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Quiz 1
Chapters 1,2,3
100
Nursing
Undergraduate 2
09/01/2014

Additional Nursing Flashcards

 


 

Cards

Term
Precise cause of disease
Definition
Etiology
Term
Disease causing microorganism
Definition
Pathogen
Term

Define the etiology:

 

Multifactorial

Definition
Having more than one genetic and/or environmental causing events
Term

Define the etiology:

 

Idiopathic

Definition
No known etiology
Term

Define the etiology:

 

Nosocomial

Definition
Result of exposure to infection in the healthcare environment
Term

Define the etiology:

 

Iatrogenic

Definition
Inadvertent result of medical treatment
Term
Presenting signs and symptoms of the disease
Definition
Clinical manifestations
Term

Identify the clinical manifestation:

 

Observable or measurable expressions. Objective

Definition
Signs
Term

Identify the clinical manifestation:

 
Indicators that are reported by the individual and are considered "subjective" ex. pain
Definition
Symptoms
Term

Identify the clinical manifestation:

 
Triggers. What brings it on?
Definition
Precipitating Factors
Term

Identify the clinical manifestation:

 
Confined to the site of disease
Definition
Local
Term

Identify the clinical manifestation:

 
Present through the body
 
ex. fever, high BP
Definition
Systemic
Term

Identify the clinical manifestation:

 
Abrupt onset, lasts 10-14 days Complete resolution
Definition
Acute
Term

Identify the clinical manifestation:

 
Insidious onset (gradual) Remissions, excaberations, longer than 6 months
Definition
Chronic
Term

Identify the clinical manifestation:

 
Disease manifestations that fall between acute and chronic
Definition
Subacute
Term

Identify the clinical manifestation:

 
No noticeable symptoms even though diagonstic tests may indicate disease is present
Definition
Asymptomatic
Term
Label for the disease
Definition
Diagnosis
Term
Forecast or prediction of how the individual will proceed through the disease process
Definition
Prognosis
Term
Treatment is based on ______
Definition

Etiology

ex. bacterial v. viral pneumonia

Term
These describe human response to illness
Definition

nursing diagnoses

 

ex. altered fluid balance, ineffective airway clearance

Term
A negative outcome with disease complications that impact the quality of life
Definition
Morbidity
Term
Negative outcome resulting in death
Definition
Mortality
Term
Focuses on body's response to maintain and restore homeostasis
Definition
Individual health
Term
Focuses on epidemiology
Definition
Population health
Term
Rate of occurence of disease at any given time
Definition
Incidence
Term
Endemic (normal up and down) epidemic (rate above endemic) pandemic (across continents)
Definition
Prevelance
Term

List the level of prevention:

 

Prohibits a disease condition from occurring. ex. wearing bike helmet to prevent head injury

Definition
primary
Term

List the level of prevention:

 

early detection and treatment of disease through screening ex. breast exam

Definition
Secondary
Term

List the level of prevention:

 

Rehabilitation of a pt. after detection of disease. Focuses on preventing complications or progression of condition

 

ex. PT, OT 

Definition
Tertiary
Term

Label the level of organization:

 

Fully differentiated body parts with specialized functions

Definition
Organs
Term

Label the level of organization:

 
Groups of different cell types that combine to form a specific function
Definition
Tissues
Term

Label the level of organization:

 
Basic units that make up tissues; sites where changes lead to symptoms and diseases
Definition
Cells
Term

List the cellular component:

 

Seperates intracellular and extracellular environment.

Composed of phospholipid bilayer (hydrophilic head, hydrophobic tails) Proteins (channel, receptors) Glycolipids included. Transmembrane proteins

Definition
Plasma membrane (cell membrane)
Term

List the cellular component:

 

A colloidal substance surrounding cell nucleus composed of water, proteins, fats, electrolytes, glycogen and pigments

Definition
Cytoplasm
Term

List the cellular component:

 

Structures within a cell that perform distinct functions

Definition

Organelles

 

Ex. lysosomes, mitochondria, ribosomes, smooth/rough ER, Golgi apparatus

Term

List the cellular component:

 

Contains genetic materials called DNA

Definition
Nucleus
Term

List the cellular component:

 

Composed of tubules and filaments, and contributes to cell shape, mvmt, and transport

Definition
Cytoskeleton
Term

List the organelle:

 

Complex network of tubules, producing proteins and fats

Definition
Endoplasmic reticulum (smooth and rough) Rough ER has ribosomes on surface
Term

List the organelle:

 

Membranous structure that prepares substances produced by ER for secrection out of cell

Definition
Golgi apparatus
Term

List the organelle:

 

Small sacs surrounded by membrane. Digests cellular debris with hydrolytic enzymes. Important in metabolism

Definition
Lysosomes
Term

List the organelle:

 

Membrane enclosed sacs smaller than lysosomes. Contain oxidases

Definition
Peroxisomes
Term

List the organelle:

 

Large organelles that recognize abnormally folded or formed proteins. Involved in proteolysis

Definition
Proteosomes
Term

 List the organelle:

 

Principal producer of cellular energy source ATP

Definition
Mitochondria
Term

Identify the cellular function:

 

The movement of substances in cell

Definition

Transportation:

 

Passive & Active

Term
Permeable membrane that allows the mvmt of particles from an area of high concentration to low concentration. Move towards equilibrium
Definition
Simple diffusion
Term
Water moves from lower concentration of particles to higher concentration of particles across a semipermeable membrane. Does this do dilute solute level.
Definition
Osmosis
Term
Pressure generated by osmosis is known as what?
Definition
Osmotic pressure
Term
Uses ATP to pump molecules across the membrane. Particles move from lower to higher concentration. This moves particles against concentration gradient
Definition
Active transport Ex. sodium mvmt
Term
Use of transport proteins. Substances are unable to cross the membrane because of their large size or hydrophilic characteristics
Definition
Facilitated Diffusion
Term

Identify the cellular function:

 

Taking things into the cell

Definition
Ingestion
Term
Process used to transport large substances into cells
Definition
Endocytosis
Term
ATP requiring process of ingesting of very small vesicles (ex. water)
Definition
pinocytosis
Term
process of ingesting large particles such as cells, bacteria, and damaged cellular components
Definition
phagocytosis
Term
Transport of substances by the golgi appartus to the cytoplasm and then out of the cell via cellular membrane
Definition
exocytosis
Term

Identify the cellular function:

 

Metabolic process that transforms fuel molecules into ATP

Definition
Respiration
Term
What are the two types of respiration?
Definition

Anaerobic (2 ATP produced from 1 glucose, without O2) *waste product = lactic acid

Aerobic (38 ATP produced from 1 glucose, with O2)

*waste product = carbon dioxide, heat, h20

Term

Identify the cellular communication:

 

Signaling through gap junctions. 

Communication orrucs by direct contact of membrane bound signaling molecule and a receptor

Definition

Contact dependent 

Ex. cardiac cells

Term

Identify the cellular communication:

 
 Ligand receptor binding that results in signal transduction with a local effect
Definition
Paracrine signaling
Term

Identify the cellular communication:

 
A wider range of impact occurs when signal tranduction affects cell behavior within the entire organism
Definition
Endocrine signaling
Term
Reproduction of cells is under ____ control
Definition
Genetic
Term
Cells must recieve signals for what 3 activities?
Definition

Proliferation

Differentiation

Cell survival or death (apoptosis)

Term
Increase in cell number
Definition
Proliferation
Term
Changes in physical and functional properties of cells, directs the cell to develop into specific cell types
Definition
Differentiation
Term
What are the 2 cellular responses to stressors?
Definition
Adaptation or death (apoptosis)
Term

Identify the adaptive cellular change:

 

Decrease in the size of a cell. Stress of decreased functional demand; can be reversed if caught in time 

 

ex. muscular wasting, cervical changes after menopause

Definition
Atrophy
Term

Identify the adaptive cellular change:

 

Increase in cell size due to increased stimuli or workload. Ex. muscles and fat cells

Definition
Hypertrophy
Term

Identify the adaptive cellular change:

 

Increase in the number of cells due to increased workload or hormonal stimulus. 

 

ex. swollen lymph nodes, breast enlargement in pregnancy

Definition
hyperplasia
Term

Identify the adaptive cellular change:

 

Organized structural changes (cannot become cancer)

Definition
Metaplasia
Term

Identify the adaptive cellular change:

 

Actual change in cell size, shape, uniformity, arrangement, and structure (can become cancerous)

Definition
Dysplasia
Term

"Cellular suicide" Programmed cell death prompted by genetic signal and is designed to replace old cells with new

 

NO SPILLAGE

Definition
Apotosis
Term

Death of cells related to cell injury. Occurs with irreversible cell injury after persistant severe stress

 

SPILLAGE OCCURS; spillage damages and kills neighboring cells along with original cell

 

ex. gangrene

Definition
Necrosis
Term

Identify the line of defense:

 

Protection of the skin and mucous membranes

Definition
1st line
Term

Identify the line of defense:

 

Effective inflammatory response (innate immunity)

Definition
2nd
Term

Identify the line of defense:

 

specificity of the immune response

Definition
3rd
Term
Steps of acute inflammation
Definition

1. Injury to tissue

2. Vascular and cellular response

3. Prepare wound for healing

Term

Identify response of acute inflammation:

 

Increase blood flow to the site of an injury

Definition
Vascular response
Term

Identify response of acute inflammation:

 
Alert the products of healing to attend to the site of injury
Definition
Cellular response
Term

What are the 5 cardinal signs of acute inflammation?

 

**LOCAL

Definition

1. erythema (redness)

2. heat

3. swelling

4. pain

5. loss of function

Term
Watery fluid that accumulates at the sign of injury & has a high protein content and leukocyte concentration
Definition
exudate
Term
What are the systemic effects of the inflammatory response?
Definition

Malaise (not feeling well)

Anorexia (loss of appetite)

Pyrexia (fever)

Term
What are the Laboratory findings of acute inflammatory response?
Definition

Leukocytosis

Higher percentage of circulating plasma proteins

Increased immature neutrophil counts

Term
Persistant or recurrent state of inflammation lasting serveral weeks or longer. Occurs after unsucessful acute inflammatory and immune responses
Definition
Chronic inflammation
Term
What are the 3 general characterestics (major types) of chronic inflammation?
Definition

Tissue destruction (proteases/protinases)

Granuloma formation (granulation tissue)

Scar tissue formation (fibroblast)

Term
What is the first step in the healing process?
Definition
Inflammatory Phase
Term
What is the second step of the healing process?
Definition
Proliferative Phase
Term
What is the third phase of the healing process?
Definition
Remodeling Phase
Term

Identify which step of the healing process is described:

 

Acute inflammatory response

Definition
Inflammatory Phase
Term

Identify which step of the healing process is described:

 
Hemostasis
Definition
Inflammatory response
Term

Identify which step of the healing process is described:

 
Thrombus formation
Definition
inflammatory phase
Term

Identify which step of the healing process is described:

 
Clean the debris
Definition
Proliferative phase
Term

Identify which step of the healing process is described:

 
Restoration of structural integrity
granulation tissue formation
extracellular matrix restoration
Definition
Proliferative phase
Term

Identify which step of the healing process is described:

 
Restoration of functional integrity
Resolution
Regeneration
Replacement
Definition
Remodeling phase
Term

Identify which step of the healing process is described:

 
Maturation of cells
Definition
Remodeling phase
Term

Identify which step of the healing process is described:

 
Degradation of provisional matrix
Definition
Remodeling phase
Term
List some conditions that promote wound healing
Definition

Youth

good nutrition

adequate hemoglobin

effective circulation

clean undisturbed wound

no infection or further trauma to site

Term

Healing by intention:

 

Wound is basically closed with all areas of the wound connecting and healing simultaneously

 

Ex. surgical incision, papercut

Definition
Primary intention
Term

Healing by intention:

 
Heal from the bottom up. Process slow and involved. Greater risk for scarring and infection
 
Ex. larger, open, crater like wounds
 
Definition
Secondary intention
Term
Common complications of wound healing
Definition

Infection: invasion by microorganisms

Ulceration: open, craterlike lesions of skin or mucous membranes. Necrotic. Lack of perfusion

Dehiscence: Deficient scar formation. Wound splits or bursts open at suture line

Adhesions: fibrous connections between serous cavities and nearby tissues, inhibit tissue mvmt.  

Keloid: hypertrophic scars, excessive collegan formation

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