Excelsior College

Pathophysiology - Answer Physiology of altered health Health - Answer State of complete physical, mental, & social well-being & not merely the absence of disease & infirmity Disease - Answer An interruption, cessation, or disorder of a body system or organ structure that is characterize usually by a recognized etiologic agent or agents, an identifiable group of signs & symptoms, or consistent anatomic alteration Etiology - Answer Cause of disease Pathogenesis - Answer ...

Define Delegation - Answer Transfer of responsibility and authority for an activity to a "competent" individual. Who can an RN delegate too? - Answer Another RN, LPN/LVN, AUP or UP. Can you delegate to a family member that is a nurse? - Answer No Principles of delegation: Delegating to other nurses is like.... - Answer Asking for help, we aren't their boss. Principles of delegation: Delegating to Unlicensed Assistive Personnel (UAP) - Answer We delegate to...

Utilitarianism - Answer the view that the morally right action is the action that produces the most good. (The ends justify the means) Consequentialism - Answer the right action is understood entirely in terms of consequences produced (another form of utilitarianism) Empiricisms - Answer the belief that accurate knowledge can be acquired through observation what is empiricism useful in? - Answer Utilitarism What are ethics - Answer study of social morality, and philoso...

Moral Uncertainty - Answer nurse identifies a moral problem but is unsure of the morally correct action or values that apply; often called a gut feeling Moral/ethical dilemma - Answer when 2 or more mutually exclusive claims clearly apply and both seem to have equal weight Moral distress - Answer when nurse knows morally correct action and feels responsible to pt but institutional/other restraints make it nearly impossible to follow through with the appropriate action differenc...

A potentially fatal syndrome of lung inflammation and injury - Answer Acute Reparatory Distress Syndrome (ARDS) ARDS is caused by: - Answer DIRECT injury to lungs or INDIRECTLY by severe illness Examples of direct injuries that cause ARDS: - Answer Pneumonia/Sepsis** Gastric aspiration. Lung contusion. Fat emboli. Near Drowning. Inhalation injury. Reperfusion: Lung transplant and/or Pulm embolectomy. Examples of indirect injuries that cause ARDS: - Answer Sepsis** Sev...

A client diagnosed with posttraumatic stress disorder (PTSD) is close to discharge. Which client statement would indicate that teaching about the psychosocial cause of PTSD was effective? 1. "My experience, how I deal with it, and my support system all affect my disease process." 2. "I have learned to try and avoid stressful situations as a way to decrease my emotional pain." 3. "So, natural opioid released during the trauma caused my body to become 'addicted'." 4. ...

A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional assessment finding should the nurse expect? a. Heart rate of 120 beats/min b. Cool, clammy skin c. Oxygen saturation of 90% d. Respiratory rate of 8 breaths/min - Answer a. Heart rate of 120 beats/min When a client experiences hypotension, baroreceptors in the aortic arch sense a pressure decrease in the vessels. The parasympathetic system responds by lessening the inhibitory effect on the si...

A nurse assesses a client with renal insufficiency and a low red blood cell count. The client asks, Is my anemia related to the renal insufficiency? How should the nurse respond? a. Red blood cells produce erythropoietin, which increases blood flow to the kidneys. b. Your anemia and renal insufficiency are related to inadequate vitamin D and a loss of bone density. c. Erythropoietin is usually released from the kidneys and stimulates red blood cell production in the bone marrow. d. Kidney in...

Burns are caused by a shift in - Answer fluid What are the 3 phases of burn care - Answer emergent, acute, rehabilitative also known as the resuscitative phase, first 24-48 hours, short, only phase that has a time frame. Ends when fluid resuscitation ends. - Answer emergent phase that begins immediately after the emergent phase ends, wound is covered by tissue. - Answer acute phase that could last for years depending on severity, burns are healing, may require surgery. - ...

When a client is admitted to the emergency department with a possible spinal cord injury, the nurse would monitor for which clinical manifestations of spinal shock? Select all that apply. 1. Bradycardia 2. Hypotension 3. Spastic paralysis 4. Urinary retention 5. Increased pulse pressure - Answer 1. Bradycardia (due to vasodilation below level of injury) 2. Hypotension (loss of vascular tone below the injury) 4. Urinary retention (due to autonomic nervous system dysfunction) Which pr...