Term
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Definition
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Term
| Who did self care deficit nursing, goal is to help client attain total self care |
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Definition
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Definition
| establishes the scope of practice for each level of nurse |
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Term
| What war did Florence Nightingale do her most famous work? |
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Definition
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Term
| What is the purpose of the NLN? |
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Definition
| it sets standards and rules in nursing education |
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Term
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Definition
| caring for several patients |
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Definition
| uses the best evidence from during rehear studies and patient care data, it also considers the patients preference and values |
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Term
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Definition
| payment system used by health maintenance organizations (HMO) |
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Term
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Definition
| federal government health insurance program for people older than 65 years or those with certain disabilities or conditions |
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Term
| What entity covers or absorbs the cost when client is discharged later than the calculated discharge date? |
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Definition
| the hospital absorbs the cost if the patient is in the hospital longer than the time allowed. |
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Term
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Definition
| one nurse care for a patient |
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Term
| Issues that the ACA was designed to address |
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Definition
cost containment (budget has doubled)
small business premiums (huge premiums)
preexisting condition (people with previous injury)
lifetime benefit caps (huge medical bills) |
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Term
| when addressing the economics of healthcare what factors help guide decisions? |
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Definition
| medical necessity and the appropriate level of care |
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Term
| Know the guide lines regarding coverage for care received in a SNF? |
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Definition
patient must be hospitalized for at least 3 days prior to admission
patient must enter the nursing home within 30 days of hospitalization
there is a 100 day stay maximum pre year related to any one hospitalization and diagnosis
patient must be making regular progress as documented by the medical professionals |
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Term
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Definition
appropriate time for hospice care is when the patient is no longer seeking medical treatment to arrest or cure the disease and is expected to live 6 months or less
treated with medication and other measures to relieve pain and remain comfortable |
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Term
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Definition
public health insurance is funded by the government, either state or federal, or combination of both.
Examples: Medicare, Medicaid, and Indian Health Service |
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Term
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Definition
| physician, dentist, or RN |
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Term
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Definition
| failure to provide certain care that another person of the same education and locale would generally provide under the same circumstance. fails to see responsibility to the patient. |
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Term
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Definition
| Injury, loss or damage to a patient because of failure to provide a reasonable standard of care or demonstrate a reasonable level of skill. fails to meet professional standards of care and injures patient |
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Term
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Definition
| to purposely threaten physical harm to an individual |
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Term
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Definition
| for a patient means to stand for that which is in the patients best invest, as opposed to that which is in the best interest of the physical hospital or coworker |
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Term
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Definition
assessment: gathering info though s/s, patient history, and objective findings
diagnosis: nursing diagnosis related to the needs or problems the patient is experiencing
planning: process of determine protease and what nursing actions should be preformed to help resolve or manage each patient
implementation: process of taking action to resolve the patients problems ( working phase)
evaluation: achieving the goals and outcomes set in the planning steps |
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Term
| 3 parts of the nursing diagnosis |
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Definition
PES
problem: diagnostic concept or label based on the patients needs
etiology: what causes and is conned to the diagnostic label by the words “related to.”
s/s include data collected and evidence used to support the diagnostic label. “as evidenced by” |
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Term
| Define dependent, independent and collaborative interventions and know their application |
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Definition
dependent: requires a health-care provider order
independent: provide the intervention without consulting anyone else. no physician order
collaborative: involve working with other health-care professional in the hospital setting |
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Term
| Multidisciplinary Care Plan |
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Definition
| another type of care plan frequently used in the hospital. it includes choices of different nursing diagnoses with options the nurse may select in order to individualize the patient care |
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Term
| use open-ended question or statements |
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Definition
| encourages elaboration and discourages answering questions with one or two word. “tell me more about..” |
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Term
| Intimate personal space zone |
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Definition
| physical contact to 18inches |
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Term
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Definition
| giving info to someone below you, and side to side |
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Term
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Definition
aphasia: inability to speak or understand language
expressive aphasia, say: disturbance in speech planning and speech production
receptive aphasia, said: deficit in auditory comprehension or in receiving information. can hear but not understand
global aphasia, both: deficit of planning, production, and comprehension of language. can speak and understand only a few words |
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Term
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Definition
| controls sensory perception and sentry interpretation in which are necessary in communication process |
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Term
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Definition
closed ended questions
finding out specifics |
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Term
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Definition
all the senses to interpret verbal and nonverbal messages
attention is paid to what the speakers saying but also to that the speaker is not saying
main focuses on the interaction and detects feeling as well as spoken words
you respond to the content heard in the message, share your perceptions, and state as feedback what you, as listener, understand was said by the speaker |
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Term
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Definition
| strikes suddenly and lasts for a limited time |
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Term
| chronic has gradual one, lasts for 6 months or longhand is characterized by intensifying or improving symptoms |
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Definition
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Term
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Definition
| periods of worsening symptoms |
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Term
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Definition
| periods of worsening symptoms |
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Term
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Definition
another name for exhaustion phase, because it describes the body’s attempt to adapt to the stressors we encounter.
general adaptation syndrome |
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Term
| Define the phases/stages of stress |
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Definition
stressor: any stress-inducing event, can include a physical, emotional, pleasant, or unpleasant occurrence
adaptation: is the ability to positively adjust to changes that occur in an individual world
alarm phase: when we are stressed, our body responds with the flight or fight response
resistance phase: if stressor continues in our life and we do not find positive ways of relieving it, our bodies get stuck in that fight-or flight response, producing high levels of cortisol and other stress hormones. the body works hard trying to resist the threats of stress and to keep working efficiently to prevent illness. can continue for weeks, months, or years
exhaustion phase: when our bodies cannot keep up the pace of dealing with stressors and fighting off illness. when the body’s resources are depleted and we are most vulnerable to physical and psychological disease. |
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Term
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Definition
prodromal phase: they may simple “not feel good” with generalized body aches and fatigue
symptomatic phase: observable phase develop- sore throat and congestion, or a rash with a fever. they can wait and see if they symptoms go away, treat with OTC meds, or home remedies, or seek advice from friends
seeking help phase: seeking help from a medical professional, such as a physician, physician assistant, or nurse practitioner. some may seek healers, herbalist. once they have gotten help they must decide to follow advice or recommended treatment, or to seek help elsewhere
dependency phase: a person relies on others for help in diagnosis and treatment. as the nurse you are often the one whom patient s must depend in during this phase.
recovery phase: when a person is slowly able to resume independence and regain his or her health
ppl with chronic illness often remain in the dependency phase because complete recovery is NOT possible. |
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Term
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Definition
| the way of life that distinguishes a particular group of pool from other groups |
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Term
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Definition
| means that you provide care to the patient and show respect for and incorporate the patients specific cultural believes and values into your nursing care |
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Term
| Know how to complete an interview with a client who has ESL |
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Definition
| se an interpreter that is trained and not a family member or a small child b/c of the potential nature of the info that needs to be communicated |
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Term
| Define health promotion and list examples |
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Definition
health promotion: includes information about ways to stay healthy
examples: getting regular exercise, making healthy food choices, drinking enough water, and including adequate about of fiber, vitamins, and minerals in diet |
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Term
| Define illiterate and functionally illiterate |
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Definition
illiterate: cannot read or write
functionally illiterate: can sign name, do simple math, and read books at or below 5th grade level |
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Term
| Know the guidelines for utilizing handouts |
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Definition
keep handout at about a 5th grade reading level so that all patients can understand them
write in short simple sentences
if medical terms must be used, they should be clearly defined |
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Term
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Definition
| used when the patience is lacking knowledge about the disease process or management of the diseases including diagnostic testing, medicaments and treatment. |
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Term
| readiness for enhanced learning |
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Definition
| used when the patient has some basic knowledge about the illness and is ready further teaching |
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Term
| Know which internet websites are recommended |
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Definition
preferred sites for health-care info end in .org, ,gov, and ,edu
use familiar sites with accurate information, web MD, and PDRhealth |
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Term
| Know the guidelines for teaching the elderly |
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Definition
have caregiver or family member present during teaching
allow plenty of time for teaching so that your elderly patient doesn't feel rushed
be alert to cues that he elderly patent doesn't understand the teaching
be very patient with elderly learning
use plenty of reparation without getting frustrated |
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Term
| Which test requires you to be NPO |
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Definition
| endoscopy,fasting blood glucose, and barium enema |
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Term
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Definition
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Term
| specific gravity to urine is |
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Definition
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Term
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Definition
| means a viral infection or an allergic condition |
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Term
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Definition
make sure to drink a bunch of fluid
stools will be white until barium is eliminated |
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Term
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Definition
pressure must be maintained on the needle insertion site
pt should be kept on bed rest for 6-8 hours
keep leg straight
assess CR, color, temp. |
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Term
| application of leads for telemetry monitoring |
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Definition
white to the right: white goes on right upper chest
clouds over grass: white on right upper chest, green on right lower chest
smoke over fire: black on left upper chest, red on left lower chest
brown is ground: brown goes in the middle of the chest
or/ R and L upper chest near the shoulders are used for arm lead placements
lower limb are placed on the lower ribs towards the patients sides
ground wire is placed on the center of chest |
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Term
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Definition
ask the patient if they are allergic to iodine, shellfish, radiopaque or any contrast medium.
make sure to check their kidneys so they can get rid of dye |
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Term
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Definition
penia: means low
leukopenia low WBC count |
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Term
| CHF( congestive heart failure) |
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Definition
| b-tupe natriuretic peptide |
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Term
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Definition
| produces slices of the site, allowing images of the organs and tissues at all depths |
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Term
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Definition
| only used for oxygen delivery over 4L/min |
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Term
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Definition
| pt can more easily eat and talk with it in place |
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Term
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Definition
| used for pt who feel claustrophobic. allows for high amounts of humidity to be used. not precise |
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Term
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Definition
| allow a precise m ix of room air and oxygen to equal a specific percentage of oxygen. give an exact control of inspired oxygen. |
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Term
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Definition
| from O2 concentrations that are treated than 50% and used longer than 48 hr to 72 hrs |
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Term
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Definition
| we need 30mL, we do it first thing in the morning,and after breathing treatment to make sure we have enough |
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Term
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Definition
| used to hold tongue, for the unconscious patient |
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Term
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Definition
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Term
| pink, frothy, bubbly fluid |
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Definition
| condition pulmonary edema |
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Term
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Definition
| 7.35-7.45 slightly alkaline |
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Term
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Definition
| on 4th inhalation, cough during exhalation to be most effective you should cough 3 time during one exhalation. this helps bring the mucus up from the deep in the airways and move it up and out. |
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Term
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Definition
| blockage of the movement of contents through the intestine by a bulk mass of very hard stool |
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Term
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Definition
| check for occult (hidden blood) |
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Term
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Definition
| a flap is formed the closes the reservoir preventing leakage of the thin, watery effluent. several times a day, patient inserts s cath to drain the reservoir |
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Term
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Definition
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Term
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Definition
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Term
| what to do when the stoma is white |
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Definition
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Term
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Definition
| muscle tone of the smooth muscles of the GI tract and the control to the two rectal sphincters both decrease which causes fecal incontinence and constipation |
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Term
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Definition
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Term
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Definition
| give enema when patient is in L semis then sure them supine then on their R side to get enema disturbed through the colon |
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Term
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Definition
| dark, tarry blood, high in GI system, old blood |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| occurs when the person is unable to reach a bathroom to urinate |
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Term
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Definition
| the absence of urine or minimal urine |
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Term
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Definition
| it strengthens lower muscles |
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Term
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Definition
| pouch created from intestine, ureter empty into pouch. can self cath to empty the bladder |
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Term
| purpose for the medical record |
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Definition
| to sever as a record of accountability for quality assurance accreditation and reimbursement purposes |
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Term
| guidelines that maintain a legally defensible record |
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Definition
| sign each entry with first initial last name and credentials, make sure the patients name is on each page |
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Term
| benefits of a source oriented record |
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Definition
| using specific forms for each, with each section designated by a labeled tab |
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Term
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Definition
| shows how the patient responded |
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Term
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Definition
| they make sure that there is documentation the patient responds to the treatment |
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Term
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Definition
| the facility owns the original chart, but the patient owns the info inside the chart |
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Term
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Definition
| used in progress notes, subjective, objective, assessment, plan intervention, evaluation, revision |
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Term
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Definition
| document the time the respiration and heartbeat cease before you preform care. bath body, and if autopsu is not to be done remove tubing such as f/c and IV line. roll a small washcloth and place under chin if moth will not close. |
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Term
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Definition
| notintened to cure the patients disease, may include advance aggressive interventions. |
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Term
| dehydration affects the dying client |
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Definition
adds comfort to dying patient
increase endorphins, decrease fine, gastric fluid, pulmonary secretions, edema, and pain |
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Term
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Definition
| written document prepared by a mentally competent patient, indicating which procedures and measures the patient does or does not want. |
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Term
| leaving against medical advice |
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Definition
| have them sing a AMA form |
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Term
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Definition
| need dr order, explain reason for transfer, reconcile patients meds, gather personal belongings, complete transferee summary form, phone a full report of patients condition to new nurse, doc time of transfer, |
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Term
| clients experience separation anxiety |
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Definition
| children and older adults |
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Term
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Definition
| name, room number, hospital number, age, dob, dr name, allergies |
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Term
| medication reconciliation |
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Definition
| one of the most important discharge responsibilities. |
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Term
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Definition
| assessment with touch, feeling skin and temp |
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Term
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Definition
| redness of a designated site, normally a sign of inflammation due to increase circulation the inflamed site |
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Term
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Definition
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Term
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Definition
| abnormally deep and rapid respirations, rhythm regular, blow off CO2. |
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Term
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Definition
| grating, creaking sound that is due to inflamed, edematous pleural surfaces rubbing together during breathing |
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Term
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Definition
| immediately get the physician |
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Term
| how often do we do vital signs? |
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Definition
| q4 hrs if something is abnormal, every 1 hour if temp is abnormal |
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Term
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Definition
| watching a finger or a penlight |
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Term
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Definition
| patient knows what they want to say but cannot say he words |
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Term
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Definition
| has difficulty coordinating and organizing the words correctly |
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Term
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Definition
| over a bony prominence with your fingertip and hold for approximately 2 sec |
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Term
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Definition
| extensive heat application can result in massive vasodilation to the superficial skin and subcutaneous layer, depriving major organs. |
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Term
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Definition
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Term
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Definition
| age, cognitive function, and impairment of circulation |
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Term
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Definition
| need a dr order, generally accepted that cold pack may be applied to new localized injuries seen in the ER. |
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Term
| prevention of edema (cold) |
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Definition
| treatment of choice for injuries that sweet. first 48-72 hrs. |
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Term
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Definition
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Term
| when a cold pack has been on too long |
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Definition
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Term
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Definition
| see if they had one before, and who the tolerated it. |
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Term
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Definition
| a closed, discolored wound cause by blunt trauma, bruise |
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Term
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Definition
| superficial open wound which include scrapes, scratches, or rem-type wounds where the skin is broken such as a carpet or a skinned knee |
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Term
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Definition
| open wound made by the accidental cutting or tearing of tissue. jagged edges often making closure of the wound more difficult and less aesthetically pleasing |
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Term
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Definition
| channel or tunnel that develops between two cavities or between an infected cavity and the surface of the skin |
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Term
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Definition
| proliferation phase, occurs when the wound begins to heal, and lasts for 21 days the process of healing begins with the presence of fibroblasts in the wound. they produce collagen, as new tissue begins to grow and fill in the wound it looks red and semitransparent. |
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Term
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Definition
| wound is clean with little tissue loss the edges are approximated and wound is sutured closed |
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Term
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Definition
| sterile scissors and forceps used to cut away dead tissues |
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Term
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Definition
| full thickness tissues lost only it involves deep tissues necrosis of muscle, fascia, tendon, join capsule, and sometimes bone. |
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Term
| most environment dressing |
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Definition
| hydrocolloid used on wounds with minimal drainage and on dry clean wounds. it absorbs excess fluid from the wound while still holding moisture |
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Term
| how to reinforce a dressing |
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Definition
| outline with a pen, initial, date and time. add another ABD dressing |
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Term
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Definition
| sterile dressing soaked with normal saline |
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