Test 1 Flashcards

1
Q

performing nursing interventions to promote, maintain, or restore client health

A

Implementation

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2
Q

nurse utilizes the client’s assessment data to identify nursing interventions which will achieve measurable client goals/outcomes

A

Planning

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3
Q

The nurse identifies patterns or trends, compares the data with expected standards or reference ranges and draws conclusions to direct nursing care

A

Analysis

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4
Q

the application of nursing knowledge to the collection, organization, validation, and documentation of data about a client’s health status and needs

A

Assessment

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5
Q

Assessment of a clients response to nursing interventions and determination if outcome goals were met or if additional planning is required

A

Evaluation

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6
Q

step of the nursing process in which the nurse collects organize and validates data by using critical thinking skills

A

assesment

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7
Q

are based on facts measurable and what the nurse can observe or notice by using senses ex. vital signs

A

objective data

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8
Q

are derived from the clients self report or from a family member ex. pain a patient feels

A

subjective data

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9
Q

RN reviews the client’s assessment findings to determine the clients problems and formulates a plan of care

A

analysis

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10
Q

RN makes plans to address the client’s problems by formulating individualized interventions and goals is to ensure the client achieves a positive outcome

A

Planning

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11
Q

involves taking action to provide nursing care as outlined

A

Implementation

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12
Q

RN views the effectiveness of the interventions provided and documents the clients response

A

Evaluation

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13
Q

mental process used when analyzing all the data pertaining to a clinical situation and making decision based on that analysis

A

Clinical reasoning

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14
Q

is the clinical reasoning across an expanse of time

A

Clinical Judgement

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15
Q

What is maslows hierachy of needs (1)?

A

physiological needs

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16
Q

What is maslows hierachy of needs (2)

A

safety needs

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17
Q

What is maslows hierachy of needs (3)

A

love and belonging

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18
Q

What is maslows hierachy of needs (4)

A

Esteem

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19
Q

What is maslows hierachy of needs (5)

A

self actualization

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20
Q

focuses on decreasing the risk for development of medical conditions by changing behaviors or minimizing exposures ex. vaccinations, lifestyle changes

A

primary prevention

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21
Q

consists of early screening to detect a disease process before it progresses to cause symptoms or complications in the client ex. screening test

A

secondary prevention

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22
Q

focuses on controlling the chronic effects of a health issue that has already occured and on restoring the individual optimal functioning e. education about self care

A

tertiary prevention

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23
Q

a positive state of mind comprising the actions taken by individuals to achieve their fullest potential for complete holistic health

A

wellness

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24
Q

is the response of a person to a disease; its is a process in which the person’s level of functioning is change when compared with a previous level

A

illness

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25
Q

is a state of complete physical mental and social well being

A

health

26
Q

views health as a constantly changing state with high level wellness and death at opposite end of a graduated scale

A

wellness continuum

27
Q

the cancer screening nemonic

A

CAUTION

28
Q

abnormally low count of RBCs, hemoglobin concentrations, sometimes both, diminished O2 carrying capacity

A

Anemia

29
Q

What are the lab tests done for Anemia?

A

CBC count, RBC indices, sickle cell tests

30
Q

conditions in the environment in which people are born in and learn work pay worship and age that affect a wide range of health functioning and quality of life outcomes and risks

A

social determinants of health

31
Q

is the amount of blood supplied to an area

A

perfusion

32
Q

what is normal pulse rate

A

60-100 bpm

33
Q

increased heart rate

A

tachycardia

34
Q

what is the rate for tachycardia?

A

100-180 bpm

35
Q

slower heart rate

A

bradycardia

36
Q

what is the rate for bradycardia

A

pulse rate below 60 bpm

37
Q

quality of pulse in terms of its fullness and reflects the strength of left ventricular contraction

A

pulse amplitude

38
Q

the pattern of the beats and pauses between them

A

pulse rhythm

39
Q

irregular heartbeat pattern

A

dysrhythmia

40
Q

what is a normal BP amount

A

below 120/80mmHg

41
Q

what is the hypotension rate?

A

90/60 mmHg

42
Q

Is BP above normal rate for a sustained period

A

hypertension

43
Q

what is the hypertension rate?

A

130/80mmHg or higher

44
Q

difficult or labored breathing

A

dyspnea

45
Q

What is a healthy adult breath/min

A

12 to 20 breath/min

46
Q

What is the 3 step to the sick role?

A

Assuming dependent role

47
Q

What is stage 1 of the sick role

A

Expiriencing symptoms

48
Q

What is the second step of the sick role?

A

Assuming sick role

49
Q

what is senior 65+ breathing rate?

A

16- 24 breaths/min

50
Q

Rapid breathing

A

Tachypnea

51
Q

increased rate and depth of ventilation above the body’s normal metabolic requirements

A

hyperventilation

52
Q

slow breathing

A

Bradypnea

53
Q

inadequate o2 to the body decrease in gas exchange

A

Hypoxia

54
Q

heard over the larynx and trachea are high pitched harsh blowing sounds with sound on expiration being longer than inspiration

A

Bronchial breath sounds

55
Q

are heard over mainstem bronchus and are moderate blowing sounds with inspiration equal to expiration

A

Bronchovesicular

56
Q

are soft low pitched whispering sounds heard over most of the lungs fields with sound on inspiration longer than expiration

A

vesicular breath sounds

57
Q

abnormal sounds are normally heard in the lungs and result from air moving through moisture, mucus or narrow airways

A

adventitious breath sounds

58
Q

frequently heard on inspiration are soft high pitched discontinuous popping sounds

A

crackles

59
Q

are continous musical sounds produced as air passes through airways constricted by swelling, narrowing secretions ir tumors

A

wheezes

60
Q

continous gurgling or bubling sounds

A

Rhonchi

61
Q

different breathing techniques

A

deep breathing
using incentive spirometry
pursed lip breathing
diaphragmatic breathing