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NUR 155 > Unit 1 > Flashcards

Unit 1 Flashcards

1
Q

Direct Auscultation

A

unaided ear, listening to respiratory wheeze or creaking joint

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2
Q

Indirect Auscultation

A

uses stethoscope

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3
Q

Diaphragm of Stethoscope

A

high-pitched sounds (bronchial)

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4
Q

Bell of Stethoscope

A

low pitched sounds (heart)

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5
Q

Spoon-shape nail

A

Koilonychia

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6
Q

Clubbing

A

nail bed is 180 degrees

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7
Q

exophthalmos

A

protrusion of the eyeballs with elevation of the upper eyelids

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8
Q

visual acuity

A

degree of detail the eye can discern in an image

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9
Q

visual fields

A

the area an individual can see when looking straight ahead

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10
Q

myopia

A

nearsighted

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11
Q

hyperopia

A

farsighted

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12
Q

presbyopia

A

loss of ability to see close objects

-old age

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13
Q

Snellen chart

A

different letters

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14
Q

Crackles (rales)

A

crackling sounds -fine, short
inspiration
heard in bases of lungs

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15
Q

rhonchi

A

low-pitched gurgling coarse sounds
expiration
tracheas and bronchi

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16
Q

friction rub

A

creaking sounds
inspiration and expiration
thoracic expansion

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17
Q

wheeze

A

high-pitched, squeaky, musical sounds
expiration
all over lung fields

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18
Q

precordium

A

area of chest overlying the heart

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19
Q

systole

A

ventricles contract

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20
Q

diastole

A

ventricles relax

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21
Q

S1

A

AV valves close

lub

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22
Q

S2

A

semilunar valve closes

dub

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23
Q

bruit

A

blowing or swishing sound
elevated cardiac output
turbulence of blood flow

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24
Q

thrill

A

vibrating sensation

purring of cat

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25
Q

Critical Analysis

A

a set of questions one can apply to a particular situation to determine essential information and ideas and discard bad information

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26
Q

Socratic Questioning

A

a technique one can use to look beneath the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view, and differentiate what one knows from what one believes.

27
Q

Inductive Reasoning

A

generalizations are formed from a set of facts or observations

28
Q

Deductive Reasoning

A

reasoning from a general premise to the specific conclusion

29
Q

Nursing Process

A

a systemic, rational method of planning and proving individualized nursing care

30
Q

Problem Solving

A

a mental activity in which a problem is identified that represents an unsteady state

31
Q

Trial and Error

A

a number of approaches are tried until a solution is found

32
Q

Intuition

A

a problem-solving approach that relies on a nurses inner sense

33
Q

Clinical judgement

A

a decision-making process to ascertain the right nursing action to be implemented at the appropriate time in the clients care.

34
Q

Research Process

A

a formalized, logical, systematic approach to problem solving

35
Q

Independence

A

thinking for yourself

36
Q

Fair-Mindedness

A

assess all viewpoints with the same standards and do not base their judgments on personal or group bias or prejudice

37
Q

Insight into Egocentricity

A

open to the possibility that their personal biases or social pressures and customs could unduly affect their thinking

they actively try to examine their own biases and bring them to awareness each time they think or make a decision

38
Q

Intellectual Humility

A

having an awareness of the limits of ones own knowledge

39
Q

Intellectual Courage to Challenge the Status Quo and Rituals

A

a nurse is willing to consider and examine fairly his or her own ideas or views

40
Q

Integrity

A

individuals apply the same rigorous standards of proof to their own knowledge and beliefs as they apply to the knowledge and beliefs of others

41
Q

Perseverance

A

finding effective solutions to client and nursing problems lifelong

42
Q

Confidence

A

well-reasoned thinking will lead to trustworthy conclusions

43
Q

Curiosity

A

the curious nurse may value traditions but is not afraid to be sure they are still valid

44
Q

Assessing

A

collecting, organizing, validating, and documenting client data

45
Q

Diagnosing

A

analyzing and synthesizing data

46
Q

Planning

A

determine how to prevent, reduce, or resolve the identified problem

47
Q

Implementing

A

carrying out and documenting the planned nursing interventions

48
Q

Evaluating

A

measuring the degree to which goals have been achieved

49
Q

Subjective Data

A

symptoms

what the client states

50
Q

Objective Data

A

signs

observed or measured

51
Q

Primary source of data

A

the client

52
Q

Secondary source of data

A

anyone but the client

53
Q

Actual Dx

A

3 parts

54
Q

Risk Dx

A

2 parts

55
Q

NANDA Dx

A

problem and definition - related to (etiology) - as evidence by (signs)

56
Q

Asepsis

A

the freedom from disease-causing microorganisms

57
Q

Medical Asepsis

A

all practices intended to confine a specific microorganism to a specific area

58
Q

Surgical Asepsis

A

practices that keep an area or object free of all microorganisms

59
Q

Airborne Precautions

A

isolation room
N95
gloves

60
Q

Droplet Precautions

A

mask

gloves

61
Q

Contact Precautions

A

private room
gloves
soap and water to wash hands
gown

62
Q

Examples of Airborne Diseases

A

rubella
varicella
tuberculosis

63
Q

Examples of Droplet Diseases

A

diphtheria, pneumonia, scarlet fever

64
Q

Examples of Contact Diseases

A

c diff, MRSA, hepatitis

NUR 155 (1 decks)

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