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MIDYEAR CLASS SY. 2021 > FUNDA-MIDYEAR(RATIONALIZATION) > Flashcards

FUNDA-MIDYEAR(RATIONALIZATION) Flashcards

1
Q

A mask used for airborne precautions

A

N95 mask due to presence of filter

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2
Q

Position for administering cleansing enema

A

Left Sims’ position

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3
Q

Best way to clean the nose

A

Both nostrils open to prevent ICP

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4
Q

Confirmatory test for NGT placement

A

X-ray

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5
Q

After chestphysiotherapy, the nurse should ______.

A

Suction the mucus secretions

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6
Q

Position in preparation for inserting NGT tube

A

Fowler’s position

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7
Q

0.45% NaCl

A

Hypotonic sol’n

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8
Q

A female client undergone a mastectomy, what is the best position in which nurse should place the client?

A

HOB is elevated at 30 degrees with the AFFECTED arm elevated on a pillow

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9
Q

Position for thoracentesis

A

Orthopneic position (to promote lung expansion)

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10
Q

In doing perineal-genital care, how should the nurse start?

A

Cleanest to dirtiest

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11
Q

In doing perineal care, what is being cleaned with the 5th stroke?

A

Labia majora

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12
Q

Prevention of UTI?

A

Disconnect the catheter and drainage tubing unless absolutely necessarry

Use aseptic technique

Perform hand hygiene before and after the procedure

DO NOT maintain sterile -OPEN-DRAINAGE SYSTEM because it can cause infection

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13
Q

What should the nurse do if the client experience pain and intestinal spasm in administering an enema?

A

Stop the flow for 30s and restart the flow at a slower rate

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14
Q

NGT measurement?

A

From the TIP OF THE NOSE towards the tip of the UPPER EARLOBE and from the tip of the upper earlobe down to the XIPHOID PROCESS.

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15
Q

Contraindicated in performing CPT to client with Rib Fracture?

A

Chest clapping

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16
Q

Components of Chestphysiotherapy

A

Postural drainage

Deep breathing exercise

Chest clapping

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17
Q

The length of catheter to be inserted for oropharyngeal suctioning

A

4-6 inches

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18
Q

When inserting the suction catheter into the respiratory passage, the suction port should be _______.

A

Unobstructed

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19
Q

Reason why sublingual should be given to client with hypertension?

A

SL is absorbed faster because there are many blood vessels and avoids hepatic first pass.

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20
Q

CI for IM Injections?

A

Bleeding tendencies

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21
Q

Type of syringe does the nurse need to prepare in administering insulin medication?

A

Insulin syringe

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22
Q

Common sites for IM INJECTIONS?

A

Vastus Lateralis

Deltoid

Ventrogluteal

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23
Q

The client received a secondary infusion of new antibiotic, after 5 minutes the client reports itching and appears flushed. What the the FIRST nursing intervention?

A. Slow the rate

B. Assess the characteristics of the itching

C. Stop the infusion

D. Notify the physician

A

C.

Stop the infusion because these are signs of allergic reactions

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24
Q

A nurse is preparing to administer a transfusion of PRBC to a client. What solution would the nurse expect to use to administer the transfusion?

A

0.9 Plain Normal Saline Sol’n

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25
Q

In doing post-op bed, what you should observe?

A

Do not let the patient use pillow for the meantime to prevent occurrence of headaches

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26
Q

Patient is unconscious, what should you position the client and what is the rationale behind?

A

Left lateral position to allows the tongue to fall forward and prevent obstruction

27
Q

Universal precautions

A

Gloves, goggles, faceshield

28
Q

When should the nurse remove her PPE after giving patient care to a patient who is isolated?

A

Before going out of the pt’s room to avoid cross contamination

29
Q

What level of the body you should adjust if you want to move object with less effort?

A

Waist level

30
Q

In lifting a patient, why are we asked to use our arms and legs and not our back?

A

Leg muscles are stronger, larger muscles capable of greater work without injury

31
Q

GOALS OF ACTIVE RANGE OF MOTION

A

Maintain physiological elasticity and contractility of the participating muscles

Provides a stimulus for bone and joint integrity

Develops coordination and motor skills for functional activities

32
Q

Rationale of placing rubber sheet in the center of bed when doing unoccupied bed?

A

To protect the sheet and mattress

33
Q

Purpose of perineal shaving

A

To prevent/lessen infection

34
Q

Prolonged cold application may result to the following?

A

CELL DEPRIVATION

TISSUE DAMAGE

POOR CIRCULATION

35
Q

Type of catheter is used if only one-time urine is needed

A

Straight cath

36
Q

Reason of inflating the balloon inside the bladder during catheterization?

A

Secure the catheter in the bladder

37
Q

Best position during enema?

A

Right lateral position with the right leg acutely flexed because it facilitates the flow of solution by gravity into the sigmoid and descending colon.

38
Q

Position indicated for NSD?

A

Lithotomy

39
Q

What should be done in order to prevent contaminating of the environment in bed making?

A

Avoid fanning soiled linens

40
Q

Appearance of death signs on PE (cessation of heartbeat and breathing) before technical pronouncement of death

A

Clinical Death

41
Q

Oral polio vaccine storage temperature should be ___.

A

-15C to -25C

42
Q

Last consideration on the factors to be considered in the selection of the transfer method

A

Gender of the Victim

43
Q

Also known as recovery position

A

Lateral position (because head is protected by the arms and circulation is better on the right side)

44
Q

RED means in triage

A

Priority one (Immediate care)

45
Q

Where you should locate for a pulse in an unconscious adult victim?

A

Carotid artery in the neck (because it is near the circulation of the brain)

46
Q

Type of obstruction when the tongue drops back and obstruct the throat?

A

Anatomical Obstruction

47
Q

Relaxation of the heart ventricles is called ____.

A

Diastolic Pressure

48
Q

Before use, clean thermometer from stem to bulb/tip, that is ___.

A

From cleaner to less clean

49
Q

In newborn screening, NEGATIVE screen result means ____.

A

Normal

50
Q

This procedure is done when discharging a patient and when changing linens with new one

A

Bed stripping

51
Q

4 sectors assess in MMDST?

A

Fine-motor adaptive, Gross-motor, Personal-Social, Language

52
Q

A belt that is used in supporting/assisting a weak client while walking

A

Transfer belt

53
Q

What site measures the core body temperature?

A

Rectal (It is near the core)

54
Q

It is the time between the entry of the organism into the body and appearance of clinical signs symptoms of the disease?

A

Incubation period

55
Q

In doing oropharyngeal suctioning you direct the suctioning along the side of the mouth because this:

A

Prevents stimulation of gag reflex that might cause vomiting

56
Q

Give 1 example of vaccine that is given SQ

A

AMV (Anti-measles vaccine)

57
Q

Give 1 example of vaccine that is given intradermal

A

BCG (Bacille Calmette-Guerin)

58
Q

What maneuver should you use to open the airway for adult victims with suspected spinal cord injury?

A

Jaw-thrust maneuver

59
Q

Correct way in wiping the eye

A

From inner to outher canthus of the eye

60
Q

Last area to cleanse when giving bed bath?

A

Perineal

61
Q

A device user to measure the amount of hemoglobin in arterial blood that is saturated with oxygen

A

Pulse oximeter

62
Q

Most accurate method for taking a temperature

A

Rectal

63
Q

Group of body systems is assessed when taking V/S?

A

Cardio, Respi, Circulatory

MIDYEAR CLASS SY. 2021 (2 decks)

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