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Intro to Nursing > Test #1 > Flashcards

Test #1 Flashcards

1
Q

Urgency

A

Feeling of need to void immediately. Full bladder, bladder irritation, or inflammation from infection, overactive bladder, psychological stress

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2
Q

Dysuria

A

Painful or difficult urination. Bladder inflammation, trauma, or inflammation of urethral sphincter.

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3
Q

Frequency

A

Voiding at frequent intervals (less than 2 hours). Increased fluid intake, bladder inflammation, increased pressure on bladder (pregnancy), diuretic therapy

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4
Q

Hesitancy

A

Difficulty initiating urination. Prostate Enlargement, anxiety, urethral edema

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5
Q

Polyuria

A

Voiding large amounts of urine. Excess fluid intake, diabetes mellitus or insipidus, use of diuretics, postobstructive diuresis

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6
Q

Oliguria

A

Diminished urinary output relative to intake (usually 400 ml/24 hr). Dehydration, renal failure, UTI, Increased ADH secretion, heart failure

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7
Q

Nocturia

A

Voiding one or more times at night. Excessive fluid intake before bed (especially coffee or alcohol), Renal disease, aging process, prostate enlargement.

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8
Q

Dribbling

A

Leakage of urine despite voluntary control of urination. Stress incontinence, overflow from urinary retention (e.g. from BPH)

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9
Q

Incontinence

A

Involuntary loss of urine. Multiple factors: unstable urethra, loss of pelvic muscle tone, fecal impaction, neurological impairment, overactive bladder

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10
Q

Hematuria

A

Blood in urine. Neoplasms of kidney or bladder, glomerular disease, infection of kidney or bladder, trauma to urinary structures, calculi, bleeding disorders

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11
Q

Retention

A

Accumulation of urine in bladder, with inability of bladder to empty fully. Urethral obstruction (stricture) decreased sensory activity, neurogenic bladder, prostate enlargement, postanesthesia effects, side effects of medications. (e.g., anticholinergics, opioids)

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12
Q

Residual Urine

A

Volume of urine remaining after voiding (greater or equal to 100 mL). inflammation or irritation of bladder mucosa from infection, neurogenic bladder, prostate enlargement, trauama, or inflammation or urethra.

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13
Q

ADH

A

Antidiuretic hormone

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14
Q

BPH

A

Benign prostatic hyperplasia

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15
Q

BSC

A

Bedside Commode

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16
Q

FUNCTIONAL -Urinary Incontinence & Tx options

A 
Loss of urine caused by factors outside the urinary tract that interfere with the ability to respond in a socially appropriate way to the urge to void. 
INTERVENTIONS: 
Clothing mods,
 Environ. Alterations, 
Scheduled toileting,
Absorbent Products
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17
Q

STRESS - Urinary Incontinence & Tx options

A 
Involuntary leakage of urine during increased abdominal pressure in the absence of bladder muscle contraction. (coughing, laughing, sneezing, or lifting with a full bladder)
INTERVENTIONS:
Pelvice Floor Exercises (kegel)
Surgical Interventions
Biofeedback
Electrical Stimulation
Absorbent Products
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18
Q

URGE - Urinary Incontinence & Tx options

A 
Involuntary passage of urine after a strong sense of urgency to void. Urinary urgency, often with frequency (more than every 2 hours); bladder spasm or contraction. 
INTERVENTION:
Antimuscarinic Agents
Behavioral Interventions
Biofeedback
Bladder retraining
Pelvic floor exercises
Lifestyle modifications (smoking, cess, weight loss, fluid mods)
Absorbent products
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19
Q

MIXED -Urinary Incontinence & Tx options

A

Combination of urge and stress urinary incontinence signs and symptoms or Combination of urge and stress symptoms
INTERVENTION:
Main Treatments usually based on symptoms that are most bothersome to patient

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20
Q

OVERFLOW INCONTINENCE -Urinary Incontinence & Tx options:

A

Involuntary loss of urine at intervals without sensation of urge to void
RELEVANT FACTORS:
Spinal Cord Dysfunction - loss of cerebral awareness or impairment of reflex arc

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21
Q

List Roles of a Professional Nurse

A

Protect, Promote & Optimize our pt’s health
Prevent illness & injury
Alleviate suffering through the diagnosis & tx of Human Responses
Advocate for the care of our pts

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22
Q

APRN

A

Advanced Practice RN, master’s degree

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23
Q

DNP

A

Doctor of nursing practice, doctoral degree

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24
Q

CNS

A

Certified Nursing Specialist, APRN in specialized area

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25
Q

NP

A

Nurse Practitioner; APRN in specialized area

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26
Q

CNM

A

Certified Nurse Midwife; provided care for pregnant women

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27
Q

CRNA

A

Certified RN anesthetist, APRN with specialization in anesthesia

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28
Q

Benner: Stages of nursing proficiency

A 
Novice
Advanced Beginner
Competent
Proficient
Expert
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29
Q

Florence Nightingale

A

1st practicing epidemiologist;
1st Nursing school - helped sanitation in battlefield hospitals, her practices remain in nursing today.
Studied caring: a universal phenomenon that influences the way we think, feel & behave (reduced mortality from 45% to 2%)

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30
Q

Autonomy

A

Involves the initiation of independent nursing interventions w/o medical orders. Increased responsibility

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31
Q

Accountability

A

Means that you are responsible, professionally & legally, for the type and quality of nursing care provided. WE are accountable

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32
Q

Caregiver

A

Regain Health, find max level of independent function

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33
Q

Advocate

A

Protect human and legal rights of clients, help assert those rights when needed.

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34
Q

Educator

A

Informal and Formal teaching client, family, significant other, or support systems

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35
Q

Communicator (key)

A

Central to nurse-client relationship, helps you to know your pt’s strengths, weaknesses, needs and fears

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36
Q

Manager

A

Collaborates with others to establish outcomes, evaluate care, evaluate staff nurses

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37
Q

What are the standards of nursing?

A

They provide guidelines for implementing and evaluating nursing care (ADPIE)

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38
Q

Preventative

A

Primary care, focused on improved outcomes for an entire population, collaboration among healthcare professionals, lowers overall cost: health promotion is the key to quality healthcare

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39
Q

Secondary/Tertiary

A

Acute care, focused on diagnosis & tx of dz, dz management, 20% of people spend 80% of healthcare costs

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40
Q

Restorative

A

Helps pts recover from acute or chronic illness/disability; regain maximal function and quality of life, promotes pt independence and self-care; multidisciplinary approach. Ex: homecare, rehabilitation, extended care

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41
Q

Continuing Care

A

For people who are disabled, functionally dependent, or suffering a terminal diz. Available w/in institutional settings or in the home.
Ex: nursing centers/facilities, hospice, assisted living (5% over 65 live here), adult day care

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42
Q

METABOLIC - Discuss Hazards of Immobility

A

Endocrine, calcium absorption, GI function

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43
Q

CV - Discuss Hazards of Immobility

A

Orthostatic hypotension, thrombus (blood clot)

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44
Q

MS EFFECTS -Discuss Hazards of Immobility

A

Loss of ms mass, atrophy

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45
Q

URINARY - Discuss Hazards of Immobility

A

Urinary stasis, renal calculi, UTI

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46
Q

RESPIRATORY -Discuss Hazards of Immobility

A

Atelectasis (fluid in lungs causing cracking, wet sounds) hypostatis pneumonia

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47
Q

MUSCULOSKELETAL -Discuss Hazards of Immobility

A

Loss of endurance, decreased stability

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48
Q

SKELETAL -Discuss Hazards of Immobility

A

Imparied calcium absorption, joint abnormalities

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49
Q

INTEGUMENTARY -Discuss Hazards of Immobility

A

Pressure ulcer, ischemia, older adults at greater risk

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50
Q

PSYCHOSOCIAL -Discuss Hazards of Immobility

A

Emotional/Behavioral response: Hostility, giddiness, fear, sensory: altered sleep patterns - changes in coping: depression, sadness

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51
Q

METABOLIC - Nursing Implementations of Immobility

A

Provide high-protein/calorie diet with Vitamin B & C Supplements

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52
Q

RESPIRATORY - Nursing Implementations of Immobility

A

Cough & deep breathe every 1-2 hours, chest PT

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53
Q

CV - Nursing Implementations of Immobility

A

Progress from bed to chair ambulation; SCD’s (sequential compression device), TED hose, leg exercises

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54
Q

MUSCULOSKELETAL - Nursing Implementations of Immobility

A

PROM, CPM, AROM

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55
Q

INTEGUMENTARY - Nursing Implementations of Immobility

A

Reposition every 1-2 hours, provide skin care

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56
Q

ELIMINATION - Nursing Implementations of Immobility

A

Provide adequate hydration, serve diet rich in fluids, fruits, veggies and fiber.

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57
Q

Supported Fowler’s

A

pt is supine with head of bed raised/flexed to 30-45 degrees

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58
Q

Supine

A

pt lies flat facing up

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59
Q

Prone

A

pt lies facing down

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60
Q

Sims’

A

Pt lies on left side with left arm and shoulder are drawn back behind the body, body weight is primarily on the chest, right arm is flexed upward for support

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61
Q

Trendelenberg

A

Pt lies flat with head of bed flexed down 45 degrees

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62
Q

National Pt Safety Goals (NPSGs)

A
  1. Identify patients correctly
  2. Improved staff communication
  3. Use Medicines safely
  4. Use Alarms Safely
  5. Prevent infection
  6. Identify patient safety risks
  7. Prevent mistakes in surgery
  8. A pt safe environment: reduces the risk for injury & illness, decreases costs, improving a pt’s functional status, increasing a pt’s sense of well-being
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63
Q

QSEN (Quality & Safety Education for Nurses)

A
  • Was developed to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the health care systems in which they work.
  • minimizes risk of harm to patients and providers through system effectiveness and individual performance
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64
Q

Patient Safety Factors

A 
Environmental
Basic Needs
Oxygen
Nutrition
Temp (65-75 deg)
Disasters
Pollution
Physical Hazards
MVAS
Poison
Falls
Fire
Transmission of pathogens
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65
Q

What is a serious reportable event?

A

Medication Error, Falls, IV infiltration - Fill out incident report

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66
Q

What is a never event?

A

Foreign object left in body after surgery, air embolism, blood compatibility, pressure ulcers stage 3 or 4, falls and trauma, electrical shock, UTI from catheters, DVT

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67
Q

Define Assessment

A
  • Gather info about the pt’s condition, needs, health problems and responses to problems.
  • Critical thinking skills to help synthesize relevant info and use it in a purposeful way
  • Data reveal related goals, experiences, health practices, values & expectations about the healthcare system
  • Follow format used by facility or educational setting
68
Q

Components of Assessment

A

Review Medical Records & Diagnostic tests
Perform a physical assessment
Obtain an accurate history (Pt is best source)
Gather Subjective and Objective data
Collaborate with entire health care team & client’s significant other/family if appropriate.

69
Q

What are the guidelines to writing an outcome/goal statement?

A 
SMART
S-Specific
M-Measurable
A-Attainable
R-Realistic
T-Time Oriented

Pt centered, singular goal, outcome, measurable, mutual, observable, time-limited, realistic

70
Q

ADL’s

A

Activities of Daily Living (self care, brushing teeth, eating, bathing, walking)

71
Q

IADL’s

A

Instrumental activities of daily living (cooking, driving, shopping, managing meds)

72
Q

What is a goal?

A

Expected behavior or response that indicates resolution of a nursing diagnosis or maintenance of a healthy state.

73
Q

What is an expected outcome?

A

End result that is measurable, desirable, and observable and translates into observable patient behaviors (Nursing-Sensitve Outcome)

74
Q

IV’s

A

Can stay in for 96 hours (used to be 72)

If you use Gauze on IV - change every 48 hours

75
Q

PICC (peripherally Inserted Central Catheter)

A

Cannot put in or take out, cannot put meds in without permission, proximal to antecubital fossa

76
Q

IVAD (implanted venous access device)

A

on chest under skin
Cancer & cystic fibrosis pts
If accessed change needled and dressing every 7 days
Nurse CAN do infusion and blood draws
CANNOT access unless specialized/certification
“Huber” needle to access (long term tx)

77
Q

Subclavian Site

A

Use rather than jugular/femoral site in adult pts to minimize infection risk.

78
Q

Purpose of initiating and maintaining of IV therapy?

A

Purpose: Easy Access for medication administration

79
Q

Procedure for initiating and maintaining of IV therapy?

A

IVs can stay in for up to 96 hrs, label with RN name, date/time/ gauge used, start distally and move proximally, DO NOT start IVs in lower extremity, use transparent dressing at BJH, can use gauze if changed ever 48hours

80
Q

Phlebitis

A

Inflammation of the vein associated with infusion phlebitis.
Careful/regular monitoring of intravenous access sites is recommended

81
Q

Infiltration

A

Medication/fluids are not going into vein; going into surrounding tissues, regular monitoring of infusion sites, choice of correct access device/intravenous dressing and the use in-line pressure monitors. Tissue will be edematous, cool to touch, taut, shiny (stop the fluid/meds)

82
Q

Infection

A

Adhering to aseptic technique is vital in the prevention of intravenous related infections. Asepis should be maintained at insertion, during clinical use and at removal of the device.

83
Q

Extravasation

A

the inadvertent administration of a vesicant substance into the tissues can have disastrous outcome (vesicant: chemo drugs)

84
Q

Bigger needle =

A

smaller number

85
Q

Recommendations to prevent needle sticks?

A

Do not place hand/fingers above site trying to stick, use smallest needled possible, needles have protective devices on them, put in Sharps container (per OSHA)

  • Hep B & C are commonly transmitted
  • Report any contaminated needlesticks!
86
Q

Describe the purpose of documentation in health care

A

To communicate pt information in an accurate, timely & effective manner - anything written or printed on which you rely as record or proof of pt actions and activities.
Can be used against you in court to provide proof of negligence (legal documentation), financial billing, education, research, auditing/monitoring

87
Q

Explain guidelines related to confidentiality and penalties for breaches in confidentiality

A

HIPAA -Health Insurance Portability & Accountability Act: Standards set to protect pt health info - all info remains confidential and protected.
-breaches in confidentiality can lead to disciplinary action from employers, dismissal from school/work and legal implications (lawsuit against you).

88
Q

Bedside shift report

A

Wake pt up!
Need to check lvl of consciousness & helps pt feel like they are part of the team.
Use SBAR

89
Q

SBAR

A

S-Situation
B-Background
A-Assessment
R-Recommendations

90
Q

Things to document on Incident Report

A

Incident Report: fall occurs and hit head (know what to tell healthcare provide when you call)
IV infiltration, medication - DONT document this, just communicate to pt and other nurses/docs)

91
Q

Describe normal characteristics of normal & abnormal urine.

A
  • 1200-1500 ml urinated daily
  • Bladder can hold 600-1000 ml
  • Color: Pale-straw to amber color
  • Clarity: clear (not cloudy)
  • Steady Stream
92
Q

How to Reduce a UTI

A

Take out foley if they don’t need it
Encourage fluids
Cranberry Juice

93
Q

Digital Removal of Stool

A

is a LAST resort
Do if enema doesn’t work
Need Dr.’s’ Orders

94
Q

Common causes of Constipation

A 
Age
Diet
Fluid Intake
Physical Activity
Psychological Factors
Personal Habits
Position
Pain
Pregnancy
Surgery/anesthesia
Medication/laxative
Diagnostic Tests
95
Q

Achalasia

A

Sudden death on toilet/bedban while performing the Valsalva Maneuver.

96
Q

Interventions that promote normal elimination

A

Promotion of normal defacation, privacy, proper placement of bedpan, sitting position, allw @ same time each day ( in morning or before after meal0

97
Q

PPE (personal protective equipment)

A

CDC issued new guidelines in 2007 with 2 tiers:

  1. Standard Precautions Most Important
  2. Isolation Precautions
    • Contact
    • Droplet
    • Airborne
    • Protective environment
98
Q

Def of Handwashing

A

The act of washing hands with soap and water, followed by rinsing under stream of water for 15 seconds
Friction of rubbing hands together gets rid of soil and microorganisms.

99
Q

Def of Hand Hygiene

A

Includes using an instant alcohol hand antiseptic before and after providing patient care, washing hands with soap and water they are visibly soiled, and performing a surgical scrub

100
Q

When to Hand Wash

A

When hands are visibly dirty
When soiled with blood or other bodily fluids
Before eating
After using the toilet
Wash hands with water and either a nonantimicrobial or antimicrobial soap

101
Q

When to Hand Hygiene

A

Before, after and between direct pt contact
After contact with body fluids or excretions, mucous membranes, nonintact skin, or wound dressings
When moving from a contaminated to a clean body site
After contact w/ an inanimate object or surface in room
Before caring for pts w/ severe neutropenia or other sever immune suppression
Before putting on sterile gloves and b4 inserting urine cath, peripheral cath or other invasive devices
After removing gloves

102
Q

MASLOW’s Hierarchy of Needs

A
  1. Physiological (oxygen, fluids, nutrients, body temp, elimination, shelter, sex)
  2. Safety & Security (physical and psychological safety)
  3. Love and belonging
  4. Self Esteem
  5. Self Actualization (motive to realize one’s full potential)
103
Q

PSROs

A

Professional Standard Review Organizations - review the quality/quantity/cost of hospital care provided to Medicare and medicaid pts.

104
Q

URs

A

Utilization Review Committees - Review admissions, testing and txs provided by physicians caring for medicare patients

105
Q

Patient Protection & Affordable Care Act

A

Gives access to health care for all

-Reduced costs, improved quality, included provisions (FUCKING JOKE)

106
Q

The 4 p’s

A

Possession, Potty, Pain, Position of pt (check everytime walk in room/hourly rounding)
*make sure bed is in low and locked position when walking in and out of room

107
Q

Fire Safety-RACE

A 
RACE
R-Rescue/remove Pt
A-Alarm
C-Contain/confine
E-Extinguish/Evacuate
108
Q

Fire Safety -PASS

A 
PASS
P-Pull Pin
A-Aim
S-Squeeze
S-Sweep
109
Q

Seizure Precautions

A

Do you have aura? What to do:

  • Put on side if possible
  • Prevent from hurting themselves (pad rails on bed)
  • If in chair, put on ground or in bed
  • Protect Head
  • Document time & what happened
  • Don’t put anything in mouth (unless needs suction)
110
Q

Restraints

A

Last Resort! Don’t want to do this.
Need Dr.’s orders to put on and take off
Watch for skin breakdown
Need 2 fingers between restraints when putting on
4 Bedrails up in bed considered a restraint!

111
Q

Assessment

A

Establish a database about the pt’s perceive needs, health problems and responses to problems

112
Q

Diagnosis

A

Interpret and analyze meaning of data
Data Clustering - group signs/symptoms, classify and organize
Look for defining characteristics and related factors,
Identify patient needs
Formulate nursing diagnoses and collaborative problems

113
Q

Clinical Criterion

A

An objective or subjective sign, symptom, or risk factor that, when analyzed with other criteria, leads to a diagnostic conclusion

114
Q

Dz is related to

A

Etiology as evidenced by signs/symptoms

115
Q

Planning

A

Prioritizing nursing dx, outcomes, interventions based on evidence - Always partner with the pts when setting goals (they need to understand the value of nursing therapy)

116
Q

Planning: Pt-Centered Goal

A

A specific and measurable behavior or response that reflects a patient’s highest possible level of wellness and independence function

117
Q

Planning: Short Term Goal

A

An objective behavior or response expected within the hours to a week

118
Q

Planning: Long Term goal

A

An objective behavior or response expected w/in days, weeks or months.

119
Q

Goal guidelines

A

Pt-centered, singular goal/outcome, measurable, mutual, observable, time-limited, realistic

120
Q

Implementation

A

Review the set of all possible nursing interventions, review all possible consequences associated w each possible nursing action. Determine the probability of all possible consequences, make a judgement of the value of that consequence to the patient

121
Q

Implementation Skills

A

Cognitive, Interpersonal, Psychomotor

122
Q

Direct Care is

A

Tx performed through interactions with pts (med admin, IV insert, counseling, assistance ADLs)

123
Q

Indirect Care is

A

Tx performed away from the patient, but on behalf of the patient or group of patient

124
Q

Evaluation

A

Ongoing process, if outcomes are met, patient goals are met. positive evaluations occur when nurse meets desired outcomes. Interventions were successful.

125
Q

Criterion-based standards for eval

A

Physiological, emotional and behavioral responses that are a patient’s goals and expected outcomes.
_when a goal not met, no matter the reasons, start the entire nursing process over!

126
Q

Discontinuing a care plan

A

Has the goal been met? Does the pt agree? Document the discontinued plan

127
Q

Alteplase

A

A drug used to dissolve clot at the end of PICC (can tell there’s a clot because meds are difficult to put in).

128
Q

CVC

A

Central Venous Catheters -care MUST be performed by competent nurses.
CVC care is Aseptic/sterile technique

129
Q

Risk Factors

A

Def: variables that increase the vulnerability of an individual or group to an illness or accident
-genetic and physiological factors, age, environment, lifestyle
Most Vulnerable: homeless, children, elderly, economically disadvantaged

130
Q

Levels of Prevention: Primary

A

true prevention that lowers the chances that diz will develop (immunizations, pap smears)

131
Q

Levels of Prevention: Secondary

A

Focuses on those who have a disease or are at risk to develop a disease (screening, minimize symptoms)

132
Q

Levels of Prevention: Tertiary

A

Occurs when a defect or disability is permanent or irreversible (paralysis)

133
Q

Stages of Health Behavior change

A

Precontemplation, Contemplation, Preparation, Action, Maintenance

134
Q

Culturally Competent care

A

Know one’s own beliefs/ethics is first step when dealing with other cultures

135
Q

Pt Education

A

TJC sets standards for pt and family education
All state nurse practice acts recognize that patient teaching falls under the scope of nursing
Includes: motivation to learn, ability to learn and environment,
Integrate nursing process & teaching process
Teach and work at the same time if possible

136
Q

Physiological changes in middle to older adult

A
  • Perception of well-being defines quality of life
  • Older pt’s concepts of health revolves around how they perceive their ability to function
  • Nurses need to be cognizant of normal age-related changes
  • Not all physiological changes are pathological
137
Q

Care of Family

A

-Nursing management of older adults with any form of dementia always consider the safety, physical and psychosocial needs of the older adult and the family

138
Q

Interactions with the elderly population

A

sit/stand at eye level in full view of pt
Face the older adult while speaking, speak clearly
Provide diffuse, bright, nonglare lighting
Encourage the older adult to use his/her familiar assistive devices (glass,magnifying glass)

139
Q

EMAR

A

Electronic medication administration record

140
Q

Pyxis System

A

Documents medication supply/removal, patient safety

141
Q

Manifestations & Prevention of UTI

A

80% of nosocomial (HAI) are UTIs, everyday pt has Foley bact increases by 5%
Manifestations: cystitis (frequency, urgency, burning, suprapubic pain, hematuria)
Prevention: take out foley if not needed, encourage fluids, cranberry juice (decreases pH - discourages bacteria growth)

142
Q

Assessment of UTI

A

Gather history of pt’s urnation pattern, symptoms, factors affecting urination.
Conduct physical assessment of systems potentially affected by urinary changes; patients perception of urinary problems
Assess urine characteristics and gather lab results

143
Q

UTI: Retention

A

accumulation of urine due to inability to empty the bladder
-Influenced by urethral obstruction, decreased sensory activity, prostate enlargement, postanesthesia effects, medication side effects

144
Q

UTI: Frequency

A

Voiding at frequent intervals (less than 2 hours apart)

-Influenced by fluid intake, bladder inflammation, bladder pressure

145
Q

UTI: Dysuria

A

Painful or difficult urination

-Influenced by bladder inflammation, trauma or inflammation or urethral sphincter

146
Q

Palpating bladder

A
  • Palpate between the hip bones and below the umbilicus

- If distended, palpation could cause pain to the patient

147
Q

Diagnostics Urinary

A

UA- Urinalysis and C&S (culture and sensitivity)

For Urination: is the pt on fluid restriction? Difficulty voiding? Is further assistance needed? (stoma?)

148
Q

Diagnostics Bowels

A 
radiologic imaging (with or w/o contrast)
Endoscopy
Ultrasound
CT Scanning or MRI
Fecal occult blood testing
149
Q

Promoting bowel elimination

A

Identify pt’s perception of normal
encourage fluids
make pt comfortable, get to toilet if possible
diet, exercise

150
Q

Factors affecting GI function

A 
immobility
fluid intake
personal habits
pregnancy
diagnostic test
age
physical act
position
surgery
diet
psychological factors
pain
medication/laxatives
151
Q

Fecal incontinence

A

Def: inability to control passage of fecal matter and gas to the anus

152
Q

Pt constipated

A

laxatives
stool softeners
doctor might order enema b4 digital removal

153
Q

C. Difficle

A

A common cause of diarrhea, incontrollable, stinky, loose, watery stool

  • Risk for dehydration, be cautious of skin integrity
  • Contact isolation required - very contagious
154
Q

Ilioconduit Urostomy; stoma

A

Red/pink on skin
Stay 5-7 Days (empty bag when 1/2 full)
Can maintain normal life (swimming)

155
Q

Care of ostomies

A 
Irrigating a colostomy
Pouching ostomies
Nutritional Considerations
Consume low fiber for the first weeks
Eat slowly and chew food completely
Drink 10-12 glasses of water daily
Patient may choose to avoid gassy foods
156
Q

What are the results of an effective pouching system?

A

protects skin, contains fecal material, remains odor free, and is comfortable and inconspicuous

157
Q

Jean Waterson (nurse theorist)

A
  • Holistic model, Conscious Intention, Integrates Caring w/ Healing environments, Allows nurses to raise new questions defining
  • It’s not Disease oriented
  • It’s inner healing (Protect, Enhance, Preserve Dignity)
158
Q

Madeline Leininger (Transcultural Nursing)

A

-Focused on comparative cultural care values, beliefs and practices of individual or groups of similiar or different cultures
-Developed in 1950
-Nursing is a learned profession w/ a disciplined focused care phenomena
-Care is to assist others with real or anticipated needs in an effort
-Developed theory from personal experiences at a child guidance home.
Applied by: Eye Contact, Persona Space, etc.

159
Q

Virginia Henderson

A

Compared to Florence Nightengale
Goal assisting the pt in gaining independence as quickly as possible
Primary Roles of Nurse: Substitutive, Supplementary, complementary, Create Relationship
14 Basic Needs
Nurse care for the pt until they can care for themselves
Major Concepts: Individual, Environment, Health & Nursing

160
Q

Dorothea Orem

A

To help the pt perform self-care and manage health problems

Self Care, Self Car Deficit, Nursing System

161
Q

Benner & Wrubel’s Theory

A

Relationship Centered
Caring creates possibilities for coping and connecting w/ and concerns
Novice, Advanced Beginner, Competent, Proficient, Expert

162
Q

Swanson’s Theory

A

Nursing way of relating to a valued other whom one feels a personal sense of commitment
5 categories of Caring: Knowing, Being With, Doing For, Enabling, Maintaining Belief

163
Q

Censa Sheet

A

All pts on that floor

164
Q

BUN & Creatinine

A

Renal Function

165
Q

Potassium Level

A

Elevated or low potassium can affect heart

166
Q

Telemetry

A

Heart monitor

167
Q

Shunt

A

Renal Dialysis get shunt put in arm sometimes. Renal Pts will commonly by itchy (benedryl lotions will help with itch).

Intro to Nursing (1 decks)

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