Term
| Normal Ranges for Temperature, Pulse, Respirations, Oxygen Sat, Blood Pressure |
|
Definition
Temp-96.8-100.4 F-36-38 Celcius
Pulse- 60 to 100 beats per minute
Respiratory Rate -12-20 breaths per minutes
O2- Greater than or equal 95%
Blood Pressure Systolic 120/80 |
|
|
Term
| Factors cause variations in Vital Signs |
|
Definition
- Temp
- Age Exercise, Hormone Level, Stress & Environment
|
|
|
Term
|
Definition
| When fever breaks -no fever |
|
|
Term
|
Definition
| A drug that prevents or reduces fever by lowering the body temp |
|
|
Term
Blood Pressure
Systolic & Diastolic |
|
Definition
Force is exerted on the walls of an artery by pulsing blood under pressure from the heart.
Systolic -Maximum pressure during ventricular contraction
Diastolic- Minimal pressure during ventricular relaxation. |
|
|
Term
|
Definition
|
|
Term
|
Definition
The volume of Blood pumped by the heart in 1 minute
HRx Stroke Volume
|
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| having or showing the symptoms of a fever |
|
|
Term
|
Definition
| Percentage of red blood cells in your blood |
|
|
Term
|
Definition
| the condition of having a body temperature greatly above normal |
|
|
Term
|
Definition
| Having an abnormally low body temperature |
|
|
Term
|
Definition
| An abnormally low concentration of oxygen in the blood. |
|
|
Term
| Orthostatic Hypotension/ Postural Hypotension |
|
Definition
| Is when your blood pressure drops when you go from lying down to sitting up or from sitting to standing |
|
|
Term
|
Definition
| is a measure of how much hemoglobin is currently bound to oxygen compared to how much hemoglobin remains unbound |
|
|
Term
|
Definition
| Distribution of blood to and from the pulmonary capillaries |
|
|
Term
|
Definition
| Fever- greater than 100.4 |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Movement of gases into and out of the lung |
|
|
Term
|
Definition
Respiratory Noises that are not considered normal breath sounds
Crackles
Rhonchi
Wheezes |
|
|
Term
|
Definition
| Abnormal neurological condition in which language function is defective or absent. Related to injury to the speech center in the cerebral cortex |
|
|
Term
|
Definition
| Heartbeat as listened to with the bell or diaphragm placed on the apex of the heart |
|
|
Term
|
Definition
| listening to the sound of the human body with a stethoscope |
|
|
Term
|
Definition
| abnormal sound or murmur heard while auscultating an organ gland or artery |
|
|
Term
|
Definition
| bluish discoloration of the skin and mucous membranes caused by an excess of deoxygenated hemoglobin in the blood. |
|
|
Term
|
Definition
| abnormal accumulation of fluid in interstitial spaces of tissues |
|
|
Term
|
Definition
| Redness or inflammation of the skin or mucous membrane that is a result of dilation and congestion of superficial capillaries. |
|
|
Term
|
Definition
| Method of a physical examination by which the patient is visually and systematically examined for appearance, structure, function, and behavior. |
|
|
Term
|
Definition
| Yellow discoloration of the skin, mucous membrane, and sclera caused bymore significantr than normal amounts of bilirubin in the blood |
|
|
Term
|
Definition
| an abnormal condition in which a person must sit or stand to breathe comfortably |
|
|
Term
|
Definition
| unnatural paleness or absence of color in the skin |
|
|
Term
|
Definition
| Method of a physical examine whereby the finders o hands of the examiner are applied to the patient's body to feel the body underlying the skin. |
|
|
Term
|
Definition
| Method of examination whereby the location, size and density of a body part are determined by the tone obtained from the striking of short sharp taps of the fingers. |
|
|
Term
|
Definition
| Pupils Equal Round Reactive to Light accommodation. |
|
|
Term
|
Definition
| A brief lapse in consciousness caused bu transient cerebral hypoxia |
|
|
Term
|
Definition
| Normal resiliency of the skin is caused by the outward pressure of the cells and interstitial fluid. |
|
|
Term
|
Definition
Provokes
Quality
Radiates
Severity
Timing |
|
|
Term
|
Definition
| Drug substance derived from opium or produced synthetically that alters the perception of pain and that with repeated use may result in physical and psychological dependence (narcotic) |
|
|
Term
|
Definition
| releiving pain drug that releives pain. |
|
|
Term
|
Definition
| A state of adaptation manifested by a drug class-specific withdrawal syndrome produced by abrupt cessations and rapid dose reduction. |
|
|
Term
|
Definition
| A primary chronic, neurobiological disease with genetic psychosocial and environmental factors influencing its development and manifestations. |
|
|
Term
|
Definition
| A state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more effects over time. |
|
|
Term
| Tanner's Clinical Judgment Model |
|
Definition
- Noticing
- Interpreting
- Responding
- Reflecting
|
|
|
Term
| Five Step Nursing Process |
|
Definition
- Asses
- Diagnose
- Plan
- Implement
- Evaluate
|
|
|
Term
|
Definition
| Letting the clients know you listening |
|
|
Term
| Direct-close ended questions |
|
Definition
Very specific question about a problem.
Example-How often do you void? |
|
|
Term
|
Definition
|
|
Term
| Difference between a nursing diagnosis, a medical diagnosis, and a collaborative problem |
|
Definition
Medical- identification of diseases
Nursing is "a clinical judgment made by a nurse to describe a patient response or vulnerability to health conditions or life events that a nurse is licensed and competent to treat.
Collaborative Problem is -a problem that requires both medicine and nursing interventions to treat |
|
|
Term
| Components of Nursing Diagnosis |
|
Definition
Problem-focused (actual)
Observable
Risk-evidence of risk factors
Health Promotion
Clinical judgment concern pt motivation |
|
|
Term
| Nursing Diagnosis Statment |
|
Definition
PES Statement
- Problem
- Etiology or related factor
- Signs/Symptoms -show evidence of the problem.
- Written as Problem related to Etiology as evidenced by (Signs and Symptopms)
|
|
|
Term
| Independent Nursing Interventions |
|
Definition
Actions that a nurse initiates
No Orders or Supervision
ADLS-Education -Counseling |
|
|
Term
| Dependent Nursing Intervention |
|
Definition
| Require an order from a provider |
|
|
Term
|
Definition
| Nursing Diagnosis, Goals and expected outcomes, nursing interventions, and a section for evaluation findings so any nurse can quickly identify a patient's clinical needs and situation. |
|
|
Term
| Direct Nursing Intervention |
|
Definition
Performed through Interaction with a patient
- ADLS
- Physical Care techniques
- CPR, Emergency Medications
|
|
|
Term
| Indirect Nursing Intervention |
|
Definition
Performed in the absence of the patient
- Handoff report
- Documentation
- Delegating
- Infection Control
|
|
|
Term
|
Definition
| Decline due to inactivity |
|
|
Term
| Activities of Daily Living |
|
Definition
| activities usually performed in the course of a normal day in the patient's life, such as eating, dressing, bathing, brushing the teeth, or grooming |
|
|
Term
|
Definition
| Type and amount of exercise or work that a person can perform without undue exertion or injury |
|
|
Term
|
Definition
| Alternately bearing weight on one or both legs and on the crutches. |
|
|
Term
|
Definition
| The ability of the body to sense in position and movement in space |
|
|
Term
|
Definition
| Collapse if alveoli, preventing the normal respiratory exchange of oxygen and carbon dioxide. |
|
|
Term
|
Definition
| Placement of the patient in bed for therapeutic reasons for a prescribed period. |
|
|
Term
|
Definition
| Abnormal neuromuscular condition of the lower leg and foot characterized by an inability to doridlexor evert the foot. |
|
|
Term
|
Definition
| Manner or style of walking, including rhythm cadence and speed |
|
|
Term
|
Definition
| Weakness or inability to move on one side of the body. |
|
|
Term
|
Definition
| Paralysis of one side of the body |
|
|
Term
|
Definition
| an abnormality that may result in a permanent condition of a joint is characterized by flexion and fixation and is caused disuse atrophy and shortening of muscle fibers and surrounding joint tissues. |
|
|
Term
|
Definition
| decrease in size and wasting of muscle tissue |
|
|
Term
|
Definition
| Inflammation sore or ulcer in the skin over a bony prominence. |
|
|
Term
|
Definition
| Range of movement of a joint from maximum extension to maximum flexion as measured in degrees of a circle. |
|
|
Term
|
Definition
| Forced exerted against the skin while the skin remains stationary and the bony structures move |
|
|
Term
|
Definition
| Metal triangular-shaped bar that can be suspended over a patient bed from an overhanging frame permits patients to move up and down in bed while in traction or some other encumbrance |
|
|
Term
|
Definition
| Retention of urine in the bladder condition frequently caused by a temporary loss of muscle function. |
|
|
Term
| Venous thromboembolism VTE |
|
Definition
| also known as blood clots, is a disorder that includes deep vein thrombosis and pulmonary embolism. |
|
|
Term
|
Definition
| Bath in which the entire body of a patient is washed in bed |
|
|
Term
|
Definition
| softening and breaking down of skin from prolonged exposure to moisture |
|
|
Term
|
Definition
| Bath in which body parts that might cause the patient discomfort if left unbathed (face hands axillary areas, back, and perineum are washed in bed. |
|
|
Term
|
Definition
| the procedure prescribed for cleaning the genital and anal areas as part of the daily bath or after various obstetrical and gynecological procedures. |
|
|
Term
|
Definition
| presence of bacteria in the urine |
|
|
Term
| Catheter-associated urinary tract infection (CAUTI) |
|
Definition
| Infection caused by the tube. |
|
|
Term
|
Definition
| Introduction of a catheter into a body cavity or organ to inject or remove the fluid. |
|
|
Term
|
Definition
| Painful urination resulting from bacterial infection of the bladder and obstructed conditions of the urethra |
|
|
Term
|
Definition
| abnormal presence of blood in the urine |
|
|
Term
|
Definition
| Opening between the kidney and the skin -temp drains the blocked urine. |
|
|
Term
|
Definition
| Presence in the urine of normal quantities of protein, usually albumin. Persistent proteinuria is usually a sign of renal disease or renal complications of another disease., hypertension or heart failure. |
|
|
Term
|
Definition
| catheter surgically inserted through the abdomen into the bladder |
|
|
Term
|
Definition
| Diversion of urine away from a diseased or defective bladder through an artificial opening in the skin. |
|
|
Term
|
Definition
| Drugs that act to promote bowel evacuation. |
|
|
Term
|
Definition
| It is a bacterium that causes an infection of the large intestine (colon). |
|
|
Term
|
Definition
| Measures microscopic amounts of blood in the feces |
|
|
Term
|
Definition
| An ileostomy is an opening in the belly (abdominal wall) that's made during surgery. It's usually needed because a problem is causing the ileum to not work properly, or disease is affecting that part of the colon and it needs to be removed |
|
|
Term
|
Definition
| Ileus refers to the intolerance of oral intake due to inhibition of gastrointestinal propulsion without signs of mechanical obstruction. |
|
|
Term
|
Definition
| artificially created opening between a body cavity and the sure of the body |
|
|
