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Fundamentals > Final > Flashcards

Final Flashcards

1
Q

What solution is sterile?

A

Normal saline

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2
Q

How do you lip a sterile solution?

A

Place cap upside down on a flat surface or hold it. Pour a small amount of the container to wash away airborne contaminats control the height to avoid splashing. Agencies replace sterile solutions daily.

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3
Q

Who should sign a safe guard envelope?

A

Yourself, a second nurse, supervisor, security person and client

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4
Q

How does a nurse id client owned equipment?

A

A large, easily readable label

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5
Q

Who is responsible for for the admission assessment, even if delegated?

A

The registered nurse is responsible for admission, even if delegated.

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6
Q

What is medication reconciliation?

A

Obtaining and verifying the medications a client is currently taking. The name,dosage,frequency, and route are necessary to obtain.

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7
Q

A medicine error occurs what do you do?

A

Contact physician

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8
Q

Once all admission data is collected, what does the nurse do?

A

Develops a poc asap but no later then 24 hours following admission

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9
Q

What does the initial poc id?

A

Priority problems, the clients projected needs for teaching and discharge planning.

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10
Q

What is a skilled nursing facility?

A

A nursing home that provides 24 hours nursing care under the direction of an RN.

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11
Q

What are procedures that are skilled nursing facility qualified?

A

Care for a pressure ulcer
Enteral feedings or iv fluids
Bowel or bladder retraining
Injectable medications
Sterile dressing changes
Tracheostomy care

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12
Q

What must skilled nursing facility’s provide?

A

Rehab like pt and ot, pharmaceutical services, dietary services,therapeutic activity’s, and routine and Emergancy dental services.

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13
Q

What qualifies you for Medicare beneifits in a nursing home?

A

A person who has been hospitalized for 3 or more days within 30 days.

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14
Q

What is the normal shell temp range?

A

96.9 to 99.3 Fahrenheit

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15
Q

What is a normal core body temp range?

A

97.0 to 99.5 Fahrenheit

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16
Q

What Pyrexia?

A

A term used to describe a warmer than normal set point

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17
Q

What is febrile?

A

A fever

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18
Q

What is afebrile?

A

No fever

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19
Q

What are symptoms associated with a fever?

A

Flushed skin that is warm
Headache
Above normal pulse and respiratory rate

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20
Q

What is hyperthermia?

A

Excessively high core temp, the temp exceeds 105.8

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21
Q

Someone with hyperthemia is at a extremely high risk for?

A

Brain damage or death from complications associated with increased metabolic demands

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22
Q

What is the adult average heart rate?

A

60-100 bpm at rest

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23
Q

What is tachycardia?

A

100 to 150 bpm

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24
Q

What is palpitation?

A

Awareness of one’s own heart contractions, this can accompany tachycardia

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25
Q

What is bradycardia?

A

HR less then 60 bpm. You should do prompt reporting and continued monitoring.

26
Q

How do you raise subnormal temperature?

A

Raise the room temp
Apply layers and loosely woven blankets
Warm blankets and clothing in an oven
Provide warm fluids

27
Q

What is a arrhythmia or dysrhythmia?

A

An irregular pattern of heartbeats

28
Q

A pulse felt with mild pressure

A

A strong pulse

29
Q

A pulse that is difficult to feel, or once felt is obliterated easily with slight pressure

A

A feeble, weak or threads pulse

30
Q

A pulse that does not easily disappear with pressure

A

A bounding or full pulse

31
Q

What heart rate measurement is the most accurate?

A

Apical pulse. You would listen for 60 seconds.

32
Q

Where is the apical?

A

The apex is slightly below the left nipple (5th intercostal space) in line with the middle of the clavicle

33
Q

What is an apical-radial rate?

A

The number of sounds heard at the hearts apex and the rate of the radial pulse during the same period.

34
Q

What is a pulse deficit?

A

The difference between the apical and the radial pulse rates.

35
Q

Flat, round, colored, nonpalpable area

A

Macule

36
Q

Elevated, Palpable, solid

A

Papule

37
Q

Elevated, round, filled with serous fluid/serum

A

Vesicle

38
Q

Elevated, irregular border, no free fluid

A

Wheal

39
Q

Elevated, raised border, filled with pus

A

Pustule

40
Q

Ex of macule

A

Freckles

41
Q

Ex of papule

A

Wart

42
Q

Ex of vesicle

A

Blister

43
Q

Ex of Wheal

A

Hives

44
Q

Ex of pustule

A

Boil

45
Q

Slight indentation (2mm)

A

1+ pitting edema

46
Q

Deep pit (6mm)
Remains several seconds after pressing
Skin swelling obvious by general inspection

A

3+ pitting edema

47
Q

Fluid can no longer be displaced
No pitting
Tissue palpates as firm or hard
Skin surface: shiny, warm, moist, waxy

A

5+ brawny edema

48
Q

What must consent contain?

A

Capacity, comprehension, and voluntarinesd

49
Q

What may cause someone to not ask questions or understand the information about a procedure?

A

Anxiety and insecurity

50
Q

Who is ultimately responsible for providing info for informed concent?

A

The physician

51
Q

What may be a special prep before some exams?

A

Withholding food and fluids or modifying diet

52
Q

Regardless of the type of exam or test what will the nurse do?

A

Help the client change into gown, ensures there is an id bracelet, take vital signs, and suggest the client empties the bladder(unless a full bladder is required for the test)

53
Q

Lying flat with face up with legs extended

A

The supine position

54
Q

Lying on abd. With head turned arms can be above head or at the sides of the body. A drape covers the body

A

Prone position

55
Q

Reclining position with knees bent, hips rotated outward, and feet flat.

A

Dorsal recumbent position

56
Q

A reclining position with the feet in metal stirrups . The nurse drapes exposed perineum and legs.

A

Lithotomy position, used for gynecological, urologic and sometimes rectal examinations.

57
Q

Lies on left side with chest leaning forward, the right knee bent toward the head, right arm forward, the left arm extended behind the body

A

Sims position

58
Q

Why would you be in sims position?

A

Alt gynecologic or urologic position when a client can’t abduct hips. (Like someone with arthritis)

59
Q

Rest on the knees and chest. They turn the head supported on a pillow. The nurse places a pillow under the clients chest for added comfort

A

Knee-chest position. Also called genupectoral position

60
Q

The person stands with upper body leaning forward on exam table

A

Modified standing position

61
Q

What is the modified standing position used for?

A

Primarily prostate gland exam

Fundamentals (2 decks)

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