Fundamental A Flashcards by Kensia Saintluc

Ethical principles for client care are

Autonomy 
Beneficence 
Fidelity 
justice
 nonmaleficence 
veracity

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Fidelity

Fulfillment of a promise

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NONMALEFICENCE

A commitment not to do harm

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veracity

A commitment to tell the truth

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What precaution is used to protect against droplet

Airborne precautions

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Example of airborne infection

Measles
varicella
pulmonary
LARYNGEAL tuberculosis

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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

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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

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Shed a client with airborne infection wear a mask while outside

Yes

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How far do droplet precaution travel

3 to 6 feet

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Examples of droplet infection

Streptococcal

Pharyngitis

pneumonia

HAEMOphilus influenza type B

scarlet fever

rubella

Mycoplasma pneumonia

MENINGOCOCCAL pneumonia

sepsis pneumonic plague

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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

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Are measles airborne or droplet

airborne

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Are pulmonary airborne or droplet

Airborne

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Streptococcal pharyngitis Airborne or droplet

Droplet

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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

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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

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

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

Magnesium level

1. 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