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Fundamentals Test #2
Study Guide
40
Nursing
Not Applicable
09/13/2011

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Cards

Term
Nursing Process?
Definition
Systematic, logical method providing individualized nursing care.
Term
Individual parts Nursing Process?
Definition
Assessing, Diagnosing, Planning, Implementing, Evaluating
Term
Assessing?
Definition
Collecting, organizing, & documenting client data.
Term
Diagnosing?
Definition
Analyzing & synthesizing data.
Term
Planning?
Definition
Determine how prevent reduce or resolve identified patient/client problems; how implement nursing interventions organized, individualized, & goal directed manner.
Term
Implementing?
Definition
Carrying out planned interventions.
Term
Evaluating?
Definition
Measuring degree which goals & outcomes have been achieved; determine need continue, modify, or terminate plan care.
Term
Objective information?
Definition
What you observe.
Term
Subjective information?
Definition
What person says.
Term
Symptoms illness?
Definition
Subjective (what person tells you).
Term
Signs illness?
Definition
Objective (what you nurse observe).
Term
Independent nursing interventions?
Definition
Nurse can do.
Term
Dependent nursing interventions?
Definition
Carried out under doctor’s supervision or orders.
Term
What do you do prior performing procedure patient?
Definition
Check practitioners order (when in doubt check it out), gather necessary equipment, introduce yourself to client, identify patient/client (use 2 identifiers), provide privacy, explain what you are going do & why, wash your hands.
Term
What places patients greatest risk infection?
Definition
Number organisms present (dose), how virulent or potent organisms are, whether organism can live in host, morbidity (other diseases present), history immunizations, nutrition, developmental stage, smoking, substance abuse, breakdown skin/poor skin integrity, medications inhibit/decrease immune response, steroids/chemo/antibiotics, not taking all antibiotics prescribed, antibiotics becoming ineffective, nursing/medical procedures-break sterile field, environmental risks: asbestos, pollution, crowded conditions.
Term
Passive immunity?
Definition
Babies obtain certain period immunity from their mother after birth & when breast feeding.
Term
Active immunity?
Definition
Body produces its own antibodies to natural agents or artificial antigens acquired from vaccines.
Term
Most effective way prevent spread infection?
Definition
Hand washing
Term
Modes transmission infectious diseases?
Definition
Direct (kissing, touching, sex), indirect (contact with fomite), droplet or airborne (cough, sneeze).
Term
Acute?
Definition
Occur suddenly or lasts short time.
Term
Chronic?
Definition
Happens slowly over long period time and/or continues or recurs over long period time.
Term
Chain infection?
Definition
Six factors: agent/microorganisms, reservoir, portal entry, method/mode transmission, portal exit, susceptibility host.
Term
Issues assess when addressing patient safety?
Definition
Developmental stage, lifestyle, impaired mobility, sensory perception, cognitive awareness, emotional state, ability communicate.
Term
Importance good body mechanics?
Definition
Safe, efficient use body move objects & carry out activities daily living; use appropriate muscle groups maintain balance, reduce fatigue & energy expended, & prevent injury.
Term
Reasons perform hygiene?
Definition
Attend to functions such as bathing, toileting, general body hygiene, & grooming. Contributes physical & psychological well being. Provides personal comfort, improves self-image & decreases opportunities infection/disease.
Term
How often perform basic hygiene?
Definition
Early morning (clients awaken), morning (after breakfast), afternoon, hour sleep (hs).
Term
Types infectious diseases?
Definition
Local infections, Systemic infections, Septicemia, Acute infections, Chronic infections, Nosocomial infections, Iatrogenic infections.
Term
Local infection?
Definition
Only affects one specific part body.
Term
Systemic infection?
Definition
Spread other parts body.
Term
Septicemia?
Definition
Systemic infection spread into bloodstream.
Term
Acute infection?
Definition
Occur suddenly or lasts short time.
Term
Chronic infection?
Definition
Happens slowly over long period time & continues or reoccurs over long period time.
Term
Nosocomial infection?
Definition
Hospital acquired infection.
Term
Iatrogenic infection?
Definition
Caused directly by diagnositc or therapeutic source.
Term
Agent/microorganisms?
Definition
Pathogens- Factors affect whether or not agent will invade body & cause infection include: number organisms present (dose), how virulent or potent organisms are, whether organism can live host.
Carrier- person has infection but shows no signs/symptoms illness. Potential source infection others.
Term
Reservoir?
Definition
Place where organism lives. Source microorganisms includes: other people, animals, insects, food, contaminated or stagnate water, counter tops, floors, etc.
Term
Portal exit?
Definition
Way organism can leave their place residence. Can include any body fluid: wound drainage, blood, urine, feces, mucus or break skin or mucus membrances, coughing, sneezing, diarrhea, drains, IV lines.
Term
Method/mode transmission?
Definition
Manner organism gets host. 3 types transmission: direct, indirect, droplet or airborne.
Term
Portal entry?
Definition
Way get into host. Eyes, nares, mouth, vagina, cuts, scrapes, wounds, surgical sites, IV/ drainage tube sites. Bite from vector.
Term
Susceptibility host?
Definition
Natural defenses, immune compromised. Factors affect how susceptiable host: Morbidity (other disease processes present), history immunizations, nutrition.
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