Shared Flashcard Set

Details

Fundamentals
Final
42
Nursing
Undergraduate 3
12/09/2010

Additional Nursing Flashcards

 


 

Cards

Term

Teaching Learning

 

Domains- Cognitive

Definition
intellectual knowledge; requires thinking
Term

Teaching Learning

 

Domains-Affective

Definition
expression of feelings; acceptance of attitudes, opinions, and values other than own
Term

Teaching Learning

 

Domains- Psychomotor

Definition
skills that require integration of mental and muscular activity
Term

Urinary Elimination

 

Urinary retention

Definition

urine retained in bladder

 

  • feeling of not emptying, urge to void
  • bladder distended
  • restless, diaphoretic
  • increased risk for UTI
  • more than 100ml left after voiding
  • Causes- obstruction, surgery, blood clots, meds
  • Post voiding residual (PVR)- 0-50ml(Normal) 50-200ml(needs evaluation) >200(needs treatment)
Term
Urinary Incontinence
Definition

loss of urinary control

  • functional-involuntary passage of urine in someone with no urinary system problem
  • stress-leakage with increase abdominal pressure
  • Urge-urge can't be delayed
  • Reflex-Spinal cord injury, signals are interrupted and there is a loss of voluntary control
  • Overflow-Urinary retention, over distended bladder that leaks small amounts of urine frequently
Term

Levels of Communication

 

Intrapersonal

Definition

self talk, prayer, meditation

  • positive self messages get positive results
Term

Levels of Communication

 

Interpersonal

Definition

between 2 people, communicate face to face

  • most common type of communication in nursing
Term

Levels of communication

 

Small group

Definition

or family, make sure goals are explicit

  • school or work interactions
Term

level of communication

 

Public

Definition
large groups such as giving presentations, talking to big audience
Term

Elements of Communication Process

 

Referent

Definition
Stimulus that motivates a person to speak
Term

Elements of Communication process

 

sender

Definition
sending message
Term

Elements of communication process

 

Message

Definition
information sent to receiver (verbal or non-verbal)
Term

Elements of communication process

 

receiver

Definition
receives messages, translates, figures out what to do
Term

elements of communication process

 

feedback

Definition
message receiver sends back to sender, clarification
Term

elements of communication process

 

channel

Definition

senses used

Ex. telephone, internet, e-mail

Term

Elements of communication process

 

Interpersonal variables

Definition
pain(bad time), anxiety, cultural beliefs
Term

Phases of Interaction

 

Preinteraction

Definition
meeting with patient
Term

Phases of Interaction

 

Orientation

Definition
tell about visit, what to do
Term

Phases of Interaction

 

Working Phase

Definition
work together to achieve outcomes, gather data
Term

Phases of Interaction

 

Termination

Definition
closing, review goals, pass on to new nurse, follow up
Term

Loss, Death, Grieving Theorists

 

Engle

Definition
  • shock and disbelief
  • developing awareness of Loss
  • restitution and reorganization

 

Term

Loss, Death, Grieving Theorists

 

Kubler-Ross

Definition
  • Most common
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance
  • Can go back and forth between, no certain order
Term

Loss, Death, Grieving Theorists

 

Bowlby's Attachment Theory

Definition
  • Numbing
  • Yearning and searching
  • disorganization and despair
  • reorganization
Term

Loss, Death, Grieving Theorists

 

Worden

Definition
  • Grief is a work (task)
  • T-E-A-R
  • T-to accept reality of loss
  • E-experience the pain of grief
  • A-adjust to environment from which person and/or objects are missing
  • R-reinvest emotional energy into new relationship
Term

Dysfunctional Grieving

 

High Risk Deaths

Definition
  • Death of a child-most intense grief of all
  • Child loses parent or sibling
  • sudden unexpected deaths- suicide, homicide, accident
  • Multiple losses
  • Over lengthy illness
  • Survivor felt death of another was preventable
  • Pt suffered greatly at end of death
  • Survivor lacks adequate support
  • Survivor and the deceased had a bad relationship upon death
  • Lack of spirituality
  • Elder men
Term
Disenfranchised Grief
Definition
  • Survivor cannot openly acknowledge the loss of a loved one because relationship is unacceptable or marginalized
  • "unsupported loss"
Term
Anticipatory Grieving
Definition
  • Pt and family engage in grieving before the loss
  • some work goes in to the loss before it happens
Term
Grieving
Definition
  • normal grieving after a loss has occurred
  • normal feelings, behaviors and reactions to loss
Term
Chronic Sorrow
Definition
  • can be loss of normalcy at developmental milestons
  • milestones triggered by situations that bring to mind the person's losses
Term
Dyspnea
Definition

shortness and difficutly breathing

  • caused by: anemia, tumor growth, ascites, anxiety, disease progression
  • treat by managing the cause
  • interventions: raise head of bed, blow electric fan into face
Term
Death Rattle
Definition

gurgling/rattle like noise produced close to death due to accumulation of excess respiratory secretions in throat

  • accumulation dute to:dysphagia
  • not harmful to pt, just scares the family
  • interventions: raise head of bed and reposition on side
Term
Anorexia
Definition

loss of appetite

  • caused by: pain, medications, depression, nausea/vomiting, dysphagia, disease progression
  • more distressing to family
  • treat by managing pain and nausea
  • Interventions: serve food cold/room temp, negotiate to eat less rather than none at all, offer alcohol, brush teeth before meals, no wrong food (give them what they are craving)
Term
Symptoms of Imminent Death
Definition
  • decrease urine output and blood pressure
  • cold extremities
  • vital signs change-pulse and respirations increase
  • respiratory congestions-death rattle
  • restlessness, confusion, apnea

 

Term
Signs Death has occurred
Definition
  • absence of heartbeat and respirations
  • fixed pupils
  • color-waxy gray, back is purple due to blood setting
  • body temp drops
  • muscles and sphincters relax
Term
Preparing body
Definition
  • offer family to help-coping mechanism (not closure, closure is continuous)
  • close eyes, bathe them
  • call funeral home to pick up body
  • Once body has been taken, ask family for permission to change bed linens
  • make bed and leave an important item in place of lossed one on bed
  • destroy meds
  • initiate bereavement support for the family
Term

Vital signs

 

Normal values

Definition
  • Temp: 96.8-100.4
  • Pulse:60-100 beats/min
  • Respirations: 12-20 breaths/min
  • Blood Pressure: 120/80
Term
Standard Precautions
Definition

treat everyone as potentially infectious

  • use barriers protection: gloves, gowns, masks, goggles, plastic bags, puncture resistant containers, private room if possible
Term
Secondary precaution
Definition

used with and in addition to standard precautions

  • airborne-N95 respirator for treatment (negative air pressure room)
  • droplet- something in lungs (coughing, 2ft rule)
  • Contact-must come into physical contact with infection
Term
Important Nutritional Lab values
Definition
  • Albumin 3.4-4.8
  • Transferrin 250-450
  • Lymphocytes 4.5-10
  • Hgb 12-18
  • Hct 37-52 (3x hgb)
  • Serum Protein 6-8
  • Nitrogen balance = "-"(starvation) & "+" (healthy diet)
Term
Parenteral
Definition

route other than tube (large vessel; superior vena cava)

  • label parenteral tube in documentation---IMPORTANT
Term
Enteral
Definition

use tube

  • diarrhear is a common side effect of both types of feeding

 

Term
Illeus
Definition

not passing flatus, no bowel sounds

  • can get serious enough for surgical removal
Supporting users have an ad free experience!