Chapter 2 Flashcards

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1
Q

1800’s Public Perception of a nurse

A

Charles Dickens’ fictional Sairy Gamp – drunken, uncaring
nurse profiting on sick and dying

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2
Q

1800’s reality of a nurse

A

Florence Nightingale- Sacrifice and Service

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3
Q

Late 1800’s to Early 1900’ Perception

A

War heroes
-Harriet Tubman (railroad)
-Sojourner Truth (cleanliness)
-Susie King Taylor (war nurse)
-Walt Whitman (injured brother)
-Clara Barton (civil war nurse)
-Louisa May Alcott (weak and ill, wrote about nursing)

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4
Q

1900’s perception of a nurse

A
  • Nurse Ratched (mean, militant)
  • Margaret Hoolihan (television)
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5
Q

1900’s reality of a nurse

A

-Edith Cavell (founded Belgium nursing school)
-Clara Maass (gave life to research at 25 of yellow fever)
-First NP Program
-Assisted in developing critical care
units

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6
Q

Internal Influencers

A

Things or people from within
the profession of nursing that
influence perception of

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7
Q

External Influencers

A

Things or people from outside
the profession of nursing that
influence perception of
nursing

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8
Q

Breach of professional boundaries and violation of patient privacy results in

A

Loss of job
Expulsion from school
Revocation of license

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9
Q

Social media can be good because

A

Able to change public
perception of what we
do and why we do it

Helps to show us as
professionals

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10
Q

Health Records

A

-Can be paper or electronic
-Contain important information about the
patient
Previous illnesses and treatments
Continuing medical problems
History of family illnesses
Current medications

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11
Q

SOAP

A

Subjective, Objective, Assessment, Plan

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12
Q

Subjective

A

-The problem in the patient’s own words
-Duration
-Quality
-What makes it worse (exacerbate) or what
makes it better (relieve)

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13
Q

Objective

A

-Labs
-Test results
-Assessment findings

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14
Q

Assessment

A

-What the provider sees, finds when examining
the patient
-Can include a diagnosis, identification of the
problem, or a list of possible diagnoses
(differential diagnosis)

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15
Q

Plan

A

-Course of action
-Treatment options, i.e. medications or a
procedure

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16
Q

General Subjective Terms

A

Acute v. Chronic
Abrupt
Febrile v. Afebrile
Malaise
Progressive v. exacerbation
Symptom
Lethargic
Genetic or hereditary

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17
Q

Objective

A

Observable,
measurable data
obtained through
observation,
physical
examination, and
laboratory or
diagnostic testing.
ex. -Data collected from
the HCP
-Includes information
from tests
-Can be seen, heard, or
felt

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18
Q

General
Objective
Terms

A

Things that are seen (alert, oriented)
Things that are heard (auscultation, percussion)
Things that are felt (palpation)
Descriptions of
observations (marked, unremarkable)

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19
Q

Assessment

A

Combine subjective and objective data to determine diagnosis.
Morbidity- death rate/suffering
Occult- hidden
Lesion- abnormal skin condition

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20
Q

Plan

A

Provider recommendations for course of
action
-Medications
-Surgery
-Further Test

Palliative- relieving symptoms not dealing with the cause
Discharge- to send home
Observation- observe
Prophylaxis- treatment to prevent symptoms

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21
Q

Supine

A

Laying on back

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22
Q

Prone

A

Laying on stomach

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23
Q

Unilateral

A

One side

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24
Q

Bilateral

A

Two Sides

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25
Q

Ipsilateral

A

Same side of the body

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26
Q

Contralateral

A

Opposite side of the body

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27
Q

Top of hand and foot

A

Dorsum

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28
Q

Bottom of hand and foot

A

Palmar and Plantar

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29
Q

A

Male

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30
Q

A

Female

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31
Q

(R) , (L), (B)

A

Right, Left, Bilateral

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32
Q

A

Increase

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33
Q

A

Decrease

34
Q

VS (VSS)

A

Vital Signs (Vital Signs
Stable)

35
Q

T

A

Temperature

36
Q

BP

A

Blood Pressure

37
Q

HR

A

Heart Rate

38
Q

RR

A

Respiratory Rate

39
Q

Ht

A

Height

40
Q

Wt

A

Weight

41
Q

I/O

A

Intake Outake

42
Q

Dx

A

Diagnosis

43
Q

Tx

A

Treatment

44
Q

H&P

A

History and Phystical

45
Q

Hx

A

History

46
Q

HPI

A

History of Present Illness

47
Q

PMHx

A

Past Medical History

48
Q

NKDA

A

No Known Drug Allergies

49
Q

pt

A

patient

50
Q

PCP (HCP)

A

Primary Care Provider
(Health)

51
Q

f/u

A

follow up

52
Q

d/t

A

due to

53
Q

CC

A

Chief Complaint

54
Q

SOB

A

Short of Breath

55
Q

HEENT

A

Head, eyes, ears, nose, throa

56
Q

PERRLA

A

Pupils are equal, round, reactive to light
and accommodation

57
Q

NAD

A

No acute distress

58
Q

CV

A

Cardiovascular

59
Q

RRR

A

Regular rate and rhythm (heart)

60
Q

CTA

A

Clear to auscultation

61
Q

WDWN

A

Well developed, well nourished

62
Q

A&Ox

A

Alert & Oriented times (insert #)

63
Q

WNL (WDL)

A

Within normal limits (defined)

64
Q

PO

A

Per os (by mouth)

65
Q

NPO

A

Nil per os (nothing by
mouth)

66
Q

PR

A

Per rectum (anal)

67
Q

IM

A

Intramuscular

68
Q

SC

A

Subcutaneously

69
Q

IV

A

Intravascular

70
Q

CVL

A

Central Venous Line

71
Q

PICC

A

Peripherally inserted central
catheter

72
Q

PRN

A

As needed

73
Q

BID

A

Twice daily

74
Q

TID

A

Three times daily

75
Q

Q

A

Each

76
Q

QD

A

Each day

77
Q

QID

A

Four times daily

78
Q

AC/PC

A

Before meals/After meal

79
Q

HS

A

Hour of sleep

80
Q

AD LIB

A

As desired