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Comprehensive Nursing Care Ch. 9 CONTINUED and Microorganism
Microorganisms and ch 9
88
Nursing
Not Applicable
08/14/2013

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Term
method of prioritizing victims according to their need for care
Definition
triage
Term
red triage
Definition
most severe; uncontrollable bleeding, major wounds, salvageable
Term
yellow triage
Definition
significant; no ambulation- can wait
Term
green triage
Definition
walking; wounded; stable
Term
black triage
Definition
deceased
Term
when can you legally stop cpr?
Definition
when someone relieves you
when you are physically exhausted
Term
where are reassignments made?
Definition
command center
Term
code pink usually means
Definition
child abduction
Term
protective devices used to limit the physical activity of a client or a part of the client's body
Definition
restraint
Term
restraints can be
Definition
physical or chemical
Term
t/f: restraints are applied as a last resort
Definition
true
Term
physician's order for restraint must include:
Definition
type of restraint and how long it will be used
Term
safe efficient use of the body to move objects and carry out activities of daily living
Definition
body mechanics
Term
widening base of support and lowering center of gravity means better _________ ________
Definition
body balance
Term
connects bone to bone
Definition
ligament
Term
connects muscle to bone
Definition
tendon
Term
ligament injury
Definition
sprain
Term
muscle injury
Definition
strain
Term
most common injury in health care worker
Definition
lower back injury
Term
proper way to lift
Definition
hold object close to body,
wide base of support,
bed at knees - not the waist
Term
more control occurs when you ______ an object DIRECTLY toward you than when you _________ an object away from you
Definition
pull, push
Term
runny nose
Definition
rhinorrhea
Term
patients have the right to
Definition
participate in own care,
accept/refuse medical/surgical treatment
prepare advance directive
information about provider of care
Term
two types of advanced directives
Definition
living will
DPOA- durable power of attorney
Term
describes type of treatment desired by the patient as well as the undesired treatment
Definition
advanced directive
Term
describes the medical treatment of life-sustaining treatments the person would want if seriously or terminally ill
Definition
living will
Term
t/f: attorney is required for living will
Definition
false! Not required!
Term
DPOA
Definition
durable power of attorney
Term
names a health care proxy (18+ yrs old) to make medical decisions in the event the patient is not able to decide for themselves
Definition
DPOA durable power of attorney
Term
t/f: living will considered more useful than DPOA
Definition
false- dpoa more useful
Term
DNR
Definition
do not resuscitate
Term
DNH
Definition
DO NOT HOSPITALIZE
Term
DNR must be written on yellow official form t/f
Definition
true
Term
t/f: the physician must pronounce the patient deceased and document this status before the nurse can discontinue life support
Definition
true
Term
physician provides means of death
Definition
physician assisted suicide
Term
t/f: in physician assisted suicide, the doctor administers lethal dose of medication
Definition
false! patient!
Term
palliative care
Definition
comfort measures; end of life care
Term
person who delivers emergency care in good faith at the scene of an accident is immune from civil liability while providing care UNLESS
Definition
They abandon the scene,
accept payment
Term
tiny liviing bodies visible only with a microscope present in the environment, body surfaces, mouth, and respiratory, intestinal, urinary, and vaginal tracts
Definition
microorganisms
Term
microorganisms that perform essential functions of the body; first line of protection against infection
Definition
normal flora
Term
types of microorganisms
Definition
bacteria, virus, fungi,parasite
Term
most common type of disease-causing microorganism
Definition
bacteria
Term
microorganism with NO NUCLEI
Definition
bacteria
Term
two specific types of bacteria
Definition
aerobic/anaerobic
Term
smallest of pathogens; invade the cell and change its dna and rna
Definition
virus
Term
microorganism that does not respond to antibiotics
Definition
virus
Term
common cold
Definition
rhinovirus
Term
plant organism; yeast or mold; eat tissue on or near skin
Definition
fungi
Term
ex. of fungi
Definition
yeast infection, athletes foot
Term
athletes foot
Definition
tinea pedis
Term
live on other organisms; totally dependent on host to survive
Definition
parasite
Term
invasion of the body by a disease causing organism or an infectious agent
Definition
infection
Term
microorganism that causes disease
Definition
pathogen
Term
thrives when system is compromised; ie aids
Definition
opportunistic pathogen
Term
microorganisms ability to live inside and outside of the body (aggressiveness)
Definition
virulence
Term
disease that is spread directly or indirectly; it can spread
Definition
communicable disease
Term
insect or item that can transmit disease
Definition
vector
Term
international organization that protects world populations from communicable disease
Definition
world health organization WHO
Term
agency charged with protecting usa from disease and spread of diseases; located in atlanta GA
Definition
centers for disease control and prevention CDC
Term
microorganism remains within a specific part of the body (type of infection)
Definition
local
Term
type of infection that spreads to other parts of the body; everywhere! Blood! bacteremia!
Definition
systemic
Term
spreads to all parts of the body (infection)
Definition
septicemia
Term
acute vs. chronic infection
Definition
sudden short acting vs. slow onset, long lasting, returning
Term
infection that was acquired within a healthcare setting
Definition
healthcare associated infection (nosocomial infection)
Term
infection directly caused by a healthcare provider
Definition
Iatrogenic infection
Term
Links in chain of infection
Definition
1. Pathogenic Agent
2. Carrier
3. Resevoir
4. Portal of Exit
5. Transmission
6. Portal of entry
Term
source of infection; first link
Definition
parthogenic/etiologic agent
Term
carries and can spread infection to others
Definition
carrier
Term
where microorganism lives before it infects
Definition
resevoir
Term
way by which microorganisms leave the resevoir
Definition
portal of exit
Term
way microorganism is transmitted to the host
Definition
transmission
Term
inanimate object; toy; cooking utensil; anything that is contaminated!!!
Definition
fomite
Term
transmission can be via:
Definition
direct contact
indirect contact
airborne
droplet
Term
way microorganism gets into the body
Definition
portal of entry
Term
person with compromised immune response
Definition
susceptible host
Term
t/f: all six links in chain must connect for an infection to occur
Definition
true
Term
t/f: failure to perform appropriate hand hygiene is the leading cause of healthcare associated infections and spread drug resistant organisms
Definition
true
Term
hormone that regulates blood pressure, immune function, glucose metabolism
Definition
cortisol
Term
small increases of cortisol
Definition
increased energy levels, immunity, memory, lower sensitivity to pain
Term
prolonged elevation of cortisol
Definition
low energy, immunity, groggy memory, high sensitivity to pain
Term
t/f: nutrition is important for infection resistance
Definition
true
Term
t/f: medical therapies may contribute to decreased immune system
Definition
true
Term
resistance to infection by the body
Definition
immunity
Term
body produces own antibodies
Definition
active immunity
Term
antibodies passed down from parents
Definition
passive immunity
Term
local reaction of tissues when exposed to injury or infections
Definition
inflammatory response
Term
primary signs of inflammation
Definition
pain
swelling
redness
heat
weakened function
Term
3 stages of inflammatory response
Definition
vascular and cellular response
exudate production
reparative phase
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