Fundamentals

Question 1

Orientation phase

Answer 1

get to know; trust; rapport

Question 2

working phase

Answer 2

explore and develop solutions

Question 3

termination phase

Answer 3

evaluate and discharge

Question 4

TeamSTEPPS

Answer 4

evidence based framework to optimize team performance and communication
leadership, situation monitor, mutual support, communication

Question 5

SBAR

Answer 5

team members communicate information

situation - what is happening
background - clinical
assessment - issue
recommendation

Question 6

I PASS the BATON

Answer 6

introduction - self/job

Patient - name, sex etc.
Assessment - CC, VS, symptoms, Dx
Situation - status/circumstance (code status, changes, response to treat)
Safety Concerns - critical lab values, episodes, current meds

Background - comorbidities, previous episode 
Action - rationale
Timing - urgency and prioritize
Ownership - responsible
Next - anticipated

Question 7

Nursing Process

Answer 7

tool to treat health issues and assess effectiveness

assessment –> diagnosis –> outcome –> planning –> implementation –> evaluation

Question 8

aerobic

Answer 8

CV; ski; run

Question 9

anaerobic

Answer 9

resistance; yoga

Question 10

isotonic

Answer 10

constant tension with contraction

walk, run

Question 11

isometric

Answer 11

constant tension and hold muscle

wall sit, plank

Question 12

Ataxic gait

Answer 12

stagger and unsteady

Parkinson’s

Question 13

Spastic gait

Answer 13

stiff and drag

stroke

Question 14

flaccidity

Answer 14

decrease muscle tone

Question 15

spasticity

Answer 15

increase muscle tone –> spasms

Question 16

Temor

Answer 16

rhythmic and repetitive

Question 17

contractures

Answer 17

shortening of muscle/joint b/c too tight

foot drop (plantar flexion > dorsiflexion)

flexion stronger than extension

Question 18

orthostatic hypotension

Answer 18

decrease effectiveness of neurovascular reflex

decrease BP when upright

SBP decrease by 20, DBP decrease by 10
HR increase by 10bpm

Question 19

DVT

Answer 19

deep vein thrombosis

immobility –> venous stasis (dehydrated + poor position) –> increase viscosity –> thrombus formation

heparin to prevent

Question 20

atelectasis

Answer 20

collapsed alveoli

Question 21

trochanter roll

Answer 21

prevent external rotation of hips

Question 22

First sign of deterioration

Answer 22

RR

Question 23

Radiation

Answer 23

heat transfer without contact

body heat to cold room

Question 24

Conduction

Answer 24

body to another surface

ice pack, cool cloth

Question 25

Convection

Answer 25

dispersion by air currents

fan, wind

Question 26

evaporation

Answer 26

water vapor

sweat, diaphoresis

Question 27

Oral temperature caution

Answer 27

no nebulized/O2 mask
no within 15-30 min drinking
no infant/toddler
no seizure disorders

Question 28

Rectal temperature cautions

Answer 28

trauma to rectal mucosa
no infant up to 3 months
no surgery on lower body

Question 29

Tympanic temperature cautions

Answer 29

straighten ear canal
child and adult - pull pinna up and back
3 month old - pull ear down and back

Question 30

Breathing patterns

Answer 30

women - chest
men - diaphragm
infant/children - irregular

Question 31

medications that decrease pulse

Answer 31

beta blockers, calcium channel blockers, digoxin

Question 32

Mastectomy

Answer 32

breast tissue removal

Question 33

AV Fistula

Answer 33

arteriovenous fistula

abnormal connect between artery and vein so blood from A –> V bypassing capillaries

Question 34

Nutrients for fuel/energy

Answer 34

carbs, fats, proteins

Question 35

Nutrients for regulation

Answer 35

minerals, vitamins, water

Question 36

Cholecystitis

Answer 36

gallbladder inflammation

Question 37

esophagitis

Answer 37

esophagus inflammation

Question 38

NPO

Answer 38

rest GI, clera for sx, test, treat N/V/D, let gastric motility return

Question 39

Clear Liquid

Answer 39

gelatin, clear juice and broth, popsicles

Question 40

Full Liquid

Answer 40

smooth, cream soup, custard, refined hot cereal, yogurt

Question 41

Dysphagia

Answer 41

difficulty swallow