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final exam

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
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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