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NRS 104 lecture test 2
9/25,10/1, 10/2, 10/8
80
Nursing
Undergraduate 1
09/25/2012

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Cards

Term
what part of the brain regulates the "set point"
Definition
the hypothalamus
Term
when the neurtophils are high your pt has an ____ infection
Definition
acute
Term
when the Lymphocytes are high your pt has an ____ infection
Definition
chronic
Term
convert C to F
Definition
multiply C by 9/5(1.8) and add 32
Term
covert F to C
Definition
subtract 32 from F and multiply by 5/9(0.56)
Term
s/s of hyperthermia
Definition
dizziness, confusion/delirium, nausea, ^thirst, muscle cramps, visual disturbances, incontinence, hot dry skin
Term
what is the difference in pyrexia and hyperthermia
Definition
pyrexia is a change in set point by the hypothalamus where are the set point is never changed in hyperthermia
Term
t/f in nursing hyperthermia ia defined as body temperature elevated above normal range
Definition
T
Term
s/s of hypothermia
Definition
uncontrolled shivering, loss of memory, depression, poor judgement, decreased heart rate respiratory rate and BP
Term
what is pulse deficit?
Definition
the difference in radial pulse and apical pulse.
Term
normal RR for newborn and infant
Definition
newborn 35/40 infant 30-50
Term
normal RR for toddler and child
Definition
toddler 25-32 child 20-30
Term
normal RR for adolescent and adult
Definition
adolescent 16-20 adult 12-20
Term
ventilation is...
Definition
the movement of air/gases in and out
Term
pulmonary perfusion is
Definition
blood flow from rt side of the heart through pulmonary circulation and back to the lt side of heart
Term
pulse pressure is
Definition
systolic - diastolic
Term
MAP is
Definition
[2(diastolic)+ systolic]/3

usual range if 70-110
Term
if bp cuff is to big bp will
Definition
be low
Term
if bp cuff is to small bp will
Definition
be high
Term
auscultatory gap is?
Definition
when the pulse disappears when inflating the BP cuff
Term
what are the commities that watch over medical care
Definition
The joint commision (TJC)
Centers for medicare/medicate services (CMS)
Term
what provides evidence for credentialing, research, reimbursment, and plan of care
Definition
Documentation
Term
purpose to keep records
Definition
communication, legal documentation, reimbursment, education, research, auditing and monitoring
Term
guidelins for quality documentation and reporting
Definition
factual, accurate, complete, current, organized
Term
SOAPE
Definition
[problem oriented med rec]
subjective, objective, assessment, plan
Term
SOAPIE
Definition
[problem oriented med rec]
subjective, objective, assessment, plan, intervention, evaluation
Term
PIE
Definition
Problem, intervention, evaluation
Term
Focus Charting
Definition
focus on patient concerns
Term
DAR
Definition
data, action and responce
Term
case management plan is...
Definition
a multidisciplinary approach to documenting pt care
Term
critical pathway provides...
Definition
a summary of the standardized plan of care
Term
A high acuity rating means
Definition
the pt will take more work or needs more care then someone with a lower acuity
Term
duodenum absorbs what nutrience
Definition
cholesterol,vitamins E and K folic acid, thiamin, riboflavin
Term
jejunum absorbs what nutrience
Definition
glucose, amino acids, minerals, and fats
Term
ileum absorbs what nutrience?
Definition
sucrose, maltose and lactose
Term
what are the 3 parts of the small intestine?
Definition
duodenum, jejunum, ileum
Term
what is mainly abosorbed in the large intesting?
Definition
water and electrolites
Term
anabolism is...
Definition
production of more complex substances
Term
catabolism is...
Definition
breakdown of body tissues into simpler substances
Term
what stores energy?
Definition
adipose tissure (lipids), muscle (glycogen and protein), liver (glycogen)
Term
essentials nurtients are
Definition
carbs, protein, lipids, vitamins, iron, water
Term
what is the predominant nutrient that should be taken in every day
Definition
carbohydrates (45-65% should come from there - plant food, milk)
Term
"essential" means
Definition
they are to come from foods
Term
whats % of protein should be in your diet?
Definition
10-35%
Term
nitrogen balance means
Definition
potein intake is the same as out put
Term
what is 9Kcl per gram
Definition
lipids
Term
fat intake should be limited to...
Definition
20-35% (lipids)
Term
cobalamin is
Definition
vitamin b12
Term
Primary PCM (protein calorie malnourishment)
Definition
nutritional needs not met
Term
secondary PCM (protein calorie malnourishment)
Definition
alteration in ingestion, digestion, absorption or metabolism
Term
characteristics of Apple (Android) shape
Definition
decreased HDL, ^ Cholesterol and BP
Term
amalyse is found in what part of the body
Definition
mouth
Term
BMI greater then 30 is
Definition
obese
Term
BMI greater then 40 is
Definition
morbidly obease
Term
allodynia
Definition
pain due to stimulus that does not normally provoke pain
Term
analgesia
Definition
absence of pain in response to stimulation which would normally be painful
Term
dyesthesia
Definition
an unplesant abnormal sensation, whether spontaneous or evoked
Term
hyperalgesia
Definition
increased pain from a stimulus that normally provokes pain
Term
hypoalgesia
Definition
deminished pain in response to a normally painful stimulus
Term
hyperesthesia
Definition
increased sensitivity to stimulation
Term
hypoesthesia
Definition
decreased sensitivity to stimulation
Term
nociception
Definition
the process of encoding noxious (harmful) stimuli
Term
nociceptors
Definition
receptors (neurons) that are capable to encoding noxious stimuli
Term
paresthesia
Definition
an abnormal sensation, wheather spontaneous or evokes
Term
sensitization
Definition
increased responsiveness of nociceptors to their normal input
Term
somatic pain is
Definition
pain receptors are activated in either the body surface of in the musculoskeletal tissues (bone pain) i.e. surgical site, fractures, arthritis, muscle trauma/strain
Term
neuropathic pain
Definition
cause by injury or malfunction of the spinal cord or peripheral nerves - burning, tingling, shooting, stinging, "pins and needles, stabbing
Term
what is the physiology of pain
Definition
transduction
transmission
modulation
perception
Term
transduction is
Definition
afferent nerve endings translate harmful stimuli into nociceptive impulses (pain receptors are called nociceptors)
Term
modulation
Definition
pain-related neural impulses are dampened or amplified [gate control theory is one explanation]
Term
reflex arch
Definition
the neuronal pathway that allows immediate reaction
Term
neuroendocrine responces to SNS stimulation is..
Definition
vasocontriction, ^ BP, ^p, dilation of bronchioles, inhibit of peristalsis, inhibition of digestive enzymes secreation
Term
Cortisol does what?
Definition
key stress hormone
maintains blood sugar
suppresses inflammantory response
Term
how is glucagon effected with pain
Definition
it is ^. - elevates metabolic rate, lowers insulin levels, stimulates glycogenolysis
Term
paralytic ileus
Definition
ilium becomes paralized and increases
Term
drug treatment for somatic pain
Definition
NSAIDS
muscle relaxants
antispasmotics
anxiolytics
Term
drugs that treat visceral pain
Definition
opioids
corticosteroids
anxiolytics
Term
drugs that treat neuropathic pain
Definition
methadone
antidepressants
anti-seizure meds
anxiolytics
Term
problems with NSAIDS
Definition
have celing dose
most cause GI irritation/ hemmorage
ibuprofen ^ rist of CV disease
toradol can cause renal failure
Term
myoclonus
Definition
jerking movement
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