rigorous standards of proof to their own knowledge and beliefs as they apply to the knowledge and beliefs of others
41
Perseverance
finding effective solutions to client and nursing problems lifelong
42
Confidence
well-reasoned thinking will lead to trustworthy conclusions
43
Curiosity
the curious nurse may value traditions but is not afraid to be sure they are still valid
44
Assessing
collecting, organizing, validating, and documenting client data
45
Diagnosing
analyzing and synthesizing data
46
Planning
determine how to prevent, reduce, or resolve the identified problem
47
Implementing
carrying out and documenting the planned nursing interventions
48
Evaluating
measuring the degree to which goals have been achieved
49
Subjective Data
symptoms what the client states
50
Objective Data
signs observed or measured
51
Primary source of data
the client
52
Secondary source of data
anyone but the client
53
Actual Dx
3 parts
54
Risk Dx
2 parts
55
NANDA Dx
problem and definition - related to (etiology) - as evidence by (signs)
56
Asepsis
the freedom from disease-causing microorganisms
57
Medical Asepsis
all practices intended to confine a specific microorganism to a specific area
58
Surgical Asepsis
practices that keep an area or object free of all microorganisms
59
Airborne Precautions
isolation room N95 gloves
60
Droplet Precautions
mask | gloves
61
Contact Precautions
private room gloves soap and water to wash hands gown
62
Examples of Airborne Diseases
rubella varicella tuberculosis
63
Examples of Droplet Diseases
diphtheria, pneumonia, scarlet fever
64
Examples of Contact Diseases
c diff, MRSA, hepatitis