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Nursing 101 test 1
test 1
212
Nursing
Undergraduate 1
10/12/2009

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Term
Abdominal assessment
Definition
bed <30 degrees
Inspect abdomen
auscultate the 4 quadrants
palpate abdomen
Term
Bronchial breath sounds
Definition
-high pitched
-over the trachea, larynx, & anterior lung surface
-inspiratory sounds are shorter in duration than expiratory sounds
Term
Bronchial Vesicular breath sounds
Definition
-medium pitched
-upper sternum anteriorly, and between the scapulas posteriorly
-expiratory and inspiratory sounds are equal in duration
Term
Vesicular breath sounds
Definition
-low pitched
-heard over peripheral lung fields
-inspiratory sounds are longer in duration than expiratory sounds
Term
Neurovascular assessment
Definition
1. color
2. capillary refill
3. motion
4. sensation
5. temp of extremities
6. radial/ dorsalis pedis pulses
Term
S
Definition
Without
Term
ss
Definition
one half
Term
q.s.
Definition
quantity sufficient
Term
npo
Definition
nothing by mouth
Term
rx
Definition
take
Term
pdr
Definition
physician's desk reference
Term
nf
Definition
national formulary
Term
aa
Definition
each
Term
SOB
Definition
short of breath
Term
dsg
Definition
dressing
Term
hob
Definition
head of bed
Term
hx
Definition
history
Term
vss
Definition
vital signs stable
Term
TPR
Definition
Temperature, pusle, respirations
Term
CA
Definition
cancer
Term
DM
Definition
Diabetes Mellitus
Term
fx
Definition
fracture
Term
UTI
Definition
urinary tract infection
Term
HTN
Definition
hypertension
Term
URI
Definition
upper resp infection
Term
CHF
Definition
congestive heart failure
Term
MI
Definition
myocardial infarction
Term
CVA
Definition
cerebrovascular accident
Term
pe
Definition
pulmonary emboli
Term
PVD
Definition
peripheral vascular disease
(non-cardiac disease of blood vessels)
Term
ASHD
Definition
Atherosclerotic heart disease
Term
COPD
Definition
chronic obstructive pulmonary disease
(forced expiratory flow is slowed)
Term
CABG
Definition
coronary bypass graft
Term
CAD
Definition
coronary artery disease
Term
1 grain=
Definition
60 mg
Term
1 kilogram=
Definition
1000 grams
2.2 pounds
Term
1 quart=
Definition
1000 ml
Term
1 pint=
Definition
500 ml
Term
1 ounce=
Definition
30 ml
(2 tablespoons)
Term
1 tablespoon=
Definition
15 ml
(3 teaspoons)
Term
1 teaspoon=
Definition
5 ml
Term
1 gram=
Definition
1000 mg
15 grains
Term
the morse fall scale
Definition
1. history of falling
2. secondary diagnosis
3. ambulatory aids
4. presence of IV infusion
5. gait/ transferring ability
6. mental status
Term
ABC priority
Definition
Airway, breathing, circulation
Term
acute
Definition
sudden onset, brief course
Term
chronic
Definition
persistent condition, long duration
Term
suspension
Definition
undissolved drugs (powders) dispersed in liquid for oral or parenteral use
Term
reconstitute
Definition
add liquid to a powder medication
Term
troche
Definition
small, disc-shaped or rhombic body composed of paste held in the mouth until dissolved to treat the mouth and throat
Term
magma
Definition
a salve or thick paste
Term
idiosyncracy
Definition
an abnormal reaction to a drug
Term
crepitus
Definition
the grating of a joint, often in association with osteoarthritis
Term
excoriation
Definition
a scratch mark
Term
ecchymosis
Definition
a purplish patch
Term
syncope
Definition
loss of consiousnessand postural tone caused by diminished cerebral flow
Term
MDRO
Definition
drug resistant organism
Term
atrophy
Definition
wasting of tissues
Term
Cardiac output
Definition
volume of blood pumped by the heart
Term
Stage 1 hypertension
Definition
140-159 systolic
90-99 diastolic
Term
turgor assessment
Definition
elasticity of the skin, longer than 30 second recoil is abnormal
Term
hyperpyrexia
Definition
extremely high fever, above 105.8
Term
internal respiration
Definition
cellular
Term
external respiration
Definition
lungs
Term
normal range of O2 saturation
Definition
95-100%
Term
Primary chemical component of blood affecting the resp rate
Definition
CO2
Term
origin
Definition
the less movable of 2 sites of attachment of a muscle.
Term
isometric contraction
Definition
muscle length does not shorten
Term
isotonic contraction
Definition
muscle length shortens
Term
pulse deficit
Definition
the absence of palpable pulse waves in a peripheral artery for one or more heartbeats. difference b/t apical and peripheral.
Term
Hepatitis A
Definition
virus transmitted by fecal matter
Term
hyperthermia
Definition
hyperpyrexia, often induced therapeutically
Term
orthopnea
Definition
discomfort in breathing from lying flat
Term
O2 saturation
Definition
the percentage of O2 binding sites that are combined w/ O2
Term
where is the heat regulating center located?
Definition
hypothalamus
Term
conduction
Definition
transference of heat from one object to another
Term
convection
Definition
transferring of heat by circulating air or liquid
Term
evaporation
Definition
loss of heat by water evaporating from the body surface
Term
radiation
Definition
heat loss by means of infrared rays given off from the body
Term
psychological resposes to stress
Definition
anxiety, fear, anger, depression, ego defense mechanisms
Term
physiological responses to stress
Definition
increased pulse and resp rates, perspiration, flushing
Term
Ischemia
Definition
local anemia due to mechanical obstruction of the blood supply (mainly arterial narrowing)
Term
hyperemia
Definition
an increased amount of blood in a part or organ
Term
braden risk assessment scale
Definition
for pressure ulcer prevention
-sensory perception
-activity
-moisture
-mobility
-nutrition
-friction and shear
Term
debridement
Definition
removal of foreign materials, necrotic matter, devitalized tissue from a wound or burn
Term
contusion
Definition
hemorrhage beneath unbroken skin
Term
contracture
Definition
muscle shortening due to spasm or fibrosis
Term
CVA
Definition
cerebrovascular accident
Term
stridor
Definition
high pitched, noisy respirations
Term
stertorous
Definition
stertor or snoring
Term
iatrogenic
Definition
infections that are the result of diagnostic or therapeutic procedures
Term
general adaptation syndrome
Definition
a defense response of the whole body 1. alarm reaction
2. resistance
3. exhaustion
Term
local adaptation syndrome
Definition
one organ or part of the body reacts alone (inflammatory response or reflex pain response)
Term
digoxin
Definition
slows thepulse rate by strengthening the contraction of the heart
Term
normal pulse rate for an adolescent
Definition
60-100 beats per minute
Term
stage 2 hypertension
Definition
160 or above systolic
100 or above diastolic
Term
C. diff
Definition
Clostridium Difficile
Term
VRE
Definition
vancomycin resistant enterococcus
Term
infectious disease
Definition
resulting from the presence and activity of a microbial agent
Term
communicable disease
Definition
transmissible by infection or contagion through the agency of a vector
Term
exogenous
Definition
came from an external source
Term
indogenous
Definition
came from within
Term
diastolic bp
Definition
lowest pressure of the blood against the arterial wall. (during relaxation of the ventricles)
Term
systolic bp
Definition
the maximum pressure of the blood against the arterial walls. (during contraction)
Term
orthostatic hypotension
Definition
low bp in a standing patient
Term
pulse pressure
Definition
the difference between the systolic and diastolic pressures. 30-50 is normal
Term
kussmaul
Definition
deep, rapid resp's characteristic of diabetic or other types of acidosis
Term
hypoxia
Definition
lower than normal levels of O2 in inspired gases, arterial blood, or tissue
Term
hypervolemia
Definition
too much water intake
Term
what are ace inhibitors?
Definition
angiotensin converting enzymes, they dilate arterioles
Term
Infection process chain
Definition
1. etiology
2. reservoir
3. portal of exit
4. means of transmission
5. portal of entry
6. susceptibility of host
Term
bounding pulse
Definition
high volume of blood
Term
c
Definition
with
Term
ad.lib.
Definition
as desired
Term
prn
Definition
when required
Term
h.s.
Definition
hour of sleep
Term
q.2.h
Definition
every 2 hours
Term
q.h.
Definition
every hour
Term
cathartics
Definition
agents having purgative action (i.e. of the bowel)
Term
emollient
Definition
soothes the skin or mucous membrane
Term
antagonist
Definition
reverses the effects of the drug
Term
synergistic
Definition
2 drugs together having a greater effect and complimenting each other
Term
NSAID
Definition
nonsteroidal antiinflammatory drug (aspirin, ibuprofen, naproxen, etc.)
Term
cheyne-stokes respiration
Definition
breathing with gradual increase in depth and rate, followed by a decrease resulting in apnea (common at time of death)
Term
mottling
Definition
an area of skin composed of macular lesions of varying shades or colors (blotchy whitish bluish spots)
Term
erythema
Definition
redness of the skin due to capillary dilation
Term
pruritus
Definition
itching
Term
vitiligo
Definition
non pigmented white patches of varied sizes on the skin. autoimmune process
Term
EC
Definition
enteric coated
Term
Ext.
Definition
extract
Term
Ung.
Definition
ointment
Term
SR
Definition
sustained release
Term
CD
Definition
continuous dose
Term
XR or ER
Definition
extended release
Term
gtt.
Definition
drop
Term
O.U.
Definition
both eyes
Term
O.D.
Definition
right eye
Term
O.S.
Definition
left eye
Term
po
Definition
by mouth
Term
p.r.
Definition
per rectum
Term
pt
Definition
per tube
Term
S.L.
Definition
sublingual
Term
MDI
Definition
metered dose inhaler
Term
SubQ
Definition
subcutaneous
Term
a.c.
Definition
before meals
Term
p.c.
Definition
after meals
Term
b.i.d.
Definition
twice a day
Term
t.i.d.
Definition
three times a day
Term
thready pulse
Definition
easily obliterated, fine pulse feeling like a thread under the finger
Term
integrity assessment
Definition
inspecting for lesions on the skin (pressure ulcers, scars, b listers, warts, acne, pustules, wounds, scratches, bruises, cuts)
Term
antisepsis
Definition
inhibiting the growth of infectious agents
Term
WILDA
Definition
Words to describe pain
Intensity
Location
Duration
Alleviation
Term
AROM
Definition
active range of motion-motion at a given joint when the patient moves it voluntarily
Term
normal range of body temp for adult using oral thermometer
Definition
97.6-99.6
Term
PROM
Definition
passive range of motion-joint is moved by an external force or therapist
Term
ROM
Definition
range of motion
Term
surface tension
Definition
pulls the molecules of the liquid inward from the surface (soap decreases the surface tension of water)
Term
vasoconstriction
Definition
reduction in the caliber of a blood vessel
Term
vasodilation
Definition
increase in the caliber of a blood vessel
Term
eupnea
Definition
easy, free respiration
Term
hyperextension
Definition
extension of a limb or part beyond the normal limit
Term
hypothermia
Definition
a core body temp significantly below 98.6
Term
pyrexia
Definition
fever
Term
antipyretic
Definition
an agent that reduces fever
Term
fowler's
Definition
head of bed raised to 45 degree angle
Term
jaundice
Definition
yellowish staining of the skin caused by excretions of bile pigment increased in plasma
Term
edema
Definition
accumulation of an excessive amount of watery fluid in cells, tissues, or serous cavities
Term
alopecia
Definition
complete or partial absence or loss of hair
Term
OOB
Definition
out of bed
Term
vertigo
Definition
a sensation of spinning or whirling motion. used as a general term to describe dizziness
Term
pronation
Definition
palm facing down/ lying face down
Term
supination
Definition
palm facing upward/ lying face upward
Term
transient bacteria
Definition
"traveling bacteria". Is picked up from other places or people
Term
abduction
Definition
movement of a body part away from the median plane
Term
apical pulse
Definition
heart sound heard directly over the heart
Term
tachycardia
Definition
rapid heart beat, usually over 100 bpm
Term
bradycardia
Definition
slow heartbeat usually under 60 bpm
Term
expectorant
Definition
thind the resp tract mucus and promotes its removal
Term
bronchodilators
Definition
cause an increase in caliber of a bronchus
Term
apnea
Definition
absence of spontaneous breathing
Term
adduction
Definition
movement of a body part toward the median plane
Term
afebrile
Definition
no fever
Term
febrile
Definition
fever
Term
stressor
Definition
any factor that produces stress or alters the body's equilibrium
Term
nosocomial infection
Definition
hospital related/ healthcare related
Term
arrhythmia
Definition
irregularity of the heartbeat
Term
dysrhythmia
Definition
defective rhythm
Term
objective data
Definition
a "sign", can be seen by an observer
Term
subjective data
Definition
a symptom, is apparent only to the patient
Term
purpose of nursing assessment
Definition
to collect, organize, and analyze data in order to determine a patient's needs
Term
body mechanics
Definition
efficient use of body for locomotion
Term
what is REM sleep needed for?
non REM sleep?
Definition
-psychological integrity
-physical well being
Term
hypnotics
Definition
classification of drugs that produce sleep
Term
antiembolism stockings
Definition
for patients w/ decreased activity
promote venous return, avoiding pooling of blood & help prevent clots
Term
BRP
Definition
bathroom priviledges
Term
ADL
Definition
activities of daily living
Term
tachypnea
Definition
rapid breathing
Term
dyspnea
Definition
shortness of breath
Term
bradypnea
Definition
abnormal slowness of respiration
Term
atony
Definition
relaxation, flaccidity, or lack of tone or tension
Term
eschar
Definition
a thick, coagulated crust or slough that develops following a thermal burn, or chemical or physical cauterization of the skin
Term
stage I pressure ulcer
Definition
skin is still intact
Term
stage II pressure ulcer
Definition
partial skin loss of epidermis and / or dermis
Term
stage III pressure ulcer
Definition
skin loss with damage to subcutaneous tissue
Term
stage IV pressure ulcer
Definition
damage extends to muscle and/ or bone, tendons, joint capsules
Term
colostomy
Definition
establishment of an artificial cutaneous opening into the colon
Term
valsalva maneuver
Definition
forced expiratory effort (strain) against a closed airway
Term
fecal impaction
Definition
hardened mass of feces. can be accompanied by a constant seepage of liquid stool
Term
hemorrhoid
Definition
rectal vein causing painful swelling at the anus
Term
examples of cathartic drugs
Definition
metamucil, milk of magnesia, castor oil, dulcolax
Term
what causes abdominal distension?
Definition
accumulation of intestinal gas
Term
suppositories
Definition
drugs combined with a base of soap, gelatin, or cocoa butter which melt at body temperature.
Term
function of fecal softeners
Definition
they mix w/ fecal matter and reduce surface tension
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