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160 Cards in this Set

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This system is used when presision medication dosage is needed ex more powerful drugs
metric system (millil, l, micrograms, grams, kilograms)
this system is used when less precision in medication dosage is needed ex Maalox
household system (teaspoons, tablespoons, ounces, pounds, cups, pints, quarts, gallon)
this system uses grains. uses lowercase roman num to denote dosage
apothecary system
_-_ ml= 1 teaspoon
4-5ml
12-15 ml= __ teaspoon(s)
3
__ teaspoons = 1 tablespoon
3
___-___ml= 1 fluid ounce
30-32ml
1 fluid ounce= __ tablespoon(s)
2
240 ml= ___ fl oz
8
__fl oz= 1 cup
8
___ml= 16 fl oz
500
___fl oz= 1 pint
16
1000 ml= __ pint(s)
2
__ pint(s)= 1 liter
2
1 liter= __ quart(s)
1
_ ml= 4 quarts
4000
___ quarts= 1 gallon
4
__ml=1 tablespoon
12-15ml
__ml= 2 T
30-32
___ml=1 cup
240
__ml=1 pint
500
__ml=1 quart
1000
__ml=1 gallon
4000
aa
of each
a.c.
before meals
ad
to, up to
ad lib
as freely as desired
amt
amount
Aq
water
Aq dest
distilled water
*A.S.
left ear
*A.D.
right ear
*A.U.
both ears
bid
twice a day during waking hours (9am & 6pm)
bin
twice a night
BM
bowel movement
BP
blood pressure
BR
bed rest
BRP
bathroon privleges
BSC
bedside commode
c
with
caps
capsule
CBC
complete blood count
C/O
complains of
comp
compound
DAT
diet as tolerated
DC
Discontinue
"discharge"
write out instead of using DC or D/C. if DC is written and is followed by a list of medications to take home, it can be mistaken as "discontinue the following medications"
Dsg
Dressing
D5W
5% dextrose in water
dil
dilute
DX
diagnosis
EEG
electroencephalogram
EKG (ECG)
electrocardiogram
elix
elixir
"of each" derived from
ana
"before meals" derived from
ante cibum
to derived from
ad
as freely as desired derived from
ad libitum
water derived from
aqua
distilled water derived from
aqua distillata
twice a day during waking hours derived from
dis in die
twice a night derived from
bis in nocte
with derived from
cum
capsule derived from
capsula
compound derived from
compositus
dilute derived from
dilue
elixir derived from
elixir
ext means ___
extract
extract derived from
extractum
five steps of the nursing process:
1. assesment
2. diagnosis
3. planning
4. implementation
5. evaluation
___ is part of the nursing process that is data collected
assesment
____ is part of the nursing process where you give and analysis of the assesment data
diagnosis
___ is part of the nursing process where we worry about the patient and expected outcomes and priorities. You should document this called a ______
planning
nursing care plan
___ is part of the nursing process where you put the plan into action. document this. review and revise if needed. assesing is initial continuous and evaluative
implementation
___ is part of the nursing process where we see is the ecpected outcomes were achieved, did we revise, modify, or terminate the plan, and was the plan effective.
evaluation
-problem to solve
-proactive
-risks accounted for
-plan- goals
-intervene
-evaluate
-revise
nursing process model
-problem
-reactive
-real problems only
-plan solution
-initiate plan
-determine outcomes
problem solving model
to move from assesment to diagnosis ___ is required
accurate and thourough assesment
to move from diagnosis to planning ___ is required
knowlege and creativity
to move from planning to implementation ___ is required
flexibility
to move from implementation to evaluation ___ is required
attentiveness
the nursing process is ____
systematic and proactive
___ are important to the nursing process
critical thinking skills
____ is action in the nursing process
implementation
___ is data in the nursing process
assesment
___ is analysis of data in nursing process
diagnosis
__ is review in the nursing process
evaluation
The nursing process is ____ and ____, not static
dynamic and cyclical
treat human responses to actual or possible health situations
nursing diagnosis(nursing process)
treat human disease- focus is on structure and function of people with illness
physician diagnosis (Medical process)
benefits to the nursing process is that it is based on ______. It is the basis for _____ and provides _____.
-practice standards
-basis for professional examination (NCLEX)
-standardized computer care plans
-holistic
-human respose
-teach: independence
-consult physician: disease and treatment
-primary involvement: individual, family, and group
nursing process
-organ systems
-Aim: normailize function
-Teach: treatment regimen
- consult nursing re: ADLs, wound care, etc
-primary involvement: individuals
medical process
____ deaths per year due to medical error
98000
what is the root cause of medical deaths?
system failures
____ is used to reduce medical errors
patient identification
which model is deseased based?
diagnosis and treatment model
in the diagnosis and treatment model, treatments can be ___ or ____ and the outcome is ____.
- medication or surgery
-outcome: relief of problem/symptoms
Which model is proactive and the focus is the patient. It notes risks, initiates prevention strategies, and manages chronic illness
predict, prevent, and manage model
healthy people 2010 targets _____ national problems like childhood obesity, lack of breastfeeding, and smoking
preventable
ethical principle that means right to decide
autonomy
ethical principle that means first do no harm
beneficence
ethical principle that means fair and equal
justice
ethical principle that means keep promises
fidelity
ethical principle that means truthfulness
veracity
the 7 ethical principles are:
1. autonomy
2. beneficence
3. justice
4. fidelity
5. veracity
6. accountability
7. confidentiality
a ____ knowledge base is needed for nursing
broad
It is important for a nurse to have ___ skills. __ take many reps to train neural connections
-technical (psychomotor)
-motor
staying involved in difficult cases is a characteristic of ____
critical thinking
when the focus is on what is best for the patient it is a ____ principle
ethical
nurses must have the __ and ___ to care
ability and willingness
ability to care includes ___ and ____ of patient and self
understanding and insight
during assesment, the entrie plan of care is based on ____ and _____ of assesment
accuracy and completeness
it takes about 10 years to get to the bedside
knowledge turnover
the 6 phases of assesment are :
1. data collection
2. identifying cues and making inferences
3. validating data
4. organizing data
5. identifying patterns in the data
6. recording and reporting data
You will most likely record data _____ and will most likely report it to ____
- in a chart
-Drs or other nurses
__ is the first phase of assesment
collecting data
What resources can the nurse use when collecting data?
chart, monitor, patient
Where will the nurse get the most up to date assesment information from?
at the bedside from the patient
Data based assesment is like a ________ and is collected at the start of care. Focus assesment is looking at a certain area of care. Focus assesment is used when you need to asses a ____. (ex pain: give med then come back and asses their pain)
-history foundation
-particular condition
____ model is used for assesment tool design
nursing model or theory
Assesment tool design involves ______
insurance companies
In assesment tool design, we look at the standards of care as defined by ____(_____), ____(_____), and _______
- Agencies (JCAHO)
- organizations (ANA, AACN)
- government
DNR means
do not resussitate
One goal of healthy people 2010 is eliminating _____ and ______.
cultural and racial differences
The perfect test for risk groups will be : _____, ______, and ______
inexpensive, sensitive and specific, and have no false positives or negatives
_____ are important in the "predict prevent and manage" model of health care
screening tests
____ provides safety and security during recovery from illness.
cultural competence
cultural competence provides that the patient will recieve care that takes into account thier:_____,____,and_____.
cultural preferences, physiological differences, and emotional needs to illness
physical assesment includes :___,____,___,and ____
inspection
auscultation
palation
percussion
Inspection is of ____,____, and ____
skin
gait
and voice
(physical assesment)Inspection:
_____:lesions, bruises, swelling
_____: symmetry, behavior
_____:sound, breath, odors
skin
gait
voice
(physical assesment)
Auscultation:
Instruments used-
_____ for fetal heart
_____ for BP
_____ for heart, lungs, blood vessel sounds (ex bruits), and bowel sounds
-Doppler or Pinard stethoscope
-Stethoscope/sphygmomanometer (BP cuff)
- Stethoscope
(physical assesment)
use of touch. instrument is _____
-palpation
-your fingers
(physical assesment)instrument for percussion is ____ for ____.
percussion hammer for reflexes
(physical assesment)
percussion:
____/____:
-resonance in lungs
-tympany over abdomen
-dullness over bladder
fingers/hands
obj and subjective data ____ eachother
complement
True or false: obj and subject data will always match
false: they may not match
data that is stated
subjective data
data that is observed
objective data
be specific when charting ____ data.
objective data
chart subjective data ____
in quotes (ex "patient states...")
How the nurse interprets data is a(n) ______
inference
When validating data, it is always better to _____ or _____
measure or observe
Methods of validating data:
-
-
-
-ask patient or family
-labratory and other diagnostic data
-readings of equiptment
When charting, one should chart ____, avoiding judgemental words, and should be _____.
-objectively
-brief
if a mistake is made in charting:
draw a single line through mistake, and write "void" or "error" with your initials
When charting, document whatever you report and that is ____ reported and ___ and to _____.
was, when, to whom
You should _____ and chart soon after assesment.
take notes
Clustering data according to a nursing model helps to ______.
identify nursing diagnosis and problems
Clustering data according to body systems helps to _______.
identify data that may indicate medical problems.
Which body system should you use when clustering data medical and nursing problems?
you should use both the nursing and body system to cluster the data so you do not miss any info that will help you interpret problems.
When charting you should write in ___ ink
black
is defined as the knowledge, skills, and attitudes/beliefs that enable people to work well with, respond effectively to, and be supportive of people in cross-cultural settings.
Cultural proficiency
Practice of cultural genocide, sub-humanizing patients of color. (Tuskegee Experiment)
Denying clients access to their natural healers.
Medical experiments without their knowledge or consent
cultural destructiveness
Not intentionally destructive, but lacks capacity to help diverse clients.
May take a “paternal” posture toward “lesser” races.
Disproportionately applies resources.
Enforces racist policies or maintains stereotypes.
Gives subtle “not welcome” messages.
cultural incapacity
While expressing a philosophy of being unbiased,
believes that color or culture makes no difference.
believes that the helping approaches by dominant culture are universally acceptable and applicable.
ignores cultural strengths, encourages assimilation.
cultural blindness
Realizes weakness in serving diverse population and makes attempts at specific improvements.
Explores ways to reach clients.
May feel a false sense of accomplishment that prevents further movement.
May engage in tokenism.
cultural pre-competence
Has acceptance and respect for differences.
Engages in continuing self-assessment regarding cultural understanding.
Makes adaptations to service models in order to meet client needs.
Seeks advice and consultation from client community.
basic cultural competence