Know for Exam 1 Flashcards
name four types of methods of data
interviewing, observation, physical examination, or lab and diagnostic tests
what are the three steps in a nursing evaluation
reviews status, judging effectiveness, and determining progress
how does a nurse sort out client planning
A statement that would demonstrate reduction or prevention of the problem identified in the nursing diagnosis
what are goals and desired outcomes for the nursing diagnosis
the ability to resist injury and infections
describe three elements of WHMIS
worker and supplier labels, education and training and msds
what is the difference between partially exempt and completely excluded?
Partially exempt requires education and training and workplace labels whereas completely excluded requires none of the WHMIS requirements
what are the four actions taken when a nurse does patient planning
Establishing priorities, setting goals and expected outcomes, planning nursing actions, and go over care plan
give an example for actual risks and potential risks
Actual Diagnosis Risk Example: impaired swallowing related to stroke. Potential Diagnosis Risk Example: Anxiety related to situational crisis as evidence by increase in blood pressure
define contact precautions
Intended to prevent transmission of infectious agents
define drug resistant organisms
The ability for microorganisms to resist the effects of an antibiotic to which they were once sensitive
VRE
vancomycin-resistant enterococci. bacteria found in the bowel, stomach, mouth, throat, and female genital tract
ESBL
extended spectrum beta - lactamase. bacteria that produces an enzyme; can break down antibiotics in the bloodstream
when does harmful exposure occur
Only when someone’s fluids are in direct contact with wound, membranes of mouth and eyes, needle stick or bite through skin.
Describe the benefits of different hospital bed positions
Comfort, minimizes symptoms, promotes lung expansion, and improves procedure access
how can you protect skin integrity when making an occupied bed
Tighten sheets, change position often, and institute skin care measures to reduce risk of pressure injury
