NUR 155 Exam 1
1st line of defense against infection - ✅✅-Intact skin, mouth, cilia, tears, GI,
vagina, urine flow
1st stage of Inflammatory response - ✅✅
-Vascular & Cellular response. Vessel
constriction quickly followed by dilation. Increase in vascular permeability.
Production & release of leukocytes into blood stream. Swelling, bleeding , &
scabbing
2-point alternative gait - ✅✅-left crutch and right limb advance, right crutch and
left limb advance
2nd line of defense against infection - ✅✅-Inflammatory response. Signs:
Drainage & pain. 3-5 days
2nd stage of Inflammatory Response - ✅✅
-Exudate production (white before
scab), Fibrinogen, thromboplastin & platelets clump together, form a barrier to
prevent additional harm. Scab dries
3-point gait - ✅✅-both crutches and weak leg advance, then strong leg
advances
3rd stage of inflammatory response - ✅✅ -Reparative, regeneration, granulation
tissue, fibrous tissue formation (scar). Cells are replacing
4- point alternative gait - ✅✅-right crutch advances, left foot advances, left
crutch advances, right foot advances
7 components of wellness - ✅✅ -Environmental, Occupational, Intellectual,
Spiritual, Physical, Emotional, and Social
abduction - ✅✅-moving arm laterally up to the head
Acute - ✅✅-Lasting less than 6 months. Ex: Mono, Flu, Bronch
adduction - ✅✅-bringing arm back down laterally to in front of the body
, Adult pulse -✅✅-80 (60-100)
Airborne Precautions PPE - ✅✅-gloves, N95, eyewear, & gown
Auscultation - ✅✅-Listening to sounds produces in the body with aid of
stethescope
Bacteremia - ✅✅-When a culture of a person's blood reveals microorganisms
Canes - ✅✅-Hold cane with stronger hand.
Charting by Exception - ✅✅-only abnormal or significant findings are recorded.
flow sheets, standards of nursing care, documentation often involves a check
mark or initials,
Chronic - ✅✅ -Will last longer than 6 months having periods of remissions and
exacerbation. Ex: Cancer
circumducution - ✅✅-move each arm forward, up, back, down in a full circle
Clinical Model - ✅✅-Provides the narrowest interpretation of health. People
viewed as physiologic systems. Health identified by the absence of signs and
symptoms of disease or injury. State of not being "sick."
Computerized Chating - ✅✅ -manages volume of info, used to store the client's
database, new data, create and revise care plans, info easily retrieved, possible
to transmit info from 1 care setting to another
Contact Precautions PPE - ✅✅-Gloves & gown
DAR - ✅✅-Data, Action, Response
Disease - ✅✅-Diagnosis, physiological symptoms
Documenting - ✅✅-Legal document, no speculation, restricted access, protect
client's privacy
1st line of defense against infection - ✅✅-Intact skin, mouth, cilia, tears, GI,
vagina, urine flow
1st stage of Inflammatory response - ✅✅
-Vascular & Cellular response. Vessel
constriction quickly followed by dilation. Increase in vascular permeability.
Production & release of leukocytes into blood stream. Swelling, bleeding , &
scabbing
2-point alternative gait - ✅✅-left crutch and right limb advance, right crutch and
left limb advance
2nd line of defense against infection - ✅✅-Inflammatory response. Signs:
Drainage & pain. 3-5 days
2nd stage of Inflammatory Response - ✅✅
-Exudate production (white before
scab), Fibrinogen, thromboplastin & platelets clump together, form a barrier to
prevent additional harm. Scab dries
3-point gait - ✅✅-both crutches and weak leg advance, then strong leg
advances
3rd stage of inflammatory response - ✅✅ -Reparative, regeneration, granulation
tissue, fibrous tissue formation (scar). Cells are replacing
4- point alternative gait - ✅✅-right crutch advances, left foot advances, left
crutch advances, right foot advances
7 components of wellness - ✅✅ -Environmental, Occupational, Intellectual,
Spiritual, Physical, Emotional, and Social
abduction - ✅✅-moving arm laterally up to the head
Acute - ✅✅-Lasting less than 6 months. Ex: Mono, Flu, Bronch
adduction - ✅✅-bringing arm back down laterally to in front of the body
, Adult pulse -✅✅-80 (60-100)
Airborne Precautions PPE - ✅✅-gloves, N95, eyewear, & gown
Auscultation - ✅✅-Listening to sounds produces in the body with aid of
stethescope
Bacteremia - ✅✅-When a culture of a person's blood reveals microorganisms
Canes - ✅✅-Hold cane with stronger hand.
Charting by Exception - ✅✅-only abnormal or significant findings are recorded.
flow sheets, standards of nursing care, documentation often involves a check
mark or initials,
Chronic - ✅✅ -Will last longer than 6 months having periods of remissions and
exacerbation. Ex: Cancer
circumducution - ✅✅-move each arm forward, up, back, down in a full circle
Clinical Model - ✅✅-Provides the narrowest interpretation of health. People
viewed as physiologic systems. Health identified by the absence of signs and
symptoms of disease or injury. State of not being "sick."
Computerized Chating - ✅✅ -manages volume of info, used to store the client's
database, new data, create and revise care plans, info easily retrieved, possible
to transmit info from 1 care setting to another
Contact Precautions PPE - ✅✅-Gloves & gown
DAR - ✅✅-Data, Action, Response
Disease - ✅✅-Diagnosis, physiological symptoms
Documenting - ✅✅-Legal document, no speculation, restricted access, protect
client's privacy
