Quiz 2 Flashcards
Dysphagia
difficulty/not swollowing
Hematemesis
spitting up blood
Hepatomegaly
enlarged liver
Ileus
without movement
Dyspepsia
unable to digest
Appendectomy
removal of the appendix
Cholecystectomy
gallbladder removal
Hemicolectomy
removal of a piece of a colon
Anoxia
without O2
Auscultation
listening with a scope
Clubbing
when blood pools in the fingers
Dyspnea
low O2
Orthopnea
hard time breathing when laying down
- Sit them in Fowlers to correct
Hemoptysis
blood in sputum
Eupnea
normal breathing
Anuria!
small urine output
Dysuria
painful urination
Enuresis!
urinary incontinance
Hematuria
blood in urine
Nocturia
peeing in the night
testicular torsion
twisted testicles
Epididymitis
inflammation of the epididimis
Prostatitis
inflammation of the prostate gland
expectorant
throwing up
Diagnostic tests may be used to diagnose urinary issues?!
urine analysis, odor, color
Which of the following are radiologic tests that can be used to assess the status of the respiratory system?
Bronchoscopy
Sputum analysis
evaulation of spit
Bronchoscopy
looking at the bronchioles threw a camera
Physical examination of an older adult patient?
- Take time for them to answer, consider cognitive function, age, assess movement of their gaits
Inspection Auscultation Palpation Percussion
Inspection: Assess
Auscultation: Listen with scope
Palpation: Feeling and pressing
Percuss: to tap and listen to the sounds
therapeutic verbal vs non-verbal communication
Therapeutic: gets more information; describe your typical meal
NonVerbal: Body language and cues
Open ended questions vs. Closed ended questions
Open: allow the patient to elaborate and share details-How do you feel about…
Closed:one or two word answer from the patient- where does it…
What are the three components of Linda Caputi’s clinical judgment model?
- Novice to expert theory
- Steps in Clinical Judgement
- Clinical Judgement competencies
Tanner Model Clinical Judgement thinking
Noticing, Interpreting, Responding, Reflecting
- Steps don’t always flow linearly
- Steps are vague
- Helped to establish a general thinking model
Role of the nurse in patient care
- nursing process to assess, plan, diagnose, implement, and evaluate patient situations and outcomes
- recognize and focus on meeting the needs of patients
- collaborate with interdisciplinary teams to advocate for patient’s needs
- strong commitment to patients, families and communities.
Social determinants of health
- Conditions of the environment where people live, work, worship and grow up in
1. Economic stability
2. Education
3. Food
4. Community and social context
5. Healthcare systems
6. Neighborhood and physical environment
Levels of prevention
Primary, Secondary, Tertiary
Primary Healthcare
Emphasis health promotion and includes prenatal and well-baby care, family planning, nutrition counseling and disease control
Ex: Office or clinic visits
Secondary healthcare
Includes the diagnosis and treatment of acute illness and injury
Ex: care in hospital settings, as emergent care centers
Tertiary healthcare
Acute care
Involves the provision of specialized highly technical care
Ex: Intensive care, burn centers
Caputi: Component 1
- Novice to beginner Theory
- Theory that you have to master every stage
Caputi: Component 2
- Steps in Clinical Judgement
1. Getting information
2. Making meaning of the info
3. Determining actions to take
4. Taking action
5. Evaluating outcomes and thinking
Caputi: Component 3
- Clinical Judgement Competencies
listing of the specific thinking skills and strategies used in each step
health disparities- what are they and how do they impact care
- A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantages
Factors that influence:
1. Racial and ethnic groups
2. Poverty
3. Gender; age
4. Mental Health
5. Educational level
6. Disabilities
7. Sexual orientation
8. Health insurane and access to healthcare
Stages of the sick role
Stage 1: Experiencing symptoms
Stage 2: Assuming the sick role
Stage 3: Assuming a dependent role
Stage 4: Achieving recovery and rehabilitation