NURN 105 Final Exam
Latest Update
Cardiac Output - Answer Volume of blood expelled by the ventricles of the heart with
each beat (SV) multiplied by the heart rate
Exudate - Answer Fluid in cells or other substances that have been discharged from
other blood vessels slowly through breaks in other membranes
Pathogen - Answer Microorganism capable of causing disease
Standard Precautions - Answer Guidelines recommended by the CDC to prevent and
control infection transmission
normal sinus rhythm (NSR) - Answer Wave pattern on an EKG that indicates normal
conduction of an electrical impulse through the myocardium
suceptibility - Answer State or fact of being likely or liable of being influenced or harmed
of a pathogen
Pulse Deficit - Answer Difference between apical and radial pulse
theraputic communication - Answer Specific responses that encourage the expression
of feelings and ideas and convey acceptance and respect
Febrile - Answer elevated body temp
Sterile - Answer free of bacteria or other living organisms
Orthostatic - Answer Decrease in BP of greater than 20 systolic or 10 diastolic within 3
minutes within standing from a sitting or supine position
Pyrogen - Answer Fever reducing agent produced by bacteria
Systemic - Answer Affecting the whole body rather than just a single organ
Infection Prevention - Answer Scientific approach to prevent infection to workers or
patients
Purulent - Answer containing WBCs and bacteria
Hypoxemia - Answer Blood contains lower than normal amount of oxygen
Diaphoresis - Answer visible perspiration primarily occurring on the forehead and upper
,thorax but can be seen on other places of the body
dysrhythmia - Answer Deviation from normal heart pattern
PPE - Answer personal protective equipment
Stroke Volume - Answer Blood ejected by the ventricles with each contraction
Afebrile - Answer Without fever
Nursing Informatics - Answer the use of information and computer technology to
support all aspects of nursing practice, including direct delivery of care, administration,
education, and research
Serous - Answer Clear thin watery plasma
Tachycardia - Answer rapid heart rate
Thermoregulation - Answer regulation of body temperature
Subjective Data - Answer Patients Verbal description of their health problems. Use
quotation marks. Information gathered from patient statements; the patient's feelings
and perceptions. Not verifiable by another except by inference.
Objective Data - Answer Information you get anywhere other than the patient.
Information that can be observed by others; free of feelings, perceptions, prejudices.
Review of Systems (ROS) - Answer List of questions arranged by organ system.
Designed to discover dysfunction and disease.
Medical Diagnosis: - Answer Identification of a disease or condition based on an
evaluation of specific signs and symptoms, medical history, diagnostic tests, or
procedure results
Nursing Diagnosis: - Answer Formal statement of an actual or potential health problem
that nurses can legally and independently treat
Expected Outcomes: - Answer Measurable change in behavior, physical state, or
perception, that must be achieved to reach a goal.
Patient Centered Care: - Answer Reflection of a patient's highest level of wellness and
independence.
Short Term Goals: - Answer an objective behavior or response that you expect a patient
to achieve in a short time, usually less than a week.
Long Term Goals: - Answer an objective behavior or response that you expect a patient
to achieve over a longer period, usually over several days, weeks, or months.
Independent Nursing Intervention: - Answer Something that a nurse can do without
supervision. No order.
,Dependent Nursing Intervention - Answer Health care provider initiated intervention
Concept Map: - Answer Care-planning tool that assists in critical thinking and forming
associations between a patient's nursing diagnosis and interventions.
Direct Care: - Answer Treatments performed by interactions with the patient.
Indirect Care: - Answer interventions are treatments performed away from the patient
but on behalf of the patient or group of patients.
Adverse Reactions: - Answer harmful or unattended effect of a medication, diagnostic
test, or theraputic intervention.
Activities of Daily Living (ADL): - Answer usually performed in the course of a normal
day; they include ambulation, eating, dressing, bathing, and grooming.
Auscultation: - Answer Method of physical examination; listening to the sounds
produced by the body, usually with a stethoscope.
Turgor: - Answer Normal resiliency of the skin caused by the outward pressure of the
cells and interstitial fluid.
Edema: - Answer Abnormal accumulation of fluid in the interstitial spaces of tissues.
Cyanosis: - Answer Bluish discoloration of the skin and mucous membranes caused by
an excess of deoxygenated hemoglobin in the blood or a structural defect in the
hemoglobin molecule.
Erythema: - Answer Redness or inflammation of the skin or mucous membranes that is a
result of dilation and congestion of superficial capillaries. Sunburn is an example.
Thrill: - Answer Continuous palpable sensation like the purring of a cat.
Bruit: - Answer Abnormal sound or murmur heard while auscultating an organ, gland, or
artery. Such as the carotid artery.
Clubbing: - Answer Bulging of the tissues at the nail base caused by insufficient
oxygenation at the periphery, resulting from conditions such as chronic emphysema and
congenital heart disease.
Distention: - Answer generalized abdominal swelling caused by gas, tumor, or fluid
accumulation.
What is the PMI? - Answer point of maximal impulse. Located on the mitral valve (5th
intercostal space at the mid-clavicular line) Loudest sound of the pulse you can hear.
Priorities in Care - Answer 1) Airway is obstructed 2) Breathing 3) Circulation
What are the ABC's? - Answer airway, breathing, circulation
What do we always do first in patient care? - Answer Assess
, Who is involved in the POC? - Answer you AND your patient
What is QI? - Answer quality improvement: best patient outcomes.
What is PI? - Answer Performance or process improvement. How to make processes
safer/better.
What are normal lung sounds? - Answer soft
What is an abnormal sound in the neck? - Answer bruit
What does SBAR stand for? - Answer Situation
Background
Assessment
Recommendation
Why do we use SBAR? - Answer used for continuity of care.
What are the communication techniques? - Answer Theraputic
Non-theraputic
Adapting Communication Techniques
Therapeutic Communication - Answer specific responses that encourage the
expression of feelings and ideas and convey acceptance
and respect.
Non-theraputic communication - Answer Asking personal questions, Giving personal
opinions, Changing the subject, Automatic responses, False reassurance, Sympathy,
adapting.
Adapting Communication Techniques - Answer Patients who cannot speak clearly,
Cognitive impairment, Hearing impairment, Visual impairment, Unresponsive, Patients