Shared Flashcard Set

Details

Test 3
OCTC 2012 LPN PNR 120
364
Nursing
Not Applicable
11/08/2012

Additional Nursing Flashcards

 


 

Cards

Term
What is unintentional tort?
Definition
Situation resulting in an injury although the person did not intend to cause harm
Term
A list of written statements describing ideal behavior for a group of individuals
Definition
Code of ethics
Term
What would unintentional medication elimination be considered?
Definition
Negligence
Term
The LPN gives medication to a pt that is considered a lethal dose. The pt dies due to medication given. Who is responsible and can be charged with negligence?
Definition
Both the nurse and the doctor
Term
Who is the nurse practice act intended to protect?
Definition
The public
Term
What agency is responsible for the nurse practice act?
Definition
State board of nursing
Term
Client comes into the hospital after developing cramps, gas, and diarrhea – approximately 30 minutes after ingesting milk. What condition as a LPN would you suspect?
Definition
Lactase deficiency
Term
What are some good sources of calcium?
Definition
Whole grains, dried beans and peas, canned sardines, whole grain
Term
The nurse tries to get her client to stay in the hospital, although he feels the care is inappropriate and he wants to leave AMA. The nurse tries stopping him using restraints. What legal charges could be put on this nurse for her action?
Definition
Battery and false imprisonment
Term
A client comes into the hospital with a head injury after a motor vehicle accident. The surgeon determines that he needs life saving surgery. No family members are present. Would you have the pt operated on and assume consent is implied? (YES/NO)
Definition
Yes! The pt needs to undergo the immediate surgery to save his life
Term
The LPN wrote a paper on HIV and mentioned her clients name in the report, along with how the client had sex with a prostitute. What legal provisions apply to this nurse?
Definition
Libel and invasion of privacy
Term
If your competent pt wants to leave the hospital without medically being discharged what would you, as the nurse do?
Definition
Notify the physician and have the pt sign AMA form
Term
Why is it important to be aware of your pt’s culture?
Definition
Because the response to health and illness varies among different cultures
Term
Care that respects and is compatible with each client’s culture
Definition
Culturally sensitive nursing care
Term
How do you demonstrate cultural competence in nursing?
Definition
Be aware of your own culture and not let it have an undue influence on your pt, have specific knowledge about your pt’s culture, adapt your nursing care to pt’s culture, plan care within pt’s health belief system to achieve best health outcomes, respect alternative health beliefs or practices, and promote health teaching that will reduce prevalent diseases
Term
The shared values, beliefs, and practices of a particular group
Definition
Culture
Term
What does culture incorporate?
Definition
Attitudes and customs learned through socialization with others
Term
What all is included in culture?
Definition
Language, communication style traditions, religion, art, music, dress, health beliefs and practices
Term
When is one taught culture?
Definition
Learned from birth
Term
What influences a person’s culture?
Definition
Environment, technology, and availability of resources
Term
Is culture dynamic and ever changing?
Definition
Yes
Term
Used when referring to collective people who differ from the dominant group in terms of cultural characteristics such as language and/or physical characteristics
Definition
Minority
Term
What is an example of a minority?
Definition
Men vs. women
Term
A bond or kinship a person feels with his country of birth or place of ancestral origin
Definition
Ethnicity
Term
Bewilderment over behavior that is culturally atypical
Definition
Cultural shock
Term
Fixed attitudes about all people who share a common characteristic
Definition
Stereotyping
Term
What are some examples of stereotypes?
Definition
Dumb blondes; all old people are senile
Term
Preconceived ideas that are neither real nor accurate?
Definition
Stereotypes
Term
What are some forms of negative stereotypical thinking’s concerning older adults?
Definition
Elderly are asexual, cognitively defective, physically incapacitated, and a burden to families and society
Term
Suppositions that a person shares cultural characteristics with others of a similar background
Definition
Generalizing
Term
How are generalizing and stereotyping different from one another?
Definition
Generalizing suggests possible commonalities that may or may not be individually valid
Term
What are some examples of generalizing?
Definition
Bearded men; nurses
Term
Belief that one’s own ethnicity is superior to all others
Definition
Ethnocentrism
Term
What does treating anyone “different” as deviant and undesirable manifest?
Definition
Ethnocentrism
Term
What are the 4 major subcultures in America?
Definition
African Americans 2. Latinos 3. Asian Americans 4. Native Americans
Term
Which group of people’s ancestral origin is Africa?
Definition
African Americans
Term
Which group of people trace their ethnic origin to Latin or South America?
Definition
Latinos
Term
What term can also refer to African Americans?
Definition
Black Americans
Term
What are some other terms to describe Latino’s?
Definition
Hispanics or Chicanos
Term
Which group of people originated in China, Japan, Korea, Philippines, Thailand, Cambodia, Laos, and Vietnam?
Definition
Asian Americans
Term
Which group of people is known as Indian nations found in North America and include Eskimos and Aleus?
Definition
Native Americans
Term
Providing nursing care within the context of another’s culture
Definition
Transcultural nursing
Term
Who developed the practice of transcultural nursing?
Definition
Dr. Madeleine Leininger
Term
What type of nursing recognizes the value of incorporating cultural values, traditions, and practices into health care treatments?
Definition
Transcultural nursing
Term
What must nurses become skilled at in order to provide culturally sensitive care?
Definition
Managing language differences, understanding biologic and physical variations, promoting health reaching that will reduce prevalent diseases, respecting alternative health beliefs and/or practices
Term
What is one of the biggest deterrent to providing culturally sensitive care?
Definition
Language and communication
Term
In which culture are individuals private and possibly hesitant to share personal info with strangers?
Definition
Native Americans
Term
How might a Native American interpret questions?
Definition
As prying or meddling
Term
Which culture might consider impatience to be disrespectful?
Definition
Native Americans
Term
What ritual do Native Americans perform to cleanse negative energy during an illness?
Definition
Smudging
Term
Why are African Americans somewhat mistrustful of the medical establishment?
Definition
Because of sometimes being treated as 2nd class citizens when seeking HC
Term
When treating an African American pt, how can the nurse demonstrate professionalism?
Definition
By addressing pt by their last name and introducing themselves, following up with pt requests, respect pt privacy
Term
Why might an African American pt be hesitant to give any more info that what was directly asked?
Definition
Because of feeling that they are a victim of discrimination
Term
When observing an African American infant during a home visit, the nurse observes a bluish area on the baby’s buttocks. What is the best action for the nurse to take?
Definition
Document the findings – it is normal assessment
Term
Which culture group is at high risk for developing sickle cell anemia?
Definition
African Americans
Term
Which culture group would be comfortable sitting close to interviewers and letting interactions unfold slowly?
Definition
Latinos
Term
Although Latinos speak English, what might they have difficulty saying correctly?
Definition
Medical terms
Term
What are some general characteristics of Latino men?
Definition
Generally protective and authoritative regarding women and children, expect to be consulted in decisions concerning family members
Term
Which culture group tends to respond with brief or more factual answers and gives little elaboration?
Definition
Asian Americans
Term
What do Asian Americans value?
Definition
Simplicity, meditation, and introspection
Term
Due to their respect for harmony, which cultural group generally does not openly disagree with authority figures?
Definition
Asian Americans
Term
Which 2 cultural groups might be offended by any lingering eye contact due to believing it is an invasion of their privacy?
Definition
Asian Americans or native Americans
Term
How is direct eye contact interpreted by the Arab culture?
Definition
As sexually aggressive
Term
At what distance do Asian Americans prefer the nurse to be from them?
Definition
More than an arm’s length away
Term
In which cultural group might a strong handshake be taken offensively?
Definition
Native Americans
Term
Why should you ask permission before touching the head of Southeast Asians?
Definition
They consider the head to be a sacred part of the body that only close relatives can touch
Term
Which culture believes that the area between a female’s waist and knees is particularly private and should only be touched by the woman’s husband?
Definition
Southeast Asian Americans
Term
Which 2 cultures freely express both positive and negative feelings?
Definition
Anglo-Americans and African Americans
Term
Which cultural group tends to control their emotions and expressions of physical discomfort?
Definition
Asian Americans
Term
Why might Latino men not demonstrate their feelings or readily discuss symptoms?
Definition
They may interpret doing so as less manly
Term
Which culture considers punctuality to be very important?
Definition
Anglo-Americans
Term
Type of perspective shared by those from developed countries who base their beliefs about health and disease on research findings
Definition
Biomedical/scientific perspective
Term
Type of perspective in which humans and nature must be in balance or harmony to remain healthy
Definition
Naturalistic/holistic perspective
Term
What do those who believe in the naturalistic/holistic perspective assume to be the reason why an illness occurs?
Definition
Result of an outcome of disharmony
Term
Type of perspective where a culture believes that supernatural forces contribute to disease or health
Definition
Magico-religious perspective
Term
What helps to achieve health care goals?
Definition
Respect for the person
Term
What is the best technique for observing baseline skin color in a dark skinned person?
Definition
Use natural or bright artificial light
Term
What are the best structures to examine on a dark skinned person and why?
Definition
Palms of hands, feet, and abdomen because they contain the least pigmentation and are the least likely to be tanned
Term
What is considered a normal finding when bathing a dark skinned person and what is it a result of?
Definition
Brown discoloration may appear on the wash cloth due to normal shedding of dead skin
Term
What is a characteristic of anemia or inadequate O2?
Definition
Pallor
Term
Where are some common sites for assessing cyanosis?
Definition
Lips and nail beds
Term
Disease that affects whites as well as those with darker skin that produces irregular white patches on the skin as a result of absence of melanin
Definition
Vitiligo
Term
Dark blue areas on the lower back of darkly pigmented infants and children
Definition
Mongolian spots
Term
At what age do Mongolian spots tend to fade?
Definition
Usually by 5 years old
Term
What are Mongolian spots often mistaken as?
Definition
Signs of physical abuse or injury
Term
What type of deficiency causes intolerance to dairy products?
Definition
Lactase deficiency
Term
What are some s/s individuals may experience if they are suffering from lactase deficiency?
Definition
Cramps, gas, and diarrhea
Term
How long after ingesting dairy products does a pt experience cramps, gas, and diarrhea?
Definition
Approximately 30 minutes
Term
How long can the symptoms of lactase deficiency last?
Definition
Up to 2 hours
Term
What are some sources of calcium that can be useful for a pt with lactase deficiency?
Definition
Green leafy vegetables, dates, prunes, canned sardines and salmon with bones, egg yolk, whole grains, dried peas and beans, calcium supplement
Term
In which cultural groups is it common for lactase deficiency to be present?
Definition
African Americans, Hispanics, and Chinese
Term
Which groups of people often lack the enzyme, G-6-PD?
Definition
African Americans and people from Mediterranean countries
Term
What are some things that culturally sensitive nurses must focus on?
Definition
Teaching, participating in community health screenings, and campaign for more equitable health services
Term
Health practices unique to a particular group of people and generally provided by lay people
Definition
Folk medicine
Term
Latino practitioner who is thought to have spiritual and medicinal powers
Definition
Curandero
Term
Holy man with curative powers
Definition
Shaman
Term
Alternative medical therapy
Definition
Herbalist
Term
What are some reasons that attract people to alternative medicine?
Definition
Expensive, dissatisfaction with prior treatment/progress, and intimidation
Term
Belief that ones own culture is superior
Definition
Ethnocentrism
Term
Laws enacted by federal, state, or local legislatures also known as public acts, codes, or ordinances
Definition
Statutory laws
Term
Legally defines the unique role of the nurse
Definition
Nurse practice act
Term
What are some common elements generally found in all nurse practice acts?
Definition
Define the scope of practice, establish limits to the practice, identifies titles that nurses may use, authorizes a board of nursing to oversee nursing practice, determine what constitutes grounds for disciplinary action
Term
Legal provisions through which federal, state, and local agencies maintain self-regulation
Definition
Administrative laws
Term
Refers to litigations that falls outside the realm of constitutional, statutory, and administrative laws
Definition
Common laws
Term
Penal codes that protect all citizens from people who pose a threat to the public good and prosecute those who commit a crime
Definition
Criminal laws
Term
Minor criminal offense
Definition
Misdemeanor
Term
Serious criminal offense
Definition
Felony
Term
Person claiming injury
Definition
Plaintiff
Term
Person charged with violating the law
Definition
Defendant
Term
Litigation in which 1 person asserts that a physical, emotional, or financial injury was a consequence of another person’s actions or failure to act
Definition
Tort
Term
Expected action based on moral or legal obligations
Definition
Duty
Term
Lawsuits in which plaintiff charges that a defendant committed a deliberately aggressive act
Definition
Intentional torts
Term
Act in which bodily harm is threatened or attempted
Definition
Assault
Term
Unauthorized physical contact
Definition
Battery
Term
Interference with a person’s freedom to move about at will without legal authority to do so
Definition
False imprisonment
Term
Devices or chemicals that restrict movement
Definition
Restraints
Term
What are 2 legal conditions in which you may use restraints on a pt?
Definition
Prisoners admitted for medical care and pt with mental illness who is dangerous to self or others
Term
What is the purpose of OBRA?
Definition
To protect those in nursing homes from being abused by restraints
Term
Failure to leave people and their property alone
Definition
Invasion of privacy
Term
Act in which untrue information harms a person’s reputation
Definition
Defamation
Term
Character attack uttered orally in the presence of others
Definition
Slander
Term
Damaging statements written and read by others
Definition
Libel
Term
Unintentional failure to perform a health care procedure
Definition
Negligence
Term
Results in an injury, although the person responsible did not mean to cause harm
Definition
Unintentional torts
Term
Harm that results because a person did not act reasonably
Definition
Negligence
Term
Professional negligence
Definition
Malpractice
Term
What holds professionals to a higher standard of accountability?
Definition
Malpractice
Term
When concerning malpractice, who decides whether a health care worker acted in a manner comparable to that of their peers?
Definition
Jury
Term
What is the best protection against a malpractice lawsuit?
Definition
Competent nursing and compassionate care
Term
Should nurses carry their own liability insurance even if their employer covers them? (YES/NO)
Definition
Yes
Term
Legal immunity to passersby who provide emergency first aid to victims of accidents
Definition
Good Samaritan laws
Term
Designated time within which a person can fine a lawsuit
Definition
Statute of limitations
Term
Process of identifying and reducing costs of anticipated losses
Definition
Risk management
Term
Written account of an unusual, potentially injurious event involving a client, employee, or visitors
Definition
Incident report
Term
When writing an incident report, how should all witnesses be identified?
Definition
By their name
Term
What are 5 important pieces to include in an incident report?
Definition
1. When incident occurred 2. Where it happened 3. Who was involved 4. What happened 5. Actions that were taken
Term
Personal, handwritten account of an incident
Definition
Anecdotal records
Term
Moral principles that direct actions as being either right or wrong
Definition
Ethics
Term
List of written statements describing ideal behavior
Definition
Code of ethics
Term
What is the model for personal conduct?
Definition
Code of ethics
Term
Choice between 2 undesirable alternatives that occurs when individual values and laws conflict
Definition
Ethical dilemmas
Term
Ethical theory based on final outcomes
Definition
Teleology
Term
Ethical theory based on duty or moral obligations
Definition
Deontology
Term
“Doing good”; acting for another’s benefit and preventing or removing any potentially harmful factor
Definition
Beneficence
Term
“Doing no harm”; avoiding an action that deliberately harms a person
Definition
Nonmaleficence
Term
Refers to a competent person’s right to make their own choices without intimidation or influence
Definition
Autonomy
Term
The duty to be honest and avoid any deceiving or misleading of a client
Definition
Veracity
Term
Being faithful to work-related commitments and obligations
Definition
Fidelity
Term
Clients are to be treated impartially without discrimination according to age, gender, race, religion, socioeconomic status, weight, martial status, or sexual orientation
Definition
Justice
Term
Proposes that all clients have the right to complete and accurate information
Definition
Truth telling
Term
Safeguarding a person’s health information from public disclosure and is the foundation for trust
Definition
Confidentiality
Term
Written statement identifying a competent person’s wishes concerning terminal care
Definition
Advanced directives
Term
Who can initiate advance directives?
Definition
Any competent adult
Term
Written document that identifies a person’s preference regarding medical interventions to use or not to use in a terminal condition, irreversible coma, or persistent vegetative state with no hope of recovery
Definition
Living will
Term
Designates a proxy for making medical decisions when the pt becomes so incompetent or incapacitated that pt cannot make decisions independently
Definition
Durable power of attorney
Term
What is a pt’s code status referring to?
Definition
How HC personnel are required to manage care in case of cardiac or respiratory arrest
Term
What does DNR or “no code” mean?
Definition
Do not resuscitate
Term
What does it mean if a pt is designated in “full code”?
Definition
All measures will be taken to resuscitate the pt
Term
Process of deciding how to distribute limited life-saving equipment or procedures among several who could benefit
Definition
Allocation of resources
Term
Damaging statements written and read by others
Definition
Libel
Term
Character attack uttered orally in the presence of others
Definition
Slander
Term
What is one of the primary keys to establishing and maintaining positive nurse-client relationships?
Definition
The manner and style of the nurse’s communication
Term
When is a relationship between a nurse and pt established?
Definition
When nursing services are provided
Term
What are the 4 categories of client needs?
Definition
1. Safe and effective care environment 2. Health promotion and maintenance 3. Psychosocial integrity 4. Physiological integrity
Term
Who designates the 4 categories of client needs?
Definition
The National Council of State Boards of Nursing
Term
What are the 4 basic roles of a nurse?
Definition
1. Caregiver 2. Educator 3. Collaborator 4. Delegator
Term
Who performs health-related activities that a sick person cannot perform independently
Definition
Caregiver
Term
Provides health teaching pertinent to the client’s needs and knowledge base
Definition
Educator
Term
Works with others to achieve a common goal, manages care and those to whom care is delegated, and shares info with Dr. or other health care workers
Definition
Collaborator
Term
Person who assigns tasks to others
Definition
Delegator
Term
Who is accountable for inadequate care?
Definition
The nurse responsible
Term
When does a therapeutic nurse-client relationship end?
Definition
When goals are achieved
Term
When are therapeutic nurse-client relationships more likely to develop?
Definition
When the nurse treats each pt as a unique person and respects that person’s feelings
Term
What does a therapeutic nurse-client relationship promote?
Definition
Pt’s physical, emotional, social, and spiritual well-being
Term
Relationship where the desired outcome of the association is almost always moving toward improving health
Definition
Therapeutic relationship
Term
What are the 3 phases of the nurse-client relationship?
Definition
1. Introductory 2. Working 3. Terminating
Term
Period of getting acquainted, initiated when pt identifies one or more health problems for which he is seeking help
Definition
Introductory period
Term
Period when tasks are performed
Definition
Working period
Term
Period when relationship comes to an end because immediate health problems have improved
Definition
Terminating period
Term
Exchange of info between 2 or more people followed by feedback and indication that info was either understood or requires further clarification
Definition
Communication
Term
What are 2 types of communication?
Definition
1. Verbal 2. Nonverbal
Term
Type of communication with words to include speaking, writing and reading that is used to gather facts, instruct, clarify and exchange ideas
Definition
Verbal communication
Term
What is a common obstacle to effective communication?
Definition
Silence
Term
Type of verbal communication that uses words and gestures to accomplish a particular objective
Definition
Therapeutic verbal communication
Term
If a pt is quiet and uncommunicative should you assume he has no problems and understands everything? (YES/NO)
Definition
No
Term
What is just as important during communication as speaking?
Definition
Listening
Term
Type of communication that is an exchange of info without using words and involves what is not said
Definition
Nonverbal communication
Term
What are some indications to look for during nonverbal communication?
Definition
Facial expressions and other forms of body language
Term
What is another term used for body language?
Definition
Kinesics
Term
Vocal sounds that are not actually words
Definition
Paralanguage
Term
Use and relationship of space to communicate
Definition
Proxemics
Term
Personal contact with another person or object
Definition
Touch
Term
Type of touch that is required when performing nursing procedures
Definition
Task-oriented touch
Term
Type of touch used to demonstrate concern or affection
Definition
Affective touch
Term
During a nurse-client relationship, how should you never treat older adults?
Definition
As if they are children or uneducated
Term
What are some characteristics of metabolic syndrome?
Definition
Obesity, abdominal fat, high BP, high blood glucose, high fat levels
Term
Process by which the body uses food
Definition
Nutrition
Term
Condition resulting from a lack of proper nutrients in the diet
Definition
Malnutrition
Term
Who would be at risk for inadequate nutrition?
Definition
Older adults who are socially isolated, living alone, or on fixed incomes; homeless, children of economically deprived parents, pregnant teenagers, people with substance abuse problems, people with eating disorders
Term
What is necessary for life?
Definition
Water
Term
What are individual nutritional needs influenced by?
Definition
Age, weight and height, growth periods, activity, health status
Term
How many calories per day do healthy adults require on average?
Definition
2000
Term
Building and repairing cells
Definition
Proteins
Term
Responsible for building maintaining and repairing tissue
Definition
Proteins
Term
Responsible for blood regeneration
Definition
Proteins
Term
Where are carbohydrates usually found?
Definition
Plant food sources
Term
What is a chief component of most diet?
Definition
Carbohydrates
Term
Primary source for “quick” energy
Definition
Carbohydrates
Term
What are some good sources of carbohydrates?
Definition
Rice, wheat, wheat germ, oats, barley, corn, corn meal, fruits, vegetables, sweeteners
Term
Concentrated energy source that supplies more than twice the calories/gram than either proteins or carbohydrates
Definition
Fats
Term
What provides energy and is necessary for chemical reactions in the body?
Definition
Fats
Term
What is necessary for absorption of some vitamins?
Definition
Fats
Term
What adds flavor to foods and promotes the feeling of having satisfies appetite and hunger?
Definition
Fats
Term
What is the role of cholesterol?
Definition
To absorb fatty acids
Term
What is “good cholesterol”?
Definition
HDL
Term
What is “bad cholesterol”?
Definition
LDL
Term
Cholesterol that is delivered to the liver for removal
Definition
HDL
Term
Cholesterol that is deposited within the walls of arteries
Definition
LDL
Term
What is the goal of the Healthy People 2020 Initiative?
Definition
At least 50% of people 2 years and older will consume no more than 30% of their daily calories from fat, and of that, 10% should be saturated
Term
Help to regulate many of the body’s chemical processes such as blood clotting and conduction of nerve impulses
Definition
Minerals
Term
What are some common dietary minerals?
Definition
Sodium, potassium, chloride, calcium, phosphorus, iodine, iron, magnesium, zinc
Term
Why is potassium needed in our daily dietary mineral requirements?
Definition
For maintenance of electrolyte balance, neuromuscular activity, and enzyme reactions
Term
What foods are rich in potassium?
Definition
Potatoes, oranges, bananas
Term
Chemical substances necessary for normal growth, maintenance of health, and functioning of the body
Definition
Vitamins
Term
Type of vitamins that are eliminated with body fluids and require daily replacement
Definition
Water-soluble vitamins
Term
Type of vitamins that are stored in the body as reserves for future needs
Definition
Fat-soluble vitamins
Term
What replaces the previously used food pyramid?
Definition
My plate
Term
What is an advantage of “my plate”?
Definition
The amounts from various food group categories can be individualized according to a person's age, gender, and level of activity
Term
Improved tool where amounts from various food group categories can be individualized according to a person’s age, gender, and level of activity
Definition
My plate
Term
What must be provided on all packages of fresh meats and poultry products?
Definition
Printed disease prevention guidelines
Term
What do food labels identify?
Definition
Amounts of each nutrient per serving
Term
What are some factors that influence eating habits?
Definition
Food preferences, number of people in household, established meal patterns, access to food markets, attitude/knowledge about nutrition, food as a “reward”, income level, body weight, time available for food preparation, cultural beliefs
Term
People who restrict their consumption of animal food sources, modifying their diets for religious or personal reasons
Definition
Vegetarians
Term
What are some advantages of being a vegetarian?
Definition
Lower incidence of colorectal cancer, fewer problems with obesity and diseases associated with high-fat diets
Term
What is a disadvantage of being a vegetarian?
Definition
Can be inadequate in complete protein, calcium, riboflavin, vitamins B12 & D, and iron
Term
Assessment technique for obtaining facts about a pt’s eating habits and factors that affect nutrition
Definition
Diet history
Term
Measurements pertaining to body size and composition obtained by measuring height and weight, calculating BMI, measuring mid-arm circumference, triceps skin-fold thickness, and abdominal circumference
Definition
Anthropometric data
Term
Provides numeric data to compare a person’s size in relation to established norms for the adult population
Definition
BMI
Term
What is used when calculating BMI?
Definition
Height and weight
Term
Helps to determine skeletal muscle mass and if combined with other measurements helps to assess a pt’s nutritional status
Definition
Mid-arm circumference
Term
Aids in estimating the amount of subcutaneous fat deposits
Definition
Triceps skin-fold thickness
Term
What does triceps skin-fold thickness relate to?
Definition
Total body fat
Term
Condition in which a person’s BMI is equal to or exceeds 30kg/M2 or the triceps skin fold measurement exceeds 15 mm
Definition
Obesity
Term
What does obesity indicate?
Definition
A need for healthy weight-reduction measures
Term
What are some great health risk factors concerning obesity?
Definition
Higher incidence of heart and vascular disease, hypertension, and diabetes
Term
What are some conditions that obese people are at a higher risk for obtaining?
Definition
Vascular disease, hypertension, diabetes
Term
Excessive leanness
Definition
Emaciation
Term
General wasting away of body tissue
Definition
Cachexia
Term
Loss of appetite
Definition
Anorexia
Term
What are some factors associated with anorexia?
Definition
Illness, altered taste and smell, oral problems, tension, depression
Term
Psychological disorder associates with a 20-25% loss in previously stable body weight
Definition
Anorexia nervosa
Term
Should you ignore the fact that a pt is not eating? (YES/NO)
Definition
No
Term
What usually precedes vomiting?
Definition
Nausea
Term
What are some side effects concerning nausea?
Definition
Person may feel faint or weak, dizzy, perspiring, pale skin, rapid pulse rate, headache
Term
What becomes priority once nausea is relieved?
Definition
Fluid intake and nourishment
Term
Loss of stomach contents through the mouth
Definition
Vomiting
Term
Substance that is vomited and readily visible
Definition
Emesis (vomitus)
Term
Act of vomiting without producing vomitus
Definition
Retching
Term
Bringing stomach contents to the throat and mouth without the effort of vomiting
Definition
Regurgitation
Term
What age group is regurgitation common among?
Definition
Infants
Term
Vomiting that occurs with great force
Definition
Projectile vomiting
Term
What is stomach gas primarily a result of?
Definition
Swallowing air
Term
When does stomach acid become a problem?
Definition
Only when it accumulates
Term
Discharge of gas from the stomach through the lungs
Definition
Eructation (belching)
Term
Gas formed in the intestine and released from the rectum when eructation does not occur
Definition
Flatus
Term
What is the nurse responsible for when managing the nutrition of a pt?
Definition
Ordering/cancelling pt’s diets, serving/collecting meal trays, assisting clients to eat, recording % that client eats, must know the type of diet prescribed for each pt – its purpose & characteristics, making sure pt receives correct diet
Term
What are some of the different diets that are available?
Definition
Regular/general, light/convalescent, soft, mechanical soft, full liquid, clear liquid, special therapeutic
Term
What all can a pt on a low sodium diet have?
Definition
Example: baked chicken, tossed salad with olive oil, fresh fruit, ice tea
Term
What is the recommended daily intake of sodium?
Definition
2000 mg / 2 grams
Term
Type of sodium diet with less than 5 mg of sodium per serving
Definition
Sodium-free
Term
Type of sodium diet with 35 mg or less per serving
Definition
Very low sodium
Term
Type of sodium diet with 140 mg or less per serving
Definition
Low sodium
Term
Type of sodium diet that may contain sodium as a natural part of the food, but no additional sodium or salt is added during processing
Definition
Unsalted/no salt added/without added salt
Term
How can you reduce the sodium/salt in your diet?
Definition
Choose more fresh fruits, eat less processed foods, put the salt shaker away, use herbs and spices to season foods during cooking and at the table
Term
What is common in older adults that interferes with chewing, swallowing, and enjoying meals?
Definition
Xerostomia (aka dry mouth)
Term
Provides the body with energy
Definition
Calories
Term
What 3 things supply calories and are needed for growth and repair of body structures?
Definition
1. Proteins 2. Carbohydrates 3. Fats
Term
What 2 things do not supply calories but are essential for regulating and maintaining physiologic processes that are necessary for life?
Definition
Vitamins and nutrients
Term
What are some foods that are rich in fats?
Definition
Beef, pork, butter, oils, whole milk, cheese, peanut butter, chocolate, nuts
Term
How is cholesterol transported?
Definition
Through the blood in molecules of lipoproteins
Term
How can a person easily meet their vitamin requirements?
Definition
By eating a variety of foods
Term
What should you document concerning a pt’s vomit?
Definition
Amount, color, unusual odor
Term
How can a nurse assist a pt with eating?
Definition
Assist in feeding if pt has poor appetite, place food closer, remover wrappers and assist pt, guide patients hand to their mouth
Term
Type of diet that allows unrestricted food selections
Definition
Regular/general diet
Term
Type of diet that typically omits fried, fatty, gas-forming, raw foods and rich pastries
Definition
Light/conservative diet
Term
Type of diet that contains foods soft in texture, usually low in residue and readily digestible that provides fewer fruits, vegetables, or meats than a light diet
Definition
Soft diet
Term
Type of diet used for clients with chewing difficulties that provides cooked fruits and vegetables and ground meats
Definition
Mechanical soft diet
Term
Type of diet that consists of fruit and vegetable juices, creamed or blended soups, milk, ices, ice cream, gelatin, junket, custards, and cooked cereals
Definition
Full liquid diet
Term
Type of diet that consists of water, clear broth, clear fruit juices, plain gelatin, tea, and coffee
Definition
Clear liquid diet
Term
Type of diet where foods are prepared to meet special needs, such as low in sodium, fat, or fiber
Definition
Special therapeutic diet
Term
How much sodium is found in one teaspoon of salt?
Definition
2000-2400 mg
Term
Irregular elevated thick scars that are common among dark skinned clients and may be genetic
Definition
Keloids
Term
How is anemia developed?
Definition
Production of new RBCs cannot match the rate of destruction of old blood cells
Term
Statutes that protect personal freedoms and rights and involves disputes between individual citizens
Definition
Civil laws
Term
Client is forewarned of a potential safety hazard and chooses to ignore the warning
Definition
Assumption of risks
Term
What type of info should you document?
Definition
Accurate, thorough info
Term
Act of expelling feces from the body
Definition
Defecation
Term
Rhythmic contractions of intestinal smooth muscle that facilitate defecation and moves residue through the GI tract
Definition
Peristalsis
Term
Increases peristaltic activity that occurs during eating
Definition
Gastrocolic reflex
Term
Ring shaped band of muscles that relax to release stool when a person gets the urge to defecate
Definition
Anal sphincter
Term
What are some factors that affect bowel elimination?
Definition
Foods eaten, fluid intake, drugs, emotions, neuromuscular function (exercise), abdominal muscle tone, opportunity for defecation
Term
How do foods eaten affect bowel elimination?
Definition
Influence color, odor, volume, and consistency of stool, and fecal velocity
Term
How does fluid intake affect bowel elimination?
Definition
Influences moisture content of stool
Term
How do drugs affect bowel elimination?
Definition
Slow or speed motility
Term
How do emotions affect bowel elimination?
Definition
Alter bowel motility
Term
How does exercise affect bowel elimination?
Definition
Affects the ability to control rectal muscles
Term
How does a pt’s abdominal muscle tone affect bowel elimination?
Definition
Affects to ability to increase intra-abdominal pressure (Valsalva maneuver)
Term
How do opportunities for defecation affect bowel elimination?
Definition
Inhibits or facilitates elimination
Term
What are 2 components of bowel elimination assessment?
Definition
1. Bowel habits 2. Characteristics of feces
Term
What is the normal color for stool?
Definition
Brown
Term
What are some abnormal stool colors?
Definition
Black, clay/tan, yellow, green
Term
What kind of odor does normal stool produce?
Definition
Aromatic
Term
Would stool with a foul odor be considered normal or abnormal?
Definition
Abnormal
Term
What is the normal consistency for stool?
Definition
Soft, formed
Term
What are some different abnormal consistencies for stool?
Definition
Soft, bulky, hard, dry, watery, paste like
Term
What are the normal shapes for stool?
Definition
Round, full
Term
What would be some abnormal shapes for stool?
Definition
Unformed, flat, pencil-shaped, stone like
Term
What components are normally found in stool?
Definition
Undigested fibers
Term
What types of components would be abnormal findings in stool?
Definition
Worms, blood, pus, mucus
Term
What are some alterations in bowel elimination?
Definition
Constipation, fecal impaction, flatulence/flatus, diarrhea, fecal incontinence
Term
Condition that results from dry, hard stool that is difficult to pass
Definition
Constipation
Term
What are some S/S of constipation?
Definition
Complaints of abdominal fullness or bloating, abdominal distention, C/O rectal fullness or pressure, pain on defecation, decreased frequency of BM, inability to pass stool, changes in stool characteristics such as oozing, liquid stool or hard, small stool
Term
What are 4 types of constipation?
Definition
1. Primary 2. Secondary 3. Iatrogenic 3. Pseudoconstipation
Term
Which type of constipation results from lifestyle factors such as inactivity, inadequate intake of fiber, insufficient fluid intake, or ignoring the urge to defecate?
Definition
Primary
Term
Which type of constipation is a consequence of a pathologic disorder such as partial bowel obstruction?
Definition
Secondary
Term
When does secondary constipation usually resolve?
Definition
When the primary cause is treated
Term
Which type of constipation is a consequence of other medical treatments such as the use of narcotics?
Definition
Iatrogenic
Term
Type of constipation that occurs when clients believe themselves to be constipated even though they are not
Definition
Pseudoconstipation
Term
Who might Pseudoconstipation be common in?
Definition
People who are extremely concerned about having a daily BM
Term
What is Pseudoconstipation a result of?
Definition
Overuse/abuse of laxatives, suppositories and enemas
Term
Hardened mass of stool that is impossible for pt to pass voluntarily
Definition
Fecal impaction
Term
What does fecal impaction result from?
Definition
Unrelieved constipation, retained barium from an intestinal X-ray, and weakness of abdominal weakness
Term
Excessive accumulation of intestinal gas
Definition
Flatulence
Term
What is flatus a result of?
Definition
Swallowing air while eating or from sluggish peristalsis
Term
What are some common foods known for producing gas?
Definition
Cabbage, cucumbers, onions, beans
Term
Urgent passage of watery stool
Definition
Diarrhea
Term
What is diarrhea commonly accompanied by?
Definition
Abdominal cramping
Term
What are some associated S/S of diarrhea?
Definition
Nausea and vomiting and blood or mucous in the stools
Term
What might diarrhea be the result of?
Definition
Emotional stress, dietary indiscretions, laxative abuse, bowel disorders
Term
What should you do if diarrhea is not relieved within 24 hours?
Definition
Consult a physician
Term
Inability to control the elimination of stool
Definition
Fecal incontinence
Term
What does fecal incontinence result from?
Definition
Neurologic changes that impair muscle activity, sensation, or thought process
Term
What could occur when a person cannot reach a toilet in time to eliminate, such as after taking a harsh laxative?
Definition
Fecal incontinence
Term
What are 2 measures to promote bowel elimination?
Definition
1. Rectal suppository 2. Enema
Term
An oval or cone-shaped mass that melts at body temperature and is inserted into the rectum
Definition
Rectal suppository
Term
What is the most common reason for inserting a suppository?
Definition
To deliver a drug that will promote the expulsion of feces
Term
Introduces solution into the rectum
Definition
Enema
Term
What are some reasons for a nurse to administer an enema?
Definition
Cleanse lower bowel, soften feces, expel flatus, soothe irritated mucous membranes, outline colon during diagnostic x-rays, treat worm and parasite infections
Term
What are 2 main types of enemas?
Definition
1. Cleansing enema 2. Retention enema
Term
Type of enema that uses different types of solution to remove feces from rectum
Definition
Cleansing enema
Term
Type of enema that uses a solution held within the large intestine for a specific period, usually at least 30 minutes
Definition
Retention enema
Term
Which type of enema loosens and softens stool for easier defecation?
Definition
Retention enema
Term
What are 3 types of cleansing enemas?
Definition
1. Tap water/NS enema 2. Soap solution enema 3. Hypertonic saline enema
Term
Type of cleansing enema that is preferred for its nonirritating effects
Definition
Tap water/NS enema
Term
In which type of cleansing enema could fluid and electrolyte balances possibly occur?
Definition
Tap water/NS enema
Term
Which type of cleansing enema irritates the mucous membranes?
Definition
Soap solution enema
Term
Which type of cleansing enema draws fluid from body tissues into the bowel and increases fluid volume in intestine beyond what was originally instilled?
Definition
Hypertonic saline enema
Term
Surgical opening through the skin from an internal structure
Definition
Ostomy
Term
Opening in the skin where materials enter and exit through
Definition
Stoma
Term
What are 2 types of ostomies?
Definition
1. Ileostomy 2. Colostomy
Term
Surgically created opening to the ileum
Definition
Ileostomy
Term
Surgically created opening to a portion of the colon
Definition
Colostomy
Term
Bag or collection device over the stoma to collect stool
Definition
Appliance
Term
Closing the glottis and contracting the abdominal muscles to increase abdominal pressure and aids in defecation
Definition
Valsalva maneuver
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