Final Flashcards
Lab value for osmolality
285-295
Lab value for sodium
136-145
Lab value for potassium
3.5-5
Lab value for chloride
95-105
Lab value for total CO2
22-30
Lab value for bicarbonate (arterial and venous)
Arterial: 21-28
Venous: 24-30
Lab value for total calcium
9-10.5
Lab value for ionized calcium
4.5-5.6
Lab value for magnesium
1.3-2.1
Lab value for phosphate
3.0-4.5
Lab value for PaCO2
35-45
Lab value for ph
7.35-7.45
Lab value for PaO2
80-100
Symptoms of hypokalemia
(Decreased bowel)
Bilateral muscle weakness (may ascend to respiratory muscles)
Abdominal distention
Decreased bowel sounds
Constipation
Dysrhythmias
Symptoms of hyperkalemia
(Increased bowel)
Bilateral muscle weakness
Abdominal cramps
Diarrhea
Dysrhythmias
Cardiac arrest if severe
Symptoms of Hypocalcemia
(Increased neuromuscular)
Numbness and tingling
Positive Chvostek’s sign
Hyper reactive reflexes
Muscle twitching and cramping
Seizures
Dysrhythmias
Symptoms of Hypercalcemia
(Decreased neuromuscular activity)
Anorexia
N&V
Constipation
Fatigue
Diminished reflexes
Lethargy
Decreased LOC
Confusion/personality change
Cardiac arrest if severe
Symptoms of hypomagnesemia
(Increased heart)
Positive Chvostek’s sign
Hyperactive deep tendon reflexes
Muscle cramps and twitching
Grimacing
Dysphagia
Tetany
Seizures
Insomnia
Tachycardia
Hypertension
Dysrhythmias
Symptoms of hypermagnesemia
(Decreased heart)
Lethargy
Hypoactive deep tendon reflexes
Bradycardia
Hypotension
Flushing
Sensation of warmth
Decreased respirations
Dysrhythmias
Cardiac arrest
CT attitude: speak with conviction
Confidence
CT attitude: be prepared before performing nursing activities
Confidence
CT attitude: encourage the pt to ask questions
Confidence
CT attitude: be open minded about different interventions
Independent thinking
CT attitude: talk with other nurses and share ideas
Independent thinking
CT attitude: listen to both sides of a discussion
Fairness
CT attitude: assume care of all pts with openness
Fairness
CT attitude: ask for help
Responsibility/accountability
CT attitude: refer to policy and procedure manual
Responsibility/accountability
CT attitude: report problems
Responsibility/accountability
CT attitude: follow standards of care
Responsibility/accountability
CT attitude: if your knowledge causes you to question a healthcare provider, do so
Risk taking
CT attitude: be willing to recommend alternative approaches to colleagues
Risk taking
CT attitude: be thorough
Discipline
CT attitude: use scientific and practice based criteria
Discipline
CT attitude: manage time effectively
Discipline
CT attitude: be cautious of easy answers that avoid uncomfortable situations
Perseverance applications
CT attitude: if facts seem to be missing, clarify info
Perseverance applications
CT attitude: look for different approaches if intervention isnt working
Creativity
CT attitude: always ask why
Curiosity
CT attitude: be willing to challenge tradition
Curiosity
CT attitude: explore and learn more about pt to make appropriate clinical judgements
Curiosity
CT attitude: recognize when you need more info to make a decision
Humility
CT attitude: recognize when your opinions conflict with those of a pt
Integrity
CT attitude: do not compromise nursing standards or honesty in delivering nursing care
Integrity
CT attitude: ask for orientation when you are new
Humility
CT attitude: ask experienced RNs for assistance with approaches to care
Humility
Commitment to include patients in decisions
Automony
Taking positive actions to help others
Beneficence
Avoidance of harm or hurt
Nonmaleficence
Being fair
Justice
Agreement to keep promises
Fidelity
Defines actions as right or wrong
Deontology
Proposes that the value of something is determined by its usefulness
Utilitarianism
Focuses on the inequality between people
Feminist ethics
Emphasizes the importance of understanding relationships, especially as they are revealed in personal narratives
Ethics of care
Case-based reasoning
Casuistry
Factors that influence BP
Age
Ethnicity
Gender
Stress
Daily variation
Medications
Activity, weight
Smoking
Physiological factors that influence pain
Age
Fatigue
Genes
Neurological function
Social factors that influence pain
Previous experience
Family and social network
Spiritual factors
Psychological factors that influence pain
Attention
Anxiety and fear
Coping style
Cultural factors influencing pain
Meaning of pain
Ethnicity
Colorectal cancer screenings
(All starting at age 45)
Every year:
- Guaiac fecal
- Fecal immunochemical
Every 3 years:
- DNA stool test
Every 5 years:
- flexible sigmoidoscopy
- computed tomography, colonography
Every 10 years:
- colonoscopy
Type of precautions: chicken pox
Airborne
Type of precautions: measles
Airborne
Type of precautions: TB
Airborne
Type of precautions: shingles
Airborne
Type of precautions: pneumonia
Droplet
Type of precautions: flu
Droplet
Type of precautions: rubella
Droplet
Type of precautions: mumps
Droplet
Type of precautions: VRE
Contact
Type of precautions: MRSA
Contact
Type of precautions: c diff
Contact
Type of precautions: wound infection
Contact
Airflow for nasal cannula
1-6L
Airflow for oxygen-conserving cannula
8L
Airflow for simple face mask
6-12L
Airflow for partial and nonrebreather masks
10-15L
Airflow for Venturi mask
24-50%
Airflow for high-flow nasal cannula
Up to 60L
Assessment factors of activity intolerance
Physiologic
Age
Emotional
Developmental
Pregnancy
Which theorist: biggest concern is pt hygiene and environment
Nightengale
Which theorist: culture
Lightenger
Which theorist: caring
Watson
Which theorist: self care deficit
Orem
Type of theory: must do interventions to meet goals/outcomes
Perscriptive
Type of theory: hugely broad
Grand theories
Type of theory: focuses on one area of nursing
Middle range
Type of theory: explains why we do things
Descriptive
What is managed care?
Health promotion and prevention
Theory essay question
Nursing theories help nurses guide their practice. For example, Dorothea Orem’s self-care deficit theory teaches us how important it is for people to perform self care. So, nurses assess their patients’ ability to perform self-care activities and help when necessary, in order for them to have improved health outcomes.
How does fluid move when a pt is hypertonic
Out of the cells
How does fluid move when a pt is hypotonic
Into the cells
Chart used to assess stools
Bristol stool chart
Gas exchange
Diffusion
Blood/oxygen getting to tissues
Perfusion
Type of tort: invasion of privacy
Quasi-intentional
Type of tort: defamation of character
Quasi-intentional
Type of tort: assault, battery
Intentional
Type of tort: false imprisonment
Intentional
Type of tort: negligence
Unintentional tort
Type of tort: malpractice
Unintentional tort
Includes information about end of life care
Living will
Tells family what to do before, during, or after death.
Includes statement of if they want to be resuscitated
Advance directive