North American Nursing Diagnosis Association-International

traditional system of charting in which the nurse documents in story foem all pertinent observations, care, & responses in the nurse's notes section of the patient's record

a device for delivery of oxygen by way of two small tubes that are inserted into the nares

a pliable tube that is inserted through the patient's nasopharynx & into the stomach

failure to act as a responsible, prudent person would act in the given situation

applies to professional & laypeople

any abnormal growth of new tissue, benign or malignant

tube formed from the fusion of the neural folds from which the brain & spinal cord arise

a term describing difficulty with stress that causes mild interpersonal disorganization

There is no loss of reality perception

the individual has insight that he or she has a problem

toxic or damaging to the brain

a surgical procedure to wrap the fundus of the stomach around the distal esophagus to prevent refulx of the stomach contents to the esophagus

- difference between intake & output of nitrogen in the body

- If intake is greater, a positive nitrogen balance exists & anabolism occurs.

- If output is greater, a negative nitrogen balance exists & catabolism occurs.

- When nitrogen intake equals output, the body is in zero nitrogen balance.

excessive urination at night

ethical principle meaning "to do no harm"

non-rapid eye movement

NREM

one of two highly individualized sleeping states divided into four stages through which a sleeper progresses during a typical sleeping cycle

represents 3/4 of a period of typical sleep

communication techniques, both verbal & nonverbal, that hinder the nurse-patient relationship

the transmission of messages without the use of words

an infection acquired in a hospital or any other health care facility

an infection acquired at least 72 hrs after admission

a stimulation of the sensory nerve endings that is harmful, injurious, or detrimental to physical health

pain & stiffness in the neck when flexed

a family unit consisting of the biological parents & their offsprings

top number of a fraction

a statue enacted by the legislature of any of the states or by the appropriate officers of the district's possessions

The act delineates the legal scope of the practice of nursing within the geographic boundaries of jurisdiction

tooth decay caused by bottle feeding during sleep

plan of care based on a nursing assessment & a nursing diagnosis

lists nursing actions necessary to meet a patient's needs

a clinical judgment about individual, family, or community responses actual or high-risk (potential) health problems or life processes

data collected about the patient's level of wellness, changes in life patterns, sociocultural role, & mental & reactions to illness

activity performed by nurse that should promote the achievement of the desired patient outcome

the form on the patient's chart on which nurses record their observations, care given, & the patient's responses

identification by a nurse of the needs, preferences, & abilities of a patient

Assessment provides the scientific basis for a complete nursing care plan.

systematic method by which nurses plan & provide care for patients

the results or outcomes of nursing interventions

These outcomes or indicators are infulenced by nursing & can be used to judge effectiveness of care & determine best practices.

nutrients relative to calories

foods providing a high quality of one or more nutrients in a small number of calories is nutrient dense

abnormal increase in the proportion of fat cells, mainly in the viscera & subcutaneous tissues of the body

grossly overweight

of or pertaining to a clinical finding that is observed, palpated, or ausculated

Laboratory findings, as well as radiologic & other studies, are included

observable & measurable signs

refers to the persistent thought or idea with which the mind is continually & involunarily preoccupied & that suggests an irrational act

an obstruction or closing off of a canal, vessel, or passage of the body

hidden

Occupational Safety & Health Adiminstration

OSHA

ferderal agency responsible for monitoring safety & health standards in the workplace

abnormally small amount or abscence of amniotic fluid

often indicative of fetal urinary tract defect

a diminished capacity to form & pass urine (less than 500ml/24hrs)

result is that the end products of metabolism cannot be excreted efficiently

Omnibus Budget Reconciliation Act

OBRA

federal lgislation that mandates specific standards governing the care of older adults in U.S. nursing facilities & prohibits routine use of safety reminder devices (SDR's; restraints) in nursing homes

the sum of knowledge regarding tumors

the branch of medicine that deals with study of tumors

a structured form of communication in which the sender is in control

a question that does not require a specific response & allows the individual to elaborate freely on a subject

a relaxed stance with uncrossed arms & legs while facing another individual

disease characteristic caused by a normally nonpathogenic organism in a host whose resistance has been decreased by a disorder such as AIDS

care of the oral cavity (mouth)

results in a structural change in a organ that inteferes with its functioning

pertaining to the posture assumed by the patient sitting up in bed at a 90 degree angle

patient may also lean forward supported by a pillow or over a bed table

a drop of 25 mm Hg in systolic pressure & a drop of 10 mm Hg in diastolic pressure when moving from a lying to sitting position

passage of water across a selectively permeable membrane

the water moves from a less concentrated solution to a more concentrated solution

description of the specific measurable behavior (outcome criteria) that the patient will be able to exhibit after the nursing interventions

hormone produced in the hypothalamus & stored in the posterior pituitary gland

when needed, promotes the release of breast milk & stimulates uterine contractions during labor

an evaluation of the factors that alleviate or exacerbate a patient's pain 

designed to relieve pain & distress & to control the signs & symptoms of disease

not designed to produce a cure

preventing, relieving, reducing, or soothing symptoms od disease or disorders without effecting a cure

Extends the principles of hospice care to a broader population that could benifit from comfort care earlier in their illness or disease process.

a technique used in physical examination in which the examiner feels the texture, size, consistency, & location of certain parts of the body with the hands

- an anxiety disorder that exists a sudden onset of acute, extreme anxiety

- Feelings of terror & intense apprehension are accompanied with physical manifestations such as dyspnea, palpitations, sweating, trembbling, & dizziness.

- An attack may last for several minutes & may be triggered again in certain situations.

papanicolaou test

(Pap smear)

a simple smear method of examining stained exfoliative cells

used most commonly to detect cancers of the cervix

a combining form meaning "similar, beside"

Also a combining form meaning a woman who has given birth to children in a # of pregnancies.

a procedure in which fluid is withdrawn from the abdominal cavity

sexual perversion or deviation

One of three main clusters of sexual & gender identity disorders.

a communication technique that involves restating the patient's message in the nurse's own words to verify that the nurse's interpretation of the message is correct

tissue of an organ as distinguished from supporting or connective tissue

pertaining to treatment other than through the digestive system

administering nutrients by a route other than the alimentary canal, such as IV

begins at the birth or adoption of the first child

receiving a message without any response or indication of understand

the movement of small molecules across the membrane of a cell by diffusion

no cellular energy is required

a condition of being opened & unblocked

capable of causing disease

a method of patient assessment & care plan development prescribed by OBRA in 1987

patient-controlled analgesia

PCA

a drug delivery system that dispenses a preset IV dose of an opioid analgesic into a patient's vein when the patient pushes a switch on an electric cord 

a family style in which the male assumes the dominate role

specialty practice that focuses on the care of children with disabilities or other chronic conditions & their families

administers contract agreements requiring a nurse to undergo treatment & monitoring to keep his or her license in good standing

an appraisal by professional co-workers (of equal status) or the way an individual nurse conducts practice, education or research

hundreths

symbolized as %

using fingertips to tap the body's surface to produce vibration & sound

through the skin or mucous membrane

periord of pregnancy that begins with the onset of labor & ends with delivery of the placenta

sometimes called intrapartial

care given to the genitalia

pertaining to the oputside, surface, or surrounding area of an organ, other structure or fluid of vision

a progressive megaloblastic, macrocytic anemia, affecting mainly older people, that results from a lack of intrinsic factor essential for the absorption of vitamin B₁₂

self-care measures that people use to maintain their health

refers to the relatively consistent set of atitudes & behaviors particular to an individual

it consists of a pattern of mental, emotional, & behavioral tracts of a person

WBC's that are able to surround, engulf & digest microorganisms & cellular debris

drugs, or drug-based products or preparations

study of drugs & their actions on the living body

an anxiety disorder characterized by obsessive, irrational, & intense fear of a specific object or activity

cheifly, an intracellular anion in fuid of the body

treatment for hyperbilirubinemia & jaundice in the newborn that involves the exposure of light

accelerates the excretion of bilirubin in the skin, decomposing it by photooxidation

jaundice usually occurring 48hrs or later after birth, gradually disappearing by the 7th - 10th day

caused by the normal reduction in the number of RBC's

The infant is otherwise well.

craving to eat nonfood substances

positive response to treatment

obstruction, boundary, or separation provided by the placental tissue between the fetal & maternal circulation

substances of small size, excluding blood cells, may cross this barrier

in the 5-step nursing process, a category of nursing behavior in which a strategy is designed for the achievement of the goals of care for an individual patient, as esteblished in assessing & analyzing

Planning includes developing & modifying a care plan for the patient, cooperating with other personal, & recording relevant information.

the potential space between the visceral & parietal layers of the pleurae

a collection of air or gas in the pleural space, causing the lung to collapse

the condition or physical state produced by the ingestion, injection, inhalation, or exposure of a poisonous (toxic) substance

excessive number of digits (fingers or toes)

problem-oriented medical record

care of the body after death

the final stage of the maternal cycle

the dominate intracellular cation

when one drug increases the action or effect of another drug

an abnormal condition of pregnancy characterized by the onset of acute hypertension after the 24th week of gestation

pregnancy-induced hypertention

PIH

a disease encountered during pregnancy or early in the puerperium, characterized by increased hypertension, albuminuria, & generalize edema (also called gestational hypertention[GH])

a normal loss of hearing acuity, speech intelligibility, auditory threshold, & pitch associated with aging

defect in visionin advancing age involving loss accommodation or recession or near vision

due to loss of elasticity of crystaline lens

persistent penile erection

one who assumes on going responsibility for health maintainance & therapy for the ill

baby teeth that normally appear during infancy

a wound that has been made surgically & has little tissue loss

skin edges are close together & minimal scarring results

any health care condition that requires diagnostic, theraputic, or educational action

prioritized master list of the patient's active, inactive, temporary, & at-risk medical or other problems

serves as an index to the rest of the record

problem-oriented medical record

POMR

method of recording data about the health status of a patient in a problem-solving system.

parts are included are the database, problem list, initial plan, & progress notes

early sign of a developing condition or disease

a hormone secreted from the anterior pituitary gland that is responsible for stimulating milk production in the mammary alveolar cells

palm of the hand turned down

lying face down on the abdomen

shows that the relationship between two ratios ha equal value

growth & development that moves from the center towards the outside

The infant gains control of the shoulders before developing control over the hands & fingers

the symptoms of itching

an uncomfortable sensation leading to the urge to scratch

scratching often leads to secondary infection.

Some causes of "this" are allergy, infection, elevated serum urea, jaundice, & skin irritation.

discharge of blood-tinged mucus from the vagina of the newborn, which occurs in response to maternal hormones

drugs that makes the user feel good but have the potential to be abused or addicting

relating to causes that are emotional, psychological, or nonorganic in origin

any major disorder characterized by gross impairment in reality testing

the effected person exhibits moderate to severe personality disintegration

a combination of psychological & social factors

period of time after the 3rd stage of labor & lasting until involution of the uterus takes place, usually about 3-6 weeks

a rhythmic beating or vibrating movement

regular recurrant expansion & contraction of an artery produced by waves of pressure caused by the ejection of blood from the left ventricle of the heart as it contracts

a condition that exists when the radial pulse rate is less than the ventricular rate as auscultated at the apex of the heart

difference between the systolic & diastolic BP, usually 30-40 mm HG

crushed to a powder

producing or containing pus