Exam 1 Lab Key Terms Flashcards
What makes an exam room comfortable
- adequate lighting for clear assessment of patient anatomy/physiologic features
- patient can safely sit, stand, and lie down
- room temperature
- eliminating drafts in the room
- warming blankets or towels to ensure patients warm and comfortable
When should an examination table be cleaned and what should it be cleaned with?
- between each patient and a bacterial product, and a patient table paper would be placed each time
Due to examination tables being firm how should you place the patient and at what angle is best comfortable for patient
- when patients lies supine, the head of the table should be raised to 30-degree angle and a small pillow should be used for patients head
When a nurse is listening to the sounds made by the body organs/ systems what word is this action called
- Auscultation
When a nurse checks the fingertips, and gently depresses the patients nail tip for 1 second and releases what would that nurse being checking
- checking the capillary refill
When checking the capillary refill after pressing the nail tip down for 1 second the nurse observes that the nail tip filled 2 to 3 seconds what is this response called, is it considered normal
- brisk
- yes it is the normal range
A nurse is checking a capillary refill and the nail tip that is showing a slow sluggish return what type of complications could be the cause
- respiratory or cardiac disease associated with hypoxia, anemia, or conditions linked to circulatory insufficiency
What are the steps of an abdominal assessment
- Inspection
- auscultation
- palpation
How does a nurse inspect the abdomen
- patient is to lie supine and the nurse is to visually examine the abdominal 4 quadrants for an abnormal findings. colors, bruises, distentions, bulges, scars and noting any findings
Auscultation of the abdomen is assessed for the detection of
- the detection of altered bowel sounds, rubs , or vascular bruits
Auscultation of the abdomen is preformed before palpation or percussion due to the risk of
- artificial stimulation of the bowel, leading to altered bowel sounds
The nurse is listening over each of the ______ of the abdomen for the presence of ______
- four quadrants
-bowel sounds
A nurse is listening to the abdomen and hears normal air and fluid moving in the intestinal tract, the nurse hears _____ sounds that are irregular pattern every __ to ___ seconds
-gurgling
- 2 to 5 seconds
Under normal circumstances it takes up to ____ to hear bowel sounds
- 30 seconds
What are bowel sounds described as
- normal
- audible
- absent
- hypoactive
- hyperactive
- distant
A nurse hears the absence of bowel sounds in a patients abdomen what could be the cause of the abnormality
- bowel obstruction
- paralytic ileus ( paralysis due to lack of peristalsis)
- peritonitis
if an intestinal tract is overstimulated or has increased mortality, known as _____ bowel sounds which is also known as borborygmi known as a loud _____ sound.
-hyperactive
- grumbling
Hyperactive bowel sounds can be caused by what factors, hyperactive bowels can also be audible above the level of a bowel ____.
- diarrhea
- intestinal inflammation
- laxatives
- intestinal bleeding
-anxiety - a bowel obstruction
abdominal ____ are the next phase of abdominal examination, They make ____ sounds that are heard over the major ____ that are causes by ____ (narrowing) of the vessels.
- bruits
-swooshing sound - arteries
- stenosis
The cranial nerve III is called the _____ the function of this nerve innervates ___ of the ___ muscles that collectively execute most ___ ____. It is responsible for _____ constriction and ____.
- oculomotor
- 4 of the 6
- eye movement
- pupillary
- dilation
a nurse is to assess the cranial nerve III ( oculomotor ) how would the assessment be preformed
- assess the size of the pupil and light reflexes
- also not the direction of gaze
The symptoms of damage in the cranial nerve III ( oculomotor ) are signs of unilateral ___ ____with unilateral absent ____ reflex and/or eye that will not ___ upward which can indicate an internal ____ ____ or increased ______ pressure.
- dilated pupil
- light reflex
- gaze
- carotid aneurysm
intracranial pressure
Which type of poisoning is known as a public issue that occurs when ___ levels build up in the blood over ___ or ____, and it can affect all body systems.
- lead
- lead levels
- month or years
– When lead levels are greater than ___ __ of blood the ___ recommends initiation of public health actions. These blood levels are a common occurrence in children __ to __ years of age from being exposed too lead based ___ , ____ and, ___.
– What is the safe level of lead in children.
- 5 mcg
- CDC
1 to 5 years of age - paint, older building, and toys
– THERE IS NO SAFE LEVEL OF LEAD IN CHILDREN
A nurse is educating her patient about the ____ amounts of lead exposure and how it can irreversibly damage the ___ system and impair the _____ in ____
- small
- nervous system
- development in children
The most common cause of lead poisoning in children comes from ____. but it can also come from ____ from lead ___
- lead in paint
- water
- lead pipes
A colorless, odorless, gas that can cause sudden illness and death is which type of poisoning
- Carbon monoxide
Sources of carbon monoxide come from
- stoves
- automobiles
- gas ranges
- wood
portable generators - heating systems
how does carbon monoxide build up and what should never be used indoors
- enclosed spaces such as vehicles
- semi- enclosed spaces such as small room in houses
- generators should never be used indoors
What type of poisoning causes dizziness, light headedness, and nausea, and death can occur if exposed in a enclosed area for a prolonged time.
- carbon monoxide
– A nurse is educating a patient on how to properly dispose of discontinued and expired medications what examples would the nurse give
– The _____ recommends these directions on how to dispose these medications
- the medication bottle may have how to properly expose that type of medication
- can take to a community take back programs
- household trash mixed with coffee grounds or kitty litter (in jar or sealable plastic bag)
- some medications can be flushed down the toilet
-The US food and drug administration (FDA)
Fall related injuries have increased with ___ use
-restraint use
Skin impairment, incontinence, falls, serious injuries, and death have all been associated with _____ use
restraint use
Restraints may be physical and also ____, which is with the use of ____
- chemical
-medication
