a nursing care plan includes the following components... - ANSWER-assessment, diagnosis, expected outcomes, interventions,
rationale and evaluation
(or ADPIE)
blood vessels constrict when stressed which increases... - ANSWER-blood pressure
the patient is not eating, what can you do? - ANSWER-- provide small portions
- encouragement
- ask what they like to eat, bring in family, make a pleasant environment for eating
what are the parts to a nursing diagnosis? - ANSWER-NANDA statement
related to (r/t)
shown by (s/b)
what is "related to" as part of a nursing diagnosis? - ANSWER-factors that are causing the problem statement
what is "shown by" as part of a nursing diagnosis? - ANSWER-all evidence which is showing that the patient is having that problem
how would you analyze patient data? - ANSWER-this means that to the patient TMT(p)
this means that to the nurse TMT(n)
what does TMT(p) mean? - ANSWER-how is this affecting the patient
,what does TMT(n) mean? - ANSWER-what can the nurse do about it
for ___, you must wear a gown and gloves for all interactions that involve contact with the patient and the patient environment -
ANSWER-Contact Precautions
illnesses requiring ___ may include: presence of stool incontinence, draining wounds, uncontrolled secretions, pressure ulcers,
presence of generalized rash, or presence of ostomy tubes and/or bags - ANSWER-contact precautions
___ are used to prevent the spread of pathogens that are passed through respiratory secretions and do not survive for long in
transit - ANSWER-droplet precautions
examples of diseases that require droplet precautions - ANSWER-pneumonia, influenza, whooping cough, bacterial meningitis
health care personnel caring for patients on ___ must wear a face mask for close patient contact - ANSWER-droplet precautions
a ___ must be worn by anyone entering the patient's room that is on airborne precautions
for e.g N95 - ANSWER-particulate respirator
airborne precautions are required to protect against ___ transmission of infectious agents - ANSWER-airborne
diseases requiring ___ include: measles, severe acute respiratory syndrome (SARS), varicella (chickenpox), and tuberculosis -
ANSWER-airborne precautions
what is measles? - ANSWER-infection of the respiratory system
___ refers to the practice of healthcare workers and visitors wearing barriers (i.e.,, gown, gloves, mask, etc.) routinely upon entry to
the client room, for the purpose of preventing client exposure to external microbes. - ANSWER-reverse isolation
reverse isolation is used to protect the patient from germs when their ___ system is not working properly - ANSWER-immune
, what type of patients may need reverse isolation? - ANSWER-patients with severe burns and leukemia, or those undergoing
chemotherapy
what can contribute to a wound getting infected? - ANSWER-- not being changed
- client doesn't have self-care knowledge
- breaks in skin which makes you susceptible
- stress
what is a culture test? - ANSWER-a test to find germs (such as bacteria or a fungus) that can cause an infection
a ___ test checks to see what kind of medicine, such as an antibiotic, will work best to treat the illness or infection - ANSWER-
sensitivity
sensitivity testing is used to determine the right ___ treatment for an infection and to monitor changes in bacterial resistance to
antibiotics - ANSWER-antibiotic
what do increased white blood cells indicate? - ANSWER-an increased production of white blood cells to fight an infection
an ___ is a type of blood test that measures how quickly erythrocytes (red blood cells) settle at the bottom of a test tube that
contains a blood sample - ANSWER-erythrocyte sedimentation rate (ESR)
normally, red blood cells settle relatively ___
(ESR) - ANSWER-slowly
a ___ than-normal rate (ESR) may indicate inflammation in the body - ANSWER-faster
the level of ___ increases when there's inflammation in your body - ANSWER-C-reactive protein (CRP)
you must take a culture and sensivity test first before... - ANSWER-giving antibiotics
even if you feel better, do not stop antibiotic dosages, do not omit any dosages, and do not ___ - ANSWER-double up