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Test 1 NUR 151 QUESTIONS WITH
CORRECT ANSWERS
CCHINS - ...,. ๐น VERIFIED ANSWER ** โโ caring, critical thinking, holism, information management & technology, nursing role development, safe practice nursing is... - ...,. ๐น VERIFIED ANSWER ** โโ assisting individuals families, and communities in attaining, maintaining, and recovering optimal health. Nursing treats the human response - is not medicine. florence nightingale - ...,. ๐น VERIFIED ANSWER ** โโ began the formalized role of nursing with training and schooling. nightingale's theory - ...,. ๐น VERIFIED ANSWER ** โโ therapeutic environment, empathetic care, confidential care, care through vital assessment, care that encourages independence and restoration of health
Linda Richards - ...,. ๐น VERIFIED ANSWER ** โโ Americas first trained nurse - created the charting system and a nurse training school at Boston College Hospital. Clara Barton - ...,. ๐น VERIFIED ANSWER ** โโ Founder of Red Cross Mary Breckinridge - ...,. ๐น VERIFIED ANSWER ** โโ Nurse midwife - frontier nursing service Dorothea Dix - ...,. ๐น VERIFIED ANSWER ** โโ Superintendant of nurses in union army - reformed mental health nursing Mary Elizabeth Mahoney - ...,. ๐น VERIFIED ANSWER ** โโ first professionally trained black female nurse Lilian Wald - ...,. ๐น VERIFIED ANSWER ** โโ founded Henry Street Settlement - worked in community health nursing CANDO program - ...,. ๐น VERIFIED ANSWER ** โโ nurses who are chemically addicted and in treatment can keep license if approved to participate in this program
Patient self-determination act - ...,. ๐น VERIFIED ANSWER ** โโ we must provide pt with all options available The Bill of Rights - ...,. ๐น VERIFIED ANSWER ** โโ 10 amendments apply to nursing practice for patients and nurses HIPAA - ...,. ๐น VERIFIED ANSWER ** โโ protecting patients rights and privacy Advance directives - ...,. ๐น VERIFIED ANSWER ** โโ right to change mind at any time - DNR - do not resuscitate, Living will
- document w/ specifics of what pt desires for pt care, Power of attorney for healthcare - a person chosen whom knows what you would like done medically and will enforce that. Negligence - ...,. ๐น VERIFIED ANSWER ** โโ failure to perform as a reasonable, prudent nurse would, failure to follow standards of practice, no intent to harm is present Malpractice - ...,. ๐น VERIFIED ANSWER ** โโ professional form of negligence. For one to collect - must existence of duty, breach of the duty, causation, and damages
Assault/Battery - ...,. ๐น VERIFIED ANSWER ** โโ assault - threat or attempt to make bodily contact with someone without consent. Battery is an assault that is carried out Palliative care - ...,. ๐น VERIFIED ANSWER ** โโ relieve uncomfortable, provides pain relief and comfort measures but does not try to prolong the person's life Hospice care - ...,. ๐น VERIFIED ANSWER ** โโ treatment of the terminally ill with the goal of helping them to die comfortably, without pain Bereavement care - ...,. ๐น VERIFIED ANSWER ** โโ Support services to friends and family after the patient's death for up to one year Respite Care - ...,. ๐น VERIFIED ANSWER ** โโ a service that provides short-term relief or time off for persons providing home care to an ill, disabled, or frail older adult HEENT - ...,. ๐น VERIFIED ANSWER ** โโ head, ears, eyes,
Watch test - ...,. ๐น VERIFIED ANSWER ** โโ 5 inches away from ear & can still hear second hand Halitosis - ...,. ๐น VERIFIED ANSWER ** โโ bad breath Thrush - ...,. ๐น VERIFIED ANSWER ** โโ possible causes; chemo, bad oral care, antibiotics Subjective Data - ...,. ๐น VERIFIED ANSWER ** โโ what the pt says - not measurable Objective Data - ...,. ๐น VERIFIED ANSWER ** โโ observable data that can be measured - what you smell, touch, hear, see Comprehensive - ...,. ๐น VERIFIED ANSWER ** โโ interview, head to toe, admission to new facility Focused - ...,. ๐น VERIFIED ANSWER ** โโ abbreviated focused on one body part or illness Ongoing treatment is... - ...,. ๐น VERIFIED ANSWER ** โโ as
needed, with each patient interaction Emergency - ...,. ๐น VERIFIED ANSWER ** โโ trauma, rapid, critical times Body System Approach - ...,. ๐น VERIFIED ANSWER ** โโ head to toe same every time - inspection, palpation, percussion, auscultation. except for GI palpate after auscultate CNS - ...,. ๐น VERIFIED ANSWER ** โโ central nervous system - made up of the brain and spinal cord - fight, speeds heartbeat PNS - ...,. ๐น VERIFIED ANSWER ** โโ peripheral nervous system - made of spinal nerves, many cranial nerves and autonomic nervous system - flight, slows heartbeat PMH - ...,. ๐น VERIFIED ANSWER ** โโ past medical history LOC - ...,. ๐น VERIFIED ANSWER ** โโ level of consciousness AVPU - alert, verbal stimuli, painful stimuli, unresponsive
Bradycardia - ...,. ๐น VERIFIED ANSWER ** โโ slow hr, below 60bpm Pulse Volume - ...,. ๐น VERIFIED ANSWER ** โโ 0=absent 1=thready/weak 2=weak 3=normal 4=bounding/full Pulse Sites - ...,. ๐น VERIFIED ANSWER ** โโ radial pedal post tib politeal femoral brachial carotid temporal Respirations - ...,. ๐น VERIFIED ANSWER ** โโ average is 12- per minute breathing out takes longer than in normally
Abnormal Breathing - ...,. ๐น VERIFIED ANSWER ** โโ apnea=stop tachypnea=fast bradypnea=slow dyspnea=difficult orthopnea=difficult in position Pulse ox - ...,. ๐น VERIFIED ANSWER ** โโ SpO normal 90%-100% Blood Pressure - ...,. ๐น VERIFIED ANSWER ** โโ below<90/ is hypotension 90-120/60-80 is normal 120-140/80-90 is pre-hypertension above>140/90 is hypertension if needed to repeat, wait 2 minutes between K sounds are - ...,. ๐น VERIFIED ANSWER ** โโ Korotkoff's sounds=the sounds you identify while taking BP GCS - ...,. ๐น VERIFIED ANSWER ** โโ neuro assessment 3- eye opening 1-
Cranial Nerves Mnemonic - ...,. ๐น VERIFIED ANSWER ** โโ Oh Oh Oh To Touch And Feel Very Good Vibes AHh Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Auditory, Glossopharyngeal, Vagus, Accessory, Hypoglossal Cranial Nerve Duties Mnemonic - ...,. ๐น VERIFIED ANSWER ** โโ Some Say Marry Money But My Brother Says Big Boobs Matter More Proprioception - ...,. ๐น VERIFIED ANSWER ** โโ where you are in space Eccymosis - ...,. ๐น VERIFIED ANSWER ** โโ leakage (extravasation) of blood into the skin or mucous membrane- purple but not a bruise Petechiae - ...,. ๐น VERIFIED ANSWER ** โโ small hemorrhagic spots of capillary bleeding common with thrombocytopenia
Clubbing - ...,. ๐น VERIFIED ANSWER ** โโ reduced oxygen levels, common with lung cancer, cystic fibrosis, celiac disease, cirrhosis and other liver diseases, dysentery, graves disease, overactive thyroid, abnormal nails - ...,. ๐น VERIFIED ANSWER ** โโ white spots - zinc deficiency spoon shaped nails - iron deficiency splinter hemorrhage - injury to brittle nail Tissue Paper My Assets - ...,. ๐น VERIFIED ANSWER ** โโ blood route Tricuspid, Pulmonic, Mitral, Aortic SOB - ...,. ๐น VERIFIED ANSWER ** โโ Shortness of breath HTN - ...,. ๐น VERIFIED ANSWER ** โโ Hypertension APE To Man - ...,. ๐น VERIFIED ANSWER ** โโ Aortic ICS2, R Pulmonic ICS2, L Erb's Point ICS3, L Tricuspid ICS5, L
inflammation Stridor - ...,. ๐น VERIFIED ANSWER ** โโ upper airway closing Rhonchi - ...,. ๐น VERIFIED ANSWER ** โโ Partially blocking airway Lordosis - ...,. ๐น VERIFIED ANSWER ** โโ exaggerated lumbar curve Source oriented documentation - ...,. ๐น VERIFIED ANSWER ** โโ each discipline records findings separately - easy to find info, but data is scattered Problem oriented documentation - ...,. ๐น VERIFIED ANSWER ** โโ organized around patient problems, allows collaboration, but required cooperation CBE - ...,. ๐น VERIFIED ANSWER ** โโ Charting by exception - only significant findings, saves time, but inadvertent omissions
Nurses Notes - ...,. ๐น VERIFIED ANSWER ** โโ Narrative, PIE, SOAP, Focus, FACT PIE - ...,. ๐น VERIFIED ANSWER ** โโ Problem, Interventions, Evaluation - only used in problem oriented charting, ongoing plan of care SOAP/SOAPIER - ...,. ๐น VERIFIED ANSWER ** โโ Subjective, Objective, Assessment, Plan, Intervention, Evaluation, Revision. Both source & Problem oriented documentation use it - inefficient and repetitive DAR - ...,. ๐น VERIFIED ANSWER ** โโ Data, Action, Response
- found in column 3 in focus charting FACT Charting - ...,. ๐น VERIFIED ANSWER ** โโ Flow Sheets, Assessment with baseline data, Concise progress notes, Timely entries Admission Database - ...,. ๐น VERIFIED ANSWER ** โโ record of baseline data, chief complain or reason for admission, physical assessment, vital signs, allergy, current meds, ADL,
paper chart, completed when pt transferred to another unit, facility or d/c home SBAR - ...,. ๐น VERIFIED ANSWER ** โโ Situation - what is happening now Background - what led to this situation Assessment - what do I think problem is Recommendation - what should we do to fix it
