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NUR 111 Test 1

NUR 111 test 1 Review

ICN International Council of Nurses Promotion of health, prevention of illness, collaborative care.
ANA American Nurses Associations Values and social responsibility
Aims of nursing Promote health, prevent illness, restore health, and facilitate coping in illness or death
Nurse Practice Acts Define legal scope. Exclude untrained/unlicensed persons. Created state BON, Make rules/regs. Def important terms/activities in nuring. Provide legal RN/LPN titles. Establish criteria/education for nurses
Generational groups Veteran - born 1925-1944. Baby boomer - born 1945-1960. Generation X - born 1961-1980. Millenial - born 1981-2000.
Remission A disease that is present, but the person does not experience symptoms.
The human dimensions Physical. Emotional. Intellectual. Environmental. Sociocultural. Spiritual.
Negative nitrogen balance Breakdown of protein, more than what is produced. aka - muscle wasting.
Tonus State of slight contraction
Isokinetic, isometric, isotonic exercise definitions Isokinetic - muscle contraction with resistance.Isometric - Muscle contraction without shortening. Isotonic - muscle conraction and shortening
Isokinetic, isometric, isotonic exercise examples Isokinetic - used for conditioning. Wt lifting. Isometric - "locking" a joint in place. Uses for strenth/endurance. Cast. Isotonic - running, swimming. Active ROM. ADL's.
Ankylosis Consolidation and immobilization of a joint
Exogenous / Endogenous Organism acquired from other people (infectious agent). Infection from organism coming from microbes harbored in the person (normal flora
Iatrogenic Caused by health care treatment or procedure.
Nosocomial Infection aquired in health care setting.
Stomatitis Inflammation of oral mucosa
Glossitis Inflammation of tongue
Chelosis Ulceration of corners of the lip
Caries Cavities
Gingivitis Inflammation of the gingiva (gums)
Periodontitis Inflammation of the gums that involves degeneration of the dental periosteum
Halatosis Bad breath / bad taste
Alopecia Hair loss
Pediculosis Infestation of lice
Cerumen Ear wax
BMI kg/m2
BMR Basal metabolic requirement 1 cal/kg/hr. So, a 70kg person would need 70 x 24 cal per day (1800 Cal)
Health promotion / illness prevention. Primary, secondary, tertiary. Primary - promotion of health, prevention of disease. Secondary - screening for early detection. Tertiary - begins after illness diagnosed. Reduces disability and helps rehabilitate to max function.
MHR Maximum heart rate formula. THR Target heart rate formula. 220-age=MHR. MHR*0.75=THR.
Exercise recommendation - 150 minutes moderate 2.5h or 150m of moderate intensity aerobic activity every week and muscle strengthening activities on 2 or more days per week that work all major muscle groups.
Exercise recommendation - 75 minutes vigorous 1h 15m or 75m of vigorous intensity aerobic activity every week and muscle strengthening activities on 2 or more days per week that work all major muscle groups.
Exercise recommendation - mix mod/vigorous An equivalent mix of mod and vigorous intensity aerobic activity and muscle strengthening activities on 2 or more days per week that work all major muscle groups.
Macronutrient recommendations for water Minimum 1.5 L/day. Recommended 3 L/day (men slightly more than women)
Macronutrient recommendations for protein / carbs / fats Protein: 1/3 of daily calories. Carbs: 1/2 of daily calories. Fats: 1/4 of daily calories.
Complete vs incomplete proteins Complete - animal proteins. Incomplete - plant proteins.
Calories per gram: Fats, protein, carb Protein: 4 cal/gram. Carbs: 4 cal/gram. Fats: 9 cal/gram.
Liver products include Lipid carrier proteins (or NZ).
Lipid types (lipoproteins) VLDL - very low density lipoproteins - carry triglycerides (TG) to tissues. LDL - low density lipoproteins - carry cholesterol. HDL - high densitity lipoproteins - carry XS cholesterol from the tissues. (LDL= "bad" and HDL="good" cholesterol)
Fat soluble vitamins ADEK= DEAK
Water soluble vitamins C. B complex.
Macrominerals (major minerals) Na K Cl Ca Mg PO3 S
Microminerals (trace elements) Fe I Zn Cu Mn Cr Co Se Mo Fl
Vegetarian Focus on plants on food. May consume fish, dairy, and eggs.
Vegan Type of vegetarian that does not use dairy, fish, eggs, leather, etc. No animal products of any kind.
Lacto vegetarian Vegetarian that uses dairy products.
Lacto-ovo vegetarian Vegetarian that uses dairy and eggs.
Americanization Quick, easy, fat-causing fast food.
African american "soul food". use lard, deep fried. Prefer packaged meat and pork. Low intake of fruits and vegetables. Increased d.m. htn.
Asian american Fruits and vegetables - peeled and raw. Stir fry. Bite sized meat. Increased bread and cereal. Increased sodas. Health risks: hi sodium intake and increased CA since living in US.
Latino american Drive slow. Love tacos. Fry/stew in lard or oil. Meats ground and mixed with vegetables and stuffed. Risks: d.m.
S&S of inadequate nutrition Hair: dull, dry, brittle. Skin: dry patches. Wounds: poor healing, sores. No SC fat. Muscle wasting. Severe malnutrition: hypoalbuminema and ascites. VS: abnormal cardivascular measurements. General: weakness and/or impaired condition.
Fluid I/O Ave output 2.5L/day or 100mL/h. Minimum 30mL/h.
Albumin normal lab value. Prealbumin normal lab value. Albumin = 3.5-5.5 (similar to K) Prealbumin = 23-43.
Diet - Clear
Diet - Full liquid Substances that are liquid at body temp.
Diet - mechanical soft For client with difficulty chewing or swallowing. Ex: OJ, cream of wheat, scrambled eggs.
Diet - soft Modification of regular diet for patient who has difficulty chewing or has no teeth. Ex: dinner roll, cream of wheat, beans, soft cookie.
Diet - high fiber High fiber foods from plant sources.
Diet - low sodium Ave Na is 4g/day. This diet is <2g/day. Used for cirrhosis, htn, renal dz. Everything is unsalted. Excluded: bacon, BBQ, ketchup, corned beef, packaged meat, olives, soy sauce, etc
Diet - low cholesterol No animal products. PURE plant products contain no cholesterl. Avoid fats that are solid at room temperature - these are basically saturated fast - palm and coconut.
Diet - d.m. Low carb. Diabetics have difficulty neutralizing carbs. Low carbohydrate - consistent low carb diet for all 3 meals. Apple sauce, creamed soup, gelatin, custard. Avoidance of grains.
Diet - dysphagic For client who has difficulty swallowing due to head & neck CA. Stoke, surgery, etc. Example: sloppy Joe with no bun, hot cereal, canned fruit.
Diet - regular Normal diet
Diet - pureed For pt with problems chewing/swallowing. Pureed vegetables/meats, pudding, etc.
Sleep - stages NREM - 75% Stage I - very light. Stage II - light sleep with slowed body processes. Stage III/IV - deep sleep - difficult to arouse - snoring most likely. REM sleep - 25% - occurs every 90m and lasts for 5-30m - brain is highly active and dreaming.
Sleep needed by age Newborn - 16-18h. Infant 14-15. Toddler 12-14. Preschool 11-13. School age 10-11. Adolescent 9-12. Adult 7-9. Mnemonic "16-8 in 7 steps"
Created by: mojoshare
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