final exam
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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maslow's hierarchy of needs | show 🗑
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show | infant, dependence on mother, need body & sensory stimulation, have a routine, attend to needs promptly
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autonomy vs. shame & doubt | show 🗑
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initiative vs. guilt | show 🗑
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industry vs. inferiority | show 🗑
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identity vs. role confusion | show 🗑
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show | young adult, carrying out life plans, choosing work & mate, depression over interruption of plans
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show | middle aged adult, ideas for next generation, carrying out life goals, assessment of life
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show | older adult, life review, dec. physical function, unhappiness due to dec. independence
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show | physical, emotional, sexual, financial, violation of rights
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show | fear of reprisals, question of injury occurred, cultural traditions make it difficult to determine abuse
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ANA code of ethics | show 🗑
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primary healthcare | show 🗑
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secondary healthcare | show 🗑
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tertiary healthcare | show 🗑
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show | acknowledge, introduce, duration, explanation, thank
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QSEN | show 🗑
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show | from military, pt safety, promote team leadership, situation monitoring, support communication
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TCAB | show 🗑
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HIPPA | show 🗑
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show | medicare, medicaid, SSI, private, canada, cobra, military/va
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5 steps to the nursing process | show 🗑
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characteristics of a GOAL | show 🗑
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show | communication, education, assessments & planning, research, auditing, legal documentation, agency accreditation, reimbursement
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source orientated medical records | show 🗑
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problem orientated medical records | show 🗑
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show | only abnormal or significant findings or exceptions to norms are recorded
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computerized charting | show 🗑
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show | medical diagnosis, MD orders, plan of care, nursing orders, test & procedures, diet/activity, safety precautions, written in pencil
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4 factors influencing response to stress | show 🗑
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negative stress | show 🗑
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show | hopelessness, ineffective coping
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anxiety | show 🗑
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fear | show 🗑
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show | mild, moderate, severe, panic
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show | recognize pt is angry, ask direct questions, accept anger for what it is, assist pt to recognize they are angry, encourage pt to verbalize anger and their feelings, allow time to relax
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stages of dying | show 🗑
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show | in sweating, impaired taste/smell, blurred vision, hearing is last to go
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show | loss of sensation
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effect of dying process: respiratory system | show 🗑
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effect of dying process: CNS | show 🗑
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effect of dying process: circulatory system | show 🗑
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show | dec. activity of GI tract, constipation, incontinence
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signs of brain death | show 🗑
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biological half life | show 🗑
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show | highest blood or plasma concentration
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what absorbs the drugs | show 🗑
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what breaks the drugs down | show 🗑
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onset of action | show 🗑
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show | insert 5-10mls of air and listen for pop, aspirate content, check pH (normal range is < or equal to 5)
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adverse reactions to medications | show 🗑
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show | unexpected, individualized, under/over responsiveness to med, unexplainable
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show | disease caused unintentionally by med therapy
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variables influencing drug action | show 🗑
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how does heart diseases effect drug action | show 🗑
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how does liver disease effect drug action | show 🗑
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wound assessment | show 🗑
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contaminated wounds | show 🗑
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colonized wounds | show 🗑
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infected wounds | show 🗑
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infection cycle | show 🗑
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microorganisms need... | show 🗑
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show | redness, heat, edema, pain, drainage
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systemic S/S of infection | show 🗑
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show | 1. incubation 2. prodromal 3. illness 4. convalescence
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show | OSHA
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sets standards and guidelines | show 🗑
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mechanical debridement of wound | show 🗑
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show | let body own chemicals try to debride
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transparent film and non-adherent | show 🗑
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show | not infected wounds, autolytic debridement
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show | absorbs small amount of exudate, autolytic debridement, partial/full thickness wounds, infected wounds
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foam dressing | show 🗑
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what stage pressure ulcer is used for impaired SKIN integrity | show 🗑
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show | stage 3 and 4
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show | increased; decrease
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show | serum and blood in drainage
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sanguineous | show 🗑
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purulent | show 🗑
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show | involve only epidermis and dermis
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show | involve complete destruction of the epidermis and dermis and extend into deeper tissues
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show | sweating, shivering, vasoconstriction, vasodialation, avoidance of external heat/cold
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body's heat production is influenced by... | show 🗑
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show | fever
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S/S of hypothermia | show 🗑
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show | oral: 97.6-99.6 Rectal: 98.6-100.6 Axillary: 97-98.6
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the most accurate measurement of frequency and rhythm of the heart | show 🗑
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can radial pulse be > apical pulse | show 🗑
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show | 70(60-100)
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show | 1. ventilation 2. diffusion 3. perfusion
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normal respiratory range for older adult | show 🗑
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eupnea | show 🗑
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show | rapid and shallow resp. with periods of apnea
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4 determinants of BP | show 🗑
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show | BP falls when pt sits or stands with S/S of vertigo
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show | difference between systolic an diastolic pressure
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hygiene nursing diagnosis | show 🗑
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how are microorganisms are transmitted | show 🗑
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pressure ulcer risk factors | show 🗑
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show | intact skin, reddened area
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show | loss of epidermis, partial thickness, blister
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show | full thickness, tissue visible, may include undermining/tunneling
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stage 4 stage ulcer | show 🗑
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show | full thickness, base of ulcer covered by slough or eschar
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squeezing on muscles that surround veins | show 🗑
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show | requires equipment/device
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functional level 2 | show 🗑
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functional level 3 | show 🗑
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functional level 4 | show 🗑
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show | impaired physical mobility
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show | buildup of protein in the lens that makes it cloudy, prevents light from passing clearly through the lens causing some loss of vision
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glaucoma | show 🗑
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6 F's of distended abdomens | show 🗑
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opioid | show 🗑
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show | constipation, resp. depression therefore check respirations
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show | Tylenol, mild-moderate pain, can cause hepatotoxicity
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show | fear, lack of knowledge, culture, ethnic values, environment, support, psychological
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developmental consideration for older adults: pain | show 🗑
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delirium | show 🗑
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show | remove causative agent, prevent further damage, mild sedation with MD order, hydrate, provide quite environment, measure I&O
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show | cognitive impairment, functional losses, behavior changes, anxiety, depression, hallucinations
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nursing intervention for dementia | show 🗑
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show | cognex, namenda, aricept, haldol, depakote
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show | non rapid eye movement, divided into 4 stages, 75% of sleep during night
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meds affecting sleep | show 🗑
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show | sleep pattern disturbance
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show | Pre-sleep->NREM stage 1->NREM stage 2->NREM stage 3->NREM stage 4-> NREM stage 3-> NREM 2
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conduction | show 🗑
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show | loss of heat by air
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show | use of high frequency current to generate heat
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nursing intervention for INEFFECTIVE TISSUE PERFUSION PERIPHERAL (arterial) | show 🗑
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nursing intervention for INEFFECTIVE TISSUE PERFUSION PERIPHERAL (venous) | show 🗑
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show | pain, pallor, absent pulse, paresthesis, cold temp.
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venous assessment | show 🗑
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show | collapse of lung tissue, air sacs aren't completely filled
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show | 1. breathing 2. airway 3. circulation
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incentive spirometer | show 🗑
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show | fatigue, clubbing fingernails
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show | dec. O2 in cells/body
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4 requirements essential for adequate ventilation | show 🗑
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3 functions of resp. system | show 🗑
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Created by:
kamia2010
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