ati final Flashcards
role of home health/hospice nurse?
pharmacologic pain management for those with terminal illness
role of occupational nurse?
plan/provide workplace health and safety training for employees in a local factory
role of home health/ wound care nurse?
provide wound care
role of faith community nurse?
facilitate substance abuse support groups
health surveys- direct or secondary data?
secondary data
medical records- direct or secondary data?
secondary data
informant interviews- direct or secondary data?
direct data
morbidity/ mortality statistics- direct or secondary data?
secondary data
type of sanding technique to prevent aerosolizing lead particles?
wet-sanding. NOT dry-sanding
how to prevent aerosolizing lead particles on the floors?
wet mop the floors instead of vacuuming.
what to include in your diet to prevent lead absorption from the environment?
increase amount of red meats and milk
temperature of water to use when preparing formula and staying away from lead?
cold tap water. NOT hot water since it dissolves lead more quickly from the pipe.
focus groups
small groups of people who use health department services for process evaluation of the facility. this info shows a review of the facility’s strengths and weaknesses of quality client care.
written audits
written evaluations of the quality of care from the health department. reveals strengths and weaknesses.
satisfaction survey
assessments of the client’s perceptions of their care made via phone or written questionnaires.
interviews for quality improvement
interviews of clients who use health department services for evaluation of the facility.
values self study
the 1st step in quality assurance when the health department determines the needs of the community, services to offer, and a philosophy/ overall objectives for the facility.
manifestations of secondary syphilis?
malaise, maculpapular rash on palms, lymphadenopathy
primary manifestation of syphilis?
chancre
first action nurse should take when using the nursing process to assess the community?
assessment
T or F weight loss and malnourishment are indicators of possible neglect
T
T or F being overweight is a sign of neglect
false
what a patient with human papillomavirus will undergo?
physical exam, PAP test, and assessment of manifestations for initial diagnosis.
medication for gonorrhea
ceftriaxone
medication to self treat lesions of human papillomavirus?
imiquimod 5% cream.
how often do you apply imiquimod 5% cream for lesions?
at bedtime for 16 weeks
T or F:
there is an immunization to reduce spread of MRSA?
false
T or F:
there is an immunization to prevent Lyme disease?
False
medication for Lyme disease during early stages?
10-14 days of penicillin or tetracycline therapy
manifestations of Lyme disease?
a lesion from the tick bite with mild-flu like symptoms such as fever, fatigue, and malaise
manifestations of E.Coli?
abdominal pain and diarrhea
percentage of saturated fatty acids that h.s. students should consume?
< 10% per day
amount of cholesterol h.s. students should consume?
< 300 mg per day. high levels may lead to cardiovascular disease.
what do refined grains consist of?
solid fats, sugar, and high sodium. ex’s: white flour, white bread, and white rice.
amount of calcium for adolescents/ high school students?
1,300 mg/day
diet for management of hepatitis c?
diet high in carbs and calories
T or F:
there is a preexposure prophylaxis available for hepatitis c.
false. it is for hepatitis A.
T or F:
hepatitis C is transmitted through the air.
false. it is transmitted via blood and body fluids.
T or F:
The annual flu vaccine does not protect people from Bordetella pertussis.
True. they need to receive an immunization against pertussis.
Vaccines that infants receive? and at what age?
diphtheria, tetanus and pertussis –> DTaP
no earlier than 6 weeks
how many vaccines should a 6 year old have?
a series of 5 vaccines
How is pertussis transmitted?
via airborne droplets. coughs while expelling droplets smaller than 5 microns.
med that Ginkgo biloba can alter?
Warfarin- it hinders coagulation.
T or F:
Faith community nurses do not have access to hospital medical records.
True
Precautions for C. Diff?
contact precautions.
Transmission for diphtheria or mumps?
Respiratory Droplets precautions.
contact precautions for varicella, tuberculosis and measles?
Airborne
When should a nurse implement protective environment precautions?
for those who are highly susceptible to infections such as dermatitis, major burns, leukemia, or chemotherapy.
Droplet precautions?
hand hygiene, wearing a surgical mask within 3 ft of client, and dedicated care equipment.
Airborne precautions?
a negative airflow room and an N95 mask
genogram?
tracks the incidence of disease over many generations of a family. will identify biological risk factors.
How to obtain info about a person’s behavioral risks?
conduct a lifestyle risk assessment. this includes personal and family health habits.
how to obtain info regarding social risks?
conduct an environmental risk assessment. this includes living in a high-stress environment such as a high crime neighborhood.
How to obtain info on economic risks?
conduct an environmental risk assessment. this should include the relationship between family resources and the demand for those resources.
what does daily use of NSAIDs cause?
gastric ulceration, perforation, hemorrhage., tachycardia, dysthymias, hypoglycemia, oliguria, dysuria and hematuria.
Medication used to decrease cravings for alcohol?
naltrexone QDay.
This assists with alcohol withdrawal and prevents relapse.
Medication used for patients withdrawing from opiates?
Buprenorphine for the next 9-12 months.
What is TMS used for?
Transcranial magnetic stimulation is used for tx of depression. Scheduled biweekly.
What should people do if they have been exposed to pertussis?
should be treated prophylactically with erythromycin, clarithromycin or azithromycin.
T or F:
A pneumococcal vaccine is effective against pertussis.
False
T or F:
The nurse’s responsibility includes verifying insurance coverage of hospice services.
False
Vaccines contraindicated during pregnancy?
Herpes zoster, Varicella, Measles, Mumps and Rubella.
Vaccines for pregnant people between 27-36 weeks?
Tdap- Tetanus, diphtheria and pertussis
protocols for contact precautions?
gloves, gown, disposable equipment.
Precaution for shigella, herpes, Scarlet fever and scabies?
contact precaution
T or F:
Malnourished patients with COPD should limit liquid intake during meals.
True
T or F:
Unlike erythema infectious, scarlet fever and molluscum contagiosum, Varicella is on the Nationally notifiable infectious conditions list.
true
what is the Nationally notifiable infectious conditions list?
States voluntarily conduct surveillance and report instances of certain diseases to the CDC&Prevention so the data can be compiled and released each year.
social organization
pattern of relationships among a cultural group and how the group structures itself to carry out role functions.
cultural imposition
process of forcing one group’s cultural beliefs on others.
ethnocentrism
when people view the world from the perspective of their own cultural background and viewpoint.
T or F:
Narcotics anonymous is a 1-on-1 program.
False, it is a group environment
T or F:
There are no immunizations for tuberculosis
True
