Exam 3 FUN Flashcards
Complicated grief
over 6 months
What does TAPE stand for
Teach, Assess, Plan, Evaluate
What can you not delegate?
TAPE, can reinforce though
5 rights of delegation
task, circumstance, person, direction, supervision, AND SUPPLIES
Leadership vs management
leader: ability to influence
manage: coordinating and directing toward common goal.
What can LPN’s give?
Oral meds
Dyssomnias
cause trouble falling and staying asleep
ex) obstructive sleep apnea, insomnia, restless leg syndrome
Dyssomnias
Parasomnia
abnormal activities during sleep
ex) nocturnal enuresis, somnambulism, sleep terrors, bruxism
Secondary disorders to sleep
medical conditions
ex) HF, COPD, pain, gastric reflux, mental
If digestive system isn’t working what is the usual cause?
electrolyte imbalance
What can diarrhea cause
electrolyte imbalance, skin breakdown, hypokalemia (can cause severe muscle cramps)
Constipation
causes by opioids and calcium and iron supps.
-less than 3 times a week
-can cause hypokalemia, hypercalcemia, and hypothyroidism
Sign for fecal impaction
liquid stools
Double barrel ostomy
not permanent
Ascending ostomy
most liquid
sigmoid ostomy
most solid, you get this if you have rectal cancer
BRAT diet
banana, rice, applesauce, toast (all help with diarrhea)
Meconium
babies first poop
Functional incontinence
hinders you to get to bathroom on time (chronic)
Stress incontinence
abdominal pressure
Temporary incontinence
UTI’s and constipation
Suppository
get past external sphincter, and don’t hold in hand too long.
Neuroplasticity
the ability of neurons to adapt
NREM1
light-ess, drowsiness, only a couple mins
NREM2
Deeper sleep, snoring, 10-20mins
NREM3
deepest stage, no movement, VS go down, sleep walking can occur, restorative
REM
vivid dreaming, 90mins after we start sleeping, eye moving
Bruxism
grinding teeth
Advancements in nursing informatics will enable nurses to:
-improve pt care and safety
-gather evidence of best practice
-use point-of-care documentation and references
-advocate for consumer access to health care info
General adaptation syndrome (GAS)
-physical response to stress
Three stages of GAS
Alarm-> reacts to the stress
Resistance-> adaptation to stress, maintain cortisol
Exhaustion-> body’s resources have been depleted
How many mL should you be eliminating daily
1400mL
When is there increased BUN and creatine levels
shock, dehydration, GI bleeding
When is there decreased levels of BUN and creatine in body?
decrease in protein in diet, severe muscle injury, cirrhosis of liver, SIADH
Need a daily intake of how much?
1500-2000mL
Coude catheter
bent at end, used for men experiencing prostate enlargement
Triple lumen
used for bladder irrigation
What percentage of of UTI’s come from catheters?
80%
POST or POLST or MOLST
address when heart stops (CPR?), trachs, and feeding tubes
NURSES CANNOT SIGN THESE
Looking for death
pulses, respirations, reflexes
What style of leadership is usually seen in hospital?
Autocratic (exerts control)
Transformational leadership
Florence nightengale
EMR vs EHR
-EMR: single encounter
-EHR: all medical records
Who created 10 commandment of ethics
Computer ethics institute
Quantitative vs Qualitative
numbers vs words
