1. "How to Make an Accurate Nursing Diagnosis" - ANS-"Know the diverse N.A.N.D.A.
Diagnoses
2. Collect VALID and PERTINENT data
3. Cluster applicable information
4. Differentiate Nursing from collaborative troubles (Medicine's issues)
5. Formulate the Diagnosis CORRECTLY
6. Focus on the PRIORITY analysis!"
7. "trendy of care" - ANS-(creates a felony expectation that you may meet!) is that ALL
nursing care plans with be reviewed each 72 hours in an acute care facility!
8. (HAI) - ANS-infections end result from shipping of health offerings in a fitness care
facility.
9. (INFLAM 1) ARTERIOLAR DILATATION (STAYS AT) - ANS-Causes redness and
elevated warmth
10. (INFLAM 2)VASCULAR AND CELLULAR RESPONSE - - ANS--Changes in capilary
permability allows important fluids, cells to go into the interstitial space for restore .
11. -Causes swelling (stretch causes pain)= edema, red, hot, smooth, swollen
12. -White cellular phagocytize bacteria = exudate (fluid end result of leaking protein from
white mobile) e.G.:pus
13. 6 important factors to choosing interventions - ANS-1) traits of the nursing analysis, (2)
dreams and predicted outcomes, (3) evidence base for the interventions, (four) feasibility
of the intervention, (five) acceptability to the patient, (6) your personal competency.
14. A nursing intervention - ANS-any treatment based totally on clinical judgment and
understanding that a nurse plays to enhance affected person effects.
15. Acuity records - ANS--useful for determining hours of care and team of workers required
for a given organization of patients. A
16. - justify beyond regular time and the number and qualifications of group of workers had
to correctly care for sufferers.
17. ACUTUAL NURSING DIAGNOSIS - ANS-human reaction to fitness situations or life
strategies that exist in an character, family, or community.
18. ADPIE (NURSING PROCESS) - ANS-Assessment
19. Diagnosis
20. Identifies Outcomes
21. Planning
22. Implementation
23. Evaluation
24. destructive reaction - ANS-dangerous or unintended impact of a medication, diagnostic
take a look at, or healing intervention.
25.
26. Nurses try and reduce or counteract response>
, 27. Airborne precautions - droplet nuclei less than five microns - ANS-Chickenpox,
pulmonary or laryngeal TB
28. PPE REQUIRED:
29. - Private room, poor-pressure airflow (air is sucked out)
30. -six exchanges/hr
31. -N95 Mask or respiratory safety device
32. Assessment (ADPIE) - ANS-systematically acquire, validate, arrange and talk the
consumer facts -actions from preferred to unique.
33. -nurse obtains relevant, accurate, and entire records for the assessment database.
34. *danger that preferred evaluation does no longer capture a patient's complete tale.
35. Back channeling - ANS-Active listening activates which includes "all proper," "move on,"
and "uh-huh."
36. -These imply you have got heard what the affected person says and are interested in
hearing the full story.
37. BACTERIAL GROWTH - ANS-Temperature - perfect temp. For human pathogens is
95deg and bloodless temps.
38. *Extremes have a tendency to prevent growth & reproduction of micro organism
(Bacteriostasis)
39. *Temp. That destroys micro organism is bactericidal
40. pH -acidity of surroundings determines viability of organism - pH range of 5 to 8
41. Light - MO thrive in darkish environments:
42. -under dressings, within body cavities.
43. *who positioned it on, how lengthy has it been on, have to constantly replace and keep
sparkling
44. CARE DELIVERY STEPS ALONE - ANS-Introduce self
45.
46. Lean forward, nod, smile = attendant behaviors
47.
48. CHECK BAND AND HAVE PATIENT STATE NAME/DOB
49.
50. State purpose
51.
52. Complete system
53.
54. DOCUMENT!!
55. CARE DELIVERY STEPS W OTHERS - ANS-Verify doctor's order
56.
57. Gather Equipment
58.
59. Identify regions where help is needed
60.
61. Assemble personnel
62. Chain of Infection: Infection takes place in a cycle - ANS-infectious agent
63. reservoir (supply for pathogen boom)
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