Founding Fathers

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Author:
dalindsay81
ID:
161849
Filename:
Founding Fathers
Updated:
2012-07-10 11:22:15
Tags:
Finals Exam
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Description:
Foundations
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  1. What are the 4 components of self-concept?
    • Body Image
    • Self Esteem
    • Roles
    • Self-Identification
  2. What is role conflict?
    Required to assume 2 roles that are incongruent
  3. What is role ambiguity?
    Unclear role expectations
  4. What is role strain?
    Blends role conflict & ambiguity
  5. What is role overload?
    Having more roles than can be managed
  6. What will you include in your assessment and planning for patients with
    delirium?
    • Identify normal
    • Past and present health status
    • Description of onset, duration, range and intensity of symptoms
    • Presence of chronic physical illness, dementia, depression, etc
    • Lab values
    • Medication history/use
  7. How do we assess dementia?
    • Careful Hx from patient or informed source
    • How long? Onset? S/Sx? Impairments
    • Mental status assessment
    • Important to obtain an objective
    • assessment because social skills are often maintained despite cognitive decline
    • Blessed Scale  and 
    • Clock Drawing tests are commonly referred to
  8. What is important about ventilation of the lungs?
    • Movement
    • of air into/out of the lungs
    • Respiration
    • Exchangeof oxygen/carbon dioxide
    • Alveolarcapillary/capillary cell membrane
  9. What are interventions for OSA (apnea)?
    • -respiratory system compressed->happens a lot with obese patients.
    • Typically snore.

    -can give them CPAP

    -have them sleep more sitting up than lying flat

    -pulse ox monitor

    -always be closer to nursing station
  10. Signs of dyspnea
    • (nasal flaring,
    • retractions, accessory muscle use, grunting, orthopnea, stridor, wheezing,
    • pursed-lipped breathing)
  11. What is hypoxemia?
    Low arterial blood oxygen levels
  12. What are s/s of mild hypoxemia?
    ◦Restlessness

    ◦Anxiety

    • ◦Disorientation,
    • confusion,  and listlessness

    ◦Headaches
  13. What are s/s of severe hypoxemia?
    ◦Cyanosis

    • ◦Cheyne-Stokes
    • respiration

    • ◦Increased
    • blood pressure

    ◦Apnea

    ◦Tachycardia

    ◦Hypotension

    • ◦Ventricular
    • fibrillation

    ◦Asystole

    ◦Polycythemia


    ◦Coma
  14. What is hypoxia?
    • }Deficient
    • Oxygen availability

    • }Inadequate
    • pulmonary ventilation

    • }Accumulation
    • of abnormal hemoglobin in blood

    }Ischemia
  15. S/S general hypoxia
    }Headaches

    • }Shortness
    • of breath

    }Fatigue


    }Nausea

    }Cyanosis
  16. s/s severe hypoxia
    • }Changes
    • in level of consciousness

    • }Uncoordinated
    • movements

    }Coma
  17. What is a low-flow mask?
    24-35%

    Regular room is 21%

    Assess for patient compliance

    If not wearing simple mask, figure out why not wearing it
  18. What is a Partial/rebreathing masks?
    Gives higher O2
  19. What is a nasal cannula?
    • :
    • 1-6 L/min, 24-35%
  20. What is a simple face mask?
    • open ports for exhaled gas, 5-12 l/min, 40-90% 02,
    • variation due to holes
  21. What is a partial rebreather?
    • block inhalation of o2 on one side, 6-15 L/min, deliver 70-90%, used less
    • often
  22. What is a non rebreathing mask?
    100% o2 10+L/min
  23. What is a face tent?
    -good for people who are claustrophobic

    -humdified o2

    -10-15 L/min

    40% o2
  24. What is a venturi mask?
    -delivers controlled o2 concentration

    100%

    -allowing more or less room air to come in

    Typically not humidifying so can cause mucosal damage
  25. What are the 5 Rights of Delegation
    • Right task,
    • circumstance,
    • person,
    • direction,
    • supervision.
  26. What are the 6 Fs for Failure?
    • •Failure to appropriately assess a
    • client

    • •Failure to report changes in client
    • status

    • •Failure to document in the client
    • record

    •Failure to obtain informed consent

    • •Failure to report a coworker’s
    • negligence

    •Failure to provide adequate education
  27. What are the four elements of malpractice?
    –Duty

    • –Breach
    • of Duty

    –Causation

    –Harm/Injury

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