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Nursing Practice 1 > Fundamentals of Nursing > Flashcards

Fundamentals of Nursing Flashcards

Refresher Course (Day 1) Sir Daclis

1
Q

Types of fire extinguisher: Class A

A

Ordinary Combustible: Paper, plastic, wood, cloth

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2
Q

Types of fire extinguisher: Class B

A

Flammable Liquids: Gasoline, Oil, Grease, Paints

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3
Q

Types of fire extinguisher: Class C

A

Electrical fires: Office equipments

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4
Q

Types of fire extinguisher: Class D

A

Metal fires: Sodium, Aluminum, Mg, K

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5
Q

Extinguisher how to use:

“RACE PASS”

A

Remove
Activate the alarm
Confine
Extinguish

Pull
Aim
Squeeze
Sweep side to side

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6
Q

Intrinsic factors in fall

A

Dizziness, Disorientation, Low LOC

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7
Q

Morse fall scale if more than

A

50 high risk

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8
Q

History of fall

A

25 pts

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9
Q

Ambulatory aids

A

15 pts

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10
Q

IV contraptions

A

20 pts

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11
Q

Gait

A

Weak 10
Impaired 20

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12
Q

Mental status impaired

A

15

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13
Q

Preventions of falls side rails

A

3 sides only
4 sides may indicate false imprisonment

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14
Q

Physical assessment standard

A

IPaPeA

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15
Q

massess, tenderness, organ enlargment

A

Palpation

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16
Q

Dull sound

A

Soft tissue

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17
Q

Resonant

A

LUng

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18
Q

Hyperressonance

A

High air (COPD)

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19
Q

Tympanu

A

Fluids (Stomach)

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20
Q

High pithc

A

Diaphgram

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21
Q

Bell

A

Low pitched

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22
Q

Abdominal:

A

IAPePa

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23
Q

Auscultation of bowel sounds pattern

A

RLQ, RUQ, LUQ, LLQ

Each area 5 mins

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24
Q

Normal bowel sounds:

A

5-20 per min

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25
Q

Respiratory assessment position

A

Upright

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26
Q

Abdominal assessment position

A

Dorsal recumbent

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27
Q

Best time to perform BSE

A

5-7 days after menstruation,

IF menopause same day of the month

Start at age 20 y.o

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28
Q

Sign of inflammation in BSe

A

Peau de orange

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29
Q

Most common area of breast tumor

A

Upper outer quad

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30
Q

group of lymph nodes in the axilla

A

Tail of spence

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31
Q

Xray of the breast

A

Mammography
35-39 y.o

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32
Q

Detects cervical cancer

A

Pap smear
Age 21 y.o every 3 yrs
Lithotomy

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33
Q

Detect testicular cancer

A

Testicular self exam
After warm shower for
13 y.o

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34
Q

Best time for Sputum exam

A

Early AM

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35
Q

Hidden blood in the stool exam for Colorectal CA, peptic ulcer dx

A

Guiac test

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36
Q

False positive in Guiac test

A

Rich in iron
Red meat

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37
Q

False negative in Guiac test

A

High vit C
More than 250 mg

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38
Q

False positive in Guiac test AVOID

A

Aspirin
Anticoagulants
NSAIDs
Steroids

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39
Q

Normal result in Guiac test

A

(+) Blue/green
(-) No color change

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40
Q

CBC

A

.5 use N

Male: 5.0 - 6
F: 4.5 - 5.5

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41
Q

Normal WBC

A

5k-10k

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42
Q

routine urinalysis

A

30-50 ml

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43
Q

Culture and sensitivity urine

A

5-10 ml

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44
Q

most common cause of UTI in hospitals

A

Catheter: E coli

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45
Q

for creatinine clearance

A

24 hour urine collection

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46
Q

Schilling test

A

Pernicious anemia

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47
Q

Vanillymandelin Acid Test VMA

A

Pheocromocytoma

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48
Q

neutrophils

A

1500-6000

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49
Q

Not for immunocompromised
below 500 sevre

A

FRESH flowers, fruits
Pitcher of water
Infected individuals

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50
Q

Platelets

A

150k-450k

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51
Q

high platelet count

A

AVOID

Contact sports
Straight razor
Regular toothbrush
Invasive procedure

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52
Q

Coagulation studies bleeding time

A

1-10 mins

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53
Q

Prothrombin time

A

10-12 secs

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54
Q

AST and ALT:

A

10-40

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55
Q

Albumin

A

3.5-5

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56
Q

Amylase

A

25-150

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57
Q

BUN

A

10-20

58
Q

S. creatinine

A

0.6-1.2 mgdl

59
Q

Chloride

A

95-105

60
Q

Before extraction of ABG

A

Allen’s test

61
Q

ABG values

A

pH 7.35-7.45

62
Q

CO2

A

35-45

63
Q

HCo3

A

22-26

64
Q

Upper GI series

A

Laryngo
Bronchp
EGD
Esophago
GAstro
Duodenoscopy

65
Q

Lower GI

A

Colonoscopy

66
Q

Prep for Upper GI endoscopy

“CNAVA”

A

Consent
NPO post midng
Atropine SO4
Valium
Anesthetic spray

67
Q

WOF (Upper GI endoscopy)

A

Bleeding
Perforation

68
Q

Prep for Lower GI

“LLNC”

A

Low residue diet
Laxative
NPO midnt
Cleaning enema

Left sims

69
Q

Post op care for Lower GI

A

Bleeding and Perforation

70
Q

Series of Xray with fluoroscopy

A

Barium studies

71
Q

Stool not excreted within 24 hrs

A

Bowel obstructio

72
Q

LGIS

A

Barium enema

73
Q

UGIS

A

Barium swallow

74
Q

CPT technique

“PVP”

A

Percussion
Vibration
Postural drainagw

75
Q

Do CPT when

A

before meals or 2 hrs post meals
After nebu
Mouth care after procedure

76
Q

position for suctioning in unconscious pt

A

Side lying

77
Q

For consciousn

A

Fowlers

78
Q

Nasopharyngeal tube

A

tip of the nose to earlobe

79
Q

Tracheal suction

A

1-2 cm

80
Q

most accurate oxygen deliverer

A

Venturi mask

Best for COPD

81
Q

Oxygen for suctioning

A

Non rebreather

82
Q

Oxygen for magnesium poisoning severe hypoxemia

A

High flow nasal cannula

83
Q

nursing int before suction

A

Hyperoxygenate for 1 mins
Apply suction during WITHDRAWAL

84
Q

Durations of suctioning

A

Duration 5-10 max of 15
Interval 20-30 secs
Total of 5 mins

85
Q

2 types of suction machine and its power

A

Durable: 10-15 mmHg adult
Wall mounted: 100-120 mmHg adult

86
Q

removes fluid in the pleural space

A

Thoracentesis

87
Q

prep for thoracentesis

“CLCUC”

A

Consent
Lidocaine allergy
Coagulation studies
UTZ/Xray b4 procedure
Chest tube remain

88
Q

During thoracentesis

A

Sitting at the edge
Lateral recumebnt

89
Q

Post op thora

A

Unffected side to avoid leak

90
Q

Monitor after thoracentesis

A

RR
Expetorate blood
Respiratory distress: USe of accessory muscles

91
Q

Chest tube thoracostomy

A

Negative pressure immersed in H2o for 2cm

92
Q

Normal in CTT

A

Tidaling or intermittend bubbling

93
Q

Continous bubbling in CTT

A

Air leak

94
Q

Absent bbbling in CTT

A

check for KInks

if not kinks report to physician to re expand lungs

95
Q

Drainage for CTT

A

100 ml per hr

96
Q

if 400 ml or more for 24 hrs in CTT

A

REMOVE

97
Q

if disconnected tube

A

Cover dry sterile gauce and petroleum gauge

tape at 3 sides

98
Q

if bottle break in CTT

A

immersed in basin of water or NSS

99
Q

cuff pressure in tracheostomy

A

20-30 mmhg

100
Q

which at bedside in tracheostomy

A

Obturator as Guide

101
Q

Cleaner in tracheostomy

A

Hydrogen peroxide half strength mixed with NSS or water

102
Q

Must be at bedside if patient is in tracheostomy

A

Suction machine
Inner cannula
Obturator

103
Q

Lavage

A

Drainage

104
Q

Gavage

A

Feeding

105
Q

Single lumen

A

Levin tube

106
Q

Double lumen

A

SAlem sump

107
Q

Insertion of NGT

A

High fowlers
Hyperextended neck
Flex n eck

108
Q

Length of NGT “NEX”

A

Tip of NEX

Nose - Earlobe - Xiphoid

109
Q

Check for placement of NGT

A

Aspirate gastric content
pH 1-4
Xray (CONFIRMATORY)

110
Q

After feeding in NGT

A

Semif owlerrs

111
Q

If 100 ml drainage

A

Hold the feeding

112
Q

flushing of NGT

A

before and afterr
30-60 ml

113
Q

Regular stoma large intestine

A

Colostomy

114
Q

Smaller stoma in the RLQ small intestine

A

Ileostomy

115
Q

Ileostomy stools

A

Liquid stoold
Diarrhea

116
Q

WOF in ileostomy

A

Obstructoon
Avoid
Raw vege
Nuts
Popcorn

117
Q

Transverse colon

A

Mushy stools

118
Q

Ascending colon

A

Liquid stool

119
Q

Descending colon

A

Semi formed

120
Q

Sigmoid colon

A

Well formed

121
Q

Stoma assesssment: Pale pink

A

Anemia

122
Q

Stoma assesssment: Black

A

Necrotic

123
Q

Stoma assesssment: Bluish

A

Ichemia

124
Q

Empty bag when

A

1/2-1/3 full

125
Q

Wafer

A

Into the skin

126
Q

Foods that cause stoma odor

A

Oily
Fatty
Spicy
Brocolli, cabbage, spinach

127
Q

Foods that reduce odor

(PaBuYoCOT)

A

Parsley
Buttermilk
Yogurt
Cranberry juice
Orange juice
Tomato juice

128
Q

COAL in crutchesq

A

Cane
Opposite
Affected
Leg

129
Q

upstairs

A

goodleg

130
Q

Downstairs

A

Basd leg

131
Q

right cruthc then left

A

2 pt gait

132
Q

Catheter: Single lumen

A

Straight cath

133
Q

Double lumen

A

Foley cath

134
Q

Triple lumen

A

Cystoclysis (continous bladder irrigation)

135
Q

Male secure cath

A

Lower abdomen
Upper thigh

136
Q

Female secure cath

A

Inner thigh

137
Q

Position upon catheter

A

M: Supine leg extended
F: Dorscal recumben

138
Q

Clean procedures

A

eyes
Git
Vagina

139
Q

Enema position

A

Left sims

140
Q

Rectal cath

A

Water based lube 1-2 inch

141
Q

Low flow enema

A

12 in above

142
Q

High flow enema

A

18 inch above

Nursing Practice 1 (1 decks)

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