Ch. 6, 7, 12
Personal space ranging from physical contact to 18 inches
Intimate
The part of the nursing process when the nurse gathers information about the patient through asking questions, performing a head-to-toe assessment, and reviewing labs and diagnostic tests
Assessment
Normal capillary refill in adults
<3 seconds in adults
<5 seconds in older adults
Potassium less than 3.5
Hypokalemia
This principle of beliefs believes in practitioners who promote treatment and healing through herbalists, spiritualists, naturalists, etc.
Folk Healing
When non-verbal and verbal communication is in agreement.
Congruent
The nurse is caring for a patient complaining of pain, so she gives pain medication. When the nurse reassesses the patient's pain level, she is performing this step in the nursing process.
Evaluation
Abnormally deep and rapid respirations, rhythm regular, blows off excess CO2. Seen during metabolic acidosis.
Kussmaul's respirations
Inflating a blood pressure cuff causes flexion of the wrist and hand
Hypocalcemia, Trousseau's Sign
A determination or judgment about a person or group based on irrational suspicion or hatred of a particular group, race, sexual orientation, or religion
Prejudice
The ability of an individual to understand basic health information, and to use that information to make good decisions about their health. Research has shown that patients who have little of this are at higher risk for poor health.
Health Literacy
Three part statement including Problem, Etiology, and Signs & Symptoms
Nursing Diagnosis
Proper order of assessing the abdomen
Inspection, Auscultation, Palpation
Signs and symptoms of hypervolemia
Crackles in lungs
JVD
Full, bounding +3 pulse
Pink or frothy sputum (life threatening emergency)
Increased Respiratory Rate
Box. 29.4 pg. 616
Comfort care that is health care provider directed, but not intended to cure the patient's disease
Palliative Care
Obesity, hypertension, poor diet, smoking are all examples of:
Non-Modifiable Risk Factors
The nurse caring for a dehydrated patient would expect their urine specific gravity to be:
Elevated
Interpret the following ABG:
pH: 7.65, CO2: 35, HCO3: 32
Metabolic Alkalosis
When you tap the face in front of the ear and below the zygomatic bone, facial twitching occurs, and it indicates:
Chvostek's sign. Hypocalcemia
A patient given less than 6 months to live states, "It's going to be okay, I'm ready for whatever comes", is exhibiting this stage of grief.
Acceptance
Emphasizing changing unhealthy practices, such as encouraging your patient to stop smoking, losing weight, reducing stress, etc.
Wellness strategies
#1 Risk factor for developing CAUTI
Indwelling Catheter
Oxygen delivery device that can provide 100% oxygen when set at 15L/min
Non-rebreathing mask
Too low and too high levels of this electrolyte can cause life-threatening cardiac dysrhythmias
Hypo/Hyperkalemia
Medical term for excessively dry mouth
Xerostomia