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NUR || 211 || Exam || 1 || with || verified || detailed || answers
nurse-sensitive || patient || indicators || - || ✔✔quality || indicators || that || capture || care || or || patient || outcomes || most || affected || by || nursing || care examples || of || nurse-sensitive || indicators || - || ✔✔patient || falls, || medication || administration || errors, || hospital-aquired || pressure || ulcers, || restraint || use, || mislabeled || specimens, || patient || deterioration, || pain || management purpose || of || joint || commission's || national || patient || safety || goals || (NPSGs) || - || ✔✔to || promote || specific || improvements || in || patient || quality || and || safety compliance || with || NPSGs || ensures... || - || ✔✔quality || and || safe || care || for || patients responsibility || - || ✔✔the || obligation || to || act || or || direct || to || accomplish || a || goal accountability || - || ✔✔being || held || to || answer || for || personal || actions || and || actions || of || others authority || - || ✔✔ability || or || legitimate || power || to || make || decisions, || implement || strategies, || or || elicit || work || from || others who || does || an || RN || delegate || to? || - || ✔✔nursing || care || technicians, || LPNs, || nursing || students, || volunteers, || other || nurses who || retains || the || authority || and || accountability? || - || ✔✔the || RN || who || delegated || the || tasks
what || care || can || the || RN || delegate? || - || ✔✔SAFE || THINGS! || routine || tasks || and || skills, || skills || that || the || person || has || been || taught, || tasks || in || job || description, || routine || care, || care || to || STABLE || patients || with || predictable || outcomes never || delegate... || - || ✔✔assessment, || teaching, || or || evaluations || of || interventions four || rights || of || delegation || - || ✔✔right || task, || right || person, || right || communication, || right || feedback right || task || - || ✔✔routine || tasks, || skills || included || in || training || programs || and || orientation, || skills || and || tasks || in || which || they || have || demonstrated || competency, || tasks || in || job || description right || person || - || ✔✔properly || trained, || in || job || description, || demonstrated || competency, || licensed || vs. || unlicensed right || communication || - || ✔✔clear || directions || given, || what || to || report || back, || safety || precautions, || verify || understanding || that || they || know || what || to || do, || be || very || clear || with || what || information || you || need || from || them right || feedback || - || ✔✔monitor || performance || based || on || standards || of || care, || policies, || and || procedures, || RN || is || accountable, || feedback || on || performance, || documentation obligation || in || ethical || decisions || - || ✔✔always || put || the || patient || FIRST, || maximize || the || client's || well-being, || balance || client's || need || for || autonomy || with || family || members' || responsibilities || for || the || client's || well-being, || carry || out || hospital || policies, || protect || nurse's || standard || of || care how || to || enhance || ethical || decisions || and || practice? || - || ✔✔know || the || dilemma, || know || the || ethics || and || standards || applied || to || it, || familiarity || with || ANA || code || of || ethics || for || nurses, || respect || values || and || opinions || of || other || HCPs
goal || of || the || state || boards || of || nursing? || - || ✔✔protect || the || public licensure || is || to... || - || ✔✔verify || that || you || are || a || safe || practitioner in || order || to || be || licensed || by || the || state || board || of || nursing... || - || ✔✔successfully || complete || a || nursing || program, || successfully || pass || the || NCLEX standards || compared || to || an || RN || - || ✔✔nursing || students || are || held || to || the || SAME || standard || of || care || as || the || RN differences? || - || ✔✔the || assignment || and || the || level || of || responsibility roles || of || the || nurse || - || ✔✔physical || and || psychological || caregiver, || perform || skills, || communicate || findings, || teach, || advocate, || counsel, || act || as || a || change || agent, || leader scope || of || nursing || - || ✔✔promoting || health || & || wellness, || preventing || illness, || restoring || health, || care || of || the || dying nursing || process || - || ✔✔assessment, || diagnosis, || planning, || intervention, || evaluation diagnosis || - || ✔✔independent || nursing || interventions, || a || statement || or || conclusion, || NANDA-I || are || the || the || standardized || names || for || diagnoses, || can || be || actual || or || potential, || provides || the || basis || for || selection || of || nursing || interventions prioritize || diagnoses || with... || - || ✔✔ABCs || (airway, || breathing, || circulation)
purpose || of || standard || statements || - || ✔✔common || language, || communicates || what || nurses || do, || distinguishes || nurse's || role, || promotes || quality || care types || of || nursing || diagnoses || - || ✔✔wellness, || risk, || actual, || potential || complications || (PC) how || many || parts || does || an || ACTUAL || diagnosis || have? || - || ✔✔three || parts what || are || the || three || parts? || - || ✔✔the || NANDA || label, || the || etiology, || and || the || defining || characteristics how || many || parts || does || a || RISK || diagnosis || have? || - || ✔✔two || parts what || are || the || two || parts? || - || ✔✔the || NANDA || label || and || the || etiology || (does || not || contain || defining || characteristics || because || it || is || potential) etiology || for || actual || diagnosis || - || ✔✔what || is || causing || the || nursing || problem/diagnosis? || nursing || diagnosis || is || related || to || the || etiology || (path || cause), || needs || to || be || written || in || terms || that || nurses || can || do || something || about || (pain, || immobility, || etc.), || do || not || use || medical || diagnosis etiology || for || risk || diagnosis || - || ✔✔what || are || contributing || factors || to || cause || the || problem || or || what || could || cause || the || problem? || nursing || diagnosis || is || related || to || the || etiology || (patho || cause), || needs || to || be || written || in || terms || that || nurses || can || do || something || about || (medications, || turn || patient, || etc.) || do || not || use || medical || diagnosis etiology || continued || - || ✔✔you || may || use || "secondary || to" || after || the || etiology--can || be || the || medical || diagnosis || or || the || condition || explaining || the || r/t third || part || of || actual || diagnosis || - || ✔✔don't || use || for || risk || diagnoses, || AEB || (as || evidence || by) || your || defining || characteristics, || what || data || do || you || have || to || support || your || diagnosis
teach || - || ✔✔there || is || ALWAYS || some || teaching || appropriate || for || the || client, || include || family || in || your || plan || to || teach best || practices || - || ✔✔start || each || intervention || with || an || action || verb, || individualize || your || interventions || to || your || client! scientific || evidence || - || ✔✔written || for || assessment, || implementation, || and || one || other, || source || with || page || number || must || be || documented sources? || - || ✔✔research-based || journal || article, || fundamentals || book, || other || textbooks, || DO || NOT || use || lecture || notes evaluation || - || ✔✔refer || to || goal || statement || and || outcome || criteria, || address || each || written || outcome || criteria, || determine || if || goal || has || been || met sleep || - || ✔✔a || basic || human || need, || a || universal || biological || process || common || to || all || people somnology || - || ✔✔the || study || of || sleep benefits || of || sleep || - || ✔✔helps || people || cope || with || daily || stressors, || prevents || fatigue, || conserves || energy, || facilitates || healing || of || damaged || tissue/wounds, || restores || mind || and || body phases || of || sleep || - || ✔✔NREM || and || REM NREM || - || ✔✔non-rapid || eye || movement || (stages || 1-4) REM || - || ✔✔rapid || eye || movement || (stage || 5)
stage || 1 || - || ✔✔very || light, || only || lasts || a || few || minutes stage || 2 || - || ✔✔light || sleep, || lasts || 10-15 || minutes, || eye || movements || stop || and || brain || waves || slow stage || 3/4 || characteristics || - || ✔✔deeper || sleep, || heart || and || respiratory || rates || drop || 20-30% || below || waking || hours, || difficult || to || arouse, || sleepwalking/talking, || night || terrors, || stage || 4 || characterized || by || slow || delta || waves, || no || eye || movement || or || muscle || activity, || if || awakened, || sleeper || may || be || groggy || and || disoriented stage || 3/4 || results || - || ✔✔peak || of || growth || hormone || secretion, || tissue || repair, || restorative, || important || for || children/growing || bodies || to || reach || this || stage || and || get || adequate || hours || of || sleep REM || characteristics || - || ✔✔phase || at || the || end || of || each || 90 || minute || sleep || cycle || and || usually || lasts || about || 5-30 || minutes, || usually || spend || about || 20% || of || sleep || in || REM, || vivid || full || color || dreaming, || becomes || longer || as || the || night || develops REM || results || - || ✔✔important || for || cognitive || restoration, || memory || storage || and || learning, || infants || spend || 50% || of || their || time || in || REM, || adults || spend || 20% REM || suppressants || - || ✔✔opioids/narcotics, || stimulants, || antidepressants, || alcohol, || smoking circadian || synchronization || - || ✔✔biological || clock || coincides || with || the || sleep/wake || cycles, || person || is || awake || when || body || temperature || is || the || highest || and || asleep || when || body || temperature || is || the || lowest insomnia || - || ✔✔the || inability || to || fall || asleep || or || remain || asleep
obstructive || apnea || - || ✔✔occurs || when || the || structures || of || the || pharynx || or || oral || cavity || block || the || flow || of || air central || apnea || - || ✔✔involves || a || deficit || in || the || respiratory || center || of || the || brain mixed || apnea || - || ✔✔combination || of || central || and || obstructive || apnea symptoms || of || sleep || apnea || - || ✔✔loud || snoring, || frequent || nocturnal || awakening, || excessive || daytime || sleepiness, || morning || headaches treatment || for || sleep || apnea || - || ✔✔surgical || procedures || for || enlarged || tonsils || (tonsillectomy) || or || laser || removal || of || excess || tissue || in || the || pharynx, || CPAP, || weight || loss CPAP || - || ✔✔continuous || positive || airway || pressure--a || nasal || device || that || is || used || at || the || client's || sleep || time || to || help || maintain || an || open || airway insufficient || sleep || - || ✔✔a || decrease || in || the || quality || and || quantity || of || sleep, || as || well || as || inconsistency || in || the || timing || of || sleep || due || to || emotional || stress, || medications, || environmental || disturbances IS || signs || and || symptoms || - || ✔✔slowed || response || time, || blurred || vision, || droopy || eyes, || decreased || alertness || and || judgement, || sensitivity || to || pain, || confusion parasomnias || - || ✔✔a || cluster || of || waking || behaviors || that || may || interfere || with || sleep || including || somnambulism || (sleep || walking), || sleep || talking, || nocturnal || enuresis || (bed || wetting), || nocturnal || erections, || bruxism || (teeth || grinding), || eating || disorders polysomnography || - || ✔✔sleep || lab--simultaneous || recording || of || EEG || (brain || activity), || EMG || (body || muscle || movements), || EOG || (eye || movements), || oxygen || and || carbon || dioxide || blood || levels, || heart || rate || and || rhythm, || flow || of || air, || snoring, || chest/abdominal || movement
to || prepare... || - || ✔✔sleep || diary || for || 1-2 || weeks || before || test, || stop || sedatives/caffiene/nicotine/alcohol || for || 2-3 || days || prior, || shower || before || with || no || makeup, || gels, || etc., || sleep || in || lab || overnight NANDA || diagnosis: || insomnia || - || ✔✔a || disruption || in || amount || and || quality || of || sleep || that || impairs || functioning ventilation || - || ✔✔the || process || of || moving || gases || into || and || out || of || the || lungs perfusion || - || ✔✔the || ability || of || the || cardiovascular || system || to || pump || oxygenated || blood || to || the || tissues || and || return || deoxygenated || blood || to || the || lungs diffusion || - || ✔✔exchange || of || respiratory || gases || in || the || alveoli || and || capillaries work || of || breathing || - || ✔✔the || effort || required || to || expand || and || contract || the || lungs surfactant || - || ✔✔chemical || produced || in || the || lungs || to || maintain || the || surface || tension || of || the || alveoli || and || keep || them || from || collapsing atelectasis || - || ✔✔collapse || of || the || alveoli || that || prevents || the || normal || exchange || of || oxygen || and || carbon || dioxide factors || affecting || oxygenation || - || ✔✔physiological, || conditions || affecting || chest || wall || movement, || influences || of || chronic || disease || (COPD) physiological || - || ✔✔decreased || oxygen-carrying || capacity, || hypovolemia || (trauma || patient || with || extreme || blood || loss), || decreased || inspired || oxygen || concentration, || increased || metabolic || rate
assessment || - || ✔✔what || is || normal || for || the || patient? || past || impairments || in || circulatory || or || respiratory || functioning? || methods || to || optimize || oxygenation? || food || and || drug || allergies? || physical || examination? || laboratory || and || diagnostic || tests? look, || listen, || and || count || respirations || - || ✔✔normal || RR || is || 12-20, || volume || (shallow || vs. || deep), || rhythm || (regular || vs. || irregular), || effort || (easy || vs. || labored), || AP:LAT || diameter || (1:2), || cough || (productive || vs. || nonproductive) || amount, || color, || consistency, || smell adventitious || breath || sounds || - || ✔✔crackles/rales, || rhonchi/gurgles, || wheezes, || stridor, || pleural || friction || rub crackles/rales || - || ✔✔short, || discreet || interrupted, || crackling || sound || classified || as || fine || to || coarse, || caused || by || air || passing || through || secretions, || moisture || (key || sound || in || pneumonia) rhonchi/gurgles || - || ✔✔continuous, || low-pitched, || rattling || resembling || snoring || caused || by || air || moving || through || fluid-filled || airways wheezes || - || ✔✔continuous, || high-pitched || whistling || sound || caused || by || air || moving || through || narrow || passages stridor || - || ✔✔high-pitched, || piercing || sound || most || often || during || inspiration || caused || by || obstruction || in || respiratory || tree--inspiration || can || be || 3-4x || longer || than || expiration || (usually || means || someone || is || choking) pleural || friction || rub || - || ✔✔creaking, || grating || sound || outside || of || respiratory || tree || caused || by || rubbing || together || of || inflamed || pleural || surfaces || (hear || with || pneumonia) decreased/absent || breath || sounds || - || ✔✔caused || by || pneumothorax || (air || in || pleural || cavity), || emphysema, || surgically || removed || lung || lobes, || obstruction, || atelectasis || (collapse || of || alveoli)
prevent || atelectasis || by... || - || ✔✔TCDB! || turn, || cough, || deep || breathe hypoxia/hypoxemia || - || ✔✔insufficient || oxygen || determined || by || pulse || oximetry || and || arterial || blood || gases || (ABGs) pulse || oximetry || - || ✔✔noninvasive || way || to || measure || oxygen || saturation || (should || be || 95-100%), || defined || as || the || percent || of || hemoglobin || saturated || with || oxygen ABGs || - || ✔✔invasive || way || to || measure || oxygen || saturation || (and || other || values) || 80-100 || mm || Hg chronic || signs || of || hypoxia? || - || ✔✔clubbed || fingers, || barrel || chest complete || blood || count || (CBC) || - || ✔✔also || called || H&H || (hemoglobin || and || hematocrit) hematocrit || - || ✔✔the || percent || of || total || blood || volume || made || up || by || the || RBCs, || decreased || level || called || anemia, || males: || 42-52%, || females: || 37-47% hemoglobin || - || ✔✔the || iron-containing || pigment || of || the || RBCs, || males: || 14-18 || g/dL, || females: || 12-16 || g/dL the || bus || - || ✔✔RBCs || are || the || bus, || hemoglobin || is || the || seat, || iron || is || what || the || seat || is || made || of, || oxygen || is || the || passenger NANDA: || ineffective || breathing || pattern || - || ✔✔definition: || inspiration || and/or || expiration || that || does || not || provide || adequate || ventilation || (umbrella || diagnosis) defining || characteristics: || bradycardia, || orthopnea, || tachypnea, || dyspnea, || use || of || accessory || muscles, || nasal || flaring
interventions || to || promote || oxygenation || - || ✔✔monitor || hydration, || humidification, || administer || medications || via || inhaler || or || nebulizer, || teach || effective || coughing || and || breathing, || chest || physiotherapy, || suction || the || airway, || artificial || airways hydration || - || ✔✔keeps || secretions || thin, || white, || watery, || and || easily || removable || with || minimal || coughing, || excessive || coughing || needed || to || clear || thick, || tenacious || secretions || which || is || fatiguing, || provide || fluid || intake || of || 1500 || to || 2500 || mL/day humidification || of || oxygen || - || ✔✔process || of || adding || water || to || gas, || keeps || the || airways || moist || and || mobilizes || secretions, || humidify || oxygen || for || 4L/min || or || greater, || administer || over || 24 || hours, || sterile || distilled || water nebulization || - || ✔✔adds || moisture || or || medications || to || air, || used || to || administer || bronchodilators || and || mucolytic || agents, || enhances || mucociliary || clearance deep || breathing || - || ✔✔diaphragmatic || breathing: || technique || increases || air || to || lower || lungs, || abdomen || moves || out || when || breathing || in || and || sinks || in || when || breathing || out, || deep || breathing || loosens || secretions coughing || - || ✔✔every || 2 || hours || while || awake || for || patients || with || respiratory || conditions || and || postop, || patients || with || large || amounts || of || secretions || cough || every || hour || while || awake || and || every || 2-3 || hours || at || night pursed-lip || breathing || - || ✔✔deep || inspiration || and || prolonged || expiration, || used || to || prevent || alveolar || collapse, || patient || in || sitting || position || should || exhale || as || if || blowing || through || a || straw, || exhalation || is || longer || than || inhalation, || used || in || COPD || patients || to || control || shortness || of || breath chest || physiotherapy || - || ✔✔mobilizes || and || drains || secretions || from || gravity || dependent || areas || of || the || lung, || three || components: || chest || percussion, || vibration, || postural || drainage
suctioning || - || ✔✔necessary || when || patients || are || unable || to || clear || secretions, || different || types || are: || oropharyngeal/nasopharyngeal, || orotracheal/nasotracheal, || and || tracheal oropharyngeal/nasopharyngeal || - || ✔✔used || when || the || patient || is || able || to || cough || but || unable || to || clear || secretions || by || expectorating orotracheal/nasotracheal || - || ✔✔used || when || patient || is || unable || to || manage || secretions || by || coughing tracheal || - || ✔✔performed || through || an || artificial || airway || such || as || ET || or || trach artificial || airways || - || ✔✔oral || airway, || endotracheal/tracheal || airways, || and || tracheostomy oral || airway || - || ✔✔prevents || obstruction || of || the || trachea || by || displacement || of || the || tongue || into || the || oropharynx endotracheal || and || tracheal || airways || - || ✔✔short-term || use || to || ventilate, || relieve || upper || airway || obstruction, || protect || against || aspiration, || clear || secretions tracheostomy || - || ✔✔long-term || assistance, || surgical || incision || made || into || trachea tracheostomy || indications || - || ✔✔acute || airway || obstruction, || airway || protection || (after || surgery, || trauma, || respiratory || failure), || facilitate || removal || of || secretions prolonged || intubation... || - || ✔✔less || damage || to || airway, || more || comfortable, || allowed || to || eat, || mobility || is || improved || (tube || more || secure)
maintenance || and || promotion || of || lung || expansion || - || ✔✔ambulation, || positioning, || incentive || spirometer, || noninvasive || ventilation ambulation || - || ✔✔immobility || is || major || factor || in || developing || atelectasis || and || ventilator || associated || pneumonia, || early || ambulation || improves || lung || expansion, || dangle || and || stand || intubated || patients, || get || patients || out || of || bed || ASAP || (day || of || surgery) positioning || - || ✔✔position || for || maximum || respiratory || function: || change || positions || every || 2 || hours, || 45 || degree || semi-fowler's || is || best, || unilateral || disease || position || "good || side" || down, || prevent || drainage || toward || healthy || lung incentive || spirometer || - || ✔✔encourages || deep || breathing || by || providing || visual || feedback, || prevents || atelectasis, || IS || encourages || coughing, || teach || the || patients || how || to || splint noninvasive || ventilation || - || ✔✔continuous || positive || airway || pressure || (CPAP) || and || bi-level || positive || airway || pressure || (BiPAP) CPAP || - || ✔✔used || for || sleep || apnea || or || heart || failure, || positive || pressure || keeps || airway || from || collapsing BiPAP || - || ✔✔provides || inspiratory || positive || airway || pressure || AND || expiratory || airway || pressure, || used || to || prevent || ET || tube || in || patients || with || respiratory || failure, || pulmonary || edema, || and || exacerbation || of || COPD invasive || intervention || - || ✔✔chest || tube: || catheter || inserted || though || the || thorax || to || remove || air || and || fluids || from || the || pleural || space, || to || prevent || air || or || fluid || from || reentering || the || pleural || space, || or || to || reestablish || normal || intrapulmonic || pressures
chest || tube || care || - || ✔✔keep || the || system || closed || and || below || the || chest, || monitor || for || air || leaks, || monitor || chest || fluid || drainage, || encourage || TCDB || and || IS FiO2 || - || ✔✔percent || of || oxygen || in || inspired || air || is || referred || to || as || fraction || of || inspired || oxygen room || air || - || ✔✔FiO2 || of || 21% oxygen || therapy || - || ✔✔delivery || of || oxygen || in || concentrations || greater || than || room || air, || decreases || workload || of || heart/lungs || and || protects || from || tissue || hypoxia tissue || hypoxia || - || ✔✔lack || of || oxygen || to || the || tissues safety || precautions || - || ✔✔oxygen || must || be || used || according || to || government || regulations, || oxygen || toxicity, || oxygen || is || a || medication || and || must || be || ordered, || administered || using || rights || of || medical || administration, || and || monitored, || combustible, || always || check || tanks || prior || to || use types || of || oxygen || therapy || - || ✔✔nasal || cannula, || simple || face || mask, || partial || rebreather || mask, || non-rebreather || mask, || variable || flow || rate || mask || (venturi) nasal || cannula || - || ✔✔LOW || concentration, || oxygen || delivered || through || plastic || cannulas || via || nares || (24-44%), || usually || 1-6L/min, || turn || flow || meter || to || correct || level || prior || to || putting || cannula || on, || check || for || skin || breakdown || over || ears, || start || with || low || amounts simple || face || mask || - || ✔✔MODERATE || to || HIGH || concentration, || oxygen || enters || through || entry || port || at || bottom || of || mask || and || exits || through || large || holes || on || side || of || mask, || usually || 40- 60% || oxygen || at || a || flow || rate || of || 5-8L/min, || use || nasal || cannulas || during || meals partial || non-rebreather || mask || - || ✔✔HIGH || concentration, || has || reservoir || bag || for || collection || of || first || part || of || client's || exhaled || air, || this || air || is || mixed || with || oxygen || for || the || next || breath, ||
