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51 notecards = 13 pages (4 cards per page)

Viewing:

1/14/21 Lecture

front 1

how much of communication is non-verbal?

back 1

70-80%

front 2

anything the pt or caregiver says to you

back 2

subjective

front 3

anything that you acutally observe

back 3

objective data

front 4

tachycardia

back 4

>100

front 5

bradycardia

back 5

<60

front 6

who should you not get an oral temp on?

back 6

anybody <4, mouth breathers, & pt's with facial trauma

front 7

who should you not get a rectal temp on?

back 7

pt's with diarrhea, pt's <3 mo old

front 8

how does chronic lung dz affect O2?

back 8

lowers it

front 9

where is the most accurate location to check for heart rate?

back 9

5th intercostal space

front 10

normal temp?

back 10

96.8-100.4

front 11

normal heart rate

back 11

60-100

front 12

normal respirations

back 12

12-20

front 13

normal BP?

back 13

120/80

front 14

normal O2

back 14

90-100

front 15

how long do we count VS for?

back 15

30s unless abnormal, then count for 1 full min

front 16

in what order (in regards to invasiveness) do we assess pt's?

back 16

least to most invasive

front 17

in what order do we assess the abd?

back 17

  1. inspect
  2. auscultate
  3. percuss
  4. palpate

front 18

in what order do we assess all other areas (besides abd)?

back 18

  1. inspect
  2. palpate
  3. percuss
  4. auscultate

front 19

in regards to painful areas, which order do you assess?

back 19

assess painful areas last

front 20

in what order do we listen for bowel sounds?

back 20

  1. RLQ
  2. RUQ
  3. LUQ
  4. LLQ

front 21

how long do you have to listen for bowel sounds before you can say they are absent?

back 21

1 full minute

front 22

what are the stages of edema?

back 22

1+, 2+. 3+, 4+

front 23

what does the Romberg test tell us?

back 23

balance

front 24

what are the phases of the nurse-pt relationship?

back 24

  • pre-interaction
  • orientation/introductory
  • working
  • termination

front 25

can halt a therapeutic relationship and can even provoke feelings of anger or aggression with the pt/family

back 25

nonverbal communication

front 26

it is very important to be aware of your __________________ (in regards to nonverbal communication)

back 26

  • stance
  • posture
  • where your arms/hands are

front 27

what are some forms of nonverbal communication?

back 27

  • body movements and posture
  • touch
  • facial expressions
  • vocal cues

front 28

what are some examples of health disparities?

back 28

  • race
  • gender and sexuality
  • economics
  • language and literacy
  • geography
  • bias and discrimination

front 29

2 ways we can help eliminate disparities?

back 29

  1. social determinants of health
  2. improving health literacy

front 30

what are some ways in which we can assess cultural competence?

back 30

  • communication
  • space
  • time orientation
  • social orientation
  • environmental control
  • biological variations

front 31

used to evaluate distance vision

back 31

Snellen chart

front 32

how is the Snellen chart test completed?

back 32

chart is mounted on a wall 20ft from the pt; pt covers one eye and identifies the letters

front 33

what tests are used to assess extraocular muscle function?

back 33

corneal light reflex and the 6 cardinal positions of gaze

front 34

what are the 6 cardinals positions of gaze?

back 34

  1. superior rectus (CN III)
  2. inferior oblique (CN III)
  3. medical rectus (CNIII)
  4. superior oblique (CN IV)
  5. inferior rectus (CN III)
  6. lateral rectus (CN VI)

front 35

what nodes do we palpate?

back 35

  • occipital (base of the skull)
  • postauricular (over the mastoid)
  • preauricular (in front of the ear)
  • tonsillar (angle of the mandible)
  • submandibular (along the base of the mandible
  • submental (midline under the chin)
  • anterior cervical (

front 36

auscultatory sites for the heart

back 36

  • aortic
  • pulmonic
  • Erb's
  • tricuspid
  • apical/mitral

front 37

what order do we palpate the abd?

back 37

  1. RLQ
  2. RUQ
  3. LUQ
  4. LLQ

front 38

what are the stages of edema?

back 38

  • 1+ (rapid skin response)
  • 2+ (10-15s skin response)
  • 3+ (prolonged skin response)
  • 4+ (prolonged skin response)

front 39

describe the Romberg test

back 39

client stands w/ feet together, arms at both sides, & eyes closed; the client should be able to stand w/ minimal swaying for at least 5 s

front 40

implies special feelings on the part of both the patient and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude

back 40

rapport

front 41

ability to see beyond outward behavior and to understand the situation from the patient's point of view

back 41

empathy

front 42

type of touch that is impersonal and businesslike; is used to accomplish a task

back 42

functional-professional

ex: a tailor measuring a customer for a suit or a physician examining a pt

front 43

type of touch that is still rather impersonal, but it conveys an affirmation or acceptance of the other person

back 43

social-polite

ex: handshake

front 44

touch at this level indicates a strong liking for the other person-a feeling that he or she is a friend

back 44

friendship-warmth

ex: laying one's hand on the shoulder of another

front 45

type of touch that conveys an emotional attachment or attraction to another person

back 45

love- intimacy

ex: engaging in a strong, mutual embrace

front 46

touch at this level is an expression of physical attraction only

back 46

sexual arousal

ex: caressing or touching another w/ intent to create sexual arousal

front 47

having the knowledge, abilities, and skills to deliver c are congruent with the patient's cultural beliefs and practices

back 47

cultural competence

front 48

difference, inequity, discrepancy, or gap

back 48

disparity

front 49

health difference that is closely linked with social, economic, or environmental disadvanatages

back 49

health disparity

front 50

consist of a variety of circumstances and conditions "in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks"

back 50

social determinants of health (SDOH)

front 51

the SDOH model has 5 key elements:

back 51

  1. economic stability
  2. education
  3. social and community context
  4. health and healthcare
  5. neighborhood and built environment