click below
click below
Normal Size Small Size show me how
ICS exam 1
Question | Answer |
---|---|
ANA standards | quality of practice, education, professional practice evaluation, collegiality, collaboration, ethics, research, resource utilization, leadership also, the nursing process |
autonomy | independent nursing intervention; also, commitment to include clients in decisions |
accountability | you are responsibly professionally and legally for the type of nursing care you provide |
nursing professionals serve as: | caregiver, advocate, educator, communicator, and manager |
beneficience | taking positive actions to help others |
nonmalefience | avoidance of harm and hurt |
fidelity | agreement to keep promises |
justice | being fair |
professional nursing code of ethics | includes responsibility, accountability, and confidentiality |
values clarification | question the moral/ethical correctness of a decision |
values analysis | seeks to objectively understand and analyze the values inherent in a situation |
ethics of care | emphasizes the importance of understanding relationships |
how to process an ethical dilemma | ask if this is an ethical dilemma, gather all relevant info, clarify values, verbalize the problem, identify possible courses of action, negotiate a plan, evaluate the plan |
when the nurse collects data about a client's past and present level of health, what phase is this? | the working phase |
sources of data in a nursing assessment: | conducting a physical exam, reviewing results of lab or diagnostic tests, collecting nursing health history |
identify four methods of data collection to establish a database: | interview, physical exam, diagnostic and lab test results, history |
why is it important to explore the patient's lifestyle patterns? | determine risk factors, opportunity to educate |
data validation | comparing assessed data with another source to establish accuracy is the process of |
data clustering | grouping related data to form a picture of the client's health needs |
normal nutrition | process in which body uses food for energy, growth, maintenance, and repair |
BMR | -energy required for maintaining life sustaining functions -affected by fever, activity, age, infection, gender, body mass, starvation |
carbohydrates | -primary source of energy -4 kcal per gram -complex=polysaccharides -chief protein sparing nutrient -47% daily caloric needs -grains, potatoes, legumes -starches and sugars |
monosaccharides | glucose, fructose |
disaccharides | sucrose, maltose, lactose, glucose, fructose |
fats | -major source of energy -carriers of essential fat-soluble vitamins -9 kcal per gram -source of insulation -no more than 30% daily calories -slow digestion; makes you full |
proteins | -complex nitrogenous organic compounds consisting of amino acids -essential proteins contain all essential amino acids -body can synthesize nonessential proteins -4 kcal per gram -15-20% total calories |
protein function | -tissue growth, repair and maintenance, body regulatory functions, and energy production -blood clotting, fluid regulation, acid/base balance |
vitamins | -organic compounds required in small amounts for normal metabolism -function primarily in enzyme reactions -essential to metabolism |
water-soluble vitamins: | C and B-complex |
fat-soluble vitamins: | A, D, E, K -obtained through dietary intake (except D; found in sun) |
minerals | -necessary for building tissues -regulation of fluids -various body functions -4% of body weight -can be toxic in excess -catalysts for biochemical reactions |
major minerals | calcium, chloride, magnesium, phosphorus, potassium, sodium, sulfur |
fiber | -some products are not water-soluble and cannot be digested -prevents diarrhea |
essential (complete) proteins | -containing all essential amino acids -supports growth, maintains nitrogen balance -fish, chicken, beans, turkey |
macro minerals/ trace elements | when the daily requirement is 100 mg or more/ when the daily requirement is less than 100 mg |
vegetarian | -may have vitamin or protein deficiencies -lacto-ovo at risk for iron deficiency |
vegan | -may lack vitamin B12 -can develop megaloblastic anemia |
dietary reference intakes | acceptable range of amounts of vitamins and minerals to avoid deficiencies |
infancy | -rapid growth -high protein, vitamin, mineral, and energy requirements -full term can digest and absorb simple carbs, proteins, and fats (solids after 4 months) -exclusive breast feeding for 4 months; formula for 12 months |
pregnant mothers need: | folate, calcium, zinc, protein, iron, extra 300 calories each day |
toddlers | -may be picky eaters -fruits, vegetables, crackers, cereal -need many small meals/snacks -small pieces to avoid aspiration |
teens | -rapid period of growth -need education about healthy eating and exercise |
elderly | -less caloric requirements due to lower activity level -may have decreased appetite -may not cook for themselves |
parenteral nutrition | -for clients who cannot digest or absorb enteral nutrition -peripheral or through central line -intravenously |
dysphagia | difficulty swallowing |
intake and output | -intake in mL should equal output in mL -1 g of urine = 1 mL -in infants, weigh full diaper and subtract dry weight |
imbalances | -retention of fluid could mean renal failure |
carbs found in... | wheat, grains, potatoes, beans, rice, fruits, milk |
fiber found in... | plant foods, fruits and veggies, whole grains, legumes |
complete protein found in... | fish, chicken, soybeans, turkey, cheese |
incomplete proteins found in... | cereals, legumes, vegetables |
fats found in... | animal fats=saturated vegetable fats=unsaturated and polyunsaturated |
pregnancy needs protein for... | buildup of muscles, tissues, uterus, breasts, blood supply |
pregnancy needs folate for... | buildup of protein tissues |
folate found in... | liver, leafy greens, grains, legumes |
pregnancy needs calcium for... | strong bones |
pregnancy needs zinc for... | quicker labor and healthy sized babies |
zinc found in... | seafood, meat, yogurt, bran |
pregnancy needs iron for... | developing blood supplies |
iron found in... | red meat, supplements |
vitamin C found in... | citrus fruits, veggies |
vitamin B1 found in... | plant and animal tissue |
vitamin B2 found in... | milk, meats, green leafy veggies |
vitamin B3 found in... | liver, nuts, legumes |
vitamin B5 found in... | organ meats, egg yolk, avocados, broccoli |
vitamin B6 found in... | organ meats, grains |
vitamin B12 found in... | organ meats, clams, oysters, grains |
vitamin A found in... | orange/yellow food, liver, dairy |
vitamin D found in... | fish, fortified dairy products, sunlight |
vitamin E found in... | veggie oils, grains, nuts, dark green veggies |
vitamin K found in... | green leafy veggies, eggs, liver |
sodium found in... | table salt, processed foods, butter |
potassium found in... | oranges, dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas |
chloride found in... | table salt |
calcium found in... | dairy, broccoli, kale, grains, egg yolks |
magnesium found in... | green leafy veggies, nuts, grains, meat, milk |
phosphorous found in... | dairy, peas, soft drinks, meat, eggs, some grains |
sulfur found in... | dried fruits, meats, red and white wines |