Doclaura

Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - ANS guidelines; establish goals; assess The _________ of patients' illness makes their care the top priority of critical care nurses. - ANS acuteness What are two issues that critical care nurses face because of the fast-paced environment, critical nature of illness, and issues surrounding life and death ...

Serves as guidelines for critical care nurses, establishes goals for patient care. - ANS AACN Standards for Acute and Critical Care Nursing Practice What makes delirium different from dementia? - ANS Delirium is fast onset, acute in nature, and there is usually a cause to it. True or False: Delirium is associated with low rates of mortality and morbidity? - ANS False- it is associated with high rates of mortality and morbidity. 3 Types of Delirium and characteris...

The expectoration of blood from respiratory tract. - ANS Hemoptysis Aspiration of air and fluid from pleural space Performed for diagnostic or therapeutic purposes - ANS thoracentesis Decrease in arterial oxygen tension in blood. Manifested by changes in mental status, dyspnea, increase in BP, changes in HR, dysrhythmias, central cyanosis, diaphoresis, cool extremities usually leads to hypoxia - ANS hypoxemia Decrease in O2 supply to tissues and cells. - AN...

Acid Base chapter - ANS info card acid-base balance w/ associated conditions - ANS severe pneumonia- respiratory acidosis drug OD- resp acidosis pulm embolism- resp acidosis Emphysema- resp. acidosis Hyperventilating- respiratory alkalosis Rapid, shallow breathing at a rate of 32 breaths/minute- respiratory alkalosis fever- resp alkalosis fear/anxiety- resp alkalosis Suctioning- metab. alkalosis Diarrhea-metabolic acidosis acid-base balance w/ ass...

The clinic nurse is reviewing statistics on infant mortality for the US vs other countries. Compared with other countries that have a pop of at least 25 million, the nurse makes which determination? A. The United States is ranked similar to 20 other developed countries. B. The United States is ranked in the middle of 20 other developed countries. C. The United States is ranked highest among 27 other industrialized countries. D. The United States is ranked last among 27 countries - ANS ...

Cataracts are defined as opacity of the lens in one or both eyes. What test do we perform to rule out cataracts in an infant? a. Red light reflex b. Cover uncover test c. Corneal light reflex d. None of the above - ANS a. Red light reflex Dustin has just been diagnosed with Amblyopia. His parents are very worried and are asking for more information. Your patient education is based on your knowledge that this diagnosis results from: a. an uneven curvature of the cornea b. an...

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: A. At 6 months his weight should be approximately three times his birth weight. B. "Each child gains weight at his or her own pace." C. "At 6 months his weight should be approximately twice his birth weight." D. "At 6 months a child should weigh about 10 lb more than his or her birth weight." - ANS C How can the nurs...

Typical characteristic of 2 yrs olds - ANS gross motor skills; just developing self help skills, attached to parent, plays alone (rarely shares), limited vocab Typical characteristics of 3 yr olds - ANS less ego centric, likes to please, active imagination, closely attached to parent. Typical characteristics of 4 yrs olds - ANS tries to impose power, develops small social groups, expansive period--reaches out from parent, many independent self help skills. Typica...

1) Which assessment finding for a 4-month-old infant would require further action by the nurse? 1. The posterior fontanel is open. 2. The infant has good head control when held upright. 3. The infant is able to roll only from abdomen to back. 4. The anterior fontanel is open and soft. - ANS 1. The posterior fontanel is open. 2) The nurse is providing care for a pediatric client in the emergency department (ED) with a diagnosis of decreased level of consciousness (LOC) secondary ...

examples of psychotherapy - ANS behavioral therapy, cognitive therapy, didactical behavior therapy based on a verbal therapist to client interaction explain what behavioral therapy is. - ANS aims to modify maladaptive behavior patterns. based that a behavior is learned and has consequences and abnormal behavior results from an attempt to avoid painful feelings and reduce anxiety. explain what cognitive therapy is. - ANS focuses on individual client thoughts and b...

Discuss the nurse's responsibility in making clinical decisions - ANS RNs are responsible for making accurate and appropriate clinical decisions or judgments. Clinical decision making separates RNs from technicians. i.e. RN observes for changes in patients, recognize potential problems, identifies new problems as they arise, and take immediate action when a patient's clinical condition worsens Discuss how reflection improves a nurse's capacity for making future clinical decisions...

The posterior hypothalamus helps control temperature by - ANS Causing vasoconstriction. Of the following mechanisms of heat loss by the body, identify the mechanism that transfers heat away by using air movement? - ANS Convection The patient has a temperature of 105.2° F. The nurse is attempting to lower his temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. The nurse is attempting to lower the patient's temperature throug...

EXAM 2 test questions struggled on: 1. The main reason for checking fever= need for blanket or comfort 2. Conduction=bear 3. how to test for deep vein thrombosis= press on skin looking for redness and tenderness 4. Vital signs and temperature 5. Braden scale- what scale for low and high risk -A score of 23= no risk for developing a pressure ulcer. Lowest score=6 the severest risk for developing a pressure ulcer. -Very High Risk: Total Score 9 or less -High Risk: Total Score 1...

internal variables that influence health and beliefs - ANS developmental, intellectual background, perception of functioning, emotional factors external variables that influence health and beliefs - ANS family practices, culture, socioeconomic factors passive strategies of health promotion - ANS gaining the benefit from something that's not been done ex. getting vitamins from milk active strategies of health promotion - ANS physically doing activities t...

Infection - ANS establishment of a pathogen in a susceptible host Asespsis - ANS freedom from and prevention of disease-causing contamination What is the body's first line of defense? - ANS Normal floral What are normal flora? - ANS a group of non-disease-causing microorganisms (e.g., bacteria, fungi, protozoa) that live in or on the body. What is the body's second line of defense - ANS inflammation inflammation - ANS a local respo...

cultural diversity - ANS people of varying cultures, racial and ethnic origin, religion, language, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status. and geographic location culture - ANS a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living subcultures - ANS a large group of people who are members of an even larger cultural group, but who have certain ethni...

A 79-year-old resident in a long-term care facility is known to "wander at night" and has fallen in the past. What is the most appropriate nursing intervention? a. Place an abdominal restraint on the client during sleeping hours b. Check the client frequently during the night c. Leave a radio playing at the bedside to assist in reality orientation d. Place the client in a room away from the noise and activity of the nurses' station - ANS b. Check the client frequently during the n...

Which is most important when caring for a patient with a colostomy stoma? A. Cleansing the stoma with cool water. B. Spraying an air freshener in the room. C. Selecting a colostomy bag with an appropriate sized stomal opening. D. Wearing sterile gloves when caring for the stoma. - ANS C. Selecting a colostomy bag with an appropriate sized stomal opening. Which statement should the nurse use when teaching the patient to avoid foods that have a laxative effect? A. "You sho...

A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse. Both the patient and his wife become very concerned, and the patient's call light is activated. What referent initiated communication between the patient and the nurse? a. Interaction between the patient and his wife b. Concern on the part of the patient's spouse c. Pain experienced by the patient d. Activation of the call light - ANS c. Pain experienced by the patient Which defense mec...

Parts of a Chest Tube Drainage System: >collection chamber - ANS -collects fluid with air passing through -allows fluid volume up to 2,000 mL >this allows for assessment of type of drainage, amount of drainage, & rate changes (& some have a sampling port) Parts of a Chest Tube Drainage System: >water seal chamber - ANS -prevents air from going back into the pt >one-way valve action that prevents air from returning to the chest while allowing air removal as i...