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Fundamentals > Final Exam > Flashcards

Final Exam Flashcards

1
Q

what is the format of a two part nursing diagnosis?

RK, RS

A

risk for ____ related to
readiness for _____ as evidenced by

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2
Q

what is the diffrence between a risk for statement and a readiness for statement?

A
  • risk for: is it used for potential problems, therfore will not have syptoms
  • focuses more on primairy prevention
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3
Q

what does SOAP stand for?

A

subject
objective
assesment
plan

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4
Q

what are the main roles preformed by nurses?

E, A, M, L, CO, R, CA, D, PM

A
  • educator
  • advocator
  • manager
  • leader
  • collab
  • researcher
  • careprovider
  • delagtor
  • policy maker
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5
Q

what is the hendrich II risk model?

A

falls assesment tool

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6
Q

what are the characteristics of a sterile field?

A

above the waist
below elbows
chest
sterile touching sterile
tables are sterile at waist level

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7
Q

What are characteritsics of a contaminated field?

A

broken seals/ packaging
wet or damp surface
sterile touching clean
outside 1 in
if it flaps back
below the wasit
above elbows
back
reaching over field

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8
Q

what are the common barriers to EBP?

A

research is costly
a lot of info is already out
delays into applying research in practice

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9
Q

what are the diffrent domains of learning?

CD, PMD, AD

A

cognitive domain
pyschomotor domain
affective domain

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10
Q

what is cognitive domain?

A

earning comprises knowledge and material that is remembered

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11
Q

what is pyschomotor domain?

teach back method

A

learning incorpartes physical movemnet and the use of motor skills into learning

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12
Q

what is affective domain?

A

learning recognizes the emotional component of intergrating new knowledge

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13
Q

what is dementia?

A

global impairment of cognitive function that is progressive and interferes with normal functioning

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14
Q

what is delirium?

acute

A

develops quickly
reversible
can fluctuate

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15
Q

when is discharge process started?

A

upon admission

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16
Q

what are the five stages of grief according to kubler- ross?

DAB DA

A

denial
anger
bargining
depression
acceptance

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17
Q

what is an example of an isotonic solution?

NS, LR

A
  • normal saline
  • D5W
  • Lactated ringers
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18
Q

what is the body’s normal pH?

A

7.35- 7. 45

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19
Q

what are the blood transfusion reactions?

BP, C, F, FF

A

back pain
chills
fever
“feeling funny”

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20
Q

what is the lab value for hyponatermia and hypernatermia?

MPCS

A

hypo- less than 135 mEq/L
hyper- greater than 145 mEq/L

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21
Q

what is the lab value for hypokalemia and hyperkalemia ?

MPCS

A

hypo- less than 3.5 mEq/L
hyper- greater than 5.0 mEq/L

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22
Q

what is the lab value for hypocalcemia and hypercalcemia?

MPCS

A

hypo- less than 9mg/dL
hyper- greater than 10.5 mg/dL

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23
Q

what is the lab value for hypomagnesemia and hypermagnesemia?

MPCS

A

hypo- less than 1.3 mEq/ L
hyper- greater than 2.1 mEq/L

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24
Q

what measurement of blood pH is considered acidosis?

do do re mi fa sol la ti do

A

less than 7.35

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25
Q

what measurement of blood pH is considered alkalosis?

the alk is greater than the doe

A

Greater than 7.45

26
Q

what is the normal value for co2?

A

35-45

27
Q

what are th normal values for HCO3- ?

A

22- 26

28
Q

what are the signs and syptoms of a fluid imbalance?

N/V, DMM, UO

A

N/V
dry mucuos membranes
urine osmarlity

29
Q

what are the signs and syptoms of fluid retention?

WG, IP, LR, PE, CL,

A

weight gain
100 + pulse
labored respirations
3+ pitting edema
crackling lungs

30
Q

what are the main components of a post op phase?

AWM, MVS, NS, PM, 24HRFR

A

airway management
monitoring vital signs
neuro status
pain management
24 hr fall risk

31
Q

what are tasks that can’t be delagated to a UAP?

E, A, T

A
  • evaluatation
  • teaching
  • assesments
32
Q

What is the ANA’s current postion of assisted suicide?

A

no

33
Q

what is the diffrence between assault and battery?

A

assault- verbal threats
battery- physical harm

34
Q

what would be an example of a misdemenor?

A

stealing from the hospital

35
Q

what is an example of a felony?

A

working outside of your scope or working w/o license

36
Q

if a pt has/ or is aspirating what are the signs and syptoms?

co, g, f, cy, do2

A
  • coughing
  • gagging
  • fever
  • cynanosis
  • decreased O2
37
Q

what position do you put the patient in for the insertion of a cather?

DR

A
  • dorsal recumbent
38
Q

what is the opposite of polyuria?

A

oliguria

39
Q

when is appropriate to call the HCP about a patient expriencing decreased urination?

A

less than 300ml/hr

40
Q

what should ice be documented as?

A

1/2

41
Q

when are patients assesed for fall risks?

A

everyday

42
Q

what does PICO stand for?

A

Problem
intervention
comparison
outcome

43
Q

what assesment is most accurate to asses excessive fluid volume/ fluid retention?

A

daily weights

44
Q

what does it mean for a wound to be dehisced?

A

opened up

45
Q

how often is TPN tubing changed?

A

every 24hr because bacteria can stick to the tubing

46
Q

what is the diffrence between primary and secondary data?

A
  • primary comes directly from the patient
  • secondary comes from family, friends, objective data
47
Q

what is left lateral recumbent?

A

patient is semiprone on the left side of the body

48
Q

what is supine?

A

the patient laying on their backs

49
Q

what is prone?

A

when the patient is laying on their stomach

50
Q

what is trendelenburg?

A

patient is supine with the legs elevated and the head down low

51
Q

what are the three stages of normal healing?

I, P, M

A
  • inflammatory
  • proliferative
  • maturation
52
Q

what are the characteristics of a stage I pressure ucler?

A

non blanchable redness, skin intact

53
Q

what are the characteristics of a stage II pressure ucler?

A

partial thickness skin loss or blistering

54
Q

what are the characteristics of a stage III pressure ucler?

A

full thickness skin loss, the fat is visible

55
Q

what are the characteristics of a stage IV pressure ucler?

A

full thickness tissue, muscle and bone is visible

56
Q

what is serous wound drainage?

its just water its not that serious

A

clear, watery fluid from plasma

57
Q

what is serosanguinous wound drainage?

A

pink to pale red
mix of serous fluid and sanguineous

58
Q

what is sanguineous wound drainage?

RED PENGUIN

A

bright red, usually indicates bleeding

59
Q

what is purulent wound drainage?

A

thick yellow, beige with an odor usually indicated infection

60
Q

what are the indicated theraputic use for NG tubes?

GD, N, MA

A

gastric decompression
nutrition
medication admin

61
Q

what is a needle aspiration biopsy?

A

A needle biopsy is a procedure to obtain a sample of cells from your body for laboratory testing

62
Q

what is the diffrence between phlebitis and infiltration?

A

phlebitis- inflammation of a vein caused by infection, injury, or irratation
inflitration- leakage of fluid or IV medication into surrounding tissue

Fundamentals (4 decks)

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