Funda

Caregiver

Teacher

Counselor

Change Agent

Client Advocate

Manager

Researcher

7 Roles of a Professional Nurse (4Cs TMR)

Caregiver

Role of a nurse:

Functions as nurturer, comforter, provider

“Mothering” actions of the nurse

Sits Stays Self Silence

Big S in theracomm

Why

In theracomm, never ask “___?”

“Nurse tells…”

In theracomm, this “___” statement insinuates a command to the patient and must be avoided.

False reassurances

In theracomm, never say "It's okay" or "That's nothing" because they can be misunderstood as f___ r___

Advice

In theracomm, never give ____, only offer client options

Teacher

Role of a nurse:

Encourages compliance with prescribed therapy

Promotes healthy lifestyle

Interprets information to the client

Penicillin and Cephalosporins

Both beta-lactam antibiotics that may cross-react

Cephalosporins

Antibiotics that usually starts with “cef-” and “ceph-”

Cross-reaction

People who are allergic to Antibiotic 1 will also be allergic to antibiotic 2 (vice versa)

Antibiotic Resistance

This is when bacteria already created enzymes to identify and fight against antibiotics, reducing its effectivity.

Penicillinase and beta-lactamase

Enzymes that are created to fight against penicillin, leading to antibiotic resistance

Co-amoxiclav (amoxicillin + clavulanic acid)

It is a beta lactamase inhibitor created to fight against penicillin resistance

True penicillin allergy

Never rely on patients’ words that they are allergic to penicillin. Look for ___ symptoms.

Wheezing, fever, rashes

3 True penicillin allergy symptoms

discontinue; give antihistamine

If medication allergy is present, immediately ___ medication then ___ to counter allergy.

Ceftriaxone

This antibiotic has the highest penetration to BBB (Blood Brain Barrier) and best treatment for brain infection like meningitis. It can also be used for Pelvic Inflammatory Diseases (mostly caused by Gonorrhea and Chlamydia)

Gonorrhea

Thick, yellowish discharge

Chlamydia

Watery, white discharge

Ceftriaxone IM

Primary treatment for gonorrhea

Cefixime + Azithromycin (taken together in single dose)

Secondary treatment for gonorrhea

Doxycycline (BID for 7 days)

Primary treatment for Chlamydia

High blood sugar

Exercise for more than 60 minutes can cause high cortisol (high stress), high BP, and ___.

30 minutes

Exercise duration recommended for first 2-3 months

45 minutes

Exercise duration recommended for the next 2 months after 3 months

Muscle movements

What can increase creatinine levels in the body?

Rhabdomyolysis

When overexertion damages muscles and releases too much myoglobin. This obstructs kidney vessels which results to AKI and a darkened urine.

Colorectal cancer

This cancer affects the colon (large intestine) or r*ctum and is one of the most common cancers worldwide.

"Cruciferous vegetables"

Anti colon cancer vegetables are also called?

Cabbage, Cauliflower, Broccoli (Chopseuy) Malunggay (Moringa) Lettuce

Cruciferous vegetables may be gas forming but anti cancer. Give examples. (CCBML)

Asparagus, Kale, Brussels sprouts

NCLEX recommended anti cancer vegetables

Confidentiality

In foreigner clients, it is important to get a trained medical interpreter or someone unfamiliar with the patient to value this specific ethical principle: ____

Communicable diseases

Topics that endanger public safety

What are the exceptions for confidentiality?

Interpersonal

As a counselor, in able to help clients in recognizing and coping with stressful psychological or social problems, nurses must have ___ skills.

Cybelle

This is used for the treatment of androgen-dependent diseases in women, such as pronounced acne or pimples.

Pregnancy test

This must be done after 5-7 days (or 10 days) after s*xual contact for accurate results (the time when hCG is finally detectable in the urine)

< 5 ml/u/ml

hCG (Non pregnant)

20-25 mlU/mL

hCG (Pregnant)

100,000 mlU/mL

hCG (H-mole)

Intra Uterine Device (IUD), Combined Oral Contraceptives (COC), Condom, Bilateral Tubal Ligation (BTL), or Vasectomy.

Enumerate common family planning options

Republic Act No. 10354: Reproductive Health (RH) Law

Responsible Parenthood and Reproductive Health Act of 2012

States that condoms, sex education, and maternal care must have universal access and be available for the community through hospitals and health centers.

Condoms

___ should not be kept in a wallet to prevent damage.

500%

Increase in HIV cases around ages 15-25 (DOH)

600%

Increase in AIDS for mostly MSM call center agents

ELISA (enzyme-linked immunosorbent assay)

Screening for AIDS

Western Blot

Confirmatory test for AIDS

>500 cells/cmm³

Normal CD4 T-cell marker count

< 200 cells/cmm³

Full blown or late stage AIDS CD4 T-cell marker count

Blood test

If blood smear would only tell the cell shape, what would show positivity/negativity in diagnosing AIDS?

Urophilia

Remind clients that AIDS can be transmitted via urine, blood, and semen because according to CDC, urine can also be transmitted in persons who have ___

people who had unprotected sex, victims of sexual assault, or exposure to occupational hazard (needles in hospital)

PEP (Post Exposure Prophylaxis) can be done for these individuals at risk for infection

98%

Effectivity rate of PEP (Post Exposure Prophylaxis)

72 hours

PEP must be taken within ___ after exposure and continue for the next 28 days

1,300-1,600 pesos

Usual price of PEP in the Philippines

loveyourselfph

Website for inquiries about PEP

24 hours

PrEP (Pre Exposure Prophylaxis) must be taken ___ before exposure

2 months

Injectable PrEP can offer you ___ protection

Change agent

Initiate changes or assist clients to make modifications in themselves or in the system of care

Client Advocate

Protect the client's right

Promotes what is best for the client ensuring that the client's needs are met and protecting the client's right

Both husband and wife must sign consent for BTL

A pregnant woman just delivered a baby. The husband requests Bilateral Tubal Ligation (BTL).

What will you do to prevent getting charged with battery or unlawful touching?

Manager

Makes decisions, coordinates, activities of others, allocate resources, evaluate care and personnel

BSN

___ degree can promote you into Manager compared to LPNs or LVN

Enhance or improve the quality of bedside care

Purpose of Nursing Research

Yakult

What does nursing research suggest in healing decubitus ulcer (bedsores) in patients?

Stage I Decubitus Ulcer

Non blanchable erythema of the skin

Stage II Decubitus Ulcer

Ulcer affecting epidermis and dermis

Stage III Decubitus Ulcer

Ulcer affecting subcutaneous layer

Stage IV Decubitus Ulcer

Ulcer showing muscles and bones (joint capsules)

Banana and Papaya

What local fruit decreases hyperactivity?

Tryptophan

Banana and Papaya contains ___, which likely contributes to good sleep because the body uses it to make serotonin, a neurotransmitter that helps regulate sleep and is used to create melatonin, a sleep-promoting hormone.

Ritalin

Commonly used medication for ADHD and narcolepsy. This is found in Marang and Durian.

Methylphenidate

If Concerta is another name for Ritalin, what is its generic name?

Anorexia, Stunted growth, Impaired height and weight

WOF these side effects of Ritalin

Clinical Specialist

Nurse Practitioner

Nurse Midwife

Nurse Anesthetist

Nurse Educator

Nurse Entrepreneur

Nurse Administrator

Expanded Roles of a Professional Nurse (BON) (AAEE PMS)

Nursing Specialty Certification Program

The ___ is a DOH-initiated and supervised system of developing and certifying nurses based on a set of standard competencies in specific specialty areas.

Specialty Nursing

Nursing Certification Program Levels 1-2 is General Nursing, while Levels 3-5 is?

PAGCOR and PCSO

Nursing Certification Program trainings are free and funded by ___ (They are required to donate 10% of their money)

2 years

Third provision states that nurses are required to serve Philippine hospitals for ___ or half their college education (4 years in college; ___ inside the country)

Return Service Agreement

Meaning of RSA

Certificate of employment (COE)

This is used to prove that you worked for 2 years in the Philippines or had community service in the Philippines

Novice

Advanced

Beginner

Competent

Proficient

Expert

Ladder of Clinical Proficiency by Patricia Benner (N.A.C.P.E.)

Novice

0-1 years of experience (Strict, rule-governed behavior)

Advanced Beginner

1-2 years of experience (Decisions based on theories)

Competent

2-3 years of experience (Based on client's needs)

Proficient

3-5 years of experience (Priorities based on ABCs or Maslow’s Hierarchy)

Expert

More than 5 years (Intuitive behavior or based on instinct)

Nurse Practitioner

Nurses who have their clinics (not entirely had a successful outcome)

Either as certificate program or a masters degree certified by the appropriate specialty organization

Skilled at making nursing assessments, performing PE, counseling, teaching, and treating minor and self limiting illness (viral illnesses)

Varicella Zoster Virus (Chickenpox)

Vesicular (fluid filled lesions) that creates pockmarks (deep scars)

Also called, "Dew drops on rose petal rash"

reactivated

After healing, virus hides in the posterior horn of the spinal cord

Once immune system weakens, it can be ___

Anterior

Which part of spine transmits motor signals?

Posterior

Which part of spine transmits sensory signals?

Herpes Zoster Virus (Shingles)

Unilateral or “one sided rash” that can be caused by weakened immune system, also transmitted through direct contact

Opthalmicus

Herpes Zoster O___ or Shingles affecting the eyes

Shingrix

Herpes Zoster Vaccine (HZV) or Recombinant zoster (shingles) vaccine, called ___

Sign is ___

observable

___ is felt by patient

Symptom

Zebra-like skin (red stripes)

In NCLEX, Shingles is also called?

Herpes Simplex Virus

Virus that can be commonly transmitted through s*x

Waist level

Type 1 and Type 2 Strains of HSV is divided by blisters based on the ___