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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

24
Q

Children respirations

25
Adolescents Respirations
14-25
26
Adult Respirations
12-20
27
normal blood pressure
120/80
28
When takining blood pressue always make sure
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
FLACC scale is mostly used for
Pedi patients
30
FLACC stands for
Face, Legs, Activity, Cry, Consolability
31
When reassessing a patients pain...
Always use the same scale you assesed him/her with.
32
When using oxygen remeber...
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
Nasal Cannula
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
Simple face mask
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
Partial Rebreather
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
Nonrebreathing mask
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
Venturi mask
24-80 % Good for COPD patients Allows for precise mix of room air and O2
38
Face Tent
8-12 L Good for claustraphobic pt's O2 delivery is not precise so it is important to assess O2
39
Amoxicillin
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
Digioxin
``` 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
Cipro
``` Broad spectrum anti-infective GI changes (discuss c-diff) Renal impairment Rash Liver changes Tendon rupture ```
42
Lipitor
``` 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
Flexiril
``` Muscle relaxer can cause Serotonin syndrome Take with food Fatigue Assess ROM May need stool softeners ```
44
Asprin
``` Anti-inflammatory Watch for changes in skin Fever reducer Anticoagulant Can cause tinnitus Should not be given to children under 18 ```
45
Benedryl
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
Calcium Carbonate
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
Plavix
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
Tylenol
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
Continuity of Care
continuous seamless care. When a pt recieves appropriate care from any healthcare professsional.
50
Parts of an interview
Opening, body, closing
51
ISBARR
``` Introduce yourself Situation Background Assessment Recommendation Readback ```
52
Nursing Diagnosis is established by...
the rn
53
Nursing dx is based off of the
Medical diagnosis
54
The nursing process?
``` Assessment DIagnosis Planning Implementation/intervention Evaluation ```
55
RN's can delegate to who?
Other RN'S, LPN's, and UAP's
56
LPN's can delegate over Other
LPN'S AND UAP's
57
Theraputic communication
a way to help patients express their needs and feelings

Practical Nursing 101 (10 decks)

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