Nursing 6001 Exam 1
5 movements of hand hygiene - ANS - before touching a patient
before a clean or aseptic procedure
after a body fluid exposure risk
after touching a patient
after touching patient surroundings
acid base balance - ANS - acid- substance containing hydrogen ions that can be
liberated or released
base-substance that can trap hydrogen ions
acid-base imbalances - ANS - Occur when carbonic acid or bicarbonate levels
become disproportionate
-respiratory acidosis-primary excess of carbonic acid in ECF
-respiratory alkalosis- primary deficit of carbonic acid in ECF
-metabolic acidosis- proportionate deficit of bicarb in ECF
-metabolic alkalosis- primary excess of bicarb in ECF
active transport - ANS - atp
pumping uphill
ADL's - ANS - overall functional status including
-independence with transfers, dressing, feeding
administering blood products - ANS - Type and cross match
,A,B, AB, and O type blood
Rh factor (+ or -), can't give a + to a -, blood clots
Selecting blood donors
Initiating transfusion, big gauge >20
Transfusion reactions (vital signs, fever, itchy SOB and low back pain
ADPIE - ANS - assessment
diagnosis
planning
implementation
evaluation
each phase of the nursing process affects the others
process is a repeating cycle of events that is continuously changing to meet the needs
of the patient
adrenal glands in regulation of fluid and electrolyte balance - ANS - regulate blood
volume and sodium and potassium balance by secreting aldosterone
decreased secretion of aldosterone causes sodium and water loss and potassium
retention
cortisol, another adrenocortical hormone, has only a fraction of the potency of
aldosterone
aging effects all components of the musculoskeletal system - ANS -
kyphosis-increased convexity in the thoracic spine from disk shrinkage and decreased
height
loss of muscle tone-atrophy
alcohol-based handrubs - ANS - in most situations, more effectively reduce bacterial
and viral counts on the hands of health care personnel than antimicrobial soap
before direct contact with patients or after
,after contact with body fluids if gloves are not soiled
after removing gloves
before inserting invasive devices that do not require surgical placement
before donning sterile gloves
if moving from a contaminated boy site to a clean
after contact with objects
Ambularm device - ANS - know when someone gets up
an organisms potential to produce disease depends on a variety of factors - ANS -
number of organism
virulence
competence of the person's immune system
length and intimacy of the contact between the person and the microorganism
arterial blood gases - ANS - a test performed on arterial blood to determine levels of
oxygen, carbon dioxide, and other gases present
pH (7.35-7.45)
PaCO2 (35045)
HCO3 (22-26)
assessing - ANS - collecting, validating, and communicating of patient data
-review health history
-conduct a physical assessment
-manage data according to functional health patterns
assessing falls - ANS - use evidence based tools
usually risk factor and point scale
assessment components for fluid and electrolytes - ANS - nursing history and physical
assessment
fluid intake and output
daily weights
laboratory studies
, bacteria - ANS - the most significant and most commonly observed infection-causing
agents
cocci, bacilli, or spirochetes
benefits of the nursing process - ANS - patient
-scientifically based, holistic individualized patient care
-continuity of care
-clear, efficient, cost-effective plan of action
nurse
-opportunity to work collaboratively with other healthcare workers
-satisfaction of making a difference in lives of patients
-opportunity to grow professionally
blended skills necessary for implementing the nursing process - ANS - cognitive skills-
using critical thinking,; a systematic way to form and shape one's thinking
technical skills- manipulating equipment skillfully to produce desired outcome
interpersonal skills- promoting the dignity and respect of patients and establishing
caring relationships
ethical/legal skills- establishing a personal moral code and professional role
responsibilities
Body fluids: water in the body functions primarily to - ANS - transporting nutrients to
cells and wastes from cells
transporting hormones, enzymes, blood platelets, and red and white blood cells
facilitating cellular metabolism and proper cellular chemical functioning
acting as a solvent for electrolytes and non electrolytes
helping maintain normal body temperature
facilitating digestion and promoting elimination
5 movements of hand hygiene - ANS - before touching a patient
before a clean or aseptic procedure
after a body fluid exposure risk
after touching a patient
after touching patient surroundings
acid base balance - ANS - acid- substance containing hydrogen ions that can be
liberated or released
base-substance that can trap hydrogen ions
acid-base imbalances - ANS - Occur when carbonic acid or bicarbonate levels
become disproportionate
-respiratory acidosis-primary excess of carbonic acid in ECF
-respiratory alkalosis- primary deficit of carbonic acid in ECF
-metabolic acidosis- proportionate deficit of bicarb in ECF
-metabolic alkalosis- primary excess of bicarb in ECF
active transport - ANS - atp
pumping uphill
ADL's - ANS - overall functional status including
-independence with transfers, dressing, feeding
administering blood products - ANS - Type and cross match
,A,B, AB, and O type blood
Rh factor (+ or -), can't give a + to a -, blood clots
Selecting blood donors
Initiating transfusion, big gauge >20
Transfusion reactions (vital signs, fever, itchy SOB and low back pain
ADPIE - ANS - assessment
diagnosis
planning
implementation
evaluation
each phase of the nursing process affects the others
process is a repeating cycle of events that is continuously changing to meet the needs
of the patient
adrenal glands in regulation of fluid and electrolyte balance - ANS - regulate blood
volume and sodium and potassium balance by secreting aldosterone
decreased secretion of aldosterone causes sodium and water loss and potassium
retention
cortisol, another adrenocortical hormone, has only a fraction of the potency of
aldosterone
aging effects all components of the musculoskeletal system - ANS -
kyphosis-increased convexity in the thoracic spine from disk shrinkage and decreased
height
loss of muscle tone-atrophy
alcohol-based handrubs - ANS - in most situations, more effectively reduce bacterial
and viral counts on the hands of health care personnel than antimicrobial soap
before direct contact with patients or after
,after contact with body fluids if gloves are not soiled
after removing gloves
before inserting invasive devices that do not require surgical placement
before donning sterile gloves
if moving from a contaminated boy site to a clean
after contact with objects
Ambularm device - ANS - know when someone gets up
an organisms potential to produce disease depends on a variety of factors - ANS -
number of organism
virulence
competence of the person's immune system
length and intimacy of the contact between the person and the microorganism
arterial blood gases - ANS - a test performed on arterial blood to determine levels of
oxygen, carbon dioxide, and other gases present
pH (7.35-7.45)
PaCO2 (35045)
HCO3 (22-26)
assessing - ANS - collecting, validating, and communicating of patient data
-review health history
-conduct a physical assessment
-manage data according to functional health patterns
assessing falls - ANS - use evidence based tools
usually risk factor and point scale
assessment components for fluid and electrolytes - ANS - nursing history and physical
assessment
fluid intake and output
daily weights
laboratory studies
, bacteria - ANS - the most significant and most commonly observed infection-causing
agents
cocci, bacilli, or spirochetes
benefits of the nursing process - ANS - patient
-scientifically based, holistic individualized patient care
-continuity of care
-clear, efficient, cost-effective plan of action
nurse
-opportunity to work collaboratively with other healthcare workers
-satisfaction of making a difference in lives of patients
-opportunity to grow professionally
blended skills necessary for implementing the nursing process - ANS - cognitive skills-
using critical thinking,; a systematic way to form and shape one's thinking
technical skills- manipulating equipment skillfully to produce desired outcome
interpersonal skills- promoting the dignity and respect of patients and establishing
caring relationships
ethical/legal skills- establishing a personal moral code and professional role
responsibilities
Body fluids: water in the body functions primarily to - ANS - transporting nutrients to
cells and wastes from cells
transporting hormones, enzymes, blood platelets, and red and white blood cells
facilitating cellular metabolism and proper cellular chemical functioning
acting as a solvent for electrolytes and non electrolytes
helping maintain normal body temperature
facilitating digestion and promoting elimination
