do not
Incident reports do/do not belong in patient's chart
facility
Incident reports help identify ?? issues needing attention/correction
slander
?? is when one makes false VERBAL statements
libel
Written slander
malice
Hurting someone on purpose, or with reckless disregard for the truth
assault
?? may be actual or threatened, such as giving an injection or threatening to restrain a client who has refused a procedure
battery
?? is intentional touching without consent
false imprisonment
?? ?? is restraining a client without justification (w/o physicians written order)
negligence
?? is conduct that falls below the standard of care
malpractice
?? is professional negligence
airborne
?? precautions are for droplet nuclei smaller than 5 mcg - measles, chickenpox
droplet
?? precautions are for droplets larger than 5 mcg being within 3 feet of client - pneumonias, plague, pertussis, mumps
contact
?? precaution is direct client or contact - MRDO such as VRE or MRSA, RSV, scabies
protective equipment
?? ?? alllogenic hymatopoietic stem cell transplants; private room
2 hours
You must remove restraints every ?? ??
15 minutes
You must check patient in a restraint every ?? ??
least restrictive
You must use the ?? ?? method for a restraint
physicians written order
You must have a ?? ?? ?? to use a restraint
ALL
?? other appropriate methods must have been exhausted before using a restraint
informed consent
To put a restraint on a patient, you have their ?? ??
nausea dizziness headache fatigue
Low O2 can cause ??, ??, ?? and ??
1 3
High O2 can cause death within ? to ? minutes
CO2
??? is a colorless, ordorless gas that is emitted from improperly set furnaces, heaters, and stoves
food water shelter clothing
The lowest level of the Maslow's pyramid is ??, ??, ??, and ??
storage refrigeration preparation
The proper ??, ??, and ?? of food is essential to be of value to the human body
64 75
Normal room temperature is between ??F and ??F
hyperthermia
?? is when the body's core temp is too high
hypothermia
?? is when the body's core temp is below 95F
lifestyle
Risks such as drug and alcohol abuse are considered ?? risk factors
heart disease cancer cerebrovascular disease
The top three causes of death are ?? ??, ??, and ?? ??
deficit
Sensory ?? is reduced perception of sensory reception and perception
primary intention
Healing process: ?? ?? is a wound that is closed
secondary intention
Healing process: ?? ?? is where the wound edges are not approximated
tertiary intention
Healing process: ?? ?? is where the wound is open for several days
tertiary intention
Wound that is left open to monitor for infection is considered ?? ?? (healing process)
secondary intention
Wound resulting from surgery causing tissue loss is considered ?? ?? (healing process)
stage 1
Pressure ulcer showing intact skin with nonblanchable redness of a localized area
stage 2
Pressure ulcer showing partial-thickness skin loss involving epidermis, dermis, or both
stage 3
Pressure ulcer where full-thickness skin loss; subcutaneous fat may be visible, but bone, tendon, or muscles are not
stage 4
Pressure ulcer where full-thickness tissue loss with exposed bone, tendon, or muscle
unstageable
Pressure ulcer where wound cannot be visualized; ulcer is full-thickness tissue loss in which base of the ulcer is covered by slough, typically has eschar
subjective findings
S of SOAP ?? ??
objective findings
O of SOAP ?? ??
assessment
A of SOAP
interventions
I of SOAPIE
evaluations
E of SOAPIE
planning
P of SOAP
sit facing the client
S of SOLER (listening skills) ?? ?? ?? ??
observe an open posture
O of SOLER (listening skills) ?? ?? ?? ??
lean toward the client
L of SOLER (listening skills) ?? ?? ?? ??
establish and maintain intermittent eye contact
E of SOLER (listening skills) ?? ?? ?? ?? ?? ??
relax
R of SOLER (listening skills) ??
assessment diagnose plan implement evaluate
The 5 phases of the nursing process - ??, ??, ??, ??, and ??
NANDA
Nursing diagnoses must come from the ?? approved list
diagnostic label
?? ?? is another term for the nursing diagnosis (from NANDA)
related factor
The condition identified in the client's assessment data is called the ?? ?? (R/T)
etiology
?? is what which is within the nursing domain of practice
definition
?? helps describe the characteristics of the condition
risk factors
?? ?? are cues or clues which indicate diagnosis is applicable to the clients condition
support
?? the diagnostic statement with specific assessment data which has defining characteristics proving the accurate nursing diagnosis
as evidenced by
AEB means
as manifested by
AMB means