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Funds I Lab > Final Exam Study Guide > Flashcards

Final Exam Study Guide Flashcards

1
Q

Oral Temp Range

A

96.8 - 99.5

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2
Q

When do you need to wash your hands with soap and water?

A

after bathroom
contact-enteric
when hands are visibly soiled

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3
Q

When do you use standard precautions?

A

will ALL patients

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4
Q

Donning PPE

A

applied OUTSIDE the room
gown
mask
goggles
gloves

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5
Q

Doffing PPE

A

removed INSIDE the room, close to the door
gloves
goggles
gown
mask

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6
Q

Contact Precautions

A

organisms transmitted through touch
PPE: gowns, gloves
sanitizer / soap and water

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7
Q

Contact Precaution Examples (5)

A

bed bugs
lice
wound drainage (uncontrolled)
varicella (chicken pox)
RSV (respiratory disease in children)

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8
Q

Contact-Enteric Precautions

A

transmitted via gut
PPE: gowns, gloves, mask, eyewear, shoe cover
soap and water (if poop is involved)

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9
Q

Contact-Enteric Precaution Examples (4)

A

C. diff (bacteria)
uncontrolled diarrhea
salmonella
rota virus (kids)

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10
Q

Droplet Precautions

A

transmitted via big droplets
PPE: mask (surgical)
soap and water / sanitizer

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11
Q

Droplet Precaution Examples (5)

A

RSV
influenza
mumps
microplasma pneumonia
meningitis

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12
Q

Airborne Precautions

A

transmitted via small droplets (hang in air)
PPE: N95 mask, surgical mask on patient if have to leave room)
soap and water / sanitizer

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13
Q

Airborne Precaution Examples (4)

A

COVID-19
TB
chicken pox (varicella)
shingles

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14
Q

Multi-Drug Resistant Precautions

A

resistant to drugs
PPE: gloves, gown, mask
soap and water / sanitizer
ex: MRSA

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15
Q

Protective / Reverse Precautions

A

protecting patient
immuno-compromised patient
no live plants
soap and water / sanitizer

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16
Q

Protective / Reverse Precaution Examples (4)

A

oncology patients receiving chemo
HIV (AIDS)
transplant recipients
patient with splenectomy w/in last 5 years

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17
Q

Standard Fall Precautions (7)

A

2 bed rails
anti-slip socks
call light within reach
water/kleenex/bed pan w/in reach
clear path
night light (when available)
bed in low position, wheels locked

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18
Q

How many indicators for Fall Risk Assessment Tool

A

12

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19
Q

12 indicators for Fall Risk

A

history of fall (w/in last 3 months)
poly-pharmacy
CNS/psychotic medication
cardiovascular medication
age greater than 65
altered elimination
cognitive deficit
sensory deficit
dizziness/vertigo
depression
mobility deficit/weakness
male gender

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20
Q

What score on fall scale indicates a high risk for falls?

A

4 or greater

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21
Q

High Risk Fall Interventions (7)

A

gait belt
“safe” band on patient
signage on door
turn alarm on bed
alarm for seated patient
3 bed rails
communication

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22
Q

Fowler’s

A

between 45 and 60 degrees
sitting position

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23
Q

Semi-Fowler’s

A

between 30 and 45 degrees

24
Q

Orthopneic

A

tripod position

upright, pillow on table, lean on pillow/table

allows for lung expansion

25
Dorsal Recumbent
pt lies on back with legs flexed and rotated outward
26
Lateral
pt lays on side
27
Sims
pt lies on left side, left hip and leg straight, right hip and knee bent
28
Prone
pt lies of stomach
29
Supine
pt lies flat on back
30
Trendelenburg
head lower than feet increase blood flow to brain
31
Types of Baths (6) and what they are
complete bed bath: head to toe assist/set up: can bathe but cannot gather supplies partial bath: face, hands, back, perineal, axilla, feet bag bath: pre-packaged wipes tub bath: pt takes bath in bathtub shower: pt takes shower
32
Safety Considerations for Baths (5)
don't leave pt alone pt may slip shower chair call light in shower shower bench
33
Arab Heritage Diet Considerations
bread is served at every meal no pork, meats cooked well done food is eaten with right hand beverages are drunk after the meal not during
34
Jewish Heritage Diet Considerations
dietary laws govern the killing, preparation, and eating of foods meat and animal milk are not eaten at the same time; dairy substitutes are permitted pork is forbidden all blood must be drained from meats always wash hands before eating
35
Mexican Heritage Diet Considerations
rice, beans, and tortillas are core, essential foods being overweight may be viewed as positive the main meal of the day is at NOONTIME
36
Intake and Output
intake is everything liquid output is everything that comes out document in mL
37
Minimum Urine Output Requirement
30 mL/hr for adults
38
Fecal Impaction: what is it? how is it assessed? how is it relieved? special considerations?
hardened feces in rectum digital (finger) exam pull away at impaction until the rest begins to flow vagus nerve may be stimulated and pt will pass out
39
Peri stomal and Stoma Skin
peri stomal skin should be normal stoma should be pink/beefy and moist
40
How often should you change an ostomy appliance?
weekly unless signs of skin breakdown are noted empty bag about half full
41
Routine Urine Specimen
no time frame around it (drug screen or pregnancy test)
42
Clean Catch for C & S
sterile sample, to figure out what bacteria it is, midstream, peri-care before, may do straight cath
43
Foley Catheter
only collect specimen right when placed in pt, use blue port to collect after bag is inserted, do NOT take sample from bag
44
Timed Urine
over a period of time, must collect every drop of urine within the time frame, sample collection bag is on ice to keep cold
45
Nasal Cannula
1-6 L/min 24-44% of oxygen use for mild shortness of breath also have high flow cannula
46
Simple Mask
4-8 L/min 40-60% of oxygen may use for mouth breathers may cause claustrophobic feeling
47
Venturi Mask
4-15 L/min 24-60% of oxygen Most ACCURATE oxygen delivery use for COPD patients (constriction of the airways)
48
Non-Rebreather Mask
10-15 L/min 100% of oxygen use for patients in extreme respiratory distress must have good fit must have bag inflated with oxygen
49
Preventing DVT/PE
antiembolic stockings (TED hose) Intermittent Pneumatic Compression (IPC) Devices (alternating compression between legs) Anticoagulants (coumadin, lovenox, heparin)
50
S&S for DVT
leg pain, warm, swollen, red
51
S&S for PE
chest pain, hurt on inspiration, dyspnea, decreased O2 sat, Increased RR, HR, and BP
52
Contraindications to Heat Therapy
after surgery, traumatic injury for up to 24 hours, hemorrhage, skin disorders
53
Contraindications to Cold Therapy
allergy/hypersensitivity to cold
54
Contraindications for Heat and Cold Therapy
neurosensitivity impairment, impaired mental status, impaired circulation, on open wound
55
Types of Restraints and What they are (3)
physical: any device that limits movement of body parts chemical: pharmacological (Haldol) seclusion: confinement to room where pt is alone and unable to leave
56
Safety Concerns for Seizures
NEVER PUT ANYTHING IN PT'S MOUTH DURING SEIZURE
57
Interventions for Seizures
protect head turn pt on side oxygen if needed suction if needed after reassess after (vitals, A&O, neuro, etc)

Funds I Lab (7 decks)

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