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Practical Nursing 101 > Exam 1 > Flashcards

Exam 1 Flashcards

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1
Q

Early signs of Hypoxia

A 
Agitation
Anxiety
Changes in level of consciousness
Disorientation
Headache
Irritability
Restlessness
Tachypnea
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2
Q

Late signs of Hypoxia

A 
Bradycardia
Cardiac dysrhythmias
Cyanosis
Decreased respiratory rate (bradypnea)
Retractions
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3
Q

When taking the tympanic temp for children under 3

A

Pull the pinna slightly down and back

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4
Q

When taking the tympanic temp for adults and children over three

A

Pull the pinna slightly up and back

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5
Q

Adults HR

A

60–100 bpm

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6
Q

Maslows Hierarchy of needs from bottom to top

A

Physiological needs, saftey needs, belonging &love needs, self-esteem needs, self actialization/self fufilment

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7
Q

Critical thinking traits

A

Intellectual humility, intellectual courage, intellectual empathy, intellectual autonomy, intellectual integrety, intellectual perserverence, faith in reason, fair mindedness

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8
Q

Intellectual Humility

A

Admiting when you don’t know something and looking for more info

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9
Q

Intellectual courage

A

Willingness to listen to all sides of an argument

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10
Q

Intellectual empathy

A

Putting yourself in someone else’s shoes to understand how they feel.

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11
Q

Intellectual Autonomy

A

Being able to think about what you bserve and determining for yourself weather it is safe.

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12
Q

Intellectual Integrety

A

When someone wants a certain level of proof applied to something before using/practicing it.

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13
Q

Intellectual perserverance

A

Perservering for the sake of a patient

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14
Q

Faith in reason

A

believing in your heart that good clinical reasoning will result inthe best clinical judgement and therefore have the best outcomes for your patients.

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15
Q

Fair-Mindedness

A

thinking is not biased by something that you just want fo yourself.

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16
Q

Interdisciplinary team

A

Within a discipline…i.e. between nurses

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17
Q

Peripherial Pulses

A

Temporal, facial, carotid, radial, brachial, apical, femoral, Popliteal, posterior tibial, doral pedis

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18
Q

3+ or bounding pulse

A

Pulse feels very strong and full and is easily counted; does not obliterate even with moderate pressure.

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19
Q

2+ or strong pulse

A

Pulse is easily detected, feels strong, and is easily counted; can be obliterated with moderate pressure. This is considered the normal finding.

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20
Q

1+ or weak pulse

A

If the pulse is so faint and weak that it is difficult to feel it long enough to count the rate, an additional descriptor may be used.

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21
Q

0 or absent pulse

A

pulse is not detectable

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22
Q

Newborn respirations

A

30-60

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23
Q

Infant respirations

A

20-40

24
Q

Children respirations

A

20-30

25
Q

Adolescents Respirations

A

14-25

26
Q

Adult Respirations

A

12-20

27
Q

normal blood pressure

A

120/80

28
Q

When takining blood pressue always make sure

A

Patient has not smoked in the last 30mins.
Both feet are flat ont he flor
Elbow is slightly flexed with palm facing up and forearm heart level.

29
Q

FLACC scale is mostly used for

A

Pedi patients

30
Q

FLACC stands for

A

Face, Legs, Activity, Cry, Consolability

31
Q

When reassessing a patients pain…

A

Always use the same scale you assesed him/her with.

32
Q

When using oxygen remeber…

A

Must have provider order, may apply in an emergency then obtain order
NO SMOKING
No petroleum-based products
Can be piped in from walls, from a stored tank, oxygen concentrator, or liquid oxygen
May have order to humidify, especially if flow rate is high

33
Q

Nasal Cannula

A

1-6 L
Delivers oxygen into pt’s nares.
Pt must breath through nose fo rmost benefit.
Nasal prongs must be curved inward when inserted.

34
Q

Simple face mask

A

5-10L
Delivers O2 to pt’s nose and mouth.
Flow rate less than 5L can cause CO2 to accumulate in mask.
Can cause pt to be hot and claustraphobic.
Monitor for sores under the mask.

35
Q

Partial Rebreather

A

6-15 L
Mask with bag attatched that traps CO2 for rebreathing to lower PH levels. Ports on side of mask allow for air to discharge,
If bag collapses increase flow rate

36
Q

Nonrebreathing mask

A

6-15 L
Prevents pt from rebreathing any exhaled air; escapes through a one way valve that does not allow room air to enter.
Only delivery device that can deliver 100%O2
Increase O2 if bag collapses

37
Q

Venturi mask

A

24-80 %
Good for COPD patients
Allows for precise mix of room air and O2

38
Q

Face Tent

A

8-12 L
Good for claustraphobic pt’s
O2 delivery is not precise so it is important to assess O2

39
Q

Amoxicillin

A

Antiulcer agent
Anaphylaxis
Monitor bowel function -> diarrhea, abdominal cramping, fear, bloody stools -> C. Diff
Women can deveople yeast infections
Cross sensitivity exists to cephalosporins and other beta-lactams.
Finish completely

40
Q

Digioxin

A 
Antiarrhythmic
Monitor for ECG changes
Apical pulse must be checked for 1 full min before administering; withold if pt is bradycardic or tachycardic until PCP says otherwise
Narrow therapeutic range
Vision changes
Monitor weight
41
Q

Cipro

A 
Broad spectrum anti-infective
GI changes (discuss c-diff)
Renal impairment
Rash
Liver changes
Tendon rupture
42
Q

Lipitor

A 
Lipid lowering agent
Any kind of Muscle pain MUST be reporter
Educate patient...LOW CHOLESTROL DIET SHOUDL BE FOLLOWED
Monitor Cholesterol and liver function
Take in the evening
NO Grapefruit juice
43
Q

Flexiril

A 
Muscle relaxer
can cause Serotonin syndrome
Take with food
Fatigue
Assess ROM
May need stool softeners
44
Q

Asprin

A 
Anti-inflammatory
Watch for changes in skin
Fever reducer
Anticoagulant
Can cause tinnitus 
Should not be given to children under 18
45
Q

Benedryl

A

Generally used as an antihistamine
Can cause hypotension
Risk of central nervous system depression
Do not take four days prior to skin testing for allergies
Avoid giving to children under age 4
Can cause photosensitivity

46
Q

Calcium Carbonate

A

GI upset
Can be used as a calcium replacemetn if pt is Hypocalcemic–pt should also be taught to exercise to maintain bone strength
Pt should be on heart monitor if being given by IV
Antacid
If take too closley to certain meds or foods can cause constipation.
Review bowel issues

47
Q

Plavix

A

Reduces risk of blood clots
Do not use if history of gastrointestinal (GI) bleed
May increase total cholesterol
300 mg initially, reduce to 75 mg daily
Do not take with omeprazole
Antiplatelet compound can increase bleeding times…Stop 5days before surgery.

48
Q

Tylenol

A

Analgesic
Fever reducer
Use cautiously with hepatic dysfunction
Takes at least 30 minutes to start working
Antagonist—mucomyst
Inform diabetics that it can alter Blood glucose readings

49
Q

Continuity of Care

A

continuous seamless care. When a pt recieves appropriate care from any healthcare professsional.

50
Q

Parts of an interview

A

Opening, body, closing

51
Q

ISBARR

A 
Introduce yourself
Situation
Background
Assessment
Recommendation
Readback
52
Q

Nursing Diagnosis is established by…

A

the rn

53
Q

Nursing dx is based off of the

A

Medical diagnosis

54
Q

The nursing process?

A 
Assessment
DIagnosis
Planning
Implementation/intervention
Evaluation
55
Q

RN’s can delegate to who?

A

Other RN’S, LPN’s, and UAP’s

56
Q

LPN’s can delegate over Other

A

LPN’S AND UAP’s

57
Q

Theraputic communication

A

a way to help patients express their needs and feelings

Practical Nursing 101 (10 decks)

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