final Flashcards

1
Q

where do we do a cap glucose measurement

A

side of the finger (pad)

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2
Q

why do we wipe away first drop of blood for glucose test

A
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3
Q

what is DKA

A

body can’t produce enough insulin, body begins to break down fat as fuel causing buildup of acids in bloodstream = ketones

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4
Q

what order do you draw up insulin

A

air in N (long acting), air in R (rapid acting), draw R, draw N

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5
Q

what are the kinds of insulin and how fast will they work

A

rapid = onset 15-30 mins, peak = 1-3hrs

short = onset 30-1hr, peak = 1-5hrs

intermediate = onset 1-2 hrs, peak = 6-14 hrs

long = onset 0.8-2 hrs, peak = peakless

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6
Q

what sites can you use for insulin and what angle injection

A

adipose tissue: upper arms, outer side of thigh, belly area

5cm tissue = 90 degrees
less than 5cm tissue = 45 degrees

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7
Q

what is heparin? what are contraindications to heparin adminsiteration

A
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8
Q

what is the correct size of subcutaneous syringe

A
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9
Q

what is the max amount of volume in the subcutaneous site

A

2mL

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10
Q

why do we do a TB skin test

A
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11
Q

where is the correct spot for TB?

A
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12
Q

what angle of insertion for TB

A
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13
Q

what other things might be given intradermal?

A
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14
Q

what is different b/w blunt fill and filter?

A

filter = prevent small glass fragments from entering syringe

blunt fill = used to draw up medication

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15
Q

which needle do you use for vial? an ampule?

A

vial = blunt

ampule = filter

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16
Q

what are some differences b/w vial and ampule

A

ampules = single dose medication, constricted neck must be snapped off to access medication, scored for easy break

vial = single or multi dose, rubber seal, closed system, air must be injected into vial to permit easy withdrawal

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17
Q

name the different parts of a syringe

A

plunger, barrel, needle hub

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18
Q

would you draw up from a vial or ampule first if you were mixing 2 medications?

A
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19
Q

how many litres would you put the O2 to for NP, simple face mask, non-rebreather

A

NP = 1-6mL
simple face mask = 5-8mL
non-rebreather = 10-15mL

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20
Q

what is a normal oxygen level? for a COPD patient

A

greater than 95%

88-92%

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21
Q

signs of hypoxia include?

A
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22
Q

what is difference b/w high and low flow oxygen delivery device

A

low = oxygen mixing with room air (NP, simple face mask)

high = deliver O2 rates above normal inspiratory flow rate

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23
Q

how would you explain an incentive spirometer

A

encourage voluntary deep breathing by providing visual feedback

suck in (inhale) until ball raises and you can’t inhale any longer, hold breath for 5 secs, exhale normally

24
Q

name 2 breathing exercises that require no equipment and how would you explain them

A

pursed lips = breathe in slowly through nose for 2 counts, purse lips as if you are going to whistle, breathe out for 4

deep breathing & coughing = breathe in slowly through nose for 3 counts, keeping mouth close, exhale slowly through mouth and cough at end of exhale

25
Q

explain how to admin NEBS

A
26
Q

explain how to admin metered dose inhaler (MDI) with & without spacer

A
27
Q

what time of the day is the best sputum sample

A

early in morning

28
Q

3 elements to pronounce?

A

pulse, respiration, HR (VS) no response to shout and pain

29
Q

under what circumstances can an RPN pronounce?

A

with a physicians order

2 nurses listen to apical HR for 1 min

30
Q

rigor mortis, algor mortis, livor mortis

A

rigor = stiffening of body (couple hrs after death, peak 8 hrs, gone after 12hrs)

algor = cooling of body (1 degree per hr)

livor = settling of blood (red blood cells settle into skin, see on back)

31
Q

what is the advantage of a subcutaneous butterfly & where do we put them

A

less injections with needle — provides more comfort

upper arm, thigh, abdomen

32
Q

how would you prepare a subcutaneous medication for the first use of butterfly

A
33
Q

what is the otic route

A

ear

34
Q

what is the ophthalmic route

A

eye

35
Q

what instructions do we give patients when taking sublingual medications

A

do not swallow, place under tongue and let dissolve slowly

36
Q

what position for rectal medications

A

left side sims position

37
Q

transdermal patches deliver medication how?

A

absorbing through the skin

38
Q

what is difference b/w buccal & SL

A

buccal: cheek

SL: under tongue

39
Q

what size syringe do we use for IM

A

3mL

40
Q

name the 4 sites for IM and landmark, naming the appropriate anatomy

A

deltoid = expose upper arm, relax arm, palpate lower edge of acromion process, inject

ventrogluteal = nondominant hand, greater trochanter, iliac crest, iliac spine, heel of hand over greater trochanter, point thumb towards groin, index finger to anterior iliac spine, other fingers on iliac crest, inject in V

vastus lateralis = greater trochanter & top of knee, inject in middle — anterior lateral aspect of thigh

dorsogluteal = divide into quarter & inject upper outer quadrant

41
Q

what is the max volume for each site

A

deltoid = 2mL

dorsogluteal = 4mL

ventrogluteal = 3mL

vastus lateralis = 3mL

42
Q

what is the preferred site for adults? for children?

A

adults = ventrogluteal

children = vastus lateralis

43
Q

why are women more prone to UTI

A
44
Q

what are signs of UTI

A

pain and burning sensation, fever, chills, vomiting, urgency, hematuria, cloudy foul smelling, change of colour

45
Q

define: polyuria, dysuria, oliguria, anuria, frequency, retention, neurogenic bladder

A

polyuria: large amount of urine

dysuria: painful urine

oliguria: small amount of urine

anuria: no urine

retention: holding onto urine

neurogenic bladder: lack bladder control due to brain, spinal cord or nerve problems

46
Q

what is purpose of a bladder scanner

A

to determine how much urine is in the bladder

47
Q

what is fecal occult blood test for

A

check stool samples for hidden (occult) blood

48
Q

advantage of condom catheter over urinary catheter

A
49
Q

what is C+S

A
50
Q

what is surgical asepsis

A

procedures used to eliminate all microorganisms — complete removal

51
Q

what is a nosocomial infection

A

infection that is acquired in a hospital setting

52
Q

what are the 3 types of precautions in hospital & name an example

A

contact — MRSA
airborne — TB
droplet — rubella, mumps, influenza

53
Q

what kind of equipment do you need for each precaution

A

contact = gown, gloves
airborne = respiratory protection device (N95)
droplet = mask

54
Q

what is the order of donning and doffing

A

donning: hand hygiene, gown, mask, eye protection, gloves

doffing: gloves, hand hygiene, gown, hand hygiene, eye protection, hand hygiene, mask, hand hygiene

55
Q

chain of infection what are the different elements

A

infectious agent (pathogen)

reservoir (source for the pathogen to grow — person, environment)

portal of exit of reservoir (sneeze)

mode of transmission (direct, indirect, vehicle, vector)

portal of entry into host (wound)

susceptible host