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Fundamentals NUR 220 > Exam 1 Main Points > Flashcards

Exam 1 Main Points Flashcards

1
Q

QSEN competencies?

A

patient centered care
teamwork and collaboration
EBP
quality improvement
safety
informatics

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2
Q

4 rights of informed consent?

A

right to:
not be harmed
full disclosure
self determination
privacy

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3
Q

EBP goals? “RAPPA”

A

Reduce variations
Achieve clinical experience
Promote effective interventions/care
Provide nurses with EBP
Assist in clinical decision making

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4
Q

3 main EBP points? “IBP”

A

Individual clinical experience
best available clinical evidence
Patient values and expectations

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5
Q

QSEN & KSA?

A

Quality and Safety of Education for Nursing
Knowledge, Skills, Attitude

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6
Q

in what order do you report vitals?

A

T
P
R
BP
SpO2 & FiO2
Pain

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7
Q

nursing process?

A

ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation

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8
Q

elevated BP?

A

120-129 AND 80-89
(increase normal by 9)

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9
Q

stage 1 BP?

A

130-139 OR 80-89
(increase elevated by 9)

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10
Q

stage 2 BP?

A

> 140 OR >90

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11
Q

hypertensive crisis?

A

> 180 AND/OR >120

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12
Q

what is the infection cycle?

A

infectious agent
reservoir
portal of exit
means of transmission
portal of entry
susceptible host

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13
Q

different means of transmission?

A

direct
indirect
contact
droplet
airborne

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14
Q

what are neutrophils for?

A

ACUTE bacterial

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15
Q

what are lymphocytes for?

A

CHRONIC bacterial and viral

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16
Q

what are eosinophils?

A

parasitic, fungal, allergic reactions

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17
Q

what are the 3 bloodborne pathogens?

A

HIV
HBV
HCV

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18
Q

top infections?

A

UTI
surgical site infections
bloodstream infections
pneumonia

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19
Q

what will hospitals NOT pay for?

A

CAUTI
vascular catheter infection
surgical site infection

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20
Q

which viruses require CONTACT precautions?

A

C. Diff
MRSA

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21
Q

which viruses require DROPLET precautions?

A

Pertussis
Influenza
Meningitis
Pneumonia

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22
Q

which viruses require AIRBORNE precautions?

A

MMR
TB
Varicella
Covid

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23
Q

3 main failures that decrease patient outcomes?

A

failure to:
recognize
rescue
plan

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24
Q

adequate ____ and _____ of cells help to prevent skin injuries

A

nutrition and hydration

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25
Q

adequate ____ needed to maintain skin cell life

A

circulation

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26
Q

yellow light on CHG warmer?

A

not warm yet

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27
Q

blinking green light on CHG warmer?

A

USE FIRST, cloth is aging

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28
Q

solid green on CHG warmer?

A

cloth is ready

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29
Q

red on CHG warmer?

A

DO NOT use, cloth expired

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30
Q

specifics of skin in elderly?

A

-thinning of SUBQ and dermal layer
-longer time for cell renewal
-thicker nails growing upward
-decrease sebaceous gland activity
-decreased collagen fibers
-predisposed to skin breakdown

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31
Q

included in braden scale?

A

sensory perception
moisture
activity
mobility
nutrition
friction/shear

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32
Q

braden scale levels?

A

6 - lowest, not good
23 - highest, good

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33
Q

gold standard for patient hygiene?

A

brush teeth

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34
Q

diabetic footcare?

A

-wash with lukewarm water (decreased temp sensitivity) daily, in btwn toes
-dry feet
-lotion but NOT btwn toes
-check for blisters/cuts/etc
-trim toenails (better to file)
-change socks daily
-never walk barefoot
-examine shoes daily

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35
Q

when assisting a pt?

A

stand on their WEAK side

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36
Q

steps to walking with cane?

A

-stand on stronger side
-advance cane
-advance weak leg
-advance strong leg

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37
Q

second hand smoke can lead to?

A

heart disease

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38
Q

number one cause of lung disease?

A

smoking

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39
Q

oxygenation + ventilation = ?

A

perfusion

40
Q

ABG measures?

A

oxy and vent

41
Q

wheezes sound?

A

-continuous high pitch
-squeak or musical

42
Q

what causes a wheezing sound?

A

air moving through narrow or partially obstructed airway passages (ventilation issue)
*treated with bronchodilator

43
Q

crackles sound?

A

-can be fine OR coarse
-DISCONTINUOUS popping/crackling sound

44
Q

what causes crackles sound?

A

air moving through wet secretions
*causes alveolar collapse

45
Q

rhonchi sound?

A

-continuous low pitch
-snoring like quality

46
Q

what causes rhonchi sound?

A

secretions in the larger airways
*need to cough (or use suction) to clear

47
Q

normal PaO2?

A

60-80

48
Q

SpO2 of 95%?

A

PaO2 of 80%

49
Q

SpO2 of 90%?

A

PaO2 of 60%

50
Q

SpO2 of 80%?

A

PaO2 of 50%

51
Q

SpO2 of 70%?

A

PaO2 of 40%

52
Q

MAP of at least 60 mmHG to _____?

A

perfuse vital organs

53
Q

give cough suppressants for?

A

non productive cough

54
Q

give cough expectorants for?

A

productive cough

55
Q

what does purse lipped breathing do?

A

make exhalation time longer than inhalation by providing resistance
(inhale 2, exhale 4- common for COPD)

56
Q

how many liters can be delivered by nasal cannula?

A

1-6

57
Q

how much FiO2 does a venturi mask deliver?

A

24-40%

58
Q

how much FiO2 does a nonrebreather mask deliver?

A

80-100%

59
Q

nebulizer?

A

fine particles of meds released into deeper passages of respiratory tract (where absorptions occur)
*need to asses heart rate

60
Q

room air FiO2?

A

21%

61
Q

1L - FiO2?

A

24%

62
Q

2L - FiO2?

A

28%

63
Q

3L - FiO2?

A

32%

64
Q

4L - FiO2?

A

36%

65
Q

5L -FiO2?

A

40%

66
Q

6L - FiO2?

A

44%

67
Q

10L - FiO2?

A

60%

68
Q

15L - FiO2?

A

80%

69
Q

20L - FiO2?

A

90%

70
Q

30L - FiO2?

A

98%

71
Q

smoking is measured in?

A

PACK YEARS

72
Q

pulse ox measures?

A

ARTERIAL hemoglobin saturation of oxygen

73
Q

do NOT use SpO2 in?

A

carbon monoxide poisoning or arrest/code

74
Q

what leads to back injuries in healthcare workers?

A

manual/uncoordinated lifts
exceeding recommended weight limit (35)
out dated techniques
transfer/reposition uncooperative or confused pt

75
Q

immobility _____ cardiac workload?

A

increases

76
Q

immobility _____ endurance, stability, coordination?

A

decreases

77
Q

immobility ______ muscle size/tone/strength?

A

decreases

78
Q

immobility _____ risk for venous thrombosis?

A

increases

79
Q

immobility _____ respiration depth and rate?

A

decreases

80
Q

immobility _____ urinary stasis?

A

increases

81
Q

immobility _____ contracture risk?

A

increases

82
Q

immobility _____ bladder muscle tone?

A

decreases

83
Q

immobility _____ skin breakdown risk?

A

increases

84
Q

immobility _____ sense of powerlessness?

A

increases

85
Q

immobility _____ sensory stimulation?

A

decreases

86
Q

immobility _____ bone loss?

A

increases

87
Q

immobility _____ work of breathing?

A

increases

88
Q

fowler’s degree?

A

45-60

89
Q

semi fowlers?

A

30-45

90
Q

high fowlers?

A

90+

91
Q

low fowlers?

A

15-30

92
Q

BP cuff length?

A

70/75-100% arm circumference

93
Q

BP cuff width

A

37-50% arm circumference

94
Q

cuff too narrow causes?

A

increased reading

95
Q

cuff too wide causes?

A

decreased reading

Fundamentals NUR 220 (21 decks)

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