Shared Flashcard Set

Details

Midterm Fundamentals
N/A
127
Nursing
Not Applicable
09/22/2013

Additional Nursing Flashcards

 


 

Cards

Term
what is effective communication?
Definition
Eye contact, concise statements, feedback regarding directions
Term
True statement regarding delegation of duties?
Definition
Familiar with staff competency, job description and nurse practice act
Term
How to educate elderly and preschoolers?
Definition
Teach in Short segments
Term
What is the amount of blood pumped with each heart beat?
Definition
Stroke Volume
Term
What exam pupils with flash light and both pupils constrict regardless which eye hit with light called?
Definition
Consensual Response
Term
What patient admitted with abdominal pain, other assessment nurse should complete?
Definition
Cultural assessment
Term
How long to monitor patient after injury for allergies?
Definition
30 Minutes
Term
What student finding new pressure sore does 1st?
Definition
Report to charge nurse
Term
Had complication of blood loss after angiography what to do now?
Definition
Monitor site, monitor VS and report; Monitor RBC; then platelets
Term
What did DRGs under medicare try to do?
Definition
Attempt to contain cost of health care
Term
Why elderly patient 2 days post op develops fever, cough?
Definition
Impaired cough, less cilia, weak respiratory muscles, leads to lower respiratory infection
Term
what are the 5 rights to medication administration
Definition
Right pt, drug, dose, time, route
Term
How is oral care on unconscious pt started?
Definition
Raise bed, pt side lying position, suction on
Term
What is critical thinking?
Definition
Scientific method of problem solving
Term
What is nursing audit?
Definition
Evaluation of the nursing care for a group of patients, to meet the standard of care for a facility
Term
What are important characteristics of delegation?
Definition
Effective communication, desired results, time to be completed, Tactful feedback.
Term
What is inflammation?
Definition
Edema, swelling, redness, warmth to the area
Term
View of Health and illness can be compared to?
Definition
Continuum
Term
When is next scheduled assessment done after admission assessment?
Definition
Assess patient first hour of shift
Term
What are signs nurse is using active listening?
Definition
Uses nonverbal, focus on face, not to indicate message heard
Term
What diagnostic test evaluates CAD and Cardiac valves disfunction?
Definition
Cardiac Cath.
Term
What are the goals of Healthy People 2020?
Definition
Promote Healthy Behavior, increasing life span, ensure access to adequate Health care.
Term
How to communicate with Preschoolers?
Definition
Focus on child's needs and consider development using familiar words
Term
When is best time to teach?
Definition
When patient is comfortable, and receptive to learn
Term
Elderly has 3 enemas for a diagnostic procedure, nurse monitors which electrolytes?
Definition
Sodium Na and Potassium K
Term
Who sets standards of care and nursing practice?
Definition
Professional organizations such as ANA and CNA
Term
What stools are foul smelling and float?
Definition
Steatorrhea
Term
What are independent Nursing actions?
Definition
Provide oral care, lotion to dry skin, teaching dressing procedure, (any action that does not require an order to be done)
Term
Where to document narcotics given for pain?
Definition
Nursing Notes, and MAR
Term
What is leadership?
Definition
Comprehensive process guides staff using resources to meet patient needs
Term
After a oil retention enema, encourage pt to hold how long?
Definition
20-30 Mins
Term
What nurse should do with expired med bottle?
Definition
Call pharmacy for new bottle
Term
What is example of good body mechanics?
Definition
Pull pt rather than push pt in bed
Term
What is med giving process by NG tube?
Definition
flush with 15-30 mL sterile water, add medication at end flush with 15-30 mL again
Term
What does autocratic leader do?
Definition
Tightly controls team members
Term
Who has a fear of falling?
Definition
75 yr living alone recent dc from rehab after hip operation stays in bed or couch most of the time
Term
VS on post op pt q2hours what indicates pt in pain?
Definition
Pulse rate of 120 beats / min
Term
What LPN responsibility for plan of care?
Definition
collect data, nursing interventions, assist RN with evaluations
Term
How to correctly state outcomes?
Definition
Able to ambulate using walker independently in 3 days. Performs AROM UE independently q4hours
Term
Which standard step to complete 1st in a procedure?
Definition
Review agency procedure for best way to complete
Term
What is using the nursing process?
Definition
Collaborates with a health team and pt to develop plan of care in systemic way
Term
What is nurse consistently using critical thinking skills likely to develop?
Definition
Good clinical judgement based on rational careful decision making
Term
When monitor VS whats important to do?
Definition
Report and document abnormal findings
Term
What are common to all nursing diagnosis?
Definition
Human, environment and health
Term
What nurse should check after procedure involving artery?
Definition
Cardiac Catheter 2 hours ago, Pressure dressing to left groin and routine VS
Term
What are the factors to consider when assessing the hygiene needs of a pt?
Definition
Pt may not have same hygiene practice
Term
How are nursing interventions described?
Definition
Care giving skills
Term
What is carrying out implementation in nursing process?
Definition
Changes surgical dressing when soiled
Term
What is ultimate goal of nursing?
Definition
Prevention of illness, promotion of wellness and restoration of health
Term
When to use log rolling?
Definition
Spinal Surgery, cant bend at waist
Term
What is subjective 0 itch, Objective rash fading, Assessment:skin improvement, Plan: check rash qd?
Definition
POMR
Term
How to work with pt ID values and expectation so best outcome with education and compromise reached?
Definition
Long term user of herbal remedies and practice of individual in a cultural group
Term
How to evaluate the effectiveness of teaching procedure before DC?
Definition
Pt demonstrates the procedure
Term
What is teaching of signs of cancer?
Definition
Difficulty swallowing, persistent cough, unusual increase in bowel sounds; change in mole
Term
inappropriate to delegate to UAP?
Definition
Develop plan of care
Term
What result of elderly with low fluid and fiber, depression, mobility?
Definition
Constipation
Term
What are flow sheets used for?
Definition
Track routine assessment, treatments, and frequent care given
Term
What are s/s of allergic reaction?
Definition
hives, rash, SOB
Term
What to assess before giving Coumadin?
Definition
bleeding stool, INR, bleeding gums
Term
What is a good example of a nursing goal that is measurable?
Definition
pt not suffer injury at any time
Term
what mineral decrease risk of osteoporosis?
Definition
Calcium
Term
What nurse instructs operative pt to do for a procedure?
Definition
arrive 2 hours before procedure
Term
CQI is activity performed where?
Definition
Done in every department ensuring standards are met.
Term
What is tertiary prevention?
Definition
Cardiac Rehab program
Term
How do students not yet licensed practice?
Definition
Perform under nursing supervision
Term
When is to use shower or tub 2x/wk standby assist?
Definition
Elderly frail man, hx of falls
Term
What to document when pt dies?
Definition
Who pronounced; time of death; time VS ceased
Term
How to remove used face mask?
Definition
Untie bottom ties, then top, then without touching anything dispose of
Term
Perform Weber test, tuning fork struck and placed where?
Definition
In middle of forehead or skull
Term
What is the process of digestion?
Definition
Esophagus, stomach, small intestine, ileocecal valve, large intestine, rectum
Term
What is PIE charting?
Definition
Follows nursing process and uses nursing diagnosis to put plan of care in NN
Term
What nursing intervention elderly who is cold?
Definition
Adjust thermostat, get blanket
Term
Several nursing diagnosis, nurse 1st action?
Definition
prioritize nursing problem according to Maslow's hierarchy of needs
Term
What is SBAR?
Definition
situation, background, assessment, recommendation
Term
When to notify enterostomy nurse of pt?
Definition
Need to catheterize 1st time for ileostomy
Term
When important to wear gloves?
Definition
administer Nitroglycerin ointment
Term
When to check order; gag and swallow reflex?
Definition
A & O x4; gastroscopy pt ask for drink
Term
What is recovery stage?
Definition
Stages of illness convelescence
Term
What promotes self esteem (Maslow), independence and learning?
Definition
Nurse teaching pt how to give self insulin and monitor blood sugar
Term
what is time flexible task?
Definition
checking blood sugar once a day
Term
Who completes incident report?
Definition
Nurse who discovers error
Term
Type of food to control odor in ostomy patient?
Definition
buttermilk
Term
How can you avoid noscominal respiratory infection post op?
Definition
TCDB
Term
What color post cystoscopy should urine in catheter be?
Definition
Pink tinged urine
Term
When to check for allergy to iodine and shellfish?
Definition
going for an ERCP
Term
What does nursing care plan consist of?
Definition
Nursing orders for intervention to help pt meet expected goals quickest
Term
What is a secondary illness?
Definition
PVD caused by DMII (diabetes mellitus 2)
Term
What is comparing actual to expected nursing outcomes?
Definition
Checked continuously to monitor if progress made or revision needed to plan
Term
What is PPD dose?
Definition
0.1 mL
Term
What nurse does on initial interview?
Definition
assess language, comprehension, limit interview to 30 mins; allow to be comfortable as possible
Term
What is pt care partnership?
Definition
2003 pt bill of rights became
Term
What are cheyne stokes respirations?
Definition
Dyspnea followed by short periods of apnea
Term
Who verified new pt orders?
Definition
LPN Charge nurse
Term
What is AMA intervention?
Definition
Listen, answer questions, offer to call supervisor or Dr. to speak to pt?
Term
What is reason to sign out narc control on inventory control sheet?
Definition
Administering schedule II drug
Term
What is hospice?
Definition
Tertiary care
Term
Nursing code of Ethics would include following behaviors?
Definition
Nurse is responsible and accountable for judgement and actions
Term
What is homeostasis?
Definition
Biologic system move toward stability of internal environment by continually adjusting to survive
Term
Who is Dorothy Johnson?
Definition
Theorist based 7 behavior subsystems
Term
What is adjusting to benign senescence?
Definition
continue to work part time, travel and remain active
Term
How to start washing eyes on face to begin bath?
Definition
inner canthus to outer canthus
Term
What to tell CVA pt related to hygiene?
Definition
Encourage pt to use non affected side to assist with bath
Term
What is oral care for unconscious or NPO pt?
Definition
Mouth swabbed q 2 hours to moisten and remove secretions
Term
What is shift report for new surgical pt?
Definition
abd drsg CDI; IV-800LIB #6 run @ 125hr; UOP 800 mL; MS 15 mgs @ 8 & 1; pain @ 2/10; VSS; 0 fever
Term
Who is Virginia Henderson?
Definition
Theorist framework 14 fundamental needs
Term
What is Florence Nightingale known for?
Definition
Nursing curriculum is distinct from medical practice; known for decreasing death rate in Crimean war
Term
What is not part of bowel training program?
Definition
Enema
Term
Administer IM injection using Dorsogluteal site, landmarks are area for injection?
Definition
Head of trochanter & post iliac crest
Term
What is stage III ulcer?
Definition
Full thickness skin loss, deep crater; open to fascia
Term
Which inhalant drug to give last?
Definition
Vanceril
Term
Who can develop initial care plan?
Definition
RN in acute care
Term
What did early nursing education and care in the US provide?
Definition
provided independence for women by education and employment
Term
How to ID pt before med adm?
Definition
Check name birthday, hosp # compare to MAR
Term
what is 15 mls?
Definition
0.5 ounce
Term
What is holistic approach to care for sick and promote wellness?
Definition
Responsible for own health; seen as whole person; unique body, mind and spirit; combine traditional relaxation for pain management
Term
What nurse concerned about if giving high protein bound med to elderly pt?
Definition
Low albumin level
Term
What is self actualized?
Definition
person achieving full potential
Term
What does nurse do during assessment phase?
Definition
gather, organize, and document data in logical manner
Term
What a nursing diagnosis consists of?
Definition
Diagnosis label formulated by North American Nursing diagnosis international
Term
How to properly combine insulin?
Definition
Check MAR, inject air in the long acting, inject air into short acting, draw out short acting, draw out long acting, give site
Term
What advantage of POMR Charting?
Definition
Evaluate staff performance; easy audit charts; promote problem solving
Term
What 3 change during alarm stage of Hans Seyle GAS syndrome?
Definition
Increase in temp; decrease appetite; body triggers hormone release
Term
What is multidisciplinary step by step approach to pt care?
Definition
Clinical pathways used instead of nursing care plan
Term
What position liver biopsy pt should be in for 2 hours?
Definition
Right side lying
Term
What do do before begin physical assessment?
Definition
Wash hands ensure privacy
Term
Most important characteristic of nurse leader?
Definition
Competency in nursing Skill
Term
What must RN do?
Definition
Write DC instructions
Supporting users have an ad free experience!