Upgrade to remove ads
Exam 3 Important Info According to Ms. Parks
Terms in this set (47)
What are the stages of pressure ulcers?
Define stage 1 of pressure ulcers.
Intact skin with nonblanchable redness of a localized area
Define stage 2 of pressure ulcers.
Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed without slough
Define stage 3 of pressure ulcers.
"Full thickness skin loss":
Full thickness skin loss
Define stage 4 of pressure ulcers.
"Full thickness tissue loss":
more severe than stage 3
What is a macular rash?
A type of rash characterized by a flat, red area on the skin that is covered with confluent bumps.
What is the best way to measure a lesion?
With a tape measure: Measure for height, width, and depth IN CENTIMETERS
What are the stages of wounds?
Primary, secondary, and tertiary intention
What is the primary intention stage of wounds?
Wound that is closed
What is the secondary intention stage of wounds?
Wound edges not approximated
What is the tertiary intention stage of wounds?
Wound that is left open for several days; then wound edges are approximated
What are the stages for Full-Thickness Wound Repair?
hemostasis, inflammatory, proliferative, and maturation
What are the stages for Partial-Thickness Wound Repair?
inflammatory response, epithelial proliferation (reproduction) and migration, and reestablishment of the epidermal layers
What is the normal BMI range for adults?
What is the best way for adequate intake of nutrition?
What is choose my plate for?
Improve the nutrition and well-being of Americans
In regards to gravity, how can we improve balance?
We want to bring objects closer to our bodies and widen our base of support. Lifting things to our chests and close to us is optimal.
A lower center of gravity=better balance
What is the normal level of sodium in a healthy individual?
What is the normal level of potassium in a healthy individual?
What is the normal level of calcium in a healthy individual?
What is the normal level of chloride in a healthy individual?
Increases calcium levels puts a patient at risk for...
Hypercalcemia; symptoms include anorexia, nausea and vomiting, constipation, fatigue, diminished reflexes, lethargy, decreased level of consciousness, confusion, personality change, cardiac arrest if severe
2/3 of total fluids are in the __________ space.
Respiratory alkalosis LABS
~pH > 7.45
~PaCO2 below 35 mm Hg (4.7 kPa)
~image level normal if short lived or uncompensated or below 22 mEq/L (22 mmol/L) if compensated
Respiratory acidosis LABS
~pH < 7.35
~PaCO2 above 45 mm Hg (6 kPa)
~image level normal if uncompensated or above 26 mEq/L (26 mmol/L) if compensated
What organ system causes respiratory acidosis or alkalosis?
Health care law
Collection of laws that have a direct impact on the delivery of health care or on the relationships among those in the business of health care or between the providers and the recipients of health care.
Emergency Medical Treatment and Active Labor Act; also known as the 'anti-dumping' law, requires that when an individual presents to a hospital with an emergency room for treatment, the hospital must conduct a medical screening within the facility's capacity. If an emergency condition exists, the hospital can NOT transfer or discharge the pt until the condition stabilizes. Exceptions exist for when a pt requests transfer or discharge in writing after the risks of such transfer or discharge have been explained to the pt OR if a healthcare provider certifies that the benefits outweigh the risks
Does constitutional law have any direct connection to healthcare or healthcare law?
What is the purpose of the nurse practice act?
To protect the health and wellness of the public; define scope of practice of nurses
HIPAA Privacy Rule
establishes national standards to protect individuals' medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.
Giving patients seclusion making them feel secure when talking about their health
Not disclosing any information to another person about a patient's health status unless consent was given by the patient.
Laws created for healthcare workers have________ levels
Federal, state, and local
Nurse practice act is governed by...
The state NOT THE FEDS
Nurse practice acts define....
Scope of practice as a nurse.
Protocols developed by the hospitals are based on...
Scope of practice as defined by the NPA.
What is a macule?
Flat, nonpalpable change in skin color; smaller than 1 cm (freckle).
What is a tumor?
Solid mass that extends deep through subq tissue.
What is a pustule?
Circumscribed elevation of skin similar to a vesicle but filled with pus.
What is a wheal?
Irregularly shaped, elevated area or superficial, localized edema.
What is a papule?
Palpable, circumscribed solid elevation in skin.
What is an ulcer?
Deep loss of skin surface that extends to dermis and frequently bleeds and scars.
What is a nodule?
Elevated, solid mass deeper and firmer than papule.
What is a vesicle?
Circumscribed elevation of skin filled with serous fluid
What is atrophied skin?
Thinning of the skin with loss of normal skin furrow; appears shiny and translucent.
What are the steps for a sterile dressing change?
1. Wash hands
2. Provide for client privacy; position client in a comfortable manner
3. Set up disposable bag; apply clean gloves
4. Remove tape and dressing
5. Properly dispose of dressing; remove and properly dispose of clean gloves
6. Set up sterile field and open sterile supplies (sterile gloves, 2 gauze pads, & sterile container)
7. Pour cleansing solution into sterile container w/o contaminating sterile field
8. Properly apply sterile gloves
9. Inspect wound (incision line, color, drainage, odor)
10. Cleanse wound (single stoke/gauze pad...both sides of incision & center...cleansing from top to bottom)
11. Apply dry sterile dressing
12. Secure dressing with tape
13. Date, time and initial dressing
14. Remove and properly dispose of sterile gloves; dispose of all supplies
15. Wash Hands
16. Document dressing change using a narrative format
Other sets by this creator
NurseLogic 2.0 Nursing Concepts Beginning Test
Nr - 226 Nurse Fundamentals Exam 2 : Elderly, Slee…
1520 Exam 1 Study Guide
ATI Video Case Studies Medication Interactions