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AE Midterm > Terms > Flashcards

Terms Flashcards

1
Q

STEEEP

A

safety, timely, effective, efficiency, equitable, patient-centered

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2
Q

QSEN (6)

A 
patient-centered 
safety
teamwork and collaboration 
informasx tics
quality improvement 
evidence-based practice
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3
Q

Latent Failure

A

arises from decision that affect policies, procedures, allocation of resources – “blunt end”

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4
Q

Active Failure

A

direct contact with the patient – “sharp end”

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5
Q

Organizational system failure

A

indirect failures related to organizational structure/management, processes, transfer of knowledge

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6
Q

Technical failure

A

indirect failure of facilities or external resources

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7
Q

Presbycusis

A

High frequency hearing loss

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8
Q

Iatrogenesis

A

complications that arise from invasive procedures, nosocomial infections

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9
Q

SPICES

A 
Sleep disorders
Problems eating/feeding
Incontinence
Confusion 
Evidence of falls
Skin Breakdown
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10
Q

Katz

A

Index of Independence in Activities of Daily Living (ADL)

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11
Q

Frailty

A

Stage of age-related physiologic vulnerability, resulting from impaired homeostatic reserve and a reduced capacity of the organism to withstand stress.

chronic illness + physiological changes of aging + harmful social/psychological environments

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12
Q

Geriatric Cascade

A

Phenomenon of rapid decline resulting from frailty, acute illness, and stress of institutional care – domino effect

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13
Q

Components of critical thinking specific to nursing

A 
Specific knowledge base
Experience
Competencies
Attitudes
Standards
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14
Q

Nursing Process

A 
Assessment
Nursing Diagnosis
Planning
Implementation 
Evaluation
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15
Q

Leading cause of death from injury for adults

A

Falls

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16
Q

How do falls come to the attention of the healthcare team?

A 
Medical hx
Physical assessment
Mental status
Labs and diagnostic results
Home safety assessment
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17
Q

Common causes of delirium

A 
Drugs
Elimination 
Liver and other organs
Infection 
Respiratory 
Injury 
Unfamiliar environment
Metabolic
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18
Q

CAMs test

A
  1. acute onset
  2. inattentiveness
  3. disorganized thinking OR altered level of consciousness
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19
Q

Hendrich

A 
Fall Risk Model 
Confusion/disorientation
Depression
Male Gender
Altered elimination 
Vertigo/dizziness
Antiepileptics
Benzodiazepines (atvian)

> 5 = high risk

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20
Q

Systemic Effects of Immobility - Metabolic

A

Negative nitrogen balance
Altered GI function
Fluid and electrolyte balance

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21
Q

Systemic Effects of Immobility -Cardiovascular

A

Orthostatic hypotension

Thrombus formation

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22
Q

Systemic Effects of Immobility -Urinary

A

Urinary stasis

Renal calculi

23
Q

Systemic Effects of Immobility -Respiratory

A

Atelactasis

Hypostatic pneumonia

24
Q

Systemic Effects of Immobility -Muscular changes

A

Loss of endurance and muscle mass
Decreased stability and balance
Loss of muscle mass
Muscle atrophy

25
Q

Systemic Effects of Immobility -Skeletal effects

A

Impaired calcium absorption

Joint abnormalities

26
Q

Systemic Effects of Immobility -Integumentary

A

Pressure ulcer

Ischemia

27
Q

Interventions - Metabolic

A

High protein, high calorie diet

Vitamin B, C, A, D

28
Q

Interventions - Cardiovascular

A 
Progress from bed to chair to ambulation 
Sequential compression devices (SCDs)
Thrombo-embolic Device (TED) 
Leg exercises, ROM 
Anticoagulation therapy (Heparin)
29
Q

Interventions - Integumentary

A

Reposition every 1 to 2 hours

Skin care

30
Q

Interventions - Respiratory

A

Cough and deep breathe ever 1 to 2 hours

Chest physiotherapy

31
Q

Interventions - Musculoskeletal

A

Passive ROM vs Active ROM

Isotonic vs Isometric

32
Q

Interventions - Elimination

A

Adequate hydration

Diet rich in fluids, fruits, vegetables, and fiber

33
Q

Interventions - Psychosocial

A

Emotional support

Anticipate needs

34
Q

Pressure Ulcers are a result of…

A

Pressure or Pressure in combination with shear

  • pressure intensity
  • pressure duration
  • tissue tolerance
35
Q

Stage I pressure ulcer

A

non-blanchable redness

36
Q

Stage II pressure ulcer

A 
Through dermis (no fat involved)
no slough
37
Q

Stage III pressure ulcer

A

Subcutaneous layer, might see some muscle

presence of slough, possible undermining and tunneling

38
Q

Stage IV pressure ulcer

A

Passed fat and into muscle and bone, possible undermining and tunneling

39
Q

IAD

A

Incontinence Associated Dermatitis

Exposure to urine
Diffuse in skin folds
Not necrotic
Pain and itch

40
Q

4 phases of wound healing

A
  1. Hemostasis
  2. Inflammatory phase - protective response to injury
  3. Proliferative phase - rebuilding of tissue
  4. Maturation phase - collagen production and organization (ongoing for years)
41
Q

Assess pressure ulcers for…

A

Granulation tissue
Slough
Eschar
Exudates (color, odor, consistency)

42
Q

Braden Risk Assessment (6)

A 
For pressure ulcers 
Nutrition 
Mobility 
Activity 
Moisture
Friction and Shear
Sensory Perception
43
Q

Wound dressing - Hydrocolloids

A

Clean Stage II or shallow Stage III

44
Q

Wound dressing - Transparent Film Dressing

A

Used for autolytic debridement

45
Q

Wound dressing - Hydrogel

A

For shallow minimally exuding pressure ulcer (not infected) and are granulating

46
Q

Wound dressing - Alginate Dressing

A

For moderate to heavily exudating ulcers

47
Q

Silver Impregnated Dressings (Silver Sulfadiazine)

A

Infected wound

48
Q

Honey Impregnated Dressing

A

Use of medical-grade honey for stage II and III

49
Q

Gauze

A

do NOT use for clean granulating wounds

50
Q

Pharmacokinetics

A

Describes how medications are absorbed; distributed; metabolized in cells, tissues, or organs; and how they are excreted

51
Q

Medication is inactive if…

A

bound to a protein

52
Q

Most biotransformation occurs in the…

A

Liver

53
Q

Bioavailability

A

% of what is left after going through the metabolic process

AE Midterm (3 decks)

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