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15 Cards in this Set
- Front
- Back
tap water for an enema has a hpo or hpertonic effect on bowel and why?
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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.
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what is a hpertonic solution used as an enema?
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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.
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why do you use a Harris Return Flow?
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to lose gas. it has drugs so don't use more than 3 times
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Concerning the nursing process, what is etilogy?
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what is the cause of disease
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what how quickly is the definintion of the nursing diagnosis?
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says:
what the problem is r/t to ( the cause ) m/b the symptoms |
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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 |
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the term nursing diagnosis was coined in the 80s. How?
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it got in the ANA as a term
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nursing diagnosis considers needs and data about
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physical
emotional developmental intellectual social spiritual |
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so, the nursing diagnosis describes ...
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the patients potential or actual response to a health problem that the nurse is liscenced and competent to treat
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what is the NANDA format for the nursing diagnosis
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problem stated
related factors (cause or etiology) maifestations (s/sx) |
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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 |
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there can be a nursing diagnosis w/out the m/b part what about this?
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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 |
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IMMUNITY
is state of responsiveness to ... |
foreign substances
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3 functions:
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defense. protect against invasion
homeostatis. removes damaged cells surveillance. destroys mutations |
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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 |