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NUR 123 Exam
NUR 123 exam
| Question | Answer |
|---|---|
| Nursing process | assessment, nursing diagnosis, planning, implementation, evaluation |
| done before and during pt care, establishes a data base | assessment |
| what the pt says about their health, based on individual personal impressions and feelings and opinions rather than external facts | subjective information |
| something that can b measured, observed, proved, record of, seen, felt, | objective information |
| provides logical organization of data | clustering the data |
| pt response to medical problem, clinical judgement about the pt response to a prob | nursing diagnosis |
| NANDA | north american nursing diagnosis association |
| Parts of NS Dx: conveys the meaning of the dx should be in clear consise text | label |
| describes the characteristics of human response, assists in identifying a patients correct dx | definition |
| contributing factors that influence the change in health status, can be pathophysiologic, biologic, or psychosocial, tx related, stuational or maturational | related factors |
| situations which increase vulnerability for a pt or group, in an actual dx, ss, in a rish dx | risk factors |
| at least one characteristic must be present for validation of the dx | major defining characteristics |
| dont have to be present but provide support for the dx | minor defining characteristics |
| writing a diagnostic statement | impaired physical mobility-related to jt stiffness secondary to degenerative jt disease-unsteady gait |
| avoid putting in diagnostic statements | medical dx, tx/equip, meds side effects, dx studies, situations |
| planning goals | the pt will-by end of shift-reduce fever to 98.6 |
| What is the purpose of the national patient safety goals | improve patient safety. focus on problems in health care safety and how to solve them. |
| fecal impaction | to dx,insert finger |
| less than 30 ml/hour can indicate renal deterioration | |
| 3 types of renal disease | pre-vascular, renal-in kidney, post-obstruction, weakness in pelvic floor muscle, histamine can retain urine. |
| the most common bacteria for bladder infection | e coli |
| normal urine | pale straw color to amber |
| bloody urine | dark red or bright red |
| cloudy foamy urine | loss of protein |
| cloudy and thick urine | bacteria or WBCs |
| sweet smelling urine | DM or starvation |
| sell the hospital to the pt, advertizement | magnet recognition |
| pt are asigned and the team frucntions under direction of RN | team nursing |
| rn is responsible for all aspects of care | total patient care |
| ongoing responsibiltiy for assigned patients | primary nursing |
| exercising, life style changes, immunizationa | preventive care |
| health screenings, breast exams | secondayr care |
| already have disease and want to prevent complications | tertiary prevention |
| goals of healthy people 2010 | increase quality of years of healthy life, eliminate health desparities |
| ns focuses on population, immunizations, stds | public ns |
| ns of families in community, perserve, protect and maintain health | community health ns |
| risk for illness | genetics, age, environment, lifestyle |
| health behavior change precontemplation | not making chang in next 6 mths |
| contemplation | change within the next 6 mtns |
| preparation | change changes to prepare of big change |
| action | changing |
| maintenance | sustain the change 6 mtns after change |
Created by:
vstein
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