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15 Cards in this Set

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tap water for an enema has a hpo or hpertonic effect on bowel and why?
tap water exerts a lower osmotic pressure than fluid in the intertitial spaces. So, when tap goes into the bowel, it gets pulled into the intertitial spaces. this infused volume stimulates defecation b/f large amts of water leave the bowel.
what is a hpertonic solution used as an enema?
hypertonic solutions infused into the bowel exert pressure pulling fluid out of intertituual spaces. So, the colon fills w/ fluid, and you defecate. this is for those who can't tolerate large vol. of water in bowel. FLEETS. 4-6 ozs.
why do you use a Harris Return Flow?
to lose gas. it has drugs so don't use more than 3 times
Concerning the nursing process, what is etilogy?
what is the cause of disease
what how quickly is the definintion of the nursing diagnosis?
says:
what the problem is
r/t to ( the cause )
m/b the symptoms
so the nursing process tells a story or makes a state on
the problem
the cause
the symptoms
so, a medical dx identifies a disease, but the nursing diagnosis ?
allows nurses to:
analyze the data
Id health problems
provide direction for nursing care plan
the term nursing diagnosis was coined in the 80s. How?
it got in the ANA as a term
nursing diagnosis considers needs and data about
physical
emotional
developmental
intellectual
social
spiritual
so, the nursing diagnosis describes ...
the patients potential or actual response to a health problem that the nurse is liscenced and competent to treat
what is the NANDA format for the nursing diagnosis
problem stated
related factors (cause or etiology)
maifestations (s/sx)
NANDA Ex. is:
altered skin integrity
r/t bed rest
m/b small open area on coccyx
remember this saying
altered skin integrity
r/t bed rest
m/b small open area on coccyx
there can be a nursing diagnosis w/out the m/b part what about this?
the m/b hasn't happened yet. there can be a potential for it. So,
the problem
r/t factors
no manifestations...b/c it hasn't happened yet.
Ex.
AT RISK FOR ALTERED SKIN INTEGRITY
R/T BEDREST AND INCONTINENCE
IMMUNITY
is state of responsiveness to ...
foreign substances
3 functions:
defense. protect against invasion
homeostatis. removes damaged cells
surveillance. destroys mutations
there are 2 types of immunity

natural and ...
acquired
natural = not produced by immune response, no cantact w/ antigens
acquired = immunity developed actively or passively