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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

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2
Q

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

A

assess

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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

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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

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5
Q

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

A

implementation

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6
Q

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

A

evaluation

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7
Q

What should you do to yourself to maintain cultural competency

A

examine your own beliefs

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8
Q

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

A

diagnosis

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9
Q

Which is the clinical decision making model for nurses?

A

nursing process

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10
Q

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

A

education

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11
Q

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

A

pyrexia

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12
Q

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

A

Tachypnea

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13
Q

What is a risk factor for impaired skin integrity?

A

excessive moisture

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14
Q

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

A

pallor

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15
Q

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

A

deficient fluid volume

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16
Q

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

A

using light strokes

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17
Q

What term is synonymous with skin elasticity?

A

turgor

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18
Q

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

A

decrease

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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

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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

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21
Q

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

A

risk taking

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22
Q

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

A

examine one’s own beliefs

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23
Q

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

A

quality

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24
Q

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

A

perception

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25
Correct donning of PPE?
gown, mask, goggles, gloves
26
what skin color change is associated with hypoxia?
cyanosis
27
what tool is used to assess for pediculus capitus?
comb (lice)
28
1Kg= _?_ LB
2.2LB
29
What is the correct sequence to donning PPE?
1. gown 2. mask 3. goggles 4. gloves
30
what is the correct sequence for doffing PPE?
1. gloves 2. goggles 3. gown 4. mask
31
What PPE is required for contact precautions (ex. c.Diff)?
gown and gloves
32
What PPE is required for droplet precautions (ex. influenza)?
surgical mask within 3ft of patient
33
What PPE is required for airborne infection isolation (ex. SARS or tuberculosis)?
N95 respirator negative pressure isolation room
34
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?
QSEN (Quality and Safety Education for Nurses)
35
What element of nursing provides individualized care and restores an emphasis on personal relationships
patient centered care
36
What part of the cultural competence model involves conducting a self examination of one's own biases toward other cultures?
cultural awareness
37
What part of the cultural competence model is the process by which healthcare providers seek and obtain education about culturally diverse groups?
cultural knowledge
38
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?
cultural skill
39
What part of the cultural competence model influences professionals to actively engage with diverse individuals to prevent stereotyping?
cultural encounter
40
What part of the cultural competence model is when a professional "wants to" engage in their cultural awareness, skill, and knowledge?
cultural desire
41
What are the 4 C's of a culturally focused nursing assessment?
call cause concern cope what do you call it? what do you think caused it? What are your concerns? How do you cope?
42
What must you provide to a patient who does not speak english?
medically licensed interpreter
43
what is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions called?
health literacy
44
What is important to use during a patient interview to allow them the space to give you more details?
open-ended questions
45
What is the MOST effective way of breaking the chain of infection?
hand hygiene
46
Which precaution category do conditions that are spread from person to person or object to person (fecal and oral) best fall under?
contact precautions
47
What are some examples of vehicles in modes of transmission?
needles, water, blood, food
48
what mode of transmission do spread by animals or insects fall under?
vector borne
49
What is required for protective isolation precautions?
positive airflow room, mask, gown, gloves
50
What are the 4 steps of a physical assessment?
inspection palpation percussion auscultation
51
Measles, chickenpox (varicella), disseminated herpes zoster, Mycobacterium tuberculosis, and rubeola are examples of diseases that require what type of precautions?
airborne precautions
52
What type of precaution is needed for influenza, adenovirus, group A streptococcus, pertussis, diphtheria, rubella, and mumps?
droplet precautions
53
Urinary and respiratory tract, surgical wounds, and blood stream are common sites for what type of infections?
(HAI's) healthcare associated infections
54
what parameter of temperature is within expected range for an oral temperature reading?
96.4-99.1
55
What is the last resort of temperature techniques?
rectal
56
Under what circumstances should a rectal temperature be utilized to gather data?
when an oral reading is difficult/impossible to gather (ex. infants cannot close mouth around oral thermometer)
57
How much higher is a rectal temperature reading than oral?
0.7-1 degree F
58
How much lower is an axillary temperature reading than an oral?
1 degree F
59
what are examples of abnormal temperature alterations?
hyper/hypo- thermia, heat stroke/exhaustion, fever
60
What can be used instead of "per os"?
PO by mouth orally
61
What should be used to represent "unit," instead of U?
fully writing "unit" is the only acceptable method
62
What type of bias occurs when an individual is aware of the bias?
implicit
63
What type of bias occurs with unintentional stereotyping?
explicit
64
what clinical judgment skill causes the nurse to collect, categorize, and clarify data?
interpretation
65
A client reports their pain as not relieved after taking pain medication, what action should nurse take according to ADPIE?
reassess the client
66
Which QSEN competency is being performed when the nurse assesses a client's need for spiritual support?
patient centered care
67
Which role is the nurse taking when discussing the wishes of a critically ill client to the family?
advocate
68
Which step in the nursing process is the nurse taking when asking a client for their pain level 20 minutes after administering pain medication?
evaluation
69
What is a client without health insurance at risk for?
health disparities
70
The nurse is admitting a client diagnosed with Mycobacterium tubuerculosis. Which type of isolation will the nurse assign for this client?
airborne isolation
71
is dizziness objective or subjective?
SUBJECTIVE, because the "subject"/patient has to tell you they are dizzy
72
How will the nurse document the client's single elevated nevus, 0.5 cm in size, on the right shoulder of a client?
papule
73
Which temperature measurement site will the nurse use to take the most accurate temperature of a client who is short of breath and diaphoretic?
tympanic membrane
74
what should be used for bedtime, in place of BT?
fully writing out "bedtime"
75
What should you not use after a decimal in dosage charting of whole numbers?
a trailing zero example: 1.0mg
76
What should be before the decimal of a dosage that is less than a whole unit?
a zero example: 0.5mg
77
how many kilograms in one pound?
0.454 kg
78
how many pounds in one kilogram?
2.2 pounds
79
how many centimeters in 1 inch?
2.54 cm
80
what should be used to clean the face during a bath?
clear water or mild soap and water (not CHG)
81
Should you rinse CHG off?
no, allow it to air dry to achieve full antimicrobial effects

PCC1: Campbell (5 decks)

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