Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
72 Cards in this Set
- Front
- Back
|
Verbal Communication |
spoken and written word |
|
|
Nonverbal communication |
body movement,physcial appearance,personal space, touch, facial expressions |
|
|
4 basic elements of communication |
message,sender,receiver,feedback |
|
|
Theraputic Techniques |
Giving information Stating observations open question/comments General Leads Focused question/comments Sharing observations Paraphasing Reflecting feelings Focused comments Seeking clarification Summarizing Validation |
|
|
Non Theraputic |
Why questions Changing the subject False reassurance Giving Advice Stereotyped Responses Defensiveness |
|
|
Strokes can result in |
aphasia(difficult speech),difficult understanding or verbalizing |
|
|
Dimensions of a symptom |
Location,Quality or whats it feel like, severity,timing, setting, aggravating |
|
|
When dealing with an angry patient advoid |
touch |
|
|
SBAR |
Situation, background,assessment, recommendation (S- whats happening at the present time)(B- circumstances leading up to problem)(A- What do you think the problem is)(What to do to correct the problem) |
|
|
HIPAA regulations for documents |
only the patient can see and others with consent |
|
|
Malpractice includes failing to record |
health/drug information,nursing actions, medications given, drug reactions, patient's conditions, discontinued medications |
|
|
PIE |
Problem,Intervention,evaluation (noteing) |
|
|
DAR |
Data,Action,Responce (focus charting) |
|
|
Assessment |
First step in nursing process |
|
|
Atrophy |
A wasting of size or physiological activity of part of the body caused by disease or other factors |
|
|
Auscultation |
listening to organs |
|
|
Bruit |
Abnormal sound during auscilation |
|
|
Cardiomegarly |
abnormal enlargement of heart |
|
|
Cercumen |
earwax |
|
|
Conjunctiva |
the mucous membrane that lines the exposed portion ofthe eyeball and inner surface of the eyelids. |
|
|
Crackles |
to make slight, sudden, sharp noises, rapidly repeated during breathing |
|
|
Cultural assessment |
patient's cultral background |
|
|
cyanosis |
lack of oxygen,blue |
|
|
Dorsum |
the back, as of the body |
|
|
Edema |
effusion of serous fluid into the interstices of cells in tissuespaces or into body cavities |
|
|
Erythema |
redness of the skin |
|
|
Friction rub |
the sound, heard through a stethoscope, made bythe rubbing together of the two inflamed layers ofpericardium in patients with pericarditis or of pleura inpatients with pleurisy |
|
|
Inspection |
visual examination |
|
|
Intercostal space |
space between the ribs |
|
|
Nares |
Nostrils |
|
|
Orthostatic hypotensions |
fall in blood pressure associated withan upright position, usually occurring as a result ofstanding still for a long time or rising from a prolongedstay in bed and often causing faintness, dizziness, andvision disturbances. |
|
|
Pallor |
pale skin |
|
|
palpation |
to examine by touch |
|
|
percussion |
the striking or tapping of the surface ofa part of the body for diagnostic or therapeutic purposes |
|
|
Pleural Rub |
discontinuous or continuous, creaking or grating sounds |
|
|
Wheezes |
to breathe with difficulty and with a whistling sound |
|
|
SPLATT |
symptoms at time of fall, previous fall, Location , Actvity of time of fall, Time of fall, Trauma of fall |
|
|
Before using equipment know the |
safety measures |
|
|
Ambularm for |
patients with breaks in skin,swelling,irritation |
|
|
Chemical restraint |
Drug (last resort) |
|
|
Long term setting restraints require permission from |
family members |
|
|
Belt restraint |
a device used around the waist to secure a patient on a stretcher or in a chair |
|
|
Extremity restraint |
Restricts the person from moving (in risk for aspiration in supine position , place patient in lateral position) |
|
|
Mitten restraint |
protects from disloghing or messing with skin |
|
|
Elbow restrant |
Dosnt allow elbow to move |
|
|
Restraints should not be placed over |
equipment and devices |
|
|
Aggressive patients must never be left |
unattendednt while restraints are off |
|
|
Known seizure risk are to be in the ------- poisition with ----------- up |
lowest, side rails |
|
|
Status epilepticus is a medical emergancy what should be done? |
call team, insert oral airway, iv route insert (0.9 % sodium chloride) , assist with lying down position |
|
|
PASS |
pull,aim,squeeze,sweep |
|
|
Infection prevention practices |
reduce or eliminate sources of transmission of infection |
|
|
nosocomial infections |
infections from healthcare |
|
|
chain of infection (6) |
1. infectionous agent or pathogen 2.reservior or source for it to grow 3.portal of exit 4.transmission 5.portal of entrance 6.suspectable host |
|
|
Asepsis |
1. freedom from infection. 2. the prevention of contact with microorganism |
|
|
Medical asepsis |
procedures used to reduce the number of microorganisms and prevent their spread.Examples include handwashing and "no touch" dressing technique. |
|
|
Surgical asepsis |
procedures used to eliminate any microorganisms; sterile technique. An example is sterilization of surgical instruments. |
|
|
Sterilization destroys |
microorganisms and its spores |
|
|
3 situations a nurse would use surgical asepsis on a bedside patient |
interntional perforation of the skin such as a needle or IV, when the skin is broken with incision or burn, during insertions into sterile body cavities such as a urinary catheter |
|
|
PPE |
personal protective equipment includes gloves,masks,eyewear,gown |
|
|
cohorting |
keeping two patients together with like infections |
|
|
Four Factors to decide to perform hand hygiene |
1. amount of contact 2. amount of contamination 3. susceptibility of infection 4. procedure being formed |
|
|
Spore forming organisms |
Clostridium difficile or Bacillus anthracis |
|
|
Tier one precautions |
part of care for all patients |
|
|
Tier 2 precautions |
known or suspected infection |
|
|
Tier 1 precautions listed |
applies to any body fluid, hand hygiene, gloves, PPE, be wary of sharp objects, have patients cover mouth |
|
|
Tier 2 Types of precautions |
airborne,droplet,contact,protective |
|
|
Airborne |
Droplet nuclei smaller than 5 microns, measles, chickenpox (varicella), disseminated varicella zoster, pulmonary or laryngeal tuberculosis, private room , negative airflow at 6 to 12 exchanges, HEPA filtration, mask, n95 respirator |
|
|
Droplet precautions |
larger than 5 microns, be within 3 feet of patient, diphtheria rubella, streptoccal pharyngitis, pneumonia/scarlet fever, pertussis, mumps, mycoplasma pneumonia, mask or respirator |
|
|
Contact precautions |
Clostridium difficile, respiratory syncytial virus, shigella, major wound infections, herpes,scabies, glove , gown |
|
|
protective enviroment |
stem cell transplants, positive airflow, mask, gown , gloves |
|
|
TB precautions |
airborne precautions, negative pressure room, special respirators (N95 or P100)gloves, gown, eyewear |
|
|
TB NAP delegations |
clarifying precautions, type of changes to report |
