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Fundamentals of Nursing 1 > Unit 4 > Flashcards

Unit 4 Flashcards

0
Q

Environment, basic needs, physical hazards, age/development

A

Safety factors

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1
Q

A basic human need ; Freedom from psychological and physical injury

A

Definition of safety

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2
Q

Home, community, school, hospital

A

Environments

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3
Q

Oxygen, nutrition, temp/humidity, cognitive awareness, emotional state

A

Basic needs

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4
Q

Enforce no smoking ; be aware of a decrease in oxygen availability

A

Basic need - oxygen

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5
Q

Lighting, obstacles, bathroom hazards, security, pathogens

A

Physical hazards

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6
Q

injuries are the leading causes of death in ages_____

A

1-25 years old

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7
Q

_______ _______ changes as the patients age

A

teaching purposes

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8
Q

in the event of a fire you will be expected to perform _____

A

R-A-C-E

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9
Q

Risk for physical violence and work related accidents

A

safety hazard for working in healthcare setting

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10
Q

rescue those who are in immediate danger

A

R in RACE

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11
Q

Pull the fire ALARM and call it in

A

A In race

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12
Q

contain or confine the fire ( close doors)

A

C in Race

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13
Q

Extinguish if its a small fire

A

E in Race

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14
Q

Pull Pin, Aim at base of fire, Squeeze and Sweep

A

PASS

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15
Q

harm to your patient, fellow worker or yourself; liability suit ; loss of licensure

A

violations in safety could result in…

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16
Q

lifestyle, neuro function, mobility function, cardiopulmonary function

A

health history data the nurse should gather

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17
Q

ask about the home environment and daily activities; meds they take

A

lifestyle

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18
Q

ask about balance and coordination

A

neuro function

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19
Q

ask about ambulatory aids, ex walkers canes, etc…

A

mobility function

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20
Q

ask about SOB or fatigue

A

cardiopulmonary function

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21
Q

unexplained bruises or cuts, LOC, how well they make decisions, Musculoskeletal assessment , changes in vitals signs with activity

A

important subjective and objective data that the nurse should gather

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22
Q

risk for injury, risk for poisoning, risk for aspiration, risk for impaired home maintenance

A

nursing diagnosis related to safety

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23
Q

variance and fall reports do not go into the chart because of _____ ______

A

legal reasons

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24
Q

free from injury, free from poisoning, etc..

A

Goals for safety

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25
Q

individualized for each pt ; focus on prevention, holistic in nature

A

Guidelines for nursing interventions relating to safety

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26
Q

wiping up spills, pick up packaging, putting equipment away

A

Ways to reduce physical hazards

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27
Q

physical hazards are reduced, basic needs are met, psychological status is not jeopardized, and transmission of infections are reduced

A

safe environment for patients

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28
Q

offer toileting and fluids frequently

A

Make sure basic needs are met

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29
Q

step in when any type of abuse is witnessed

A

psychological status is not jeopardized

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30
Q

hand washing and wearing gloves

A

Refusing transmission of infection

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31
Q

quality safety of education nursing

A

QSEN

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32
Q

demonstrate effective use of technology and standardized practices that support safety and quality

A

QSEN safety standards

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33
Q

demonstrate affective use of strategies to reduce risk of harm to others and self

A

QSEN safety Standards

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34
Q

use appropriate strategies to reduce reliance on memory

A

QSEN Safety standards

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35
Q

use of biological agents to create fear and threat; most likely form of terrorist attack

A

Bioterrorism

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36
Q

recognizing changes in trends in emergency rooms and urgent care, know policy and procedures, be familiar with syndromes associated with bio-terrorist acts

A

roles and responsibilities of a nurse in emergency management

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37
Q

restriction of freedom of movement or normal access to a person body that is not an usual part of treatment

A

restraints

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38
Q

meds such as anxiolytics and sedatives use to manage a patients behavior that is not a standard treatment

A

chemical restraints

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39
Q

manual, physical or mechanical device that reduce ability of a patient to move freely

A

physical restraints

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40
Q

Know agency policies, ongoing assessments are needed, must be clinically justified

A

legal implications for restraints use

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41
Q

reduce the risk of patient injury, prevent interruption of therapy such as IV, NG, Foleys, prevents patients from removing life supporting equipment , reduce risk of injury to others by the patient

A

objectives for use of restraints

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42
Q

weight sensitive mats, posey beds, side rails, alarms, and one on one

A

alternative to restraints

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43
Q

be aware of who is present, be cautious when leaving at night, do not share personal info, reports suspicious behaviors

A

Guidelines for keeping yourself safe

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44
Q

environmental factors, developmental needs, alternative food patterns, lifestyle, religious practice, economics

A

factors that affect nutrition

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45
Q

lifestyle, work schedule, poor meal choices, lack of access to full service grocery store

A

environmental factors that affect nutrition

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46
Q

food budget, infection, surgery,alcohol/ drug abuse, loss of energy , changes in bowel habits, inadequate diet for more than three days

A

cues for poor nutrition

47
Q

past nutritional problems, eating habits, sociocultural patterns, perceived nutritional problems, medicine and supplementary intakes

A

health history data that is necessary for the nurse to gather

48
Q

alert/ responsive, normal weight, well developed muscle tone, good attention span, bright clear eyes, normal heart rate and rhythm

A

signs of good nutrition

49
Q

obesity, anorexia, rapid heart rate, easily fatigued, no energy , flaccid muscle tone

A

signs of poor nutrition

50
Q

percent of the total blood volume made up of RBC

A

Hematocrit blood test

51
Q

Measures the total amount of hemoglobin in the peripheral blood

A

hemoglobin blood test

52
Q

hemoglobin and hematocrit

A

H and H

53
Q

measures plasma protein in the blood

A

albumin blood test

54
Q

to identify patients who are at risk for ASHD

A

Cholesterol blood test

55
Q

risk for aspiration, deficient knowledge , imbalanced nutrition, risk for imbalanced nutrition, readiness for enhance nutrition, impaired swallowing, feeding self care deficit

A

nursing diagnosis related to nutrition

56
Q

often done in collaboration with the physician/ dietician, should include patient teaching, provides assistance to create an atmosphere that encourages eating, explain special diets

A

nursing interventions relating to nutrition

57
Q

NPO, clear liquid/ full liquid , soft mechanical and puree, low residue, low fiber, low fat, low sodium,

A

types of diets

58
Q

daily activities , activity tolerance, health status, physical problems, mental status, age/ developmental influences,

A

Data gathered by nurse during assessment

59
Q

body alignment, muscle mass and strength , ROM, ability to accomplish ADLs

A

parts of a physical exam relating to activity

60
Q

impaired physical mobility, risk for disuse syndrome, ineffective airway clearance, risk for injury, insomnia

A

nursing diagnosis related to activity

61
Q

if pt is experiencing any mobility problems goals and inspected outcomes are directed towards the _____ ______ ______ ______

A

promotion of physical activity

62
Q

if a patient has problems related to decrease mobility the goals and expected outcomes are directed towards…

A

maintaining present function, preventing further muscle weakness, promoting optimal mobility prom

63
Q

assess/ monitor health promotion activities, promote restorative care, promote fitness

A

nursing intervention related to activity

64
Q

limited bed rest, good body alignment, ROM

A

assess/monitor pt health promotion activity

65
Q

ambulation assistance, physical therapy

A

promote restorative care

66
Q

aerobic, isometric, isokinetic, isotonic,

A

types of fitness

67
Q

sustaines muscle movement, promotes cardiovascular functions and regulates weight control ex.. running, swimming, zumba

A

aerobic exercise

68
Q

dynamic, active muscle movement, maintains tone and strength, promotes joint and bone health ex… ROM, swimming

A

Isotonic exercise

69
Q

conditioning :used in rehab

A

isokinetic exercise

70
Q

static movement , increases heart rate and cardiac output, muscle contractions with joint movement, used with hospital pts

A

isometric exercise

71
Q

cyclical physiological process that alternates with longer periods of wakefulness, prevents fatigue for mind and body

A

sleep

72
Q

state of being mentally relaxed, free from anxiety, and physically calm

A

Rest

73
Q

to reduce stress, to restore biological process for the next period of wakefulness, to conserve and restore energy, to restore cognitive function, to dream

A

functions of sleep

74
Q

NREM, REM

A

stages of sleep

75
Q

non Rapid Eye Movement

A

NREM

76
Q

Rapid Eye Movement

A

REM

77
Q

day dreaming, 70-80 % of NREM sleep

A

Stage 1 NREM sleep

78
Q

50% of total sleep ; 10-15 min

A

stage 2 of NREM sleep

79
Q

more easily aroused in these stages

A

Stage 1 and 2 of NREM of sleep

80
Q

deep sleep; there is rarely movement

A

stage 3 Of NREM

81
Q

greatest depth of sleep where all functions slow down

A

Stage 4 Of NREM

82
Q

deeper sleep; slow wave

A

Stages 3 and 4 of NREM

83
Q

end of each sleep cycle; lasts 5-30 min ; dream state; distinct eye movement

A

REM Sleep

84
Q

8-10 hrs at night, 15 hrs total, 30% of sleep time is in REM, 40-50 min sleep cycles

A

infants

85
Q

12 hrs total, still need daytime naps up until the age 3

A

toddlers

86
Q

12 hrs 20% REM sleep, night mares ; might need night light

A

Preschoolers

87
Q

11-12 hrs

A

school age

88
Q

7 1/2 hrs of sleep

A

adolescents

89
Q

6-8 1/2 hrs , insomnia starts to occur because of stress

A

young adult

90
Q

number of hrs decline, insomnia is common

A

middle adult

91
Q

50% report sleeping problems, takes more time to fall asleep, less REM sleep, Difficult to restore themselves cognitively

A

elderly adult

92
Q

drugs/ substances, lifestyle, sleep patterns, emotional stress, environment, exercise/fatigue,food intake

A

factors affecting sleep

93
Q

meds and antidepressants, caffeine, alcohol

A

drug/substances that affect sleep

94
Q

daily routines, patterns, traveling in different time zones, shift work, night or day, late night life

A

lifestyle

95
Q

chronic insomnia, falling asleep driving

A

usual sleep patterns

96
Q

ventilation, mattress, snoring , tv

A

environment

97
Q

if you exercise it does help with sleep

A

exercise and fatigue

98
Q

poor sleep, nocturnal syndrome

A

emotional stress

99
Q

develop good eating habits, do not eat large meals, or spicy meals before sleep, alcohol

A

food/ calorie intake that affects sleep

100
Q

chronic difficulty falling asleep, most common sleep disorder, nonrestorative sleep

A

insomnia

101
Q

cessation of breathing or stopping of breathing for a time during sleep

A

sleep apnea

102
Q

Headaches, constipation can be caused by

A

Circadian rhythm

103
Q

genetic, excess of daytime sleeping

A

hypersomnia

104
Q

falling asleep whenever

A

narcolepsy

105
Q

somabulism, sleep talking, sleep walking, enuresis, nightmares, night terrors, errections

A

parasomnias

106
Q

most common in children as trying to get into REM sleep

A

somabulism

107
Q

occurs during non REM and the beginning of REM cycle

A

Sleep walking

108
Q

bed wetting

A

enuresis

109
Q

form of seizure , involuntary response

A

night terrors

110
Q

Restless Leg Syndrome

A

RLS

111
Q

Periodic Limb Movement

A

PLM

112
Q

Teeth Grinding, possible seizure

A

Bruxism

113
Q

genetics, sleep pattern, narcolepsy, some insomnia & somabulism, lifespan , consideration, age, developmental factors

A

other factors affecting sleep

114
Q

actual intolerance, sleep pattern disturbance, fatigue , anxiety

A

nursing diagnosis applicable to sleep

115
Q

support rituals, create a restful environment, decrease distractions, try alternative supplements

A

Nursing interventions relating to sleep

116
Q

if possible avoid sleeping pills

A

should be non pharm

Fundamentals of Nursing 1 (9 decks)

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