NR226 Exam 3 Flashcards
High priority
an immediate threat to a patient’s survival or safety (loss of consciousness, obstructed airway)
Intermediate priority
non-emergency, non-life threatening actual or potential needs that the patient and family members are experiencing
Low priority
actual or potential problems that are not directly related to the patient’s illness or disease
Primary nursing
one primary nurse assumes responsibility for a caseload of patients
Total patient care
RN is responsible for all aspects of care for one or more patients during a shift of care
Functional nursing
each person is assigned specific functions performed for all patients
Case management
collaborative process of assessing, planning, facilitating, and advocating for options and services to meet an individual’s health needs
Team nursing
RN leads team of other RNs, practical nurses, and unlicensed assistive personnel
SBAR
Situation Background Assessment Recommendation
Zones of personal space
18” to 4’
Major surgery
poses great risk to well-being, extensive reconstruction or alteration in body parts
Minor surgery
involves minimal alteration in body parts (tooth extraction)
Elective surgery
performed on basis of patient’s choice (plastic surgery)
Urgent surgery
necessary for patient’s health; often prevents additional problems from developing (removal of gallbladder)
Emergency surgery
must be done immediately to save life or preserve function of body part
Diagnostic surgery
surgery to confirm diagnosis
Ablative surgery
excision or removal of diseased body part (appendectomy)
Palliative surgery
relieves or reduces intensity of disease symptoms (doesn’t produce cure)
Reconstructive/Restorative Surgery
restores function or appearance to traumatized or malfunctioning tissues
Procurement for transplant
removal of organs and/or tissues from a person pronounced brain dead fro transplantation
Constructive surgery
restores function lost or reduced as a result of congenital anomalies (cleft palate)
Cosmetic surgery
performed to improve personal appearance
Malignant hyperthermia
life-threatening complication of anesthesia
General anesthesia
loss of all sensation and consciousness; greatest risk of side effects
Regional anesthesia
loss of sensation in one area of the body
Local anesthesia
loss of sensation at a site using lidocaine
Conscious sedation/moderate sedation
used for procedures that do not require complete anesthesia
Time Out
all members of the surgical team participate before incision is made; Right Patient, Right Procedure, Right Site are all verified
Role of circulating nurse
must be RN in order to push meds and/or blood, monitors sterile technique, operates nonsterile equipment
Role of scrub nurse
RN, LPN, or surgical tech; maintains sterile field, hands instruments and other sterile supplies to the surgeon, counts sponges & instruments
Aldrete score
objective scoring system that identifies patients that are ready for discharge from PACU
Gate control theory of pain
pain impulses pass through when a gate is open and are blocked when a gate is closed
Visceral pain
internal organ pain
Somatic pain
musculoskeletal pain
Peripherally generated pain
pain felt along the distribution of many peripheral nerves (diabetic neuropathy)
Centrally generated pain
injury to either the peripheral or central nervous system (phantom pain)
Physical dependence
A state of adaptation that is manifested by a drug class specific withdrawal syndrome produced by abrupt cessation
Addiction
a primary, chronic, neurobiological disease with genetic, psychosocial, and environmental risk factors influencing its development and manifestations
drug tolerance
a state of adaptation in which exposure to a drug induces changes that result in diminution of one or more effects of the drug over time
narcolepsy
dysfunction of mechanisms that regulate sleep and wake states, excessive daytime sleepiness
cataplexy
sudden muscle weakness during intense emotions such as anger, sadness, or laughter, occurs at any time during the day.
parasomnias
disorders of arousal
somnambulism
sleepwalking
bruxism
teeth grinding
sleep apnea
lack of air flow through nose/mouth for periods of 10 sec or longer
High enemas
cleanse the entire colon
low enemas
cleanse only the rectum and sigmoid colon
