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MDC 1 Final Exam study guide.pdf

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MDC 1 Final Exam study

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MDC1 Final
Study online at https://quizlet.com/_er796s
1. Vital signs changes w/ pain: increase HR, BP, RR
2. Maslow's Hierarchy of Needs 1st to 4th: 1-4 are the "Basic Physiological
Needs" or "deficiency needs". Enables anxiety if it is not met but does not provide
self-growth. Essential for maintenance.
3. Maslow's Hierarchy of Needs 5th: 5th is the "growth need". Enables self-actu-
alization and reach full potential.
4. Maslow's 1st: Physiological. Air, food, water, rest, temp reg., elimination, sex,
physical activity, blood flow
5. Maslow's 2nd: Safety & Security
6. Maslow's 3rd: Love & Belonging. Relationships and Intimacy
7. Maslow's 4th: Self Esteem. Feeling of Accomplishment
8. Maslow's 5th: Self-Actualization. One's full potential.
9. Adalimumab: rheumatoid arthritis drug, used to reduce swelling
(inflammation) by acting on your immune system.
10. Integrase inhibitor: Stops HIV replication and is used in combination w/
other antiretroviral meds.
11. Gabapentin: neuropathic pain
12. Arthrocentesis: Arthrocentesis is used to diagnose joint inflammation and in-
fection. Involves aspirating synovial fluid, blood, or pus via a needle inserted into
a joint cavity.
13. Efavirenz: med to treat HIV
14. Wheezing: High-pitched sound from narrowed airways by spasm,
inflammation, mucus, or tumor. (acute asthma, emphysema)
15. Crackles (rales): Bubbling crackling, popping, soft, high-pitched, brief sounds
usually heard during inspiration. (pneumonia, CHF, bronchitis, emphysema)
16. Rhonchi: mucous secretions in the large airways. Coarse, snoring, continuous
low-pitched sounds heard during inspiration and expiration. May clear w/
coughing. (Bronchitis, emphysema, narrowed airways, fibrotic lungs)
17. Insomnia: -Most common sleep disorder characterized by difficulty
falling asleep or staying asleep.

-Exercise regularly, Limit fluids 2-4 hr before bed, Limit alcohol 4 hrs before bed.
DON'T nap.
18. SOB nursing interventions: Patient leans forward to help with respiration, used
when patient is experiencing SOB.
19. Risk factors for impaired skin integrity: Friction, shear, moisture, pressure,
and trauma are all causes of skin breakdown, Immobility, poor nutrition, inconti-
nence, medications, hydration, impaired mental status, and loss of sensation
20. Aloe: wound healing


, MDC1 Final
Study online at https://quizlet.com/_er796s
21. Chamomile: anti-inflammatory, calming
22. Echinacea: enhances immunity
23. Garlic: inhibits platelet aggregation
24. Ginger: Antiemetic; used for nausea and vomiting
25. Ginkgo biloba: Improves memory and mental alertness
26. Ginseng: increases physical endurance
27. Valerian: promotes sleep, reduces anxiety
28. Aspiration prevention: high-fowler or chair, hygiene after meals, etc.

-High Fowlers is 60-90 degrees

-Good oral hygiene is to prevent aspiration because patients may pocket food
29. Therapeutic relationship phase- Pre-interaction: before meeting the client,
you gather information.
30. Therapeutic relationship phase- Orientation: meet the client, introduce your-
self, establish rapport and trust.
31. Therapeutic relationship phase- Working: most therapeutic communication
occurs here, nurse communicates caring, patient expresses thoughts and feelings;
actively listening.
32. Therapeutic relationship phase- Termination: reviewing and summarizing to
bring an end.
33. Communication styles- Passive Communication: Avoid conflict, allow others
to take the lead
34. Communication styles- Assertive: Takes control
35. Communication styles- Passive aggression: Avoids direct confrontation but
subtly achieve goal through manipulation
36. Sexism: the assumption that members of one sex are superior to those of the
other sex
37. Chauvinism: assumption of male superiority.
38. Socialization: the informal education that occurs as you move into your
new profession
39. Ethnocentrism: the belief that one's culture is superior to others
40. Acculturation: An individual assumes the characteristics of a culture they just
immigrated too. ME coming to Gainesville and adopting their culture
41. Assimilation: A new member learns and take essential values, beliefs and
behaviors of the dominant culture gradually.
42. QSEN: Quality, Safety, & Education in Nursing. focused on improving
nursing education and patient outcomes through 6 essential competencies.



, MDC1 Final
Study online at https://quizlet.com/_er796s
43. Joint Commissions: An organization that establishes National Safety Patient
Goals to ensure safety and quality care for all patients
44. ANA: Advocates for higher-quality healthcare, promotes a safe and ethical
work environment, and advocates on healthcare issues affecting nurses and the
public
45. QSEN: Quality and Safety Education for Nurses Institute, focused on
improving nursing education and patient outcomes through 6 essential
competencies
46. OSHA: Occupational Safety and Health Administration, responsible for
ensuring safe and healthy working conditions
47. CMS: Centers for Medicare & Medicaid Services, ensures the delivery of
high-quality care and prevents overcharging of patients
48. Leading Cause of Death for Infants/Toddlers: Drowning is the primary cause
of death for ages 1-4, MVA is 2nd, Falls, choking, sudden infant death syndrome
(SIDS), ingesting poisons are other critical concerns.
49. Leading Cause of Death for Preschoolers/Adolescents: Motor vehicle in-
juries are the primary cause of death in this age group
50. Leading Cause of Death for Adults (35-64): Unintentional poisoning is the
primary cause of death in this age group
51. Leading Cause of Death for Older Adults: Falls are the primary cause of death
in this age group
52. Poisoning Safety: DONT induce vomiting, keep chemicals out of reach and
locked up, dispose of medications that are expired, Call emergency services or
Poison control immediately
53. Food Safety: Clean, Cook, Combat CrossContamination, and Chill
54. Fall Safety: Provide adequate lighting, remove trip hazards like bathmats, rugs,
Promote healthy sleep patterns, Use shower chairs & raised toilet seats, Keep stairs
free of clutter, Use an ice-melt product during winter (if up north), Encourage the
client to have regular toileting schedules, Encourage the client not to drink 2-4
hours prior to bedtime.
55. Race: Rescue, Alarm, Contain, Extinguish
56. PASS: Pull, Aim, Squeeze, Sweep
57. Priority clients: ABC or who is going to die first
58. Which organization publishers the National Patient Goals?
a. Medicare
b. The Joint commission
c. The American Nurse Association
d. The Institute of Medicine: b. The Joint commission
59. Hazards of Immobility - Respiratory: Decrease in the depth of respiration,
pooling of secretions, decreased ability to effectively cough, leading to atelectasis.

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