Exam Flashcards

0
Q

Adaptive Model: Wellness

A

Disease is considered a failure in adaptation ; treatment is to restore persons ability to cope / adapt

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1
Q

Role-performance model: Wellness

A

Health defined by individuals ability to fulfill societal roles

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2
Q

Clinical Model: Wellness

A

Health is defined by absence of signs and symptoms of disease or injury

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3
Q

Health promotion

A

Aims to informing, influencing and assisting both individuals and organizations to accept responsibility and be active in matters affects mental and physical health

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4
Q

Determinants of Health: Examples

A

Income/ social status, Social networks ,Education, Employment, Social environment , Physical environment, Personal health practices, Healthy child development, Genetics, Health services, Gender, Culture

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5
Q

Downstream thinker

A

Acts on immediate problem

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6
Q

Upstream thinker

A

Examines problems and advocate for health.

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7
Q

Basic human needs

A

Food, Water, Shelter, Protection, Love

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8
Q

Healthy living needs

A

Oxygen/Circulation, Nutrition, Elimination, Fluid & Electrolyte, Activity & Rest, Safety/Protection, Neurohormonal Integrity, Psychosocial Needs

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9
Q

Asepsis

A

Absess of disease producing microorganisms

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10
Q

Medical asepsis

A

Procedures to reduce and prevent microorganisms

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11
Q

Surgical asepsis

A

Sterilization- eliminates all microorganisms including pathogens and spores

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12
Q

Normal flora

A

Bacteria normal found in areas of the body ex. GI, skin

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13
Q

Nosocomial infection

A

Acquired in health care facility

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14
Q

Chain of infection

A
Pathogen
Reservoir
Portal of exit
Route of transportation
Portal of entry
Susceptible host
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15
Q

Airborne infection

A

Transmitted by airborne droplet nuclei smaller than 5 microns: wear n95 mask.
Ex. TB, chickenpox

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16
Q

Droplet infection

A

Serious illnesses transmitted by particle droplet 5 microns or larger- need mask, gown , gloves
Ex. Pneumonia, mumps, diphtheria

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17
Q

Contact infection

A

Transmitter by direct contact- hand hygiene, need gloves and gown
Ex. C. Diff, wound infection

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18
Q

Risks that infect safety: Age

A

Elderly- decreased cognitive, mobility, sensory function

Adolescent- sense of immortality

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19
Q

Risks that affects safety: Lifestyle

A

Alcohol, drugs, risk taking, less sleep, poor diet, less exercise, stress, smoking

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20
Q

Risk factors that affect safety- impaired mobility

A

Elderly- many have decreased mobility

Children- not developed mobility skills

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21
Q

Risk factors that affect safety- sensory/ cognitive impairment

A

Less mobility, vision, hearing, mental ability

Children

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22
Q

Risk factors that affect safety- lack of safety knowledge

A

Impaired awareness
Adolescent
Not enough safety training on job
Low income

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23
Q

Promote safety: Restraints

A

Use as little as possible- check client often

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24
Q

ADL

A

Activities of Daily Living

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25
Q

What are ADLs

A

Feeding,dressing, tolieting, bathing/hygiene

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26
Q

Nursing process

A
A- assessment
N- nursing diagnosis 
P- planning
I- implementation
E-evaluation
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27
Q

Objective data

A

Can be tested- Seen, felt, heard, smelled

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28
Q

Subjective data

A

Client’s perceptions, beliefs, feelings, values and attitudes : also known as symptoms

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29
Q

Physical assessment

A
Includes
I- inspection
P- palpitation
P- percussion 
A- auscultation
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30
Q

Types of percussion sounds

A
Resonance 
Hyperesonance
Tympany
Dull
Flat
31
Q

What do you auscultate for?

A

Frequency
Loudness
Quality
Duration

32
Q

Age of a Young Adult

A

20-40

33
Q

Age of a Middle Adult

A

40-65

34
Q

Menopause

A

Change of hormones in women

35
Q

Andropause

A

Change in hormones for men

36
Q

Times vitals are assessed

A
Admission
Routine schedule
Before and after surgery
Change in condition
Before and after some medications
37
Q

Temperature norms

A

35.8 - 37.3

38
Q

Ways to lose heat

A

Radiation- transfer of heat without direct contact
Conduction- transfer of heat with direct contact
Convection- transfer of heat by air movement
Evaporation

39
Q

Medical term for fever

A

Pyrexia

40
Q

Febrile

A

To have a fever

41
Q

Afebrile

A

No fever

42
Q

Diaphoresis

A

Visible perspiration; excessive

43
Q

Pulse norms

A

60-100 beats per minute

44
Q

Bradycardia

A

Slow pulse (<60)

45
Q

Tachycardia

A

Fast pulse (>100)

46
Q

Arrhythmia

A

Abnormal rhythm in heart rate

47
Q

Pulse deficit

A

Difference between apical and radial pulse

48
Q

Pulse characteristics

A

Rate
Rhythm
Strength
Equality

49
Q

Respiration norms

A

12-20 breaths per minute

50
Q

Apnea

A

No breathing periods

51
Q

Dyspnea

A

Laboured breathing

52
Q

Eupnea

A

Normal breathing

53
Q

Orthopnea

A

Easier breathing sitting

54
Q

Cheyne’s stokes

A

“Death rattle” deep shallow breathing, periods of apnea

55
Q

Kussmal’s

A

Abnormally deep and rapid breathing

56
Q

Characteristics of respirations

A

Rate
Depth
Rhythm
Quality

57
Q

Blood pressure norms

A
120/80= optimal
140/90= hypertension
58
Q

Pulse pressure

A

Difference between systolic and diastolic blood pressure

59
Q

O2 sat norms

A

95%-100%

75% below= LIFE THREATENING

60
Q

Chest assessment

A

Inspection- 2:1,chest expansion, tactile fremitus
Palpitation- lumps , bumps, mushy
Auscultation- landmarks

61
Q

Bronchial sounds

A

High pitched, loud

Inspiration< expiration

62
Q

Bronchialvesicular sounds

A

Located over bronchi
Blowing noises
Inspiration=expiration

63
Q

Vesicular

A

Soft, breezy, low pitched
Inspiration x3 of expiration
Over lung periphery

64
Q

Fluid distribution: Intracellular

A

In cells: 2/3 of total body fluid

65
Q

Fluid distribution: extracellular

A

Outside cells

1/3 of total body fluid

66
Q

ADH- antidiuretic hormone

A

Controls fluid excreted by kidneys

67
Q

Adolsterone

A

Hormone reabsorbs sodium and water from kidney tubules

68
Q

Osmoreceptors

A

Hormone regulation- sense volume conestoa ruin of blood

69
Q

Hypothalamus

A

Part of brain regulating hormones

70
Q

Electrolytes

A

Sodium
Potassium
Chloride
Bicarbonate

71
Q

Fluid deficit

A

Mild-2% body wt loss
Moderate-5% body wt loss
Severe - 8% body wt loss

72
Q

Edema

A

Swelling resulting from excessive accommodation of fluid in tissues
Shiny, taut skin

73
Q

Putting Edema

A

Pressure from thumb leaves indentation in skin

74
Q

Aerobic exercise

A

Cardio

Ex, dance, running