ATI flashcards unit 3

1
Q

client education

A

an ongoing, goal-driven, interactive process that provides clients with new information

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2
Q

cognitive domain

A

the thinking domain

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3
Q

affective domain

A

the learning domain that involves the client’s feelings regarding values, attitudes, and beliefs

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4
Q

psychomotor domain

A

the learning domain that engages clients to accept the nurse’s educational material and to learn skills that they can apply in their lives; often uses hands-on fine and gross motor skills

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5
Q

relevance

A

the client’s understanding of why client education is needed and how they would benefit from education

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6
Q

motivation

A

the clients ability to engage in the learning process by deciding when, where, and how they will elarn; it allows the client to take ownership and gain a desire for learning

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7
Q

readiness

A

the client shows the ability to engage in the educational process by being present and actively participating in the process

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8
Q

health literacy

A

the clients ability to read, write, and understand basic health information

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9
Q

barrier to learning

A

something that hinders learning

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10
Q

low-stimulus environment

A

the optimal learning environment, which reduce distractions and provides good ventilation, adequate lighting, and a comfortable temperature

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11
Q

feedback

A

helpful information provided to the client to aid in the improvement of client education

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12
Q

teach-back

A

an instruction method used to determine the client’s level of understanding of the educational material that was provided; it allows the nurse to confirm that the client received the information accurately and correctly

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13
Q

self-bias

A

personal perceptions or stereotypes regarding situations, people, or actions

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14
Q

SMART outcome

A

a specific, measurable, attainable, realistic, and timed goal; it allows the nurse to provide nursing care specific to the client’s needs and to thoroughly evaluate the client’s acocmplishments

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15
Q

client-centered

A

involving and engaging the client throughout the nursing process

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16
Q

the four components of pharmacokinetics

A

absorption
distribution
metabolism
excretion

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17
Q

peak blood level

A

the highest concentration of the drug in the bloodstream, which occurs when absorption is complete

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18
Q

trough blood level

A

the lowest concentration of the drug in the bloodstream

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19
Q

half-life

A

the length of time it takes for a drug’s concentration in the bloodstream to decrease by 50%. half-lives vary between drugs

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20
Q

black box warning

A

a warning placed on drug packaging that indicates risks and potentially lethal adverse effects associated with the medication’s use

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21
Q

medical interactions

A

Drug-drug
Drug-food
Drug-herbal

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22
Q

factors that influence the effects of medications

A

clients weight
organ function
cultural aspects
rate of metabolism
comorbidities

23
Q

information required on a medication administration

A

clients name
the date/time the prescription was written
the medication name
the dosage
the route of frequency and administration
the providers signature
indications for use of the medication

24
Q

when should you complete a medication reconciliation sheet

A

upon client admission
anytime one client transfers from one level of care to another
anytime the client transitions from one healthcare facility to another
upon discharge

25
factors contributing to medication errors
nurse's lack of medication knowledge failure to follow the rights of medication administration interruption during the medication preparation and delivery processes ignoring warning signs or alerts
26
steps to take in the event that a medication error occurs
assess the clients condition notify the clients health care provider follow facility protocols complete an incident/occurrence report
27
high-alert medications
medications that can result in considerable harm to a client if administered in incorrect doses or through incorrect routes. Safety protocols are put in place for such medications, including the verification of information by the two nurses.
28
what are some examples of high-alert medications
insulin, opiates, intravenous heparin, potassium chloride
29
enteral administration of medicine
medications are administered via the GI tract. Oral, sublingual, buccal, enteral
30
parenteral administration of medications
medications that are administered into the intradermal, subcutaneous, muscular tissues
31
intradermal injections
diagnostic testing such as allergies or tuberculosis insertion: at a 5 to 15 degree angle, and no more than 0.1ml typically done at the ventral aspect of the arm or the client's back
32
subcutaneous injections
administration of medications that require a prolonged absorption time, such as insulin or heparin. insert at a 45 to 90 degree angle, and depending on the amount.
33
intramuscular injection
administration of medications that are viscous or irritating, that are larger in volume that can be administered subcutaneously, or one that requires a more rapid absorption rate
34
safety calculating doses
determine the desired outcome of the calculation analyze the components within the dosage calculation problem to obtain information needed to get the desired outcome.
35
weight conversions
pounds to kg: divide pounds by 2.2 kg kg to pounds: multiply the pounds by 2.2
36
health literacy
the ability of clients to access, process, comprehend, and integrate basic health information into their lives. To promote comprehension of health education, it is recommended that nurses assess a client's health literacy level and tailor client education material to the reading and comprehension level the client can understand.
37
human development
a lifelong process of physical, behavioral, cognitive, and emotional growth and change
38
define the cephalocaudal principle of development
human development follows a head to toe progression
39
name the four types of teratogens
physical agents, metabolic conditions, infections, and medications
40
fontanels
"soft spots" located at the anterior and posterior of the newborn's skull
41
parallel play
toddlers exhibit this
42
at what age should an infant be able to sit unsupported
10 months
43
object permanence
understanding that an object does not disappear even when it can not be seen
44
during which stage of development should the child be able to state their first and last name and count to 20?
preschool age
45
what factors influence the onset of puberty
genetics, environment, sex
46
in what stage of development do males begin to experience a decline in testosterone levels
middle adulthood
47
what are some reasons why people in the stage of late adulthood might not have healthy nutrition
living alone, loss of a loved one, unemployed, lack of money for food, decreased appetite, lack of social network, inability to travel to stores
48
how would a nurse evaluate achievement of autonomy
toddlers should have the skills to feed and dress themselves, and achievement or progression of achievement in toilet training
49
egocentrism object permanence
preoperational sensorimotor
50
what should be consumed to prevent spina bifida
folic acid
51
what is the leading cause of death among children
unintentional injuries
52
childhood obesity increases the risk for?
type 2 diabetes, cardiac disease, hypertension, sleep apnea, musculoskeletal problems, psychological disorders
53
name the AHA's 7 goals to prevent heart disease
healthy eating stop smoking manage blood pressure lose weight increase activity control cholesterol reduce blood sugars