Nursing Process 1: Test 3 Blueprint Flashcards

Vocabulary-style flashcards covering the nursing process, documentation, safety, math, hygiene, and medication administration as outlined in the Test 3 blueprint.

Focused assessment

The type of assessment required for a client admitted with a specific concern, such as a breathing problem.

Nursing process

A systematic method used by nurses to focus care on human responses to actual or potential health problems.

Discharge planning

A process that should begin the day of a patient's admission.

What does grooming do for the patient

Allows them to feel good about oneself

If you did not document something

it did not happen

Ask the patient…

if visitors should remain in the room before beginning a procedure

Cognitive domain

The domain of learning involved when teaching a patient about the calorie content of foods.

when evaluation an established plan of care, and after identifying the evaluative criteria and standards/ expected patient outcomes,

the nurse should collect data about patient responses

Planning

The cognitive phase of the care plan most closely associated with cognitively skilled nurses; its primary purpose is to design a plan for and with the patient.

you should reevaluate feeding a patient when

they are unconscious due to safety

when would safety be a concern for a patient

when they have visual and hearing deficits

planning

step in the nursing process most closely associated with cognitively skilled nurses

purpose of planing

to design a plan for and with the patient

what is a good intervention with educating patients

the benefits of early ambulation after surgery and assisting them

a patient should be instructed to stop fluids by 5pm when

a patient who needs to increase fluids but has to get up several times at night to urinate

Affective outcome

A type of outcome exemplified by a patient stating the benefits or positive outcomes of counseling.

Interdisciplinary rounds

When multiple disciplines, such as a doctor, nurse, respiratory therapist, and social worker, visit a patient together to evaluate and plan care.

correct documentation of an outcome

on discharge, patient will be able to list five symptoms of infection

When calling a physician about a low pulse oximetry reading, what should be documented

what the pulse ox was, who you called, what you did after the call and the patient response

a patient is in denial when

they have bright red bleeding for over a month in bowel movements in his hemmorrhoids

an unconscious patient may still have

hearing

interdisciplinary rounds

are when multiple disciplines visit a patient to evaluate and plan care

An example of a correctly written outcome is

On discharge, patient will be able to list five symptoms of infection

what influences the communication process

culture and lifestyle

older adults need

more time to answer questions

an accurate entry of pain

Patient states pain is a 6 on a scale of 0 to 10

Health Insurance Portability and Accountability Act is

the law that protects patient information

reinforce reality for

delusional patients

Writing a patient’s name on a student care plan

violates confidentiality (initials are ok)

Nursing documentation

is a legal record of pertinent interactions with the patient

1500

The military time equivalent for 3 PM.

NPO past 0000

A medical order meaning nothing to eat or drink after midnight.

what would concern the nurse if cigarette smoke could be smelled

a patient on oxygen at home

whats a example of implementing a learning strategy to prevent injury in the home

removing throw rugs

Unlicensed assistive personnel (UAP)

Staff members to whom a nurse can delegate assisting patients with hygiene.

Stage IV pressure ulcer

A wound characterized by full thickness skin loss.

Ecchymosis

An example of a closed wound.

Signs of wound infection

Clinical indicators including pain, fever, edema, redness, and purulent drainage.

Purulent drainage

Wound fluid made up of WBCs, debris, and bacteria.

if a patient had a foley catheter

it would require special attention to the the perineal area

Partial care (or partial bath)

A hygiene procedure involving giving supplies to a patient and helping with hard-to-reach areas.

a nurse helping with bathing

facilitates the nurse-patient relationship

if a foley catheter is disconnected by a patient

it must be removed and a new one inserted

Absorption

The process by which a drug leaves the site of administration, passes through tissues and into the bloodstream where it becomes active.

Therapeutic action

The desired physiological response expected from a drug.

Drug metabolism

The process of breaking down drugs; patients with liver disease would most likely have problems with this.

Excretion

The process by which drugs are removed from the body, primarily through the kidneys.

Pharmacokinetics

The study of how drugs are absorbed, distributed, metabolized, and excreted.

Medication preparation protocol

The safety practice of reading the label on a medication container 3 times before administration.