Final Flashcards
1st step in civil legal action
Complaint
what regulates PN roles/responsibility
Nurse practice act
Maslows theory states that —–are prioritized over all other needs
Basic needs
what cant be charged if PN fails to irrigate a NGT
Malpractice
Assault
Slander
what is order for taking off PPE
Gloves
gown
how can anthrax be spread
inhaling spores
ingesting spores
contact with skin
a pt with constipation requires what type of diet
high residue/high fiber
saturated fats are known to raise
cholesterol
what is good cholesterol
HDL
vitamin may be deficient in vegan diet
B12
pt taking diuretic and is found to have erratic pulse. Dx?
Hypokalemia
A person with DM2 will always require
Insulin
what to teach pt with dumping syndrome
Small frequent meals
increase protein
decrease carbs
what will PN do for pt with dry tight skin
Reposition every 2 hours
use mild soap
which direction when shaving pt
direction of hair growth
UAP is able to
give bed bath
provide oral care
when pt has dyspnea during care the PN should
Limit pt activity
shaving pt with pulmonary embolism should use
electric razor
a pt having sitz bath becomes dizzy what should PN due
Stop bath
return pt to bed
How should leg be washed when pt has DVT
gently with light strokes
no massage
what will pn give post op pt before ambulating
administer pain meds 30 minutes before
pt denies pain but is grimacing what should be said
what you are saying and what i am seeing arent the same
saying how can i help you is
Assertive communication
when bathing unresponsive pt Pn knows to…
Speak directly to pt
talk gently to pt
medication route with most rapid onset
IV
what is main organ that metabolizes medication
LIver
What type of medication is Narcan
Antagonist
opiod reversal
most important liver tests for meds
AST
ALT
what are most important renal tests for medications
BUN
Creatinine
what to use for 3ml liquid oral med
oral dosing syringe
Pt taking aspirin should take with
with saltine crackers
PN knows not to when passing meds
Sign MAR for all meds before giving
Sign MAR at end of shift
Sign MAR after giving all meds to all pts
When administering transdermal patch
remove old patch first
press firmly after applying new patch
onset of regular insulin
30 minutes
where heparin given
2” from umilicus
Oral medication onset
30 minutes
SL med onset
15 minutes
resp rate of 10
Bradypnea
rapid resp rate
Tachypnea
Difficulty breathing
Dyspnea
Pt with long cast has good neurovascular status when…
Toes are pink
capillary refill less than 3 sec
what is a wheal
Irregular shaped
elevated areas of edema
usually itch
Pn with arterial insufficiency has
capillary refill 7 sec
pedal pulses diminished
toes cold
pt should be followed up if + weight gain and
Abdominal girth increase
pt on restricted calorie diet
PN will indicate normal bilateral lower extremities if
negative babinski reflex
pedal pulses + bilaterally
what venous ulcer look like
Brown
what is abnormal for nose, sinus, mouth
Maxillary sinus
nasal mucosa pale
deviated septum
tongue dry with white patches
Nursing Dx for pt with fatigue and dizziness
Risk for injury
Activity intolerance
A pt with 2” JVD is in fluid….
overload
a pt with liver disease has yellow sclera known as….
scleral icterus
jaundice
high pith musical sounds
wheezing
indent lasting longer than 2 minutes
4+ edema
follow up for eyes is needed if
opacity is noted
pupils not reactive to light
A pt spine is not normal if
thoracic curvature noted
slumping to non dominant side
lateral spine curvature
what will PN find if pt has iron deficiency anemia
Pallor
Cyanosis
what is seen in initial stage of chiken pox
vesicles
define Afib
Irregular HR w sustained HR over 130bpm
hives are
a rash
which are subjective data
nausea
headache
objective data
flatulence
rash
in care plan planning stage the PN uses
Maslow’s
what is nursing Dx for cool pale extremities
Altered tissue perfusion
pt with ineffective airway clearance with thick secretions intervention
increase fluid intake
DM is dysfunction of the
Pancreas
osteoarthritis is…
degenerative disease
a jewish diet
kosher
meat/milk separate
what meat do muslims avoid
Pork
johovah witnesses dont allow
blood products
a pt that doesnt speak english
never use child as interpreter
eriksons toddler lifespan stage
Autonomy vs shame/doubt
ericksons school age child
Industry vs inferiority
Piagets for 10 year old
Concrete operational
piaget for 5 year old
preoperational
erikson young adult
intimacy vs isolation
hearing loss due to aging
Prebycusis
eriksons older adults
Ego integrity vs Despair
last stage of life cycle
senescence
concrete operational thought can
multitask
make food more colorful
s/s of hyponatremia
headache
irritability
fatigue
+ trousseau is with what electrolyte imbalance
hypocalcemia
good food for hypokalemia
cantalope
hypermagnesemia is contributing factor in
renal failure
pH 7.3 and the HCO3 18
metabolic acidosis
hyperkalemia causes
EKG changes
hyperchloremia is caused by
NGT suctioning
good diet selections for hypocalemic
cheese
dairy
normal urine output
above 30
60-80
sign of respiratory alkalosis
muscle weakness
