Final Flashcards

1
Q

Lab value for osmolality

A

285-295

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2
Q

Lab value for sodium

A

136-145

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3
Q

Lab value for potassium

A

3.5-5

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4
Q

Lab value for chloride

A

95-105

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5
Q

Lab value for total CO2

A

22-30

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6
Q

Lab value for bicarbonate (arterial and venous)

A

Arterial: 21-28
Venous: 24-30

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7
Q

Lab value for total calcium

A

9-10.5

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8
Q

Lab value for ionized calcium

A

4.5-5.6

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9
Q

Lab value for magnesium

A

1.3-2.1

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10
Q

Lab value for phosphate

A

3.0-4.5

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11
Q

Lab value for PaCO2

A

35-45

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12
Q

Lab value for ph

A

7.35-7.45

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13
Q

Lab value for PaO2

A

80-100

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14
Q

Symptoms of hypokalemia

A

(Decreased bowel)
Bilateral muscle weakness (may ascend to respiratory muscles)
Abdominal distention
Decreased bowel sounds
Constipation
Dysrhythmias

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15
Q

Symptoms of hyperkalemia

A

(Increased bowel)
Bilateral muscle weakness
Abdominal cramps
Diarrhea
Dysrhythmias
Cardiac arrest if severe

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16
Q

Symptoms of Hypocalcemia

A

(Increased neuromuscular)
Numbness and tingling
Positive Chvostek’s sign
Hyper reactive reflexes
Muscle twitching and cramping
Seizures
Dysrhythmias

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17
Q

Symptoms of Hypercalcemia

A

(Decreased neuromuscular activity)
Anorexia
N&V
Constipation
Fatigue
Diminished reflexes
Lethargy
Decreased LOC
Confusion/personality change
Cardiac arrest if severe

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18
Q

Symptoms of hypomagnesemia

A

(Increased heart)
Positive Chvostek’s sign
Hyperactive deep tendon reflexes
Muscle cramps and twitching
Grimacing
Dysphagia
Tetany
Seizures
Insomnia
Tachycardia
Hypertension
Dysrhythmias

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19
Q

Symptoms of hypermagnesemia

A

(Decreased heart)
Lethargy
Hypoactive deep tendon reflexes
Bradycardia
Hypotension
Flushing
Sensation of warmth
Decreased respirations
Dysrhythmias
Cardiac arrest

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20
Q

CT attitude: speak with conviction

A

Confidence

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21
Q

CT attitude: be prepared before performing nursing activities

A

Confidence

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22
Q

CT attitude: encourage the pt to ask questions

A

Confidence

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23
Q

CT attitude: be open minded about different interventions

A

Independent thinking

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24
Q

CT attitude: talk with other nurses and share ideas

A

Independent thinking

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25
Q

CT attitude: listen to both sides of a discussion

A

Fairness

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26
Q

CT attitude: assume care of all pts with openness

A

Fairness

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27
Q

CT attitude: ask for help

A

Responsibility/accountability

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28
Q

CT attitude: refer to policy and procedure manual

A

Responsibility/accountability

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29
Q

CT attitude: report problems

A

Responsibility/accountability

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30
Q

CT attitude: follow standards of care

A

Responsibility/accountability

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31
Q

CT attitude: if your knowledge causes you to question a healthcare provider, do so

A

Risk taking

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32
Q

CT attitude: be willing to recommend alternative approaches to colleagues

A

Risk taking

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33
Q

CT attitude: be thorough

A

Discipline

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34
Q

CT attitude: use scientific and practice based criteria

A

Discipline

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35
Q

CT attitude: manage time effectively

A

Discipline

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36
Q

CT attitude: be cautious of easy answers that avoid uncomfortable situations

A

Perseverance applications

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37
Q

CT attitude: if facts seem to be missing, clarify info

A

Perseverance applications

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38
Q

CT attitude: look for different approaches if intervention isnt working

A

Creativity

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39
Q

CT attitude: always ask why

A

Curiosity

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40
Q

CT attitude: be willing to challenge tradition

A

Curiosity

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41
Q

CT attitude: explore and learn more about pt to make appropriate clinical judgements

A

Curiosity

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42
Q

CT attitude: recognize when you need more info to make a decision

A

Humility

43
Q

CT attitude: recognize when your opinions conflict with those of a pt

A

Integrity

44
Q

CT attitude: do not compromise nursing standards or honesty in delivering nursing care

A

Integrity

45
Q

CT attitude: ask for orientation when you are new

A

Humility

46
Q

CT attitude: ask experienced RNs for assistance with approaches to care

A

Humility

47
Q

Commitment to include patients in decisions

A

Automony

48
Q

Taking positive actions to help others

A

Beneficence

49
Q

Avoidance of harm or hurt

A

Nonmaleficence

50
Q

Being fair

A

Justice

51
Q

Agreement to keep promises

A

Fidelity

52
Q

Defines actions as right or wrong

A

Deontology

53
Q

Proposes that the value of something is determined by its usefulness

A

Utilitarianism

54
Q

Focuses on the inequality between people

A

Feminist ethics

55
Q

Emphasizes the importance of understanding relationships, especially as they are revealed in personal narratives

A

Ethics of care

56
Q

Case-based reasoning

A

Casuistry

57
Q

Factors that influence BP

A

Age
Ethnicity
Gender
Stress
Daily variation
Medications
Activity, weight
Smoking

58
Q

Physiological factors that influence pain

A

Age
Fatigue
Genes
Neurological function

59
Q

Social factors that influence pain

A

Previous experience
Family and social network
Spiritual factors

60
Q

Psychological factors that influence pain

A

Attention
Anxiety and fear
Coping style

61
Q

Cultural factors influencing pain

A

Meaning of pain
Ethnicity

62
Q

Colorectal cancer screenings

A

(All starting at age 45)
Every year:
- Guaiac fecal
- Fecal immunochemical
Every 3 years:
- DNA stool test
Every 5 years:
- flexible sigmoidoscopy
- computed tomography, colonography
Every 10 years:
- colonoscopy

63
Q

Type of precautions: chicken pox

A

Airborne

64
Q

Type of precautions: measles

A

Airborne

65
Q

Type of precautions: TB

A

Airborne

66
Q

Type of precautions: shingles

A

Airborne

67
Q

Type of precautions: pneumonia

A

Droplet

68
Q

Type of precautions: flu

A

Droplet

69
Q

Type of precautions: rubella

A

Droplet

70
Q

Type of precautions: mumps

A

Droplet

71
Q

Type of precautions: VRE

A

Contact

72
Q

Type of precautions: MRSA

A

Contact

73
Q

Type of precautions: c diff

A

Contact

74
Q

Type of precautions: wound infection

A

Contact

75
Q

Airflow for nasal cannula

A

1-6L

76
Q

Airflow for oxygen-conserving cannula

A

8L

77
Q

Airflow for simple face mask

A

6-12L

78
Q

Airflow for partial and nonrebreather masks

A

10-15L

79
Q

Airflow for Venturi mask

A

24-50%

80
Q

Airflow for high-flow nasal cannula

A

Up to 60L

81
Q

Assessment factors of activity intolerance

A

Physiologic
Age
Emotional
Developmental
Pregnancy

82
Q

Which theorist: biggest concern is pt hygiene and environment

A

Nightengale

83
Q

Which theorist: culture

A

Lightenger

84
Q

Which theorist: caring

A

Watson

85
Q

Which theorist: self care deficit

A

Orem

86
Q

Type of theory: must do interventions to meet goals/outcomes

A

Perscriptive

87
Q

Type of theory: hugely broad

A

Grand theories

88
Q

Type of theory: focuses on one area of nursing

A

Middle range

89
Q

Type of theory: explains why we do things

A

Descriptive

90
Q

What is managed care?

A

Health promotion and prevention

91
Q

Theory essay question

A

Nursing theories help nurses guide their practice. For example, Dorothea Orem’s self-care deficit theory teaches us how important it is for people to perform self care. So, nurses assess their patients’ ability to perform self-care activities and help when necessary, in order for them to have improved health outcomes.

92
Q

How does fluid move when a pt is hypertonic

A

Out of the cells

93
Q

How does fluid move when a pt is hypotonic

A

Into the cells

94
Q

Chart used to assess stools

A

Bristol stool chart

95
Q

Gas exchange

A

Diffusion

96
Q

Blood/oxygen getting to tissues

A

Perfusion

97
Q

Type of tort: invasion of privacy

A

Quasi-intentional

98
Q

Type of tort: defamation of character

A

Quasi-intentional

99
Q

Type of tort: assault, battery

A

Intentional

100
Q

Type of tort: false imprisonment

A

Intentional

101
Q

Type of tort: negligence

A

Unintentional tort

102
Q

Type of tort: malpractice

A

Unintentional tort

103
Q

Includes information about end of life care

A

Living will

104
Q

Tells family what to do before, during, or after death.
Includes statement of if they want to be resuscitated

A

Advance directive