Mosby's Patok

7/29/2019 Mosby's Patok

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Clinical Nurse Specialist: in the clinical experts in the dx and tx of illness & the

delivery of evidence-based nsg interventions

Nurse Practitioner: RN who has completed specific a advanced nsg education and

training in the diagnosis and management of common as well as complex medicalcondition

Distinct Identity and Culture: criteria of a profession Proficient Nurse: holistic understaNDING OF CLIENTS CONDITION, operates

ore intuitively than the cometent nurse

Assertiveness: speaking ones mind out with respect to the boundaries of othes

Accountability: assuming responsibility for ones action

Altruism: orientation towards service

Authority: the right to exercise power

Assertiveness: speaking for the best interest of the client

Theory: well defined testable description of a subject; can be tested in practice

Prescriptive theory: explain, relate and in some situations predict nursing

phenomenon Interdisciplinary Theory: enable nurses to practice in todays health care system

with a strong scientific knowledge base from nursing and other discipline such asphysical, social and behavioral sciences

Developmental theories: assert the development begins with conception and

continuous through death in an orderly manner

Active Euthanasia: performing a direct act to cause the clients death

Ethical dilemma: the need to choose from among two or more morally acceptable

courses of action

Passive Euthanasia: not saving the client; withdrawal of treatment that leads to the

clients death Organ Donation: stewardship and non-maleficence

Veracity: withholding the clients dx and prognosis

Non-maleficence: protection of public; will provide care of their clients in the

least painful and harmful way possible

Beneficence: exemplified when a child immunization is administered even f it

may cause discomfort during administration but the benefits of protection from

disease both for the individual and society outweigh the temporary discomfort

Fidelity: when the nurse monitors the clients response to the plan, when a nurse

assesses a client for pain and then offers a plan to manage the pain

God Samaritan law: it provides immunity from civil liability when a person

provide assistance in an emergency(Note: there is no good samaritan law in the

Philippines)

Plaintiff: initiates legal proceedings

Sexual harassment; committed by a person who having authority over another in a

work; training or educational environment demands or requests sexual favor from

the other person of whether the demand or request for the sexual solicitation is

accepted or not (RA 7877)


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BON creation: 1919 under RA 2808 ; sched the NLE on the 2n Monday of june

and dec of each year; 1st NLE in 1920

Contract: agreement entered into by consenting parties

Types: formal ( written), informal (verbal), implied ( intended)., illegal

(prohibited), void (non-existent from the start)

Advance directives: clients right proxy and durable power of attorney Operating Budget: day to day expenses; covers 1 year

Capital: physical additions to the unit; 3 or more years

Personnel: cash outflows o the cost of direct labor, salaries, fringe benefits

Staffing: provide quality care

Reliability:how consistently the measurement technique measures the concept of

interest

Validity: characteristic of the research tool, measures what it is supposed to

measure

Variable: anything that takes different values

Spiritual Health: belief or awareness of the existence of a supreme being withineach individual

Spiritual distress: disturbance in a belief or values system

Mycoplasmal Pneumonia: droplet precaution, during the duration of illness

Body mechanics: facilitate efficient use of appropriate muscle; elements: posture,

balance and body movement

Temp taking: consider safety

High Phosphorus: soft drinks, chocolate and milk

Vegan diet: 7th day Adventists; full vegetarian, may lead to B12 def

Vit C: aple juice

1 up broccoli: 140mg of vit C cleansing enema: Fr 22 30 (adults); 12-18 (child)

warmed solution: 750 1000ml (adult); infant: 150 250ml, toddler: 250-350ml;

School age: 300-500ml, adolescent: 500-750ml

Pre-entry: consultation

Entry: integration

Prioritization: team building and action-reflection-action

Community action: PIME (planning, implementation, monitoring and evaluation)

Sustenance and strengthening: ratification of constitution and by-laws

Leptospirosis: penicillin, tetra and erythromycin

Anthrax: Doxycycline (DOC) or Ciprofloxacin (2nd-line)

Scrub suit: comfortable fabric that is lint-free and flame resistant; short sleeve

upper garment must be tucked into the pants; changed daily or prn

Head cover: don b4 the scrub attire., cover the head and facial hair, worn in semi

and restricted area

Shoe cover : worn over shoes in semi- and restricted areas; removed b4 leaving

the suite; new pair of shoe cover is used when re-entering the semi-restricted area


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Surgical mask: restricted area by all personnel; never worn outside; cover nose

and mouth; uppers strings tied at the back of the head; lower strings behind the

neck; never cross the strings; handle by strings only; new mask b/w clients;changed between procedure; sneeze directly into the mask and never turn head

sideways

REsticted area: scrub suit, headap, shoe cover and mask Semi-restricted: scrub suit, head cap and shoe cover

Unrestricted area; ordinary pants and shirt

Stages of anesthesia: 1. loss of consciousness; 2. excitement or delirium; 3.

surgical anesthesia 4. danger stage: depression of vital functions

Consciousness is lost: stage 2

Corneal reflex is lost: 2nd phase of stage 3

Gag reflex is lost- 1st phase of stage 3

Respi depression; stage 3

Absent respi movt: stage 4

Last physio fxn to be lost: respi movement Decibel: unit of measurement of intensity of soundwaves; whisper: 20 db;

Normal conversation; 60db; street traffic: 70db; jet engine + gun blast: 160 db

( TM perforation)

Heterograft: xenograft; different species

Homograft: the same species

Jobst garment: compression garment that is used to prevent lymphedema or

keloids

Alexia: kabobohan (inability to read)

Paleologic thinking: disturbed system of logic when 2 variables about them are

the same Anhedonia: lack of pleasure

Adolescents common Qs: SINO AKO???

Suspicious client : allow them to set the pace of the relationship

Horticulture therapy: gardening

Milieu Therapy: enables the nurse to implement the principles of general client

mngt and identify interventions to meet client needs

Stress management: for staff burn-out

Desensitization: help client relax and progressively work up a list of anxiety

provoking situations

Vocational Tx: to learn skills that will make him productive and an money in thefuture (eg: marijuana propagation)

Group Tx: best help those who feel they have a problem; sharing problems with

others; help individual learns new way of coping

Cogentin: ati-parkinsonian; blocks acetylcholine receptors; muscles become less

stiff, best taken p.c., avoid alcohol, report dysuria, causes hypotension, evaluateeffect of the drug after several days


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Levodopa: increase dopamine levels; muscles less stiff, best taken with meals;

avoid B6 or CHON-rich foods coz it decreases absorption; may cause urinary

retention; ensure that the client voids b4 receiving dose

MILD MR: IQ 60, able to achieve acadmic skills of Gr 6

MODERATE: IQ 45; gr 2 academic skills

Profound: IQ 15, unable to perform ADLs; Normal: IQ 90

SEVERE: IQ 30, needs constant supervision

Date rape and acquaintance rape: rapist is known to the victim. May occur on the

1st date or after the victim and the rapist have known each other for months

Initial assessment of a rape victim can significantly affect the psychological

impact of the assault on the victim

Initial info to be elicited: perception of what occurred

Documents

Mosby's Patok