Cedarville University

When does the act of digestion begin? - The process of digestion begins with the act of chewing Which part of the brain controls swallowing? - -swallowing begins as a voluntary act that is regulated by the medulla oblongata -controlled by CNS Diseases that disrupt the brain centers or cranial nerves can predispose the patient to ___________? - Aspiration (something in the lungs) -stroke -brain injury -neurodegenerative conditions -seizures -neuromuscular -advanced dementia (swallowing ...

What is a never event? - shocking medical errors that should NEVER occur, clearly identifiable, and usually preventable What are examples of a never event? - pressure injury, UTI after cath, wrong site surgery What is important to know about the cost of never events? - CMS will not cover these Who qualifies for medicare? - those over 65, end stage renal disease or ALS, someone who has already received 24 mos of disability insurance, must be a US citizen or resident for 5 years Who qu...

LPNs can delegate to: - only unlicensed personnel RNs can delegate to: - LPNs or unlicensed personnel Unlicensed personnel can delegate to: - no one NCSBN - National Council of State Boards or Nursing, helps identify, describe, or clarify the activity, intervention, or role under consideration in delegation. Created the Scope of Nursing Decision-Making Framework 5 Rights of delegation - right task, right person, right circumstance, right directions & communication, right supervision ...

Management of hyponatremia? - Restore sodium levels: sodium supplements, high sodium foods Restrict fluids: monitor I&O, daily weights Correct cell swelling: isotonic or hypertonic IV fluids Keep safe: seizure precautions Management of hypenatremia - Restrict sodium intake Monitor skin and mucous membranes Monitor BP and pulse SLOW fluid replacement: Monitor I&O Daily weights Isotonic fluids or PO what is the largest extracellular electrolyte - sodium what does sodium do - help...

Tubes propelling urine from the kidney to the bladder - Ureters Ureters can be blocked by this - renal calculi (kidney stones); peristaltic waves try to pass a kidney stone (these are called renal colic) a muscular sac that acts as a reservoir for urine until a sufficient amount collects o be voided - Bladder What is the muscle that the bladder is made of? - detruser muscle How much will the typical adult bladder hold? - 600 ml of urine A tube from the bladder to the outside envir...

What are some ideas for ways to make a pediatric patient feel comfortable? Role playing first Maintain their routine Let mom hold them when taking VS, doing assessments, giving meds Play: • Playrooms • Child life specialists • Age appropriate toys • Creativity, diversions • Developmental stimulation • Games, books (don’t forget low tech) “First do no harm” : 1. Minimize child’s separation from family 2. Promote sense of control 3. Prevent/minimize pain family advoc...

encouraging family care and bonding Create warm environment Keep family together, "rooming in" Teach infant care Provide positive feedback Remain open minded Support caregiver(s) Provide culturally sensitive care NURSING CARE OF THE NEWBORN AND FAMILY: BIRTH TO TWO HOURS OF LIFE transitioning from intrauterine to extra-uterine living there are certain processes critical to extra-uterine survival -VERY ATTENTIVE TO ABC'S AND T'S -AIRWAY (suctioned immediately) -BR...

What is a never event, and what are some examples of a never event? - -shocking medical errors that should never occur -adverse events that are unambiguous -leads to serious disability or death -usually preventable. EX: CAUTI, DVT, stage 3/4 pressure injuries nosocomial Who qualifies for Medicare and what are the 3 parts of it? - - 65 years +- younger but disabled after receiving SSDI for 2 years -person who has end-stage renal disease or ALS. Medicare part A: "hospital insurance",...

margo mccaffery definition of pain - whatever the person experiencing the pain says it is, existing whenever the person says it does intentional association for the study of pain (IASP) defines pain ad - an unpleasant sensory and emotional experience associated with actual or potential tissue damage or describe in terms such as damage steps of pain - 1. Transduction 2. Transmission 3. Perception 4. Modulation transduction - 1. noxious stimuli causes cell damage with the release of se...

According to AACN, baccalaureate generalist nurses are... designers, coordinators, and managers of care Prevention to keep from happening or existing Management to handle or direct with a degree of skill; to exercise supervisory direction of; to treat with care Examples of nursing prevention - assessment - education - planning - early intervention Examples of nursing management - prioritization - delegation - collaboration - implementation The Nursing Process - assessment - dia...