NUR 210 - Exam 1 Flashcards
Nightingale’s contributions to nursing:
- documentation
- hand-hygeine
- evidence based practice
- data collection
- started nursing schools
Clara Barton:
- started American Red Cross
- formalized nursing education
Dorothea Dix:
- Mental health awareness
- indigenous rights
Eddie Bernice Johnson:
- Rep. in Congress
- STEM Education Act
Ildaura Murillo-Rohde:
- National Association of Hispanic Nurses
what is the purpose of a simulation?
to create a safe learning environment
who described the transition from novice to expert?
benner
problem with stage 1 novice:
struggles to decide which tasks are more relevant in real-life situation
problem with stage 2 advanced beginner:
remembering and following guidelines and setting priorities
what does case manager nurse do?
work with client, family, and health care team to make sure client gets needed services
what is patient adherence?
patients ready and willing to follow instructions
what is a standing order?
preprinted document with medical orders no need to consult w doctor before enacting
what is included in implementation process?
- avoid adverse effects
- reassess a patient
- review and revise exisitng plan of care
what is patient acuity?
what the patient needs, higher acuity= patient needs more
two methods for prioritizing patients:
- high, intermediate, low - based on ABC’s
- maslows hierarchy
common question asked when assessing actual vs. potential problem:
“is the potential problem greater than the actual problem?”
which is priority: acute or chronic?
acute
when do you do invasive procedure?
toward end
what does THIN stand for
T top three
H help quick
I identify risk to safety
N nursing process
what does NADPIE stand for?
N nursing process
A assessment
D diagnosis
P planning
I implementation
E evaluation
whats the difference between generalized outcomes vs. nurse sensitive outcomes
generalized outcomes is the overall goal for the patient while the nursing outcomes is what we control
direct care
direct care to patient hands on
indirect care
- delegating
- supervising
- evaluating other nurses
independent intervention
no Dr needed
dependent intervention
Dr needed
hand off reporting
collaboration between other nurses and physician
critical pathways:
set of guidelines to follow to reach a certain goal already made for you
what is ISBAR
I identify
S situation
B background
A assessment
R recommendation
time frame for “now” medication order
90 minutes
what med name is non commercial/ non proprietary?
generic
parental vs. non parental
parental is invasive (ex. intravenous) while non parental is not (ex. oral, rectal, sublingual)
idiosyncratic effect:
uncommon medication response usually due to genetics
synergistic effect:
two meds combined
what oral medications cannot be crushed?
- enteric coated tablets
- sustained release SR
- sustained action SA
- extended release XL
- controlled release CR/CRT
3 types of NANDA-I:
- problem-focused
- risk diagnosis
- health promotion
what is ICNP
positive or negative nursing diagnosis with associated outcome
critical thinking
broad; includes reasoning outside and inside of clinical setting
clinical reasoning
specific process used to think about issues at the point of care
clinical judgment
conclusion, decision, or opinion
giving medication assessment
- educate patient
- ask allergies and if they can swallow
giving medication analysis + nursing diagnosis
- patient nonadherence
- adverse effects
- polypharmacy
internal variables that influence illness behavior
- developmental stage
- intellecutal background
- perception
- emotional + spiritual factors
external variables that influence illness behavior
- family role + practices
- social determinants of health
- culture
PRN order
give med as needed
STAT order
give immediately
parts of a full prescription order
name, dose, route, when
what kind of medications require special handling?
- controlled substances
- chemotherapy meds
7 rights
right medication
right dose
right patient
right route
right time
right documentation
right indication
