Christianne Hannah C. Serrano.

RN 2023
 NLE TIPS
Cholera
Leprosy
⑱Bacteria v Bacteria
~discovered that contaminated
⑱ John ShOW water was the key source of /
epidemics Leprosy is curable, not
*
Waterborne all reprosy patient are infectious
↓Boil water for 5 mins Regular and adequate treatment
Rice is essential.
Watery Stool
V Definitive Diagnosis.
Greenish

Pneumonia (Rusty sputum) Skin smears/Biopsies

/Bacteria r Lepromatous
Type:
↑ Streptococcus Pneumoniae Hypopigmentation & Hair Loss
↑
"Affected lobe:Fine crackles Early Sign ofLeprosy:
Painful thickened nerves
~
lying on his side, the affected side
ofthe lungs should be superior
"Collectsputum breath deeply and
Health teaching Health Education
Every health worker responsibility
-

cough, expectorate into

the sputum
GOAL:Influences and Change behavior
container. -

FirstAction:Identify learning needs

As whole, In Public Health:Better health
opportunity
-

Rabies -

MOST important GOAL:LITERACY IN HEALTH

v Virus

↑Dogs (99%) ETHICAL RESPONSIBILITES

V Saliva
·
Justice Equal and fair patient care treatment
Bheck(pag malapits a brain,

Face I head shortas amasation

-
Distributive Justice ealand
distributor
one
air
·

ofresources (meds, equipments),

↑Increase rabies risk:Unprovoked bites
Veracity Truth telling /Honesty
·
-

animal displays abnormal behaviour

confidentiality concealing patientidentity
~ Wash wounds with running water(mins)
medical condition
~Observe dog for 14 days, feed well
Beneficence Do good thatbenefitpatient
· -

v R.A9482: pet shoulders medical

owner
lex.give analgesic
expenses ofthe victim ·
Autonomy Respectpatientdecision making
-

(especially in obtaining consent)

 Fidelity. thfulness
Research Doctrines ofNegligence
Triangulation usesmultiple referents, 1 Respondentsuperior
-

employer answers
to constitute truth liabilities
employees
Saturation Data repetition 2. Res/psa loquitor hotbags causing
applying
-

Randomness prevents bias burn is sufficient proofnegligentact

*
Convenience sampling anyone available THETHING SPEAKS FOR ITSELF,
and accessible in conference room ex. Leftsponge in pt. Body
will be participant 3. Force Majeure -
Floods, Typhoon & Illnesses or

Usnowball samplesby referral

any natural disaster
1 Anova-Testvariations between and
within multiple groups
Focus ofNursing Portfolio:
↑ Quantitative Involve
collecting numerical data ->
Professional Growth

Descriptive Involvesdinical observations

Cex. activities, behaviors) Career stages (PALMER)

correlational find
aim isto a
relationship 1. Promise Stage
-

1st10 years of
between two variables in
study Experience
/Relationship between personality, make up and 2. Nomentum stage
-
1 to 29 years

8 would mean: ofExperience

obesity,
=
an r

A high, positive correlation 3. Harveststage

-

late career stage

30-40years (Prime exp)

>40 legacy clinician
years
-

Nursing Liabilities
1 Slander-Orally stated defamation,
Qualitative Research
false rum or to
spring destroy INDUCTE
·generally uses
reasoning
~ Libglacierson's
-

reputationone reputation by ·
From DATA
GOAL:hypothesis
or OBSERVATION
MULATION
writing Form
·Descriptive variables, qualitative
⑱Battery Touching patientwithoutconsent research involves data in the form of

performingprocedures,gainstononeed WORDS,Pictures,decisionornarrat
one

data collected from small number

/Assault patient
tening ·objects allowing in-depth
-

an

study ofphenomenon.
 examples:
Quantitative Research: Independentvariable:e.gAge the
of patient
-
DEDUCTIVEreasoning from Dependent variables:degree treatmentreceived
of

theory and the hypothesis Extraneous Variable: Type cancer

of
being treated
Major function:TESTor PROVEexisting
·

theory or Hypothesis Research utilization has often

* been:
⑬
·
VERIFICATION
Goal:pothesis Reported in the Literature
·

Quantifiable variables, in
qualitative Obstacles
* using nursing Research
to in practice
research uses
NBERS, counts, matres. ofEducation,
includes:Lack beliefs/attitudes,
Lack ofsupport/resources

CODEOFETHICS adopted all the * Many Nurses don'tunderstand research because

④
principles under the Research is like Foreign Language
CODE
OFGOOD GOVERNANCE Nurses have
* a
responsibility to use research

because:Research is the "HALLMARK OF PROFESSION "

TELEOLOGICAL THEORY:
The ends thatjustifies the means Randomization eliminates bias of
extraneous variables so each
that
- -

CPD. Continuing Professional Development subjects has an equal chance ofbeing

selected

Quality
Assurance Triangulation -

differentapproaches
use of

-> all the process a laboratory takes to the

to
gathering ofdata in a single
quality
ensure result
in test study in order to improve the

Critical Pathway (C4) trustworthiness ofthe conclusions

->

clinical managementtool thathelps

medical care providers coordinate
to APA publication manual suggestthat
-

the delivery patientcare

of for a research title should be no more than

particular case type or condition ->> 10-12 words long (dealdard)

Risk Management
APA.
Abstractacc. to
->

techniques that reduces the frequency Words required in

writing
oflosses (AKA loss
and severity control -> 150-250 words

Peer Review

Recommendedont
sizes style
A.et
The assessmentofothers in the same
->

field
to ensure thatpublished researchis of

high quality
INTERNAL variable affecting the health
Majority
Rule .
VOTEon the beststrategy
status, belief, practices:GENETICS
 INTERNAL VARIABLES affecting health status, paternalism principle:
beliefs or practices? physian decides if parent/guardian is

1. Biologic Dimension (Genetics) notavailable. For patient's benefits.

2.
Psychological Dimension
3.
Cognitive Dimension RA 10912 law thatdeclares thatthe
policy
ofthe state is promote
to and
upgrade the

EXTERNAL VARIABLES affecting health status, practice ofprofession in the

country
beliefs or practices CPD 2016. (continuing Professional Development)

1. Environment

2. Standard ofLiving Delphi technique qualitative -

method with

3. Family & Cultural beliefs series ofkeys orestionnaires

4. Social support Networks administered panel
to ofexperts.

Meta Analysis -

quantitative, formal,
INFORMED CONSENT - epidemiological study design used to
Consentis secured upon admission
-
systematicallyassess the resultofprevious

Observe AUTONOMY principle research to derive conclusions about the

NO coercion, consentshould be NTARY body ofresearch

Signature is the
-
proofofconsent Experimental Research study that strictly adheres
Explain the nature, risk, benefit, alternative, to a scientific research design
material any and
prognosis
NO consentis necessary in EMERGENCYSITUATION Actual analysis ofdata in Qualitative Research
- >

The patientif/herselfwill sign the consent begins with:search for patterns/theme

unless ifhe/she is noor ill
mally
BELMONT REPORT

->eading
concerning and batone
works
ethics

- - >

Purpose:Protectsubjects and participants in

clinical trials or research studies.

<

3 Principles:

Beneficence, justice. RD
For persons
ifmay asawalanak
na:

Availability ofResearch subject-> priority

(pagminor) Variable:cause
iependent
Variable:Effect
endent
 NLE TIPS PART 2
Osteoporosis Rheumatoid Arthritis
*
Filipinos are aware ofthe incidence ofit. Begins inflammation ofJoint
with
/ MOST importantRisk Factor:Menopause Synovial Tissue
"Preventive measure:Calcium rich foods
⑥ green leafy veggies, yogurt, TOFY,
* Intolerance
Activity related to fatigue pain
"Appropriate positioning:PreventFlexion
Mill
v Silentdisease
Dxtest.Bone Density Mass deformities ofJoints

↑Encourage alternate periods

patientto rest
of
LAWS and throughoutthe day
activity
RA 9003 -

Ecologic and Solid waste Management Health Teaching.Take a warm bath before
RA 10912 Continuing Professional Development relieves discomfort
-

excercising
->

RA 7305 -

Magna Carta For Public Health worker V Common

sign symptoms
promotes being and condition
ing Deformity and displacementofproximal joint

#Health
workers. NOTbe a common lab findings:
RA8981 -

(PRC computerizationpositive Lupus erythemations (LE) prop

PRC Modernization

RA3573/RA11332 Mandatory Reporting of

-
v common side
effects oeroid Therapy:
Notifiable Diseases Increase blood glucose

RA9262 AWC, providing for protective measures

I dietbestsuited to decrease the side
effects
I children)
protection for ofsteroid therapy:
woman

For victims
carbon
een
RA 9173 Regulates Nursing practice in the Philippines
· protein
PD996 Compulsary immunization ofchildren I main reason stopping ibuprofen
to once the

steroid therapy was started:The two drugs

taken together increases the

CODE OF
ETHICS ofGI Bleeding.
risk

vadopts all inciples ofCode ofGoodGovernance ACID-BASE IMBALANCES

Notallowing nurses to be used in advertisementCardiac
· Arrest:Metabolic Acidosis

demeaning the image ofprofession Nasogastric tube suctioning:Anetabolice

lie, indecentexposure, violation ofdress code,
seductive
behavior C Upatientwith increase rate and depth of

↑ Code
ofEthics Guides Nurses in her Profession Respiration (hyperventilation):Respiratory Alkalosis
↑ Code ETHICS
of Commitmentto Continual
-

Learning Develops tingling sensation ofthe lips and

fingersand is notable to control her

and active participation in the debt

growth ofprofession respiration:Havethe clientbreath a

into paper
I NOT true aboutABG:ABG
~Board ofNursing (BON) has the power to assess the client

promulgate code ofEthics ofRegistered Nurses electrolyte and fluid balance

 CARDIOGENIC SHOCK purpose oftracheostomy:
VEARLIESTsign ofCardiogenic shock:TACHYCARDIA To Establish AIRWAY
- >

Helpdetect thatthe patientis

↓
MajorProblem for atwith track costomy:
Risk
at at
developing
cardiogenic shock:Cardiac Index
-
SWALLOWING
U MOSTcommon cause ofCardiogenic shock:
A cute
Myocardial Infarction (MD Record Management
↓ Confirm the underlying cause of Cardiogenic Mistaken Entry:Draw single line across mistake entry
shock:MONITOR CARDIAC ENLYMES ↑AssessmentRecord mustbe forwarded to

↑ Initial treatmentGOAL:Increase Myocardial Medical Records within 24 hours

⑭en
case was

supply Medico Legal storage:10 years after the CLOSED

PatientMedical Record:10 years after the most

MUSCULOSKELETAL CONDITIONS RECENT encounter

* Conditions HOSPITAL Physician
commonly occur in the shoulders WHO owns the chart:

Bursitis B Tendonitis
NOT considered a consecutive treatment BORDERLINE PERSONALITY
For inflammatory conditions ofthe / DISORDER (BPD)
shoulder:Laser-Photo-therapy r
"Spitting/splitting"personality:
Impingement syndrome;the edema is
Viewing people and objectas parts,
early manifestation due to: good or bad
either
↑
Acute Trauma ofthe shoulders Assessing a patient with RDP which of
I persistentshoulder pain and weakness: the FFinformation would you focus on:

this usual treatmentmodality: Disruption in some aspectofhis her life

Radio frequency ablation ↓Tendency manipulate
to others.
- >

↑formation offootcallus is die to: MOSTappropriate short-term GOAL:

FAULTY FOOTMECHANISM Acknowledge her own behavior

UBDP manifesttransient psychotic symptom
TRACHEOSTOMY CARE Treatmentofchoice:ANTI-PSYCHOMCS
U
priority Nursing Action: V Common side effectofANTABUSE:Depression

secures clean ties before removing soiled-

ones

TEACH the patient's caregiver regarding

tracheostomy care:Remove and clean the
inner cannula
daily
1
After tracheostomy procedure, nurse document:
Amount, color and consistency ofsputum appearance
the incision.
of
 LEADERSHIP OBSTETRICS
↑ U caused by markedly
Visionary a
strategist- Transformational distended uterus

vacity actor to the strenght

- -
to accomplish
-
and intermittent uterine contractions with in
a goal is referred as:
to POWER 2 3 days after birth:AFTERPAINS
to

V V Post Partum
gathered the nursing staffin a
meeting Hemorrhage, Blood loss of:

to discuss problems and to speak with one more than 500 m2/24 hours
voice:UPWARD APPEAL V Gush ofblood coming outfrom the vagina:
-
"'Esprit dcorps" "Let's work together in
Because ofthe normal pooling ofblood

harmony;we need to be supportive in the lies

vagina when the woman

ofone another."
down to rest

* Asserts the importance ofpromoting a r uterus will return to its

pre-pregnant
organizational culture among the
positive state in 5X (G) weeks

with *
nursing staff:Caring and Nurturing
- >
Return to a
non-pregnantstate:
one another.
INVOLUTION

VPROLONGED LABOR:contributory factor

HIV that slows uterine involution

↑ AtaCKS CDH cells 1 FIRST PRIORITY

nursing intervention during
V HIV Testdefects:HIV antibodies the immediate post-partum period is

v postnatal transmission:BREASTFEEDING Focused on:

post-partum Hemorrhage
Condom:LATEX Normal physiologic occurrence that results

postexposure prophylaxis (PEP) DOES NOT as body attempts to eliminate excess fluid
include one ofthe following: thatwere presentduring pregnancy:
Drugs.Mustbe taken atleasta week NIGHT SWEATS
V HIV How long
is detectable in blood after: should temperature elevations

2 weeks (2 to 6 weeks) -
be high after birth:24 hoursor less

U below 200 cells/mm3 stage

- -
3 HN-AIDS 1 Most common cause offundus
HIV Transmission EXCEPT:CASUAL contact Displacement:FULL BLADDER

ConfirmatoryWestern Blot Vitamin K injection can be delayed 9F + er

Seropositive patient.Avoid to be a selfblood Donor
↑ until firstbreastfeeding or up to:
Ghours birth

Antiretroviral therapy: drug combination is ↓ What kind ofcatheter isusedtreat

better than single drug urinary retention:STRAIGHT
HIV Major Route:SEXUAL INTERCOURSE
·

Age group high in HIV:15-49g/0

·Race highestrisk:BLACKNSM
NotRealistic prevention:Total Abstinence
·
 MANEUVER
LEOPOLD'S
·

performed after 24 weeks AOG

Firstaction (empty bladder)

·

Dorsal Recumbent
·

Maneuver Grips Assessment

LM1 Fund a Position

LM2 Umbilical Back

LN3 PaWlicks Engagement

LMH Pelvic Attitude

-
&

ABG(Tic -
tac -
toe)

Normal

....:
pH: 7.35 -7.45 Acid
v

=
↓
Acidotic
Alkalosis /

(Acid) (Base)
v

paC02:35-45(respiratory)
↓ ↑

-BaSIO Addoe
HCOB:30
Respiratory acidosis
=

1
-26 partially compensated
HCO3:22
p(Basic
↓

Acidotic AIKalotic
(Acid)
 NLE TIPS PART 3
EPIDEMIOLOGY Physiologic Jaundice -

and -srdo
UPREVALENCEofdiseases because itindicates after birt

PROBLEM
the:MAGNITUDEOFTHE Pathologic Jaundice First24 hous
-

I NOT relevantto EPIDEMIOLOGIC TRIAD model:

TreatmentRegimen

↑
Outbreak investigation begins with
prepare for field work

U Rabies
irregular intervals scattered in
at

particular places:SPORADIC
↑EPIDEMIOLOGISTnurse. PRIMARYfunction
and responsibility
is to:

-> Implementpublic Health surveillance

RINGWORM
VFrequently found in school children,
is caused by: FUNGUS

U spread by:Directand contact

Indirect

↓plan ofcare:Antifungal

Manifestation.Raised red, ring like rash

V "ring worm"Tinea corposis

colloquially as

Insulinpotential For HYPOGLYCEMIA,

*

PEAK effect occurs within:4-12 hours

*
when teaching patienton dietary management
whatshould the nurse emphasize?
->
Food in the form ofconcentrated glucose
should be available all the time
 Placenta Previa Vs. Abruptio Placenta
Implantation:Abnormally
Implanted Normally Implanted
Uterus: Soft & Non-tender Hard Board, Rigid, Tender
Contraction: No contractions WITH contractions
Bleeding !
BRIGHTRED DarkRed
pain: PAINLESS PAINFUL