Clinical Judgment
What is clinical judgment?
The process of receiving data about external or internal environments through our senses.
What is sensory reception?
Organ that is part of air exchange, has lobes and is very vascular
The waste product excreted by the kidneys. Measure in output.
What is urine?
BP, Temp, Pulse, Respirations, Pulse ox
What are Vital Signs?
Problem solving in a creative / intuitive manner
What is critical thinking?
This state includes delirium, dementia, confusion, normal awareness, minimally aware, and fully alert
What is conscious state?
Process by which oxygenated capillary blood passes through body tissues.
What is perfusion?
Any involuntary release or escape of urine.
What is urinary incontinence?
The organization that outlines the scope and standards for nursing practice in all states
What is ANA (American Nurses Association)?
This unconscious state cannot be aroused and does not respond to stimuli.
What is a coma?
Incomplete lung expansion or the collapse of alveoli.
What is atelectasis?
Wetting the bed at night.
What is enuresis?
A communication tool that works in handoffs to ensure information is passed along from one person/ shift to another. Has your recommendations of any problem.
What is SBAR?
The process that nurses use to think; a shared language of all nurses
What is nursing process?
When a person experiences decreased sensory input or monotonous input, ex: patients confined to a room
What is sensory deprivation?
Condition with inadequate amount of oxygen is available to cells.
What is hypoxia?
A common problem in the elderly due to lack of appropriate perineal care, dehydration, ureteral obstructions, etc. Treat with antibiotics.
What is a UTI?
Air embolism, infection, pain, redness and swelling at site, inadequate fluid delivery
What are complications of starting an IV?
Being aware of the elements in the environment in a specific time/ space, the comprehension of their meaning
What is situational awareness?
An eye sensory change where the organ damage from the disease results in spotty vision. Risk can be controlled by tight blood sugar control.
What is diabetic retinopathy?
When the heart is unable to pump sufficient blood supply, resulting in inadequate perfusion and oxygenation of tissues.
What is heart failure?
Can obtain urine from the bag when tube first inserted, or can drain tube and obtain specimen directly from tube.
What is obtaining a urine culture/ specimen?
A restrictive process used as last resort; need a provider order, must monitor adults at least every 2 hours and check circulation.