Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Intro to Nursing > Test 1 > Flashcards

Test 1 Flashcards

1
Q

Goal of asepsis

A
  1. Protect yourself

2. Protect your patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bacteria

A

Most common infectious agent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Virus

A

Cannot use “antibiotics” for treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Fungi

A

Can be normal flora; problem for immunosuppressed pt’s (mold)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Parasite types

A
  1. Endoparasites: in your body

2. Ectoparasites: outside of you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Common Portals of Exit

A
  1. Respiratory
  2. Gastrointestinal
  3. Genitourinary tracts
  4. Breaks in skin
  5. Blood and tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Modes of Transmission

A
  1. Contact route (direct or indirect)
  2. Vehicle route (food, water, blood, equipment)
  3. Airborne route
  4. Droplets (close contact or touching infected objects)
  5. Vectors (mosquito, tick, flea)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Stages of Infection

A
  1. Incubation period
  2. Prodromal stage
  3. Full stage of illness
  4. Convalescent period
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Incubation period

A

Organisms growing and multiplying (no symptoms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Prodromal stage

A

Person is most infectious, vague and nonspecific signs of disease; most contagious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Full stage of illness

A

Presence of specific signs and symptoms of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Convalescent period

A

Recovery from the infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Normal Body Defenses

A
  1. Nasal passages
  2. Skin/mucous membrane
    Skull/Spinal column
  3. GU Tract
  4. GI Tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Types of normal flora

A
  1. Transient

2. Resident

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Transient

A

Bacteria that can be washed off, not permanent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Resident

A

Stays in//on your body, cannot be removed easily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Body’s Defense Against Infection

A
  1. Body’s normal floral
  2. Inflammatory response
  3. Immune response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Inflammatory response

A

Localized response to injury or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Immune response

A

Antibody response to specific antigen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Natural immunization

A

After getting the virus you would be immune the next time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Acquired immunization

A

Getting the vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cardinal Signs of Acute Infection

A
  1. Redness
  2. Heat
  3. Swelling
  4. Pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Lab data indicating infection

A
  1. WBC (normal is 5,000-10,000/mm3

2. Positive culture (presence of pathogen in urine, blood, sputum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Nosocomial infection

A

Infections associated with the delivery of health care (pt’s or health care workers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Common nosocomial infections

A
  1. Urinary tract infections
  2. Surgical site infections
  3. Bloodstream infections
  4. Pneumonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Standard precautions

A
  1. Wash hands

2. Wear gloves for any contact with body fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

When do you use a mask

A

During spinal procedures, protects against meningitis specifically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

PPE (personal protective equipment)

A
  1. Gloves
  2. Gowns
  3. Masks
  4. Protective eyewear
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

PPE for airborne

A

N-95 respirator and negative pressure room

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Common airborne diseases

A
  1. Tuberculosis
  2. Measles
  3. Chickenpox
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

PPE for droplet

A

Mask, no N-95 respirator, no negative pressure room, private room

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Common droplet diseases

A
  1. Influenza
  2. Whooping cough
  3. Mumps
  4. Meningitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

PPE for contact

A

Gown and gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Drug resistant organisms

A
  1. MRSA
  2. VRE
  3. C. diff.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Protective Isolation AKA

A

Neutropenic precautions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Protective Isolation precautions

A
  1. Positive pressure room
  2. No carpet
  3. No flowers
  4. Pt’s wear N-95 respirator when transporting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Aseptic Technique

A

Includes all activities to prevent or break the chain of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Categories of aseptic technique

A
  1. Medical asepsis (clean technique)

2. Surgical asepsis (sterile technique)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Medical asepsis

A

Things are assumed clean unless proven dirty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Surgical asepsis

A

Things are assumed dirty until proven clean

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Rules for surgical asepsis

A
  1. Don’t touch anything not sterile
  2. Don’t reach over sterile field
  3. Hands above waist
  4. Do not turn back on sterile field
  5. Peel open packages away from you and drop items
  6. Pour liquids carefully
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Communication

A

Interchange of information or thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Levels of communication

A
  1. Intrapersonal: Self-talk
  2. Interpersonal: Two or more people
  3. Group: Small group
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Forms of communication

A
  1. Verbal: Spoken, written

2. Nonverbal: Body language

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Things that influence/effect communication

A
  1. Developmental level
  2. Gender
  3. Values
  4. Environment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Types of proxemity

A
  1. Intimate zone (0-18 inch)
  2. Personal zone (18in-4ft)
  3. Social zone (4-12 ft)
  4. Public zone (12-25 ft)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Helping relationship

A
  1. Not spontaneous
  2. Unequal sharing of info
  3. Nurse is helper, pt is being helped
  4. Used to establish rapport and helping-trust relationships
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Social relationship

A
  1. Spontaneous
  2. Equal sharing of info
  3. Both people’s roles are equal
  4. Used to establish rapport and trust
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Phases of the helping relationship

A
  1. Orientation phase
  2. Working phase
  3. Termination phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Orientation phase

A
  1. Introductions
  2. Clarify roles (I am you SN…)
  3. Establish agreement about the relationship
  4. Orient pt to the health care system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Working phase

A
  1. Work together to meet pt’s needs
  2. Provide assistance to meet goals
  3. Provide teaching and counseling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Termination phase

A
  1. Examine goals
  2. Make suggestions for the future
  3. Encourage pt’s to express emotions about the termination
  4. Help pt establish a helping relationship with another nurse
  5. Assist pt in transferring
53
Q

Therapeutic interviewing questions

A
  1. Open-ended questions
  2. Closed questions
  3. Validating questions
  4. Clarifying questions or comments
  5. Reflective questions or comments
  6. Sequencing questions or comments
  7. Directing questions or comments
54
Q

Types of nursing notes

A
  1. Narrative

2. Flowsheet

55
Q

Narrative

A

Uses sentences to describe the pt’s progress and what just happened

56
Q

Flowsheet

A

Uses checklists and is usually electronic, only charts significant findings or exceptions to the norm (charting by exception)

57
Q

HIPPA stands for

A

Health Insurance Portability and Accountability Act

58
Q

Drug/medication

A

Any substance that modifies the body functions when ingested

59
Q

Examples of drug/medications that you wouldn’t think of

A
  1. Over the counter meds
  2. Herbal supplements
  3. Marijuana
  4. Caffeine
  5. OXYGEN
  6. Alcohol
60
Q

Chemical name

A

Identifies drug’s atomic and molecular structure

61
Q

Generic name

A

Assigned by the manufacturer that first develops the drug

62
Q

Official name

A

Name by which the drug is identified in official publications. (usually generic name)

63
Q

Trade name

A

Brand name copyrighted by the company that sells the drug

64
Q

Pharmacodynamics

A

Process by which drugs alter cell physiology and affect the body

65
Q

Types of parenteral medication injections

A
  1. Subcutaneous injection
  2. Intramuscular injection
  3. Intradermal injection
  4. Intravenous injection
66
Q

Types of medication orders

A
  1. Standing order: Carried out until cancelled by another order
  2. PRN: As needed
  3. Single or one-time
  4. Stat: Carried out immediately
67
Q

Parts of the Medication Order

A
  1. Patient’s name
  2. Date and time order is written
  3. Name of drug
  4. Dosage of drug
  5. Route of drug
  6. Frequency of administration
  7. Signature of person writing the order
68
Q

MAR

A

Medical administration record; list of medication of a pt

69
Q

Where do you open a unit dose

A

At the bedside

  • So you don’t mix up
  • If pt refuses
70
Q

5 rights of medication administration

A

Right:

  1. Medication
  2. Patient
  3. Dosage
  4. Route
  5. Time
71
Q

3 checks of medication administration

A
  1. When nurse reaches for medication
  2. After retrieval from drawer and compared with MAR/CMAR
  3. Before giving medication
72
Q

1 kilogram= ?g

A

1,000 g

73
Q

1 gram= ?mg

A

1,000 mg

74
Q

1 mg= ?mc

A

1,000 mc

75
Q

60 mgs= ?gr

A

1 grain

76
Q

1 teaspoon(tsp)= ?mL

A

5 mL

77
Q

1 Tablespoon(Tbsp)= ?mL

A

15 mL

78
Q

1 ounce= ?mL

A

30 mL

79
Q

What is the first identifier when ID’ing a pt

A

Validate the pt’s name

80
Q

What is the second identifier when ID’ing a pt

A

Validate the pt’s ID number, medical record number, or birth date

81
Q

Adverse drug effects

A
  1. Allergic effects (anaphylactic reaction)
  2. Drug tolerance
  3. Toxic effect
  4. Idiosyncratic effect: Wild reaction
  5. Drug interactions (antagonistic and synergistic effects)
82
Q

Antagonistic effect

A

Two meds fight each other off

83
Q

Synergistic effect

A

The two meds work even better together

84
Q

Who can prescribe a narcotic

A

Some states say only physicians, others allow APN’s (Advanced practice nurse) and PA’s

85
Q

What extra security measures are taken for narcotics

A
  1. Must be locked
  2. Record must be kept
  3. Routine counts done
  4. When another nurse comes, they also count and verify any meds that are discarded (if pt refuses)
86
Q

What are the nursing responsibilities concerning meds

A
  1. Give medication appropriately as ordered
  2. Know the indication
  3. Know the drug action
87
Q

Common high alert medications

A
  1. Insulin

2. Anticoagulants

88
Q

What organs should you assess because of their function before giving meds

A
  1. Liver (metabolize meds)

2. Kidneys (eliminate meds)

89
Q

Liver function tests

A
  1. Albumin
  2. ALT
  3. AST
  4. Bilirubin
  5. Total protein
90
Q

Renal function tests

A
  1. BUN
  2. Creatinine
  3. Creatinine clearance
  4. Albumin
91
Q

What to do when you give the wrong med

A
  1. Check pt
  2. Notify manager and PCP
  3. Write description of error
  4. Complete form used for reporting errors
92
Q

When is medication reconciliation required

A
  1. Shift report
  2. Admission
  3. Transfer to another hospital
  4. Discharge
  5. Surgery (usually)
93
Q

Classification of pain based on duration

A
  1. Acute

2. Chronic

94
Q

Sources of pain

A
  1. Nocieptive

2. Neuropathic

95
Q

Types of nocieptive pain

A
  1. Cutaneous (skin)
  2. Somatic
  3. Visceral
96
Q

Nocieptive pain

A

Normal way of interpreting pain; using the pain process

97
Q

Neuropathic pain

A

Nerve problem; no actual stimulus

98
Q

Origins of pain

A
  1. Physical
  2. Psychogenic (unidentified)
  3. Referred (perceived in an area distant from point of origin)
99
Q

Pain process

A
  1. Transduction
  2. Transmission
  3. Perception of pain
  4. Modulation
100
Q

Transduction

A

Activation of pain receptors

101
Q

Transmission

A

Conduction along pathways

102
Q

Perception of pain

A

Awareness of the characteristics of pain

103
Q

Modulation

A

Inhibition or modification of pain

104
Q

Gate control theory of pain

A

Small nerves carry pain stimuli to brain, large diameter nerve fibers inhibit pain stimuli; gating mechanism determines the impulses that reach the brain (you can distract from the pain)

105
Q

Common responses to pain

A
  1. Physiologic (sympathetic/parasympathetic)
  2. Behavioral
  3. Affective (facial expression)
106
Q

FLACC pain scale

A 
F: Faces
L: Legs
A: Activity
C: Cry
C: Consolability
- Used for infants, 0-2 points for each item
107
Q

When are PO meds evaluated

A

Within 45-60 minutes of administration

108
Q

When are IV meds evaluated

A

Within 15-30 minutes of administration

109
Q

Analgesic drugs

A
  1. Nonopiod analgesics

2. Opiod or narcotic analgesics

110
Q

Analgesics ladder (what type of pain relief to use first)

A
  1. Nonopiod and/or adjuvant
  2. Opioid and/or nonopiod/adjuvant
  3. Opiod for severe pain and/or nonopiod/adjuvant
111
Q

Narcotic side effects

A
  1. RESPIRATORY DEPRESSION (can kill)
  2. Sedation
  3. Confusion
  4. Hypotension
  5. Constipation
112
Q

Nursing Process

A

A systematic method that directs the nurse (and patient) in planning and providing care

113
Q

Steps of the nursing process

A
  1. Assessing
  2. Diagnosing
  3. Outcome identification and planning
  4. Implementing
  5. Evaluating
114
Q

Characteristics of the Nursing Process

A
  1. Systematic
  2. Dynamic
  3. Interpersonal
  4. Outcome oriented
  5. Universally applicable
115
Q

Types of data you gather during assessment

A
  1. History (subjective)

2. Physical (objective)

116
Q

Types of nursing assessments

A
  1. Initial (comprehensive) assessment
  2. Focused assessment
  3. Emergency assessment
  4. Time lapsed assessment (follow up)
117
Q

Goal of asssessment

A

To identify pt needs by

  1. Take all the data collected
  2. Cluster it into related categories
118
Q

Medical diagnosis

A

A clinical judgment identifying the illness/ disease

119
Q

Nursing diagnosis

A

A clinical judgment on a client’s response to actual or potential health problems or life processes

120
Q

NANDA stands for

A

North American Nursing Diagnosis Association

121
Q

What is NANDA

A
  • An approved standardized list of health problems treated by nurses
  • Organization meets and revises the list every 2 years
122
Q

Types of Nursing Diagnoses

A
  1. Actual nursing diagnosis
  2. Risk nursing diagnosis
  3. Possible nursing diagnosis
  4. Wellness nursing diagnosis
  5. Syndrome nursing diagnosis
123
Q

How do you write a nursing diagnosis

A

They come in 2 or 3 parts (we use 2)

  • First pick best choice from NANDA list (1st part)
  • Then add the phrase “related to” RT
  • Add the etiology (cause/contributing factor) of the problem (2nd part) (*dont include medical diagnosis!)
  • EX. Impaired gas exchange RT mucus in alveoli
124
Q

Maslow’s hierarchy of human needs (lowest to highest)

A
  1. Physiological
  2. Safety
  3. Love/belonging
  4. Esteem
  5. Self-actualization
125
Q

Steps in Planning (nursing process)

A
  1. Identify overall goal
  2. Id. how you will measure the goal (outcomes)
  3. Id. interventions to reach goal
126
Q

How to document goals (example)

A

The pt will have improved mobility AS EVIDENCED BY the ability to raise his arm above his head by discharge

  • Don’t use vague immeasurable sentences, has to be measured in some way
  • Also state a time for this goal to be accomplished by
127
Q

Nursing Interventions

A

Any treatment based upon clinical judgment and knowledge that a nurse performs to enhance patient/client outcomes

128
Q

Types of

Nursing Interventions

A
  1. Independent (nurse-initiated): Without physician orders
  2. Dependant (Prescriber-initiated): Initiated by physician
  3. Collaborative
129
Q

How to write nursing interventions

A
  • Be specific (who what where…)
  • Start with action verb (“administer”)
  • Detailed instructions
  • Include a time
    (Ex. Assess respirations for rate, ease, and depth every shift)

Intro to Nursing (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions