CLO 2 Flashcards

1
Q

What are your autonomic nervous system response?

A

Dilated pupils

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2
Q

Why do we do ROM exercises?

A

Assess joint flexibility and start exercise program

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3
Q

Phantom pain

A

Burning sensations near amputated limb

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4
Q

When to assess clients pain

A

When doing 6 vital signs

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5
Q

Patient is being tube fed, nurse assessing volume. What happens if volume exceeds their physiological capacity?

A

Gastric reflux

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6
Q

Assess restraints

A

Evert 2 hours , check vital signs , circulation , skin condition and range of motion

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7
Q

What vitamin do we need to absorb iron?

A

Vitamin C , orange juice

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8
Q

How to document vomiting with great force

A

Projectile vomiting

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9
Q

Ways to distract nauseous patients

A

Assist client with taking deep breaths

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10
Q

Difference between formal and informal teaching

A

Formal teaching is to create a plan

Informal teaching is at bedside

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11
Q

Best way to assess jaundice in African American

A

Sclera

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12
Q

Heart rate of 140 is called

A

Tachycardia

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13
Q

Knees rubbed away by friction

A

Abrasion

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14
Q

Where is the apical pulse rate located

A

Chest

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15
Q

What is visceral pain

A

Pain in organs , internal pain

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16
Q

What is a tonsil tip catheter to remove secretes from the mouth. What suctioning is this called?

A

Oral suctioning

17
Q

Constipation needs

A

Fiber and fluids

18
Q

When assessing urine the characteristics of a freshly voided specimen

A

Transparent/ clear or pale yellow
500- 3000 ml a day of volume
Specific gravity 1003-1029

19
Q

Pain instruction: patient has a right leg injury with a lower extremity injury

A

Use left side

20
Q

Foods high in vitamin K

A

Green leafy vegetables , collard greens , kale , broccoli , and spinach

21
Q

Where to store dentures?

A

In water in a covered cup