Term
| What are the three phases of the general adaptation syndrome (GAS) |
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Definition
| Alarm reaction, Resistance, Exhaustion |
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|
Term
| What are two responses of the local adaptation syndrome? |
|
Definition
| Reflex Pain response, Inflammatory Response |
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Term
|
Definition
| The body's physiological, congnitive, and psychological response to circumstances that frighten, confuse, endanger, irritate or challenge you. |
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Term
| What are four factors that determine an individual's response to threat? |
|
Definition
| Nature of the stressor, Number of simultaneous stressors, duration of exposure, past experience with stressor, personal makeup |
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Term
| What are four interventions which help decrease stress? |
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Definition
| Prioritizing, setting goals, eating and sleeping well, utilizing support sytsems, relaxation techniques |
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|
Term
| What is the body's physiological response to stress? |
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Definition
| Epi and norepinephrine release, Increased BP, Pulse, Breathing |
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Term
| Define Nursing Assessment: |
|
Definition
| the process of collecting, organizing, validating, and recording data about a client's health status |
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Term
| What are three types of observation in a nursing assessment? |
|
Definition
| Purposefull, Planned, and Objective observation |
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Term
| What are three scientific principles of medical asepsis? |
|
Definition
| microorganisms are spread by contact, air, vehicle and vectors. skin is the first line of defense, Moisture facilitates movement (cap action) |
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Term
| what is the purpose of the assessment interview? |
|
Definition
| Establish a therapeutic relationship, allow the patient to vent his feelings, gather information to determint a plan of action |
|
|
Term
| List three characteristics of an interview? |
|
Definition
| Structured, Time limited, goal Directed. |
|
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Term
| What are 5 interview question techniques used to obtain patient information? |
|
Definition
| Open ended, Direct, closed questions, Validating, clarifying, reflective, sequencing |
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Term
|
Definition
| Sensation (itch) that provokes scratching |
|
|
Term
| When bathing a patient, when should the water be changed? |
|
Definition
| When it is dirty, soapy, cool, or contaminated |
|
|
Term
| Name 6 areas of skin assessment: |
|
Definition
| Color, Texture, Temperature, Turgor, Moisture, Integrity |
|
|
Term
| How should dentures be stored: |
|
Definition
| rinsed and placed in a container of water |
|
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Term
|
Definition
| widespread area of redness on the skin |
|
|
Term
|
Definition
|
|
Term
| What does O.O.B. stand for? |
|
Definition
|
|
Term
| what does A.D.L. stand for? |
|
Definition
| activities of daily living |
|
|
Term
| What is the normal oral temperature? |
|
Definition
|
|
Term
| What is the normal rectal temperature? |
|
Definition
|
|
Term
| What is the normal axillary Temp? |
|
Definition
|
|
Term
| What is the normal tympanic Temp? |
|
Definition
|
|
Term
| Name 4 ways the body looses heat? |
|
Definition
| Radiation, evaporation, convection, conduction |
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|
Term
| Children under what age should not recieve asprin? |
|
Definition
|
|
Term
| What the normal respiratory rate for an adult? |
|
Definition
|
|
Term
| What is the normal respiratory rate of an infant? |
|
Definition
|
|
Term
| Name 6 things that effect the heart? |
|
Definition
| Age, weight, hydration, disease process, stress, excercise, food |
|
|
Term
| Why do we take vital signs, what do they do? |
|
Definition
| monitor the functions of the body that cannot be seen. |
|
|
Term
| What can paint a picture physiologically, metivolically and emotionally? |
|
Definition
|
|
Term
| What is a circadian rhythm? |
|
Definition
| 24 hour cycle in physiological process |
|
|
Term
| What is the best position for lung assessment? |
|
Definition
|
|
Term
| What part of the brain controls respirations? |
|
Definition
| medulla oblongata and pons |
|
|
Term
| What is the term to descibe patterns that follow a day/night cycle? |
|
Definition
|
|
Term
| How do ACE inhibitors decrease BP? |
|
Definition
|
|
Term
| A condition in which fatty material collects along the walls of arteries in a progressive process is called? |
|
Definition
|
|
Term
| A hardening and thickening of the arteries is called? |
|
Definition
|
|
Term
| The depth of a rectal thermometer in an adult is? |
|
Definition
|
|
Term
| The depth of a rectal thermometer in an infant is? |
|
Definition
|
|
Term
| What are the four phases of an interview? |
|
Definition
| pre-interaction, Introduction and idenify patient, working phase, termination phase |
|
|
Term
| What are three types of stressors? |
|
Definition
| Internal, external, situational |
|
|
Term
| What are 5 purposes of assessing? |
|
Definition
| Identify the health status, collect information, analyze the information, establish a plan, deliver interventions |
|
|
Term
| What are characteristics of scientific observation? |
|
Definition
| purposeful, planned, objective |
|
|
Term
| Three characteristics of an interview are? |
|
Definition
| structured, time limited, goal oriented |
|
|
Term
|
Definition
| Partial or complete loss of tissue |
|
|
Term
| The efficient, coordinated and safe use of the body to move objects and carry out activities of nomral living is called? |
|
Definition
|
|
Term
| What are three alternatives to restraints? |
|
Definition
| Family members, distractions, put person on floor. |
|
|
Term
| What is the average heart rate for a newborn? |
|
Definition
|
|
Term
| what is the average heart rate for a 1 year old? |
|
Definition
|
|
Term
| What is the average heart rate for a 5 to 8 year old? |
|
Definition
|
|
Term
| Normal adult respirations are done with what muscle group? |
|
Definition
|
|
Term
| What are normal Bronchial breath sounds? |
|
Definition
| high pitched, loud, harsh (bronchi) |
|
|
Term
| What are normal Broncho-vesticular sounds? |
|
Definition
| Moderate intensity blowing soud heard between the scapula and lateral to the sternum |
|
|
Term
| What are normal Vesticular sounds? |
|
Definition
| soft intensity, low pitched, gentle sighing over lung field |
|
|
Term
| Indrawing between the ribs during respirations is called? |
|
Definition
|
|
Term
| Indrawing beneath the breastbone during respiration is called? |
|
Definition
|
|
Term
| Indrawing above the clavicles during respiration is called? |
|
Definition
| suprasternal retractions. |
|
|
Term
| What are 7 types of descriptions for pain? |
|
Definition
| character (sharp), Onset, Location, duration, exacerbation, relief, Radiation |
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