Brainscape's Knowledge GenomeTM

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


See full index

PCC1: Campbell > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What are the 5 steps of the nursing process?

A

assess, diagnose, plan, implement, and evaluate

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

What BEST describes gathering information, including objective and subjective data? (observe, interview, medical history, physical exam, vitals, etc)

A

assess

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

What is the point at which the data collected about a patient is compared to expected ranges, and provides a conclusion of the next step of care?

A

diagnosis

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

At what point of the nursing process is the preferred order of problems evaluated for organization (ex. utilizing Maslow’s hierarchy of needs)?

A

planning

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

When are tasks delegated, and action of plan taken place? (ADPIE)

A

implementation

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

When do you assess whether or not the implementation of care worked and outcomes were effective?

A

evaluation

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

What should you do to yourself to maintain cultural competency

A

examine your own beliefs

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

Which is the analysis of the assessment data to determine the actual or potential problem?

A

diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which is the clinical decision making model for nurses?

A

nursing process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which of the following is a standard of professional performance?
informatics
education
nursing knowledge
health promotion

A

education

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

What temperature alteration occurs when pyrogens trigger the immune system, causing the hypothalamus to raise the set point?

A

pyrexia

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

Which assessment finding should the nurse expect for a client with a fever?

A

Tachypnea

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

What is a risk factor for impaired skin integrity?

A

excessive moisture

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

A client with acute vasoconstriction may have what type of skin color change?

A

pallor

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

What does a turgor test with tenting of 4 seconds indicate?

A

deficient fluid volume

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

What is important to consider when giving clients with DVTs a bath?

A

using light strokes

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

What term is synonymous with skin elasticity?

A

turgor

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

What is expected in terms of turgor with an older adult client?

A

decrease

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

What type of solution is used to give baths especially to patients who have a central line, or in ICU, etc?

A

CHG

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

What are some important measures of diabetic footcare?

A

-toenails cut straight across
-no soaking
-assess feet daily
-dry completely
-no barefoot walking/proper fit shoes

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

Asking a physician to possibly change orders is an example of a nurse performing what?

A

risk taking

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

What is a nurse’s first step in becoming culturally competent?

A

examine one’s own beliefs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is patient describing when they state something like: tight, stabbing, aching?

A

quality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is described when someone states how a condition affects their life?

A

perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Correct donning of PPE?

A

gown, mask, goggles, gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what skin color change is associated with hypoxia?

A

cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what tool is used to assess for pediculus capitus?

A

comb (lice)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

1Kg= ? LB

A

2.2LB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is the correct sequence to donning PPE?

A
  1. gown
  2. mask
  3. goggles
  4. gloves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what is the correct sequence for doffing PPE?

A
  1. gloves
  2. goggles
  3. gown
  4. mask
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What PPE is required for contact precautions (ex. c.Diff)?

A

gown and gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What PPE is required for droplet precautions (ex. influenza)?

A

surgical mask within 3ft of patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What PPE is required for airborne infection isolation (ex. SARS or tuberculosis)?

A

N95 respirator
negative pressure isolation room

34
Q

What is the project that prepares nurses to have knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare system?

A

QSEN (Quality and Safety Education for Nurses)

35
Q

What element of nursing provides individualized care
and restores an emphasis on personal relationships

A

patient centered care

36
Q

What part of the cultural competence model involves conducting a self examination of one’s own biases toward other cultures?

A

cultural awareness

37
Q

What part of the cultural competence model is the process by which healthcare providers seek and obtain education about culturally diverse groups?

A

cultural knowledge

38
Q

What part of the cultural competence model is characterized by the ability to conduct a cultural assessment of a patient to collect relevant cultural data to a patient’s condition?

A

cultural skill

39
Q

What part of the cultural competence model influences professionals to actively engage with diverse individuals to prevent stereotyping?

A

cultural encounter

40
Q

What part of the cultural competence model is when a professional “wants to” engage in their cultural awareness, skill, and knowledge?

A

cultural desire

41
Q

What are the 4 C’s of a culturally focused nursing assessment?

A

call
cause
concern
cope
what do you call it? what do you think caused it? What are your concerns? How do you cope?

42
Q

What must you provide to a patient who does not speak english?

A

medically licensed interpreter

43
Q

what is the ability to obtain,
process, and understand basic health information and services needed to make
appropriate health decisions called?

A

health literacy

44
Q

What is important to use during a patient interview to allow them the space to give you more details?

A

open-ended questions

45
Q

What is the MOST effective way of breaking the chain of infection?

A

hand hygiene

46
Q

Which precaution category do conditions that are spread from person to person or object to person (fecal and oral) best fall under?

A

contact precautions

47
Q

What are some examples of vehicles in modes of transmission?

A

needles, water, blood, food

48
Q

what mode of transmission do spread by animals or insects fall under?

A

vector borne

49
Q

What is required for protective isolation precautions?

A

positive airflow room, mask, gown, gloves

50
Q

What are the 4 steps of a physical assessment?

A

inspection
palpation
percussion
auscultation

51
Q

Measles, chickenpox (varicella), disseminated herpes zoster, Mycobacterium tuberculosis, and rubeola are examples of diseases that require what type of precautions?

A

airborne precautions

52
Q

What type of precaution is needed for influenza, adenovirus, group A streptococcus, pertussis, diphtheria, rubella, and mumps?

A

droplet precautions

53
Q

Urinary and respiratory tract, surgical wounds, and blood stream are common sites for what type of infections?

A

(HAI’s) healthcare associated infections

54
Q

what parameter of temperature is within expected range for an oral temperature reading?

A

96.4-99.1

55
Q

What is the last resort of temperature techniques?

A

rectal

56
Q

Under what circumstances should a rectal temperature be utilized to gather data?

A

when an oral reading is difficult/impossible to gather (ex. infants cannot close mouth around oral thermometer)

57
Q

How much higher is a rectal temperature reading than oral?

A

0.7-1 degree F

58
Q

How much lower is an axillary temperature reading than an oral?

A

1 degree F

59
Q

what are examples of abnormal temperature alterations?

A

hyper/hypo- thermia, heat stroke/exhaustion, fever

60
Q

What can be used instead of “per os”?

A

PO
by mouth
orally

61
Q

What should be used to represent “unit,” instead of U?

A

fully writing “unit” is the only acceptable method

62
Q

What type of bias occurs when an individual is aware of the bias?

A

implicit

63
Q

What type of bias occurs with unintentional stereotyping?

A

explicit

64
Q

what clinical judgment skill causes the nurse to collect, categorize, and clarify data?

A

interpretation

65
Q

A client reports their pain as not relieved after taking pain medication, what action should nurse take according to ADPIE?

A

reassess the client

66
Q

Which QSEN competency is being performed when the nurse assesses a client’s need for spiritual support?

A

patient centered care

67
Q

Which role is the nurse taking when discussing the wishes of a critically ill client to the family?

A

advocate

68
Q

Which step in the nursing process is the nurse taking when asking a client for their pain level 20 minutes after administering pain medication?

A

evaluation

69
Q

What is a client without health insurance at risk for?

A

health disparities

70
Q

The nurse is admitting a client diagnosed with Mycobacterium tubuerculosis. Which type of isolation will the nurse assign for this client?

A

airborne isolation

71
Q

is dizziness objective or subjective?

A

SUBJECTIVE, because the “subject”/patient has to tell you they are dizzy

72
Q

How will the nurse document the client’s single elevated nevus, 0.5 cm in size, on the right shoulder of a client?

A

papule

73
Q

Which temperature measurement site will the nurse use to take the most accurate temperature of a client who is short of breath and diaphoretic?

A

tympanic membrane

74
Q

what should be used for bedtime, in place of BT?

A

fully writing out “bedtime”

75
Q

What should you not use after a decimal in dosage charting of whole numbers?

A

a trailing zero
example: 1.0mg

76
Q

What should be before the decimal of a dosage that is less than a whole unit?

A

a zero
example: 0.5mg

77
Q

how many kilograms in one pound?

A

0.454 kg

78
Q

how many pounds in one kilogram?

A

2.2 pounds

79
Q

how many centimeters in 1 inch?

A

2.54 cm

80
Q

what should be used to clean the face during a bath?

A

clear water or mild soap and water (not CHG)

81
Q

Should you rinse CHG off?

A

no, allow it to air dry to achieve full antimicrobial effects

PCC1: Campbell (5 decks)

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