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NUR 160 Final > Comprehensive > Flashcards

Comprehensive Flashcards

1
Q

If you have someone on hospice care, talk to someone about which advance directives?

A

Code status
Living Will

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2
Q

Reasons why people refuse hospice care?

A

Afraid to lose independent control over personal care
Not ready to die
Cost of care

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3
Q

Definition of palliative care that focuses on providing patients relief from pain?

A

Relieving pain without dealing with the cause of the condition

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4
Q

TURP

A

Transurethral Resection of the Prostate
( report to RN blood clots, blood in urine)

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5
Q

What is used to help prevent post op problems after TURP

A

Continuous bladder irrigation

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6
Q

Who do you call if a person who is nonreligious is nearing death?

A

Spiritual Coordinator

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7
Q

Review side effects coumadin

A

Nausea
Vomiting
Bleeding
Dirrhea

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8
Q

If someone eats breakfast or takes their coumadin the day of surgery, will they still have that surgery?

A

NO

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9
Q

What are schedule II drugs?

A

Narcotics

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10
Q

Who puts out black box warnings?

A

FDA

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11
Q

S/S glaucoma

A

eye pain
nausea
vomiting
halos around lights
headaches

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12
Q

S/S Morphine

A

Tachycardia
Respiratory depression
Decreased alertness

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13
Q

What are the steps of urinary catheter insertion on a female?

A

Sterile procedure
Supine position
Legs spread and bent at knees
Bag on stationary part of bed

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14
Q

How to draw up NPH medication?

A

Clear to cloudy
Roll insulin so it mixes better
Wipe top with alcohol pad

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15
Q

When irrigating a wound, what is the proper procedure?

A

Clean to dirty

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16
Q

Who must complete an admission assessment within 24 hours?

A

RN

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17
Q

How to do a focused respiratory assessment?

A

Inspect equal chest rise and fall bilaterally
Ausculate in zig zag pattern 8 front 10 back
Assess Sputum
Document adventitious breath sounds

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18
Q

Is a UAP allowed to put medicated barrier creams on?

A

NO

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19
Q

What are the different types of drainage?

A

Purulent drainage - Yellow, green, tan, brown, thick, foul odor
Sanguineous - bright red

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20
Q

What are closed Ended Questions

A

Yes and no questions only

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21
Q

Is percocet a schedule II drug?

A

Yes

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22
Q

What do Tylenol, Percocet, and Norco have in common?

A

Acetaminophen

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23
Q

Who classifies what schedule a drug is?

A

DEA

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24
Q

Are you to rub the injection site after administering Heparin?

A

NO

25
Q

What should you teach a patient with diabetic neuropathy?

A

Observe feet daily
Keep dry
Lubricate as needed

26
Q

Review insertion of NG tube

A

Patient should NOT experience vomiting
XRAY to verify placement
Secure with tape
Measure from earlobe to Xyphoid to sternum

27
Q

Orthopneic Position

A

Hunched over bedside table

28
Q

COPD O2 flow

A

Do not exceed 2L

29
Q

Safe oxygen uses

A

O2 in use sign on door
Store upright in a cool dry place
Secure in tank rack
No smoking signs

30
Q

What gives a poor O2 sat reading?

A

Fingernail polish

31
Q

Dehiscence vs Evisceratin

A

Dehiscence- the spliting or bursting open of a would (causes: faulty sutures

32
Q

Review S/S of dehydration

A

HR increased
BP decreased

33
Q

How should a patient who has had recent surgery get peristalsis started?

A

Early ambulation

34
Q

Can a UAP measure and empty a foley catheter?

A

YES

35
Q

Is giving meds by an NG tube a sterile procedure?

A

NO

36
Q

What can be documented as intake?

A

Fluid/ anything that melts at room temp

37
Q

S/S of NG tube suction

A

Abdominal bleeding
Red drainage in container

38
Q

When is Osteoarthritis worse?

A

In the morning
Gets better as day goes on

39
Q

How to reposition a patient after a hip replacement?

A

Can only sit upright for 15 min at a time
UAP not allowed tot change dressings
Hip abduction pillow
Do not sit higher than a 45 degree angle

40
Q

After HIp replacement- C/O productive cough

A

Gas exchange

41
Q

Osteoarthritis on Schedule II drug, would you be concerned if they say they were constipated?

A

YES

42
Q

Side effect from Predinose

A

Cushing’s Disease

43
Q

Fosamax

A

Take first thing in the morning, empty stomach, full glass of water
Take 1x a week
Sit up at least 30 min after taking (Do NOT lay down after)
Pregnant people should not handle
Assess PQRST

44
Q

PQRST scale

A

Palliative
Quality
Radiate
Severity
Time

45
Q

S/S Hypercalcemia

A

Encourage decrease in calcium intake in diet
Decreased deep tendon reflexes
Bone pain
Thirst

46
Q

What side you stand on a patient with left sided weakness?

A

Left side

47
Q

How to use crutches

A

Weight on nonaffected leg, move both crutches then injured leg
Up stairs: strong leg first
Down Stairs: weak legs first

48
Q

Orthostatic hypotension

A

When patient stands up and becomes dizzy
BP decreases

49
Q

Hip replacement

A

Do NOT bend more than 90 degree angle to avoid hyperflexion
Do NOT cross legs
Do not walk without assistive device

50
Q

Pathological fracture

A

A broken bone caused by a disease
ex: bone gets thin from osteoporosis and pt becomes fall risk and breaks hip

51
Q

Bone mineral testing is to determine what?

A

Osteoporosis

52
Q

What helps relieve rheumatoid arthritis pain?

A

Ibuprofen

53
Q

S/S Fluid Volume Deficit (FVD)

A

Dry mucous membrane
Poor skin turgor
Flat jugular vein
Change in mental status

54
Q

Penile cancer risk factors

A

Men 50 and older
Multiple sex partners ( frequent STIs)
Smoking
Un-circumcise
Poor personal Hygiene

55
Q

What do you teach a postop patient?

A

Cough and deep breathing
Early ambulation
IS
Splinting

56
Q

How to use a cane?

A

Hold on strong side
Position slightly out to side
Move cane forward at the same time you step with affected side

57
Q

How to use a walker?

A

Walk inside walker
Adjust to correct height
Put walker arm’s length in front of you

58
Q

Compartment Syndrome

A

Painful pressure build up in muscles
Review 7Ps (Pain-early, Pallor, Paresthesia, Paralysis, Poikilothermic, Pulselessness-late sign, puffiness)

NUR 160 Final (1 decks)

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