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Definition
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Who did self care deficit nursing, goal is to help client attain total self care |
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establishes the scope of practice for each level of nurse |
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What war did Florence Nightingale do her most famous work? |
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What is the purpose of the NLN? |
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Definition
it sets standards and rules in nursing education |
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caring for several patients |
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Definition
uses the best evidence from during rehear studies and patient care data, it also considers the patients preference and values |
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Definition
payment system used by health maintenance organizations (HMO) |
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Definition
federal government health insurance program for people older than 65 years or those with certain disabilities or conditions |
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Term
What entity covers or absorbs the cost when client is discharged later than the calculated discharge date? |
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Definition
the hospital absorbs the cost if the patient is in the hospital longer than the time allowed. |
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Definition
one nurse care for a patient |
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Term
Issues that the ACA was designed to address |
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Definition
cost containment (budget has doubled) small business premiums (huge premiums) preexisting condition (people with previous injury) lifetime benefit caps (huge medical bills) |
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when addressing the economics of healthcare what factors help guide decisions? |
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Definition
medical necessity and the appropriate level of care |
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Term
Know the guide lines regarding coverage for care received in a SNF? |
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Definition
patient must be hospitalized for at least 3 days prior to admission patient must enter the nursing home within 30 days of hospitalization there is a 100 day stay maximum pre year related to any one hospitalization and diagnosis patient must be making regular progress as documented by the medical professionals |
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Definition
appropriate time for hospice care is when the patient is no longer seeking medical treatment to arrest or cure the disease and is expected to live 6 months or less treated with medication and other measures to relieve pain and remain comfortable |
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public health insurance is funded by the government, either state or federal, or combination of both. Examples: Medicare, Medicaid, and Indian Health Service |
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Definition
physician, dentist, or RN |
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Definition
failure to provide certain care that another person of the same education and locale would generally provide under the same circumstance. fails to see responsibility to the patient. |
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Injury, loss or damage to a patient because of failure to provide a reasonable standard of care or demonstrate a reasonable level of skill. fails to meet professional standards of care and injures patient |
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Definition
to purposely threaten physical harm to an individual |
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for a patient means to stand for that which is in the patients best invest, as opposed to that which is in the best interest of the physical hospital or coworker |
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assessment: gathering info though s/s, patient history, and objective findings diagnosis: nursing diagnosis related to the needs or problems the patient is experiencing planning: process of determine protease and what nursing actions should be preformed to help resolve or manage each patient implementation: process of taking action to resolve the patients problems ( working phase) evaluation: achieving the goals and outcomes set in the planning steps |
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3 parts of the nursing diagnosis |
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Definition
PES problem: diagnostic concept or label based on the patients needs etiology: what causes and is conned to the diagnostic label by the words “related to.” s/s include data collected and evidence used to support the diagnostic label. “as evidenced by” |
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Term
Define dependent, independent and collaborative interventions and know their application |
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Definition
dependent: requires a health-care provider order independent: provide the intervention without consulting anyone else. no physician order collaborative: involve working with other health-care professional in the hospital setting |
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Multidisciplinary Care Plan |
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Definition
another type of care plan frequently used in the hospital. it includes choices of different nursing diagnoses with options the nurse may select in order to individualize the patient care |
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use open-ended question or statements |
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Definition
encourages elaboration and discourages answering questions with one or two word. “tell me more about..” |
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Intimate personal space zone |
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Definition
physical contact to 18inches |
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Definition
giving info to someone below you, and side to side |
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Definition
aphasia: inability to speak or understand language expressive aphasia, say: disturbance in speech planning and speech production receptive aphasia, said: deficit in auditory comprehension or in receiving information. can hear but not understand global aphasia, both: deficit of planning, production, and comprehension of language. can speak and understand only a few words |
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Definition
controls sensory perception and sentry interpretation in which are necessary in communication process |
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Definition
closed ended questions finding out specifics |
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Definition
all the senses to interpret verbal and nonverbal messages attention is paid to what the speakers saying but also to that the speaker is not saying main focuses on the interaction and detects feeling as well as spoken words you respond to the content heard in the message, share your perceptions, and state as feedback what you, as listener, understand was said by the speaker |
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Definition
strikes suddenly and lasts for a limited time |
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chronic has gradual one, lasts for 6 months or longhand is characterized by intensifying or improving symptoms |
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Definition
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Definition
periods of worsening symptoms |
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Definition
periods of worsening symptoms |
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Definition
another name for exhaustion phase, because it describes the body’s attempt to adapt to the stressors we encounter. general adaptation syndrome |
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Define the phases/stages of stress |
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Definition
stressor: any stress-inducing event, can include a physical, emotional, pleasant, or unpleasant occurrence adaptation: is the ability to positively adjust to changes that occur in an individual world alarm phase: when we are stressed, our body responds with the flight or fight response resistance phase: if stressor continues in our life and we do not find positive ways of relieving it, our bodies get stuck in that fight-or flight response, producing high levels of cortisol and other stress hormones. the body works hard trying to resist the threats of stress and to keep working efficiently to prevent illness. can continue for weeks, months, or years exhaustion phase: when our bodies cannot keep up the pace of dealing with stressors and fighting off illness. when the body’s resources are depleted and we are most vulnerable to physical and psychological disease. |
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Definition
prodromal phase: they may simple “not feel good” with generalized body aches and fatigue symptomatic phase: observable phase develop- sore throat and congestion, or a rash with a fever. they can wait and see if they symptoms go away, treat with OTC meds, or home remedies, or seek advice from friends seeking help phase: seeking help from a medical professional, such as a physician, physician assistant, or nurse practitioner. some may seek healers, herbalist. once they have gotten help they must decide to follow advice or recommended treatment, or to seek help elsewhere dependency phase: a person relies on others for help in diagnosis and treatment. as the nurse you are often the one whom patient s must depend in during this phase. recovery phase: when a person is slowly able to resume independence and regain his or her health ppl with chronic illness often remain in the dependency phase because complete recovery is NOT possible. |
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Definition
the way of life that distinguishes a particular group of pool from other groups |
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means that you provide care to the patient and show respect for and incorporate the patients specific cultural believes and values into your nursing care |
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Know how to complete an interview with a client who has ESL |
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Definition
se an interpreter that is trained and not a family member or a small child b/c of the potential nature of the info that needs to be communicated |
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Define health promotion and list examples |
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Definition
health promotion: includes information about ways to stay healthy examples: getting regular exercise, making healthy food choices, drinking enough water, and including adequate about of fiber, vitamins, and minerals in diet |
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Define illiterate and functionally illiterate |
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Definition
illiterate: cannot read or write functionally illiterate: can sign name, do simple math, and read books at or below 5th grade level |
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Know the guidelines for utilizing handouts |
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Definition
keep handout at about a 5th grade reading level so that all patients can understand them write in short simple sentences if medical terms must be used, they should be clearly defined |
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Definition
used when the patience is lacking knowledge about the disease process or management of the diseases including diagnostic testing, medicaments and treatment. |
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readiness for enhanced learning |
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Definition
used when the patient has some basic knowledge about the illness and is ready further teaching |
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Know which internet websites are recommended |
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Definition
preferred sites for health-care info end in .org, ,gov, and ,edu use familiar sites with accurate information, web MD, and PDRhealth |
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Know the guidelines for teaching the elderly |
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Definition
have caregiver or family member present during teaching allow plenty of time for teaching so that your elderly patient doesn't feel rushed be alert to cues that he elderly patent doesn't understand the teaching be very patient with elderly learning use plenty of reparation without getting frustrated |
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Which test requires you to be NPO |
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Definition
endoscopy,fasting blood glucose, and barium enema |
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Definition
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specific gravity to urine is |
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Definition
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means a viral infection or an allergic condition |
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make sure to drink a bunch of fluid stools will be white until barium is eliminated |
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pressure must be maintained on the needle insertion site pt should be kept on bed rest for 6-8 hours keep leg straight assess CR, color, temp. |
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application of leads for telemetry monitoring |
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Definition
white to the right: white goes on right upper chest clouds over grass: white on right upper chest, green on right lower chest smoke over fire: black on left upper chest, red on left lower chest brown is ground: brown goes in the middle of the chest or/ R and L upper chest near the shoulders are used for arm lead placements lower limb are placed on the lower ribs towards the patients sides ground wire is placed on the center of chest |
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Definition
ask the patient if they are allergic to iodine, shellfish, radiopaque or any contrast medium. make sure to check their kidneys so they can get rid of dye |
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penia: means low leukopenia low WBC count |
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CHF( congestive heart failure) |
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Definition
b-tupe natriuretic peptide |
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Definition
produces slices of the site, allowing images of the organs and tissues at all depths |
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Definition
only used for oxygen delivery over 4L/min |
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Definition
pt can more easily eat and talk with it in place |
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Definition
used for pt who feel claustrophobic. allows for high amounts of humidity to be used. not precise |
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Definition
allow a precise m ix of room air and oxygen to equal a specific percentage of oxygen. give an exact control of inspired oxygen. |
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Definition
from O2 concentrations that are treated than 50% and used longer than 48 hr to 72 hrs |
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Definition
we need 30mL, we do it first thing in the morning,and after breathing treatment to make sure we have enough |
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Definition
used to hold tongue, for the unconscious patient |
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pink, frothy, bubbly fluid |
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condition pulmonary edema |
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Definition
7.35-7.45 slightly alkaline |
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Definition
on 4th inhalation, cough during exhalation to be most effective you should cough 3 time during one exhalation. this helps bring the mucus up from the deep in the airways and move it up and out. |
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blockage of the movement of contents through the intestine by a bulk mass of very hard stool |
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check for occult (hidden blood) |
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a flap is formed the closes the reservoir preventing leakage of the thin, watery effluent. several times a day, patient inserts s cath to drain the reservoir |
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what to do when the stoma is white |
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muscle tone of the smooth muscles of the GI tract and the control to the two rectal sphincters both decrease which causes fecal incontinence and constipation |
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give enema when patient is in L semis then sure them supine then on their R side to get enema disturbed through the colon |
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dark, tarry blood, high in GI system, old blood |
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occurs when the person is unable to reach a bathroom to urinate |
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the absence of urine or minimal urine |
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it strengthens lower muscles |
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Definition
pouch created from intestine, ureter empty into pouch. can self cath to empty the bladder |
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purpose for the medical record |
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Definition
to sever as a record of accountability for quality assurance accreditation and reimbursement purposes |
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guidelines that maintain a legally defensible record |
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Definition
sign each entry with first initial last name and credentials, make sure the patients name is on each page |
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benefits of a source oriented record |
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Definition
using specific forms for each, with each section designated by a labeled tab |
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Definition
shows how the patient responded |
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Definition
they make sure that there is documentation the patient responds to the treatment |
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Definition
the facility owns the original chart, but the patient owns the info inside the chart |
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Definition
used in progress notes, subjective, objective, assessment, plan intervention, evaluation, revision |
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Definition
document the time the respiration and heartbeat cease before you preform care. bath body, and if autopsu is not to be done remove tubing such as f/c and IV line. roll a small washcloth and place under chin if moth will not close. |
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Definition
notintened to cure the patients disease, may include advance aggressive interventions. |
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dehydration affects the dying client |
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Definition
adds comfort to dying patient increase endorphins, decrease fine, gastric fluid, pulmonary secretions, edema, and pain |
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Definition
written document prepared by a mentally competent patient, indicating which procedures and measures the patient does or does not want. |
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leaving against medical advice |
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Definition
have them sing a AMA form |
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Definition
need dr order, explain reason for transfer, reconcile patients meds, gather personal belongings, complete transferee summary form, phone a full report of patients condition to new nurse, doc time of transfer, |
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clients experience separation anxiety |
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Definition
children and older adults |
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Definition
name, room number, hospital number, age, dob, dr name, allergies |
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medication reconciliation |
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Definition
one of the most important discharge responsibilities. |
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Definition
assessment with touch, feeling skin and temp |
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Definition
redness of a designated site, normally a sign of inflammation due to increase circulation the inflamed site |
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Definition
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abnormally deep and rapid respirations, rhythm regular, blow off CO2. |
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Definition
grating, creaking sound that is due to inflamed, edematous pleural surfaces rubbing together during breathing |
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Definition
immediately get the physician |
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Term
how often do we do vital signs? |
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Definition
q4 hrs if something is abnormal, every 1 hour if temp is abnormal |
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Definition
watching a finger or a penlight |
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Definition
patient knows what they want to say but cannot say he words |
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has difficulty coordinating and organizing the words correctly |
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Definition
over a bony prominence with your fingertip and hold for approximately 2 sec |
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Definition
extensive heat application can result in massive vasodilation to the superficial skin and subcutaneous layer, depriving major organs. |
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Definition
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age, cognitive function, and impairment of circulation |
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Definition
need a dr order, generally accepted that cold pack may be applied to new localized injuries seen in the ER. |
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prevention of edema (cold) |
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Definition
treatment of choice for injuries that sweet. first 48-72 hrs. |
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Definition
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when a cold pack has been on too long |
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Definition
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Definition
see if they had one before, and who the tolerated it. |
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Definition
a closed, discolored wound cause by blunt trauma, bruise |
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Definition
superficial open wound which include scrapes, scratches, or rem-type wounds where the skin is broken such as a carpet or a skinned knee |
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Definition
open wound made by the accidental cutting or tearing of tissue. jagged edges often making closure of the wound more difficult and less aesthetically pleasing |
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Definition
channel or tunnel that develops between two cavities or between an infected cavity and the surface of the skin |
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Term
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Definition
proliferation phase, occurs when the wound begins to heal, and lasts for 21 days the process of healing begins with the presence of fibroblasts in the wound. they produce collagen, as new tissue begins to grow and fill in the wound it looks red and semitransparent. |
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Definition
wound is clean with little tissue loss the edges are approximated and wound is sutured closed |
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Definition
sterile scissors and forceps used to cut away dead tissues |
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Definition
full thickness tissues lost only it involves deep tissues necrosis of muscle, fascia, tendon, join capsule, and sometimes bone. |
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most environment dressing |
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Definition
hydrocolloid used on wounds with minimal drainage and on dry clean wounds. it absorbs excess fluid from the wound while still holding moisture |
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Term
how to reinforce a dressing |
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Definition
outline with a pen, initial, date and time. add another ABD dressing |
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Definition
sterile dressing soaked with normal saline |
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