Fundamentals of Nursing: Unit 2 Workshop Flashcards


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1

-3 Domains of Learning

-cognitive (thinking) Storing and recalling of new knowledge in the brain Ex. Lecture, discussion, panel discussion, audio visual, computer simulations

-psychomotor (skills) Learning a physical skill Ex. Demonstration, discovery, printed materials

- Affective (feelings) Changing attitudes, values and feelings Ex. Role modeling, role playing

2

What is health literacy?

The degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions. See what the persons baseline is. Establish what they already know.

3

What nursing interventions would you perform when bathing a client with dementia?

Orient client

Encourage caregivers about patient reorientation

Enforce positive feedback

Explain what you’re doing in a simple easy way before you do it Break up the activities

Make things comfortable for them and as little stress for them as possible

Observe client closely

4

Which position is a semi-sitting position in which the head of the bed is elevated 45 to 60 degrees?

Fowlers, promotes cardiac and respiratory function

5

NREM (non-rapid eye movement)

low wave sleep, divided into 4 stages stage 1&2 = 5%-55% of sleep stage 1- know your surroundings, easily aroused,

stage 2- can be aroused,

stage 3 -arousing difficult, slow brain waves, 10% of sleep

stage 4 =delta sleep, really hard to wake someone up , V/S decrease, metabolism slows The parasympathetic branch of the autonomic nervous system becomes progressively more dominant

6

REM (rapid eye movement)

About 90 minutes after onset of sleep and after deep sleep in stage IV, the brain becomes highly active, dream during this stage,(pulse, respiratory rate, blood pressure, metabolic rate, and body temp. increase), skeletal muscle tone and deep tendon reflexes are depressed, eyes dart back and forth. 20-25% of sleep

7

Subjective vs. Objective Data

Subjective = what the patient tells you

Objective = what you observe (vitals, labs)

8

Sodium Range

135-145

9

Magnesium Range

1.8-2.6

10

Calcium Range

8.6-10.5

11

Potassium Range

3.5-5

12

RBC

males- 4.6-6.2

Females -4.2-5.4

13

WBC

4.5-11

14

What is a therapeutic medication level?

The level of the drug in the blood stream, the range within which that drug is expected to be effective without being toxic

15

How many teaspoons are in 60 mL?

12

16

What would nursing interventions be for the following nursing diagnosis: Knowledge Deficit and Adolescent Sexuality Concerns related to misinformation and absent family-based sex education as evidenced by the patient’s self-report?

Education

Assess the readiness to learn

Assess current knowledge level

Assess capability to learn

Assess motivation to learn

Assess if there’s cultural limitations

Determine most urgent need Identify what content they need Identify what teaching method will be used when you’re teaching the patient

17

What are the 3 levels of health promotion and what are some examples of activities in each?

Primary – exercise, immunization, seat belts, accident prevention, diet

Secondary – screening, early detection of disease, mammogram, testicular exam, dental exam, vision exam, pap smear

Tertiary – treatment of illness, reduce disability from illness – PT, support groups, medications

18

What is circumduction?

Moving in a circle

19

What is the difference between active and passive range of motion?

AROM – patient moves themself

PROM – nurse moves joint for patient

20

What are proper body mechanics when lifting an object off the floor?

Use your legs, bend at the knees, wide base, avoid bending and twisting, squat to lift, keep objects close, raise the bed, get help from other staff, use assistive devices

21

What is rationalization?

Trying to get a reasonable explanation for something that happened. Ex. Drs appt. if they didn’t have to wait so long they wouldn’t forget the appointment

22

How many mL are in 8 fl oz?

240

23

What are normal breath sounds and where are they heard?

  • Bronchial- larynx and trachea, high pitched, harsh blowing sound, expiration is longer than inspiration
  • Bronchialvesicular- first and second intercostal space, expiration is equal to inspiration
  • Vesicular – lung field, soft, low pitched, inspiration is longer than expiration
24

What are normal heart sounds and where are they heard?

Ape to man=

Aortic

Pulmonic

Erb’s point

Tricuspid

mitral

25

What is the meniscus?

Curve at the top of a liquid, always measure from the bottom of the meniscus

26

whats the difference between health promotion and health prevention

Promotion- motivation by desire to heal yourself

Prevention – motivated by desire to avoid illness or disease, or maintain disease