Fundamental A Flashcards
Ethical principles for client care are
Autonomy Beneficence Fidelity justice nonmaleficence veracity
Fidelity
Fulfillment of a promise
NONMALEFICENCE
A commitment not to do harm
veracity
A commitment to tell the truth
What precaution is used to protect against droplet
Airborne precautions
Example of airborne infection
Measles
varicella
pulmonary
LARYNGEAL tuberculosis
What are required for airborne precaution
A private room
Mask and respiratory protection device for caregivers and visitors
Negative pressure airflow against exchanged in the room for at least 6 to 12 exchange per hour depending on the age of the structure
Splashing or spraying is possible wear a full face eyes nose mouth protection
The client who have a airborne infection should wear a mask while outside the room/home
What type of mask a airborne infection patient wear
Use a N 95 or high-efficiency particulate air HEPA respirator if the client is known or suspected to have tuberculosis
Shed a client with airborne infection wear a mask while outside
Yes
How far do droplet precaution travel
3 to 6 feet
Examples of droplet infection
Streptococcal
Pharyngitis
pneumonia
HAEMOphilus influenza type B
scarlet fever
rubella
Mycoplasma pneumonia
MENINGOCOCCAL pneumonia
sepsis pneumonic plague
What are the droplets precaution
A private room or a room with another client who has the same infection ensure that the clients have their own equipment
Mask for providers and visitors
Clients with drop the infection should wear a mask while outside of the room and house
Are measles airborne or droplet
airborne
Are pulmonary airborne or droplet
Airborne
Streptococcal pharyngitis Airborne or droplet
Droplet
Protective/contact precautions
A private room
positive airflow 12 or more exchange/hours for only airborne
HEPA filtration from incoming air
mask for clients went out of the room
gloves and gown worn by the caregiver in visitor
Expected findings for hypothermia hypovolemia or hyper thermia dehydration which is fluid volume deficits and excess
For vital sign
Tachycardia
Thready pulse
Hypotension and orthostatic hypotension
Decrease central venous pressure
Tachypnea
Hypoxia (absence of enough oxygen in the tissue)
Expected findings for hypothermia hypovolemia or hyper thermia dehydration which is fluid volume deficits and excess
Neuromusculoskeletal
Dizziness
Syncope
Confusion
Weakness
Fatigue seizure
Dehydration
Expected findings for hypothermia hypovolemia or hyper thermia dehydration which is fluid volume deficits and excess
Hi
Thirst dry mucous membranes dry furrowed tongue nausea vomiting anorexia acute wt loss
Expected findings for hypothermia hypovolemia or hyper thermia dehydration which is fluid volume deficits and excess
Renal
Oil gurus
Expected findings for hypothermia hypovolemia or hyper thermia dehydration which is fluid volume deficits and excess
Other findings
Diminished capillary refill
cool clammy skin
diaphoresis
sunken eyeball
flattened neck veins
Absence of tears
Decrease skin turgor
Little or no tissue loss
edges approximated as with a surgical incision
heals rapidly
low risk of infection
no minimum scarring
example close surgical incision was Staples sutures or liquid glue to seal laceration
Primary intention
What are primary intention
Little or no tissue loss
Edges approximated as with surgical incision
Heals rapidly
Low risk of infection
No minimum scarring
Close surgical incision was Staples sutures are liquid glue to seal laceration
Primary intention
Loss of tissue
Wound edges widely separated unapproximated.
Pressure injury and open burns area
Longer healing time
Increase for risk of infection
Scarring
Heal by granulation
Ex: pressure injury left open to heal
Secondary intentions
Secondary intention
Loss of tissue
Wound edges widely separated unapproximated.
Pressure injury and open burns area
Longer healing time
Increase for risk of infection
Scarring
Heal by granulation
Ex: pressure injury left open to heal
Widely separated
Deep
Spontaneous opening of a previously closed wound
Closure of wound occur when they are free of infection and edema
Risk of infection
Extensive drainage and tissue debris
Closed later
Long healing time
Ex abdominal wound initially left open until infection is resolved and then closed
Tertiary intention
Tertiary intention
Widely separated
Deep
Spontaneous opening of a previously closed wound
Closure of wound occur when they are free of infection and edema
Risk of infection
Extensive drainage and tissue debris
Closed later
Long healing time
Ex abdominal wound initially left open until infection is resolved and then closed
Magnesium level
- 3 to
2. 1
Chloride level
98 -106
Phosphorus
3- 4.5
hyponatremia
an excess of water in the plasma or a lot of sodium rich fluid
Expect a findings for hypomagnesemia
Physical assessment
Decrease or increase ECF volume
Expect a findings for hypomagnesemia
Vs
Hypothermia
Tachycardia
Rapid thready pulse
Orthostatic hypotension
Expect a findings for hypomagnesemia
Neuromusculoskeletal
Headaches
Confusion
Leathery
Muscle weakness
Fatigue
Decrease deep tendon reflexes
SeizuresComma
Maslow hierarchy
Physiological
Safety and security
Love and belonging
Self-esteem
self actualization
If you’re leaving your room and you have airborne or droplet infection you should wear what type of mask
Surgical mask
Urine specific gravity level
1.0005/1.030
Hematocrit level for females
37% of 47%
Hematocrit levels for a male
42% to 52%
Urine pH
4.6 to 8
Bunnlevel
10 to 20
