VOCAB Flashcards
(71 cards)
1
Q
ICP
A
intracranial pressure
2
Q
ICU
A
intensive care unit
3
Q
ID
A
infectious disease
4
Q
I&D
A
incision and drainage
5
Q
IDDM
A
insulin dependent diabetes mellitus
6
Q
IgE
A
immunoglobulin E
7
Q
I&O
A
intake and output
8
Q
IM
A
intramuscular
9
Q
IMP
A
impression
10
Q
INR
A
international normalized ratio
11
Q
IS
A
incentive spirometry
12
Q
IV
A
intravenous
13
Q
IVC
A
inferior vena cava
14
Q
IVF
A
intravenous fluid
15
Q
IVP
A
intravenous pyelogram
16
Q
JCAHO
A
Joint Commission on Accreditation of Health Care Organizations
17
Q
TJC
A
The joint commission
18
Q
JP
A
Jackson Pratt
19
Q
JVD
A
Jugular vein distention
20
Q
K
A
potassium
21
Q
KCL
A
potassium chloride
22
Q
kg
A
kilogram
23
Q
KUB
A
kidney, ureter, bladder
24
Q
KVO
A
keep vein open
25
(L)
left
26
L
liter
27
L1 to L5
lumbar vertebrae, one to five
28
Lat.
Lateral
29
LDL low density lipoprotein
low density lipoprotein
30
LE
lower extremity
31
LLL
lower left lobe
32
LLQ
lower left quadrant
33
LMP
last menstrual period
34
LOS
length of stay
35
LP
lumbar puncture
36
LPN/ LVN
licensed practical nurse/ license vocational nurse
37
LR
lactated ringers
38
LUL
left upper lobe
39
LUQ
left upper quadrant
40
LV
left ventricle
41
LVEF
left ventricular ejection fraction
42
Assessing
is the systematic and continuous collection, organization, validation, and documentation of data
43
Database
contains all the information about a client: Nurse Hx, PA, primary care provider's Hx and physical examination, results of laboratory and diagnostic tests, and material contributed by other health personnel.
44
Symptoms
Subjective data (covert data) that is only apparent to the persona affected and can be described or verified only by that person. Such as feelings, perception.
45
Signs
Objective data (overt data) are decibel by an observer or can be measured or tested against an accepted standard. Can use the 5 senses to detect
46
Open-ended question
associated with the non directive interview, invite clients to disagree and explore, elaborate, clarify or illustrate their thoughts or feelings. Ex. "How have you been feeling?" "What would you like to talk about?"
47
close-ended question
used in a directive interview, are restrictive and generally require on a yes or not or short factual answer. Begin with the 5 Ws, Ex. "What is your pain right now?"
48
Leading questions
Close, used in a directive interview to directs a patient's answer, "I saw that you are a bit nervous for surgery, are you?"
49
Cues
subjective or objective data that can be directly observed by the nurse, what the client says or what the nurse can see, hear, feel, smell, or measure
50
Validation
double-checking or verifying data to confirm that it is accurate and factual.
51
Diagnosis
a statement or conclusion regard the nature of a phenomenon.
52
Nursing Diagnosis
Standard NANDA diagnostic labels and client's problem statement ( diagnostic label and etiology-causal relationship between a problem and it's r/f-)
53
health promotion diagnosis
relates to the client's preparedness to implement behaviors to improve their health condition. (Readiness for enhanced... nutrition)
54
Risk nursing diagnosis
A clinical judgement that a problem does not exist, but the presence of r/f indicates that a problem is likely to level unless nurses intervene
55
Wellness diagnosis
describes human responses to levels of wellness in an individual, family, or community. Such as, Readiness for enhanced spiritual well being, readiness for enhanced family coping.
56
Etiology
causal relationship between a problem and it's r/f
57
Defining characteristics
are the clusters of signs and symptoms that indicate the presence of a particular diagnostic label. Signs and symptoms, or related to factors that increases a patient's risk.
58
Medical Diagnosis
made by a physician and refers to a condition that only a physician can treat. Refers to the disease process, specific pathophysiologic responses that are fairly uniform from one client to another
59
Standardized care plan
a formal plan tat specifies the nursing care for groups of clients with common needs (all clients with MI)
60
Individualized care plan
is tailored to meet the unique needs of a specific client- needs that are not addressed by the standardized plans
61
policies and procedures
they are developed to govern the handling of frequently occurring situations. Such as regulation of visitors or patient care
62
Standing Order
is a written document about policies, rules, regulations, or orders regarding client care. Gives nurses the authority to carry out specific actions under certain circumstances, when physician is not available
63
Multidisciplinary care plan
a standardized plan that outlines the care required fro clients with common, predictable- usually medical- conditions. Can collaborative and critical. Includes medical treatments that are to be completed by medical professionals
64
Priority setting
the process of establishing a preferential sequence for addressing nursing diagnoses and interventions. Low medium high
65
Desired outcomes
describes, in terms of observable client responses, what the nurse hopes to achieve by implementing the nursing interventions. A goal
66
nursing interventions
a taxonomy of nursing action each of which includes a label, a definition, and a list of activities.
67
Sentinel event
an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof.
68
Root cause analysis
process of identifying factors that bring about deviations in practices that lead to an event.
69
quality improvement
an organizational commitment an approach used to continuously improve all processes in the organization with the goal of meeting and exceeding customer expectations and outcomes
70
peer review
nurses functioning in the same capacity that is peers appraise the quality of care or practice performed by other equally qualified nurses. Based on preestablish standards and criteria .
71
Audit
examination or review of records
