Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Med Sug Exam 1
Modules 1 & 2
| Term | Definition |
|---|---|
| scope of practice | used to delineate actions that are legally permitted for a particular profession based on educational qualifications |
| what determines the nursing scope of practice in SC? | SC Nurse Practice Act |
| independent actions | within a nurses scope of practice to perform or initiate independently |
| dependent actions | require an order from a medical doctor or other advanced practitioner |
| patient and family centered care | acknowledge both family and patient, involves active involvement and collaboration |
| collaborative practice | nurses, physicians, ancillary health professionals preform their particular job functions but share decision making responsibility |
| care across the continuum | ensuring in-patient and outpatient providers are all on the same page |
| delegation | an RN can delegate a task to another but is ultimately responsible for that task being completed correctly |
| 5 rights of delegation | right task, right circumstance, right person, right direction and communication, right supervision and evaluation |
| what tasks can an RN delegate to an LPN? | monitoring findings, reinforcing patient teaching, preforming tracheostomy care, suctioning, check NG tube patency, administering enteral feedings, inserting a urinary catheter, administering medication (not IV) |
| what tasks can an RN delegate to a UAP? | ADLs, bathing, grooming, toileting, dressing, bed making, ambulating, feeding, positioning, routine tasks, specimen collection, I&Os, VS |
| nurses role in management of care | ADPIE, interdisciplinary collaboration |
| nurses role in safety and infection control | medical and surgical asepsis; utilize all EBP interventions to prevent infection and prevent trauma |
| health promotion | the process of enabling people to increase control over their health and its determinate thereby improving their health; includes self responsibility; occurs throughout the lifespan |
| aspects of health and wellness | physical, emotional, social, intellectual, spiritual, occupational, environmental |
| health education | primary nursing responsibility; education should happen act every contact |
| redness to learn | must be assessed prior to education |
| health literacy | a complex group of reading, listening, analytical, and decision making skills, and the ability to apply these to health situations |
| what groups of people lack health literacy? | older adults, immigrants, low income individuals, those with chronic diseases |
| what are some techniques to maximize learning? | lecture, discussion, group learning, multimedia, written material, demonstration |
| acute illness | sudden, short lived illness process or trauma; curable with treatment options |
| chronic illness | disease lasting >= 1 year; no cure, focus on symptom management |
| terminal illness | will result in death; no cure, quality vs quantity; at home management, hospice care |
| chronic illness trajectory model | pre-trajectory, trajectory onset, stable, unstable, acute, crisis, comeback, downward, dying |
| the joint commission | private, nonprofit to improve safety and quality or care provided to the public |
| occupational safety and health administration (OSHA) | hold employers responsible for providing safe place for employees |
| Patient Protection and Affordable Care Act of 2010 | improving health by decreasing costs, increase of number of people with health insurance |
| Centers for Medicare and Medicaid Services | ensures effective up to date healthcare insurance and promotion of quality of care |
| Department of Public Health | enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services. |
| Det Nors Veritas (DNV) | accreditation for hospitals |
| culture | similarities shared among members of a group (ways of thinking, language, communication, customs) |
| cultural diversity | existence of varied cultural groups within a society |
| cultural competence | understand and address entire cultural context of each client within the realm of the care delivered |
| cultural sensitivity | being knowledgeable about the cultural prevalent in their area of practice |
| translation services | use a facility approved medical interpreter, not a patient's family member; speak clearly and slowly; face the patient and speak to them as you would if an interpreter was not needed |
| how much of body composition is fluid in an adult? | 50-60% |
| osmosis | movement of water |
| diffusion | movement of solutes |
| sodium potassium pump | requires energy |
| what is the most accurate measurement of fluid gain/loss? | daily weights |
| ADH (vasopressin) | holds onto fluid |
| aldosterone | holds onto water and sodium |
| natriuretic peptide | for fluid overload/CHF; gets rid of fluid |
| what population of people are prone to dehydration? | elderly |
| hypovolemia | loss of ECF volume; output exceeds the intake of fluid |
| causes of hypovolemia | any loss of fluid (diarrhea, vomiting, gastroenteritis, ostomy output, diuretic therapy, diabetes insipidus, CKD, NPO status, ETOH use, burn victims) |
| manifestations of hypovolemia | tachycardia (compensate!), hyperthermic, weak/thready pulse, low BP, orthostasis, dry mouth, dizziness, hypoxia, confusion, cool clammy skin, flat neck veins |
| diagnostic factors of hypovolemia | CMP, CBC, BMP, urine sample; Hct, BUN, Cr, Na+ elevated; elevated serum osmolality |
| interventions for hypovolemia | monitor VS, urine output, IV fluids, encourage PO intake, monitor weight, fall precautions, reposition slowly, monitor LOC |
| complications of hypovolemia | hypovolemic shock (organ failure, low O2, low BP, high HR) -> fluid resuscitation per doctors order |
| hypervolemia | too much fluid; isotonic expansion of ECF, abnormal retention of water and sodium |
| causes of hypervolemia | heart failure, kidney failure, hormonal changes, increase in IVF, increased PO intake, liver failure, high salt diet, steroids |
| manifestations of hypervolemia | tachycardia, HTN, tachypnea, weakness, bounding pulse, headache, decreased LOC, ascites, crackles in lungs, cough, SOB, pitting edema, weight gain, JVD |
| diagnostic factors of hypervolemia | CBC, CMP, BNP, urine; Hct/Hgb low; Na+ low; serum osmolality low, urine Na+ low, urine specific gravity low, BUN low, CXR, ECHO |
| interventions for hypervolemia | give diuretics, decrease IVF, limit Na+ intake, fluid restrictions, daily weights, I&O, monitor VS, breath sounds, HOB elevated |
| complications of hypervolemia | pulmonary edema (fluid shifts to lungs) |
| serum Na+ | 136-145 mEq/L |
| osmolality | 1 KG of a solvent |
| osmolarity | 1 L of a solution |
| urine specific gravity | concentration of solutes in urine (1.005-1.030) |
| hematocrit | ratio of volume of RBCs to total volume (37-52%) |
| blood urea nitrogen (BUN) | breakdown of protein in liver; urea nitrogen is excreted by the kidneys (10-20) |
| creatinine | main lab for kidney function; protein/muscle breakdown (male: 0.6-1.2) (female: 0.5-1.1) |
| infiltration | IVF leaks out of vein into surrounding tissue; swollen, cold, painful |
| phlebitis | inflammation of the vein; red, warm, painful |
| extravasation | vesicant fluid leaks from vein into surrounding tissue; ulcerations, necrosis (dopamine, Ca+ solutions, chemo, NaHCO3, dextrose) |
| hematoma | solid swelling of clotted blood within the tissue; monitor size - may require surgery if large related to infection risk |
| thrombophlebitis | inflammation due to clotting in the vein |
| air embolism | can kill the patient; always prime before flushing |
| skin infections | red, tender, warm, exudate, hard on palpation - always scrub the skin before sticking |
| hypotonic IVF | push fluid into the cell, decreases ECF, decreased salt, cell swells (need fluid, not particles) |
| isotonic IVF | cell remains the same, fluid and salt are the same inside and out (just need to increase fluid volume) |
| hypertonic IVF | push fluid out of the cell, increases ECF, increased salt, cell shrinks (needs particles, not fluid) |
| where is sodium found? | ECF (136-145) |
| where is potassium found? | ICF (3.5-5) |
Created by:
ballen9519
Popular Nursing sets