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Definition
bed <30 degrees Inspect abdomen auscultate the 4 quadrants palpate abdomen |
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-high pitched -over the trachea, larynx, & anterior lung surface -inspiratory sounds are shorter in duration than expiratory sounds |
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| Bronchial Vesicular breath sounds |
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Definition
-medium pitched -upper sternum anteriorly, and between the scapulas posteriorly -expiratory and inspiratory sounds are equal in duration |
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Definition
-low pitched -heard over peripheral lung fields -inspiratory sounds are longer in duration than expiratory sounds |
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Definition
1. color 2. capillary refill 3. motion 4. sensation 5. temp of extremities 6. radial/ dorsalis pedis pulses |
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| physician's desk reference |
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| Temperature, pusle, respirations |
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peripheral vascular disease (non-cardiac disease of blood vessels) |
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Definition
| Atherosclerotic heart disease |
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Definition
chronic obstructive pulmonary disease (forced expiratory flow is slowed) |
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1. history of falling 2. secondary diagnosis 3. ambulatory aids 4. presence of IV infusion 5. gait/ transferring ability 6. mental status |
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Definition
| Airway, breathing, circulation |
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Definition
| sudden onset, brief course |
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Definition
| persistent condition, long duration |
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Definition
| undissolved drugs (powders) dispersed in liquid for oral or parenteral use |
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Definition
| add liquid to a powder medication |
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Definition
| small, disc-shaped or rhombic body composed of paste held in the mouth until dissolved to treat the mouth and throat |
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| an abnormal reaction to a drug |
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Definition
| the grating of a joint, often in association with osteoarthritis |
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| loss of consiousnessand postural tone caused by diminished cerebral flow |
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| volume of blood pumped by the heart |
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140-159 systolic 90-99 diastolic |
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Definition
| elasticity of the skin, longer than 30 second recoil is abnormal |
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Definition
| extremely high fever, above 105.8 |
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| normal range of O2 saturation |
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| Primary chemical component of blood affecting the resp rate |
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Definition
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| the less movable of 2 sites of attachment of a muscle. |
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Definition
| muscle length does not shorten |
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| the absence of palpable pulse waves in a peripheral artery for one or more heartbeats. difference b/t apical and peripheral. |
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Definition
| virus transmitted by fecal matter |
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Definition
| hyperpyrexia, often induced therapeutically |
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Definition
| discomfort in breathing from lying flat |
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Definition
| the percentage of O2 binding sites that are combined w/ O2 |
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| where is the heat regulating center located? |
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Definition
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Definition
| transference of heat from one object to another |
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| transferring of heat by circulating air or liquid |
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| loss of heat by water evaporating from the body surface |
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Definition
| heat loss by means of infrared rays given off from the body |
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| psychological resposes to stress |
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Definition
| anxiety, fear, anger, depression, ego defense mechanisms |
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| physiological responses to stress |
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Definition
| increased pulse and resp rates, perspiration, flushing |
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Definition
| local anemia due to mechanical obstruction of the blood supply (mainly arterial narrowing) |
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Definition
| an increased amount of blood in a part or organ |
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| braden risk assessment scale |
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Definition
for pressure ulcer prevention -sensory perception -activity -moisture -mobility -nutrition -friction and shear |
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Definition
| removal of foreign materials, necrotic matter, devitalized tissue from a wound or burn |
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Definition
| hemorrhage beneath unbroken skin |
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Definition
| muscle shortening due to spasm or fibrosis |
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| high pitched, noisy respirations |
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Definition
| infections that are the result of diagnostic or therapeutic procedures |
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Term
| general adaptation syndrome |
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Definition
a defense response of the whole body 1. alarm reaction 2. resistance 3. exhaustion |
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Term
| local adaptation syndrome |
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Definition
| one organ or part of the body reacts alone (inflammatory response or reflex pain response) |
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Definition
| slows thepulse rate by strengthening the contraction of the heart |
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| normal pulse rate for an adolescent |
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Definition
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Definition
160 or above systolic 100 or above diastolic |
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| vancomycin resistant enterococcus |
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Definition
| resulting from the presence and activity of a microbial agent |
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Definition
| transmissible by infection or contagion through the agency of a vector |
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Definition
| came from an external source |
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Definition
| lowest pressure of the blood against the arterial wall. (during relaxation of the ventricles) |
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Definition
| the maximum pressure of the blood against the arterial walls. (during contraction) |
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Definition
| low bp in a standing patient |
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Definition
| the difference between the systolic and diastolic pressures. 30-50 is normal |
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Definition
| deep, rapid resp's characteristic of diabetic or other types of acidosis |
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Definition
| lower than normal levels of O2 in inspired gases, arterial blood, or tissue |
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Definition
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Definition
| angiotensin converting enzymes, they dilate arterioles |
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Definition
1. etiology 2. reservoir 3. portal of exit 4. means of transmission 5. portal of entry 6. susceptibility of host |
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| agents having purgative action (i.e. of the bowel) |
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Definition
| soothes the skin or mucous membrane |
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Definition
| reverses the effects of the drug |
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Definition
| 2 drugs together having a greater effect and complimenting each other |
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Term
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Definition
| nonsteroidal antiinflammatory drug (aspirin, ibuprofen, naproxen, etc.) |
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Term
| cheyne-stokes respiration |
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Definition
| breathing with gradual increase in depth and rate, followed by a decrease resulting in apnea (common at time of death) |
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Definition
| an area of skin composed of macular lesions of varying shades or colors (blotchy whitish bluish spots) |
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Definition
| redness of the skin due to capillary dilation |
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Definition
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Definition
| non pigmented white patches of varied sizes on the skin. autoimmune process |
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| easily obliterated, fine pulse feeling like a thread under the finger |
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Definition
| inspecting for lesions on the skin (pressure ulcers, scars, b listers, warts, acne, pustules, wounds, scratches, bruises, cuts) |
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Definition
| inhibiting the growth of infectious agents |
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Definition
Words to describe pain Intensity Location Duration Alleviation |
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Definition
| active range of motion-motion at a given joint when the patient moves it voluntarily |
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| normal range of body temp for adult using oral thermometer |
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Definition
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Definition
| passive range of motion-joint is moved by an external force or therapist |
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Definition
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Definition
| pulls the molecules of the liquid inward from the surface (soap decreases the surface tension of water) |
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Definition
| reduction in the caliber of a blood vessel |
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Definition
| increase in the caliber of a blood vessel |
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Definition
| extension of a limb or part beyond the normal limit |
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Definition
| a core body temp significantly below 98.6 |
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Definition
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Definition
| an agent that reduces fever |
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Definition
| head of bed raised to 45 degree angle |
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Definition
| yellowish staining of the skin caused by excretions of bile pigment increased in plasma |
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Definition
| accumulation of an excessive amount of watery fluid in cells, tissues, or serous cavities |
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Definition
| complete or partial absence or loss of hair |
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Definition
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Definition
| a sensation of spinning or whirling motion. used as a general term to describe dizziness |
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Definition
| palm facing down/ lying face down |
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Definition
| palm facing upward/ lying face upward |
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Definition
| "traveling bacteria". Is picked up from other places or people |
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Definition
| movement of a body part away from the median plane |
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Definition
| heart sound heard directly over the heart |
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Definition
| rapid heart beat, usually over 100 bpm |
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Definition
| slow heartbeat usually under 60 bpm |
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Definition
| thind the resp tract mucus and promotes its removal |
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Definition
| cause an increase in caliber of a bronchus |
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Definition
| absence of spontaneous breathing |
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Definition
| movement of a body part toward the median plane |
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Definition
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Definition
| any factor that produces stress or alters the body's equilibrium |
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Definition
| hospital related/ healthcare related |
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Definition
| irregularity of the heartbeat |
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Definition
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Definition
| a "sign", can be seen by an observer |
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Definition
| a symptom, is apparent only to the patient |
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| purpose of nursing assessment |
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Definition
| to collect, organize, and analyze data in order to determine a patient's needs |
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Definition
| efficient use of body for locomotion |
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what is REM sleep needed for? non REM sleep? |
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Definition
-psychological integrity -physical well being |
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Definition
| classification of drugs that produce sleep |
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Definition
for patients w/ decreased activity promote venous return, avoiding pooling of blood & help prevent clots |
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Definition
| activities of daily living |
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Definition
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Definition
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Definition
| abnormal slowness of respiration |
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Definition
| relaxation, flaccidity, or lack of tone or tension |
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Definition
| a thick, coagulated crust or slough that develops following a thermal burn, or chemical or physical cauterization of the skin |
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Definition
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Definition
| partial skin loss of epidermis and / or dermis |
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Definition
| skin loss with damage to subcutaneous tissue |
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Definition
| damage extends to muscle and/ or bone, tendons, joint capsules |
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Definition
| establishment of an artificial cutaneous opening into the colon |
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Definition
| forced expiratory effort (strain) against a closed airway |
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Definition
| hardened mass of feces. can be accompanied by a constant seepage of liquid stool |
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Definition
| rectal vein causing painful swelling at the anus |
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Term
| examples of cathartic drugs |
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Definition
| metamucil, milk of magnesia, castor oil, dulcolax |
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Term
| what causes abdominal distension? |
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Definition
| accumulation of intestinal gas |
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Term
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Definition
| drugs combined with a base of soap, gelatin, or cocoa butter which melt at body temperature. |
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Term
| function of fecal softeners |
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Definition
| they mix w/ fecal matter and reduce surface tension |
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