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401 > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What are the 6 QSEN competencies?

A
  1. patient centered care
  2. teamwork & collaboration
  3. EBP
  4. QI
  5. Safety
  6. Informatics
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2
Q

Which precautions should the door be closed for?

A

Strict airborne-alone, negative pressure room

Airborne-alone, does not have to be a negative pressure room

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3
Q

What PPE do you need for a Contact Precautions?

A
  • Gown
  • Gloves
  • Wash hands
  • Wounds & rashes covered
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4
Q

What PPE is needed for Droplet Precautions?

A
  • Gloves
  • Gown-if involved in patient care
  • Mask-patient must also wear if outside the room
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5
Q

What PPE is needed for Strict Airborne Precautions?

A
  • Gloves
  • Mask-N 95, must be fitted for
  • Duckbill mask-for patient
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6
Q

What PPE is needed for Airborne Precautions?

A
  • Gloves
  • Gown
  • Mask-patient must also wear if outside the room
  • Rash must be covered
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7
Q

What PPE is needed for Protective Precautions?

A
  • Wash hands before
  • Gloves
  • Mask-patient
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8
Q

What is included in vital signs?

A 
temp
pulse
respirations
BP
pain measurement
Pulse ox
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9
Q

When do you measure vital signs?

A

w/each initial meeting
beginning the the shift (inpatient)
before, during, & after procedures
before, during & after specific or new meds. or activities
changes in pt. condition or new reported systems

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10
Q

What is the normal range for temperature?

A 
Oral temp:
Farenheit=96.8-100.4
Celsius=36-38
Rectal: 1 degree higher than oral
Tympanic: same as rectal
Axillary: 1 degree lower than oral
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11
Q

What is the normal range for pulse?

A

60-100 beats/min.

conditioned athletes can be in the 50’s

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12
Q

What is the normal range for respirations?

A

12-20 resp./min; relaxed, regular, unlabored

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13
Q

What is the normal range for BP?

A

100-120/60-80

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14
Q

What is the normal range for Pulse Ox?

A 
PaO2 = 80-100 mm Hg
PaCO2 = 35-45 mm Hg
SaO2 = 95-100%
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15
Q

Why are vital signs taken?

A

quick & efficient method of monitoring a client’s basic physiological status

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16
Q

Define ventilation

A

(breathing)the physical process of moving air into & out of the lungs

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17
Q

Define diffusion

A

the movement of O2 & CO2 between the alveoli & the blood

18
Q

Define perfusion

A

distribution of rRBCs from the pulmonary capillaries (carrying either O2 to the cells, or CO2 to the lungs)

19
Q

What is the Fowler’s Position?

A

45-60 degrees
low=15 deg.
semi=30 deg.
high=60 deg.

20
Q

What is the orthopenic position?

A

“sleeping on book sitting at desk”

21
Q

What is the dorsal recumbent position?

A

back(supine)

22
Q

What is the prone position?

A

lying face down

23
Q

Nursing Diagnosis PES system

A

P=problem (diagnostic label)
E=etiology (related to or due to)
S=signs & symptoms (supporting evidence)

24
Q

hypercapnia

A

increased CO2 level

25
Q

Nursing Diagnosis PES system

A

P=problem (diagnostic label)
E=etiology (related to or due to)
S=signs & symptoms (supporting evidence)

26
Q

3 components of body mechanics

A
  1. body alignment
  2. balance
  3. coordinated body movement
27
Q

dyspnea

A

SOB=shortness of breath

28
Q

cyanosis

A

blue color of the nail beds, skin, & lips

29
Q

sputum

A

a mixture of saliva and mucus coughed up from the respiratory tract

30
Q

hemoptysis

A

blood in sputum

31
Q

trendelenberg

A

feet up, head down

32
Q

reverse trendelenberg

A

head up feet down

33
Q

WOB (work of breathing)

A

amount of effort required for the maintenance of a given level of ventilation

34
Q

bradycardia

A

HR less than 60

35
Q

tachycardia

A

HR greater than 100

36
Q

arrhythmia

A

irregular pulse

37
Q

factors that affect temp

A 
circadian rhythm
exercise
stress
environment
drinking hot beverage
38
Q

pulse

A

palpable bounding of blood flow noted @ various its on the body

39
Q

pulse

A

palpable bounding of blood flow noted @ various its on the body

40
Q

RACE (fire)

A

Rescue
Alarm
Contain
Extinguish

41
Q

PASS (fire)

A

Pull
Aim
Squeeze
Sweep

401 (1 decks)

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