Nursing Foundations
Law that governs nursing practice and varies by state
Nurse Practice Act
Stage where the need for change is identified
Unfreezing
Soft, breezy, low lung sounds
Vesicular
Fast and deep breathing
Kussmaul
Elasticity of the skin
Turgor
National nursing organization that sets standards of practice
ANA
Stage involving planning and acting on change
Moving
High-pitched musical sounds louder on expiration
Wheezes
Crescendo–decrescendo with apnea
Cheyne-Stokes
Best pulse site for irregular rhythms
Apical pulse
Strategy used to improve nursing as a profession
Standard educational requirements, educating the public, standard continuing education requirements to licensure renewal, joining nursing organizations, etc.
Stage where change becomes part of daily life
Refreezing
Loud, low-pitched sounds sometimes cleared by coughing
Rhonchi
Slow, shallow, irregular respirations
Agonal
Sound heard over carotid artery
Bruit
Type of care that evaluates goals of a client’s care plan
Indirect nursing care
Lewin’s theory includes how many stages?
Three
Loud, bubbly sounds not cleared by coughing
Coarse crackles
Breathing pattern often seen in DKA
Kussmaul
Position used for abdominal assessment
Supine
Care that promotes community wellness
Preventative care
Stage most associated with resistance
Unfreezing
Dry rubbing or grating sound that does not clear
Pleural friction rub
Pattern often seen near death
Agonal
Position used for PR medication
Sims / Lateral recumbent