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
Q

factors contributing to medication errors

A

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
Q

steps to take in the event that a medication error occurs

A

assess the clients condition
notify the clients health care provider
follow facility protocols
complete an incident/occurrence report

27
Q

high-alert medications

A

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
Q

what are some examples of high-alert medications

A

insulin, opiates, intravenous heparin, potassium chloride

29
Q

enteral administration of medicine

A

medications are administered via the GI tract. Oral, sublingual, buccal, enteral

30
Q

parenteral administration of medications

A

medications that are administered into the intradermal, subcutaneous, muscular tissues

31
Q

intradermal injections

A

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
Q

subcutaneous injections

A

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
Q

intramuscular injection

A

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
Q

safety calculating doses

A

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
Q

weight conversions

A

pounds to kg: divide pounds by 2.2 kg
kg to pounds: multiply the pounds by 2.2

36
Q

health literacy

A

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
Q

human development

A

a lifelong process of physical, behavioral, cognitive, and emotional growth and change

38
Q

define the cephalocaudal principle of development

A

human development follows a head to toe progression

39
Q

name the four types of teratogens

A

physical agents, metabolic conditions, infections, and medications

40
Q

fontanels

A

“soft spots” located at the anterior and posterior of the newborn’s skull

41
Q

parallel play

A

toddlers exhibit this

42
Q

at what age should an infant be able to sit unsupported

A

10 months

43
Q

object permanence

A

understanding that an object does not disappear even when it can not be seen

44
Q

during which stage of development should the child be able to state their first and last name and count to 20?

A

preschool age

45
Q

what factors influence the onset of puberty

A

genetics, environment, sex

46
Q

in what stage of development do males begin to experience a decline in testosterone levels

A

middle adulthood

47
Q

what are some reasons why people in the stage of late adulthood might not have healthy nutrition

A

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
Q

how would a nurse evaluate achievement of autonomy

A

toddlers should have the skills to feed and dress themselves, and achievement or progression of achievement in toilet training

49
Q

egocentrism
object permanence

A

preoperational
sensorimotor

50
Q

what should be consumed to prevent spina bifida

A

folic acid

51
Q

what is the leading cause of death among children

A

unintentional injuries

52
Q

childhood obesity increases the risk for?

A

type 2 diabetes, cardiac disease, hypertension, sleep apnea, musculoskeletal problems, psychological disorders

53
Q

name the AHA’s 7 goals to prevent heart disease

A

healthy eating
stop smoking
manage blood pressure
lose weight
increase activity
control cholesterol
reduce blood sugars