Redirecting emition or feelings to a sunject that is more acceptable or less threatening
What is identification?
Unconscious process in which one assumes the characteristics of an authority or parent figure.
What is Repression?
Instinctive drives and their accompanying anxiety are repressedd and converted into a physical symptom.
what is acute glomerulonephritis?
Inflammation of glomeruli cause by immunological response, occurs ,5-21 days after infection of pharynx or skin by group a B-hemolytic streptococci. Symptoms: fever, chills, hematuria, weakness, pallor, generalized and/or facial and perirbital edema, moderate to severe hypertension.
Symptoms of renal calculi?
Abdominal or flank pain, nausea,and vomiting, hematuria, and renal colic.
Signs& symptoms if thoracentesis complications
SOB, faintness, chest pain,bloody sputum, pulmonary edema, hypoxia, hemothorax, pneumothorax, subcutaneous emphysema, spleen, and liver puncture, report immediately to the physician.
why is B6 given?
It's given to prevent peripheral neuropathy, dizziness and ataxis that can occur with prevention and treatment of tuberculosis
Why is B12 given?
To treat pernicious anemia
What vitamins do you give chronic alcoholic?
Needs all B vitamins, especially thiamine(B1) :thiamine deficiency is the primary cause of alcohol related changes such as Wernickes encephalopathy and korsakoffs syndrome
Why is B9 given?
To prevent neural tube defects in the fetus, also recommended for all women capable of becoming pregnant.
Potential complications of rewarming process of body.?
Hypothermia causes myocardial irritability. Active external rewarming techniques can cause reassuring sick and repair afterdrop which can lead to ventricular fibrillation.
Where is Erb's point?
Located in the 3rd intercostal space left of the sternum, both aortic and pulmonic murmurs maybe auscultated at this point.
judaism dietary laws are?
Milk/milk products not eaten at sane meal with MEAT.
what is Crede maneuver?
Applying manual pressure to bladder aids in emptying the bladder completely.using same time every day can result in bladder control.
Characterized by abnormal facial and tongue movements
Characterized by tenors , rigidity, shuffling gait, .Tx administer anticholinergic
Acute dystonic reaction
Characterized by severe muscle connections of the head and neck. Tx benadryl
Neuroleptic malignant syndrome
Severe reaction to antipsychotic medication as a result of dopamine blockade in the hypothalamus, fatal approximately 10% of cases. Stop medication transfer to medical unit, cool body.administer bromocriptine(parlodel) to treat muscle rigidity and dantrolene (dantrium) to reduce muscle spasm.
Allows for spontaneous breath at pts own breath rate and tidal volume between ventilator breaths.best mode to wean pt off from ventilator.
Delivers a set volume at a set rate. Does not allow patient-initiated restorations
Assist control ventilation
Rate its variable but the tidal volume is preset so each breath its delivered at a set volume regardless of patients needs.
Positive end expiratory pressure (PEEP)
Delivers positive pressure during expiration to keep the airway constantly open.used with seriously ill patients.
Bedrest 5-7 days to prevent pulmonary embolism. Minitor peripheral pulsea, administer anticoagulants, elevate legs, aplly warm moist pack. Edematous is expected due to venous congestion.
Acute viral disease of childhood that causes a resonant barking.Contact Precautions required for all client care activities that require physical skin-to-skin contact or those that require contact with soiled items in the room or linens.
Consume milk and dairy products, but do not eat eggs. Get rotien from seds, tofu, dark green vegetables.
Loxation of mutral valve
Fifth intercostal space at the midclavicular line, located at the apex of the hert, auscultate for S1
Indicators of fluid overload
Difficulty breathingi. Supine or with minimal activity. Skin is pale and cool to touch with pitting edema in dependent areas. Decreaae in level of consciousness and moderate ascites.
All equipment.should be ready before blood is ordered, standard transfusion sets are not used for platelet administration becaise the filter traps the platelets and they also stick to the lumen of the longer tubing. An administrating set set particularly designed for platelets must be used, has smaller filter and shorter tubing.
transfusion reaction most common with platelet, wbc, plasma protien administration
A febrile nonhemolytic reaction,sx sudden chills, temp increase, head ache, anxiety,muscle pain, flushing. Tx- antipyretics
Clinical manifestations of MS
Urinary retention caused by progressive demyelination of spinal cord, will gradual weakness leading to paralysis, alteration in innervation of bladder and urinary tract. Numbness or tingling sensation, decreased sensitivity to pain, facial pain, decreased temperature perception. Decreased short term memory, cognitive changes are seen late in the disease and include decreased concentration, decreased ability to perform calculations, impaired judgement.
Fine hair covering,greatest at 28 weeks gestation, disappears dirst from face then trunk, indicates full term infant.
Syndrome of inappropriate antidiuretic hormone (SIADH)
An abnornal secretion of ADH: results in increased water absorption and dilutional hypontremua
SOAP stands for
Subjective, Objective, Assessment, Plan acronym for style of charting
Is a summary in abbreviated and graphic form of a case management plan for a given illness. Plan is predetermined and is established to ensure step by step progression of pts through illness episode so that specified clinical and financial outcomes are met within time frame.
An x-ray of the cervix, uterus, and fallopian tubes performed after the injection of a contrast medium. Asses for allergy to shellfish or iodine.
Right to choose and freedom to make decisions for oneself, acconplished by porviding information and supporting patients choices
Telling the truth completely; intentionally deceiving a patient is a violation of this principla
Do no harm; requires nurses to protect patients from danger and to protect patients who cannot protect themselves
Action promotes good; requires nurse to help patients meet all of their needs
Lithium Level Range
0.5-1.5 mEq/L normal range
Derives from fear and the ability to punish; a leader uses power to influence staff in order to achieve goals
The ability to provide favors, promise money or other benefits; managers reward staff with promotions
Derives from the knowledge and skills that one has developed; a nurse instructing a client about how to manage diabetes has expert power.
The desire of a follower to be like the leader; students emulate the behaviour of nursing instructor and staff nurses.
Civil immunity for individuals who give care at the scene of an emergency such as an accident or disaster; for healthcare providers to be covered, the care they render Im such circumstances must be in accordance with the appropriate standards of care.
Duty to disclose
Reporting suspected or known incidents of child abuse is a mandate.this legal duty to.disclose confidential information to appropriate authorities protects the nurse from liability, add long as the nurse believes in good faith that their report is true.
Refers to the freedom a public officer has to choose courses of action that are within the limits of authority
A person who testifies in a courtroom on a subject which is their special knowledge; the purpose is usually to educate the court and jury about the subject being considered
Include emperical-rational idea that people are intelligent and rational, but add to this the importance of attitudes and values; in addition to giving information, attention is paid to attitudes, values, skills, and relationships; considerable focus is on individuals as the basic unit of the social organization
Based on the idea that people are rational and will act in ways that they intellectually understand will be in their own best interest
Strategies based on the use of power to cause change, most often in the direction of having less powerful people conform to plans and directives of the more powerful; It may also go in the opposite direction, such as when employees strike and thereby exert their own power to coerce change.
Ideas may be particularly useful underpinnings for empirical-rational strategies
Carbon Monoxide Poisoning
Monitor for altered mental status, decreased blood pressure, depressed ST segment on EKG, coma, pale-to reddish-purple skin, convulsions and death