Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing Exam 1 > Exam #1 10/14/14 > Flashcards

Exam #1 10/14/14 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

How does Florence Nightingale define “Nursing”?

A

as having charge of the personal health of somebody and put the patient in the best condition for nature to act upon him.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the present definition of “Nursing”?

A

The protection, promotion, and optimization of health & abilities, prevention of illness & injury, alleviation of suffering through the diagnoses & treatment of human response, & advocacy in the care of individuals, families, communities, & populations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Primary Prevention/True Prevention?

A

True prevention - precedes disease or dysfunction with strategies aimed at reducing vulnerability of a person or population.
(protection from accidents - speed limits, seat belts)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Secondary Prevention?

A

Secondary - focuses on people who are experiencing health problems & who are at risk for developing complication or worsening of their condition.
Emphasis is on prompt diagnosis & intervention
(screening strategies - BP testing, annual physical)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Tertiary Prevention?

A

Tertiary - occurs when a defect or disability is permanent, irreversible, & stabilized.
Focus is on minimizing effects of the problem and preventing complication/deterioration.
(rehab for stroke, cardiac disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the difference between Passive and Active strategies?

A

Active strategies are like fluoridation of water or age restrictions on alcohol purchases. These are population driven.
Passive are like choosing a low sodium diet, joining a weight reduction program. These are driven by individual choices.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does NCLEX stand for?

A

National Council Licensure Examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the Institute of Medicines five core competencies to maximize care efforts?

A 
Delivering patient-centered care
Working as part of interdisciplinary team
Practicing evidence-based medicine
Focusing on quality improvement
Using information technology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

According to Rebecca Hendren, HealthLeaders list of most pressing issues for Nursing in 2012 are?

A 
Advanced degrees are no longer optional
Patient engagement gets real
Patient safety
Cost cutting
Retention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the Townsend Definition of Self-concept?

A

The composite beliefs and feelings that one holds about oneself at a given time, formed from perceptions of others’ reactions. The self-concept consists of the physical self, or body image: the personal self or identity: and the self-esteem.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the Self-concept developmental stages?

A

Infancy - positive self worth resulting from nurturing
Toddler - eager to gain control & autonomy
Preschool - taking the initiative
School age - industrious with vast intake of knowledge
Adolescence - develop self identity & body image
Middle Age - accepts aging & body changes
Elder - feels positive about past life experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are factors the influence self concept?

A

Body image - how we see ourselves
Self-esteem - the value we place on ourselves
Role performance - our ability to function
Identity - What we project to others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does identity mean?

A

Sense of uniqueness, individuality

Composed of gender, sexuality, racial, and cultural parameters.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is resiliency?

A

The ability to harness inner strength to bounce back from adversity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define Spirituality?

A

Spirituality is a basic human phenomenon that helps create meaning in the world. Its a way of being & experiencing that comes about through awareness of a transcendent dimension. It is characterized by certain values in regard to self, others, nature, life and whatever one considers to be the Ultimate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Religion?

A

Religion is a concept and a social system supporting group expression and devotional activity. A formal venue for expressing belief in an Ultimate creator.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is Tachypnea?

A

more than 24 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is Bradypnea?

A

less than 10 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Hyperventilation?

A

Increased rate and depth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is Hypoventilation?

A

Decreased rate and depth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are Cheyne-Stokes

A

Alternating deep breaths with periods of apnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are Agonal?

A

Last breaths of life

23
Q

Where are Bronchial sounds heard?

A

Over the trachea and larynx, loud, high pitched, harsh, hollow.

24
Q

Where are Bronchial-Vesicular sounds heard?

A

Over the main-stem bronchi (below clavicals & scapulae), mod pitch and amplitude

25
Q

Where are Vesicular sounds heard?

A

Over the lung periphery, low, soft pitched, rustling sound

26
Q

Where are Fine Crackles heard?

A

Heard mainly inspiratory, discontinous
Dry, high pitched popping or crackling
Due to movement of air through fluid in the airways and alveoli.

27
Q

What causes Fine Crackles?

A

Collapsed terminal bronchioles and alveoli snap open, formally known as Rales

28
Q

Where are Coarse Crackles heard?

A

Heard mainly inspiratory, discontinous

Moist, low-pitched gurgling, bubbling

29
Q

What causes Coarse Crackles?

A

Air moving through large bronchi and trachea that are intermittently occluded with secretions.
Formally known as Rhonchi

30
Q

Where is Senorous Wheeze heard?

A

Heard mainly expiratory, continous, low pitched, snoring

31
Q

What causes Senorous Wheezing?

A

Due to narrowing of large airways from secretions, spasms, tumors or swelling
Wheezes that clear with coughing indicate secretions.

32
Q

Where is Sibilant Wheeze heard?

A

Heard mainly expiratory, continous, high pitched, musical

33
Q

What causes Sibilant Wheezing?

A

Due to narrowing of large & small airways from secretions, spasms, tumor or swelling.
When wheezes inspiratory & expiratory indicative of asthma.

34
Q

Where is Pleural friction rub heard?

A

Heard late expiratory and early inspiratory, continuous, loud grating or creaking sound

35
Q

What causes Pleural friction rub?

A

Due to inflamed pleura rubbing against each other.

36
Q

Where is Stridor heard?

A

Heard inspiratory, continuous, crowing, harsh honking wheeze.

37
Q

What causes Stridor?

A

Due to partially obstructed upper airway.

38
Q

What are the health history questions you might ask your patient during a respiratory assessment?

A 
Cough
Sputum
Shortness of breath
Smoking history
Chest pain with breathing
Past history of respiratory infections
Environmental exposures
Self-care behaviors
39
Q

What are normal respiratory rates for a newborn?

A

30-70 bpm

40
Q

What are normal respiratory rates for a 1 year old?

A

20-40 bpm

41
Q

What are normal respiratory rates for a 3 year old?

A

20-30 bpm

42
Q

What are normal respiratory rates for a 6 year old?

A

16-22 bpm

43
Q

What are normal respiratory rates for a 10 year old?

A

16-20 bpm

44
Q

What are normal respiratory rates for 17 & older?

A

12-20 bpm

45
Q

What are some considerations to take when assessing respiratory?

A

Child: nasal flaring, accessory muscle use
Older Adult: less compliant chest
Pregnancy: less space
Critical Care: assess from the lung bases up, able to determine extent of fluid or problem

46
Q

What is the Medication Administration Process?

A
  1. The medication is ordered by the physcian
  2. Pharmacy verifies medication order
  3. Nurse receives meds from pharmacy/or withdrawls meds from pyxis
  4. Nurse verifies meds against order
  5. Nurse verifies pt ID against MAR
  6. Nurse uses 2 ID’s
  7. Nurse administers meds
  8. Nurse documents admin in MAR
47
Q

What are the 6 rights for Safe Medication Administration?

A 
Right medication
Right dose
Right patient
Right route
Right time
Right documentation
48
Q

What is considered Therapeutic effect?

A

Intended effect of medication

49
Q

What is considered a Side effect/adverse reaction?

A

Unpredictable or unexplainable response to medication

50
Q

What is considered an Adverse effects?

A

Undesired, unintended, unpredictable response

51
Q

What is considered a Toxic effect?

A

Potential to cause injury or death

52
Q

What is considered a Idiosyncratic reaction?

A

Over or under reaction to the medication

53
Q

What is considered an Allergic reaction?

A

Immunological sensitivity to the medication

Nursing Exam 1 (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions