Fundamentals System 1 Flashcards
Stressed out toddler?
Complete most distressing part of work last
Confused patient grabbing at nurses?
Firmly tell him to STOP IT
IV Infiltration, what is UNEXPECTED?
warms is not expected and is a sign of infection/phlebitis (inflammation of veins)
Stool specimens
must be sent to the labs w/in 30 minutes for receiving and placed in preservative… no refrigerator!
How many times a client should be using an incentive spirometer PER HOUR?
4 - 5
Best for wound healing?
Vitamin C, Zinc, E, and protein?
Wounds healing by 2ndary intention are at ↑ r/o?
Infection
Heart attack? Compression TX?
Priority of the nurse 5 cycles (approx. 2 minute) before attempting AED
---Enemas--- Soap Fleet Oil Retention Tap
irritating, used after digital removal
hypertonic, after digital removal
softens stool, BEFORE digital removal, ↓ pain
Contraindicated b/c electrolyte imbalances (causes hypervolemic state)
---Ostomy Care--- Height of bag Type of water Device to put water in stoma mL solution
maximum 20 inches (↑ = ↑ pressure r/in cramping)
lukewarm tap (prevent cramping)
lubricated cone tip (prevents backflow and injury)
up to 1000mL
NG tube obstructed in a gastric resection patient?
Notify surgeon
Indication for the Heimlich maneuver
Inability to cry or speak
NG tube removal timing for partial colectomy?
When GI tract is working again, expected 3 - 5 days.
Montgomery Straps
strips with holes to tie gauze to.
Quick and effective for frequent dressing changes such as post-op patients w/ drains.
Hypoallergenic Tape
Tape used for patients who are sensitive to adhesive material, still must be changed each dressing ▲
Silicone Spray
Used over adhesives to hold dressings in place, make them waterproof so the patient can bath and prevents contamination
Large Absorbent Pads
Used to absorb wound drainage
—CPR—
Compression rate/min
Recoil?
If any, length of interruptions
100
allow full recoil for refilling of ♥
less than 10 seconds, ideally should not allow interruptions
Where to tape catheter to prevent pressure on penoscrotal junction?
Lower abdomen
Types of food that help Cerebrovascular Accident patients eat?
Sour/Tart foods stimulate saliva production which helps chewing and swallowing
Hemovac maintenance
collapse the device when it’s 2/3rd filled with air/drainage and recompress
Expected changes in vision for cataracts
Halos and rainbows
To promote peristalsis, eat…?
Fiber (breads)
Age to get started with Glaucoma examinations
50 years old
Aldendronate Sodium (Fosamax) contraindicated with…?
Esophageal Achalasia (delayed esophageal emptying) b/c it ↑ the r/o erosion, bleeding, and perforation
GERD ↑ the r/o?
Aspiration pneumonia
Folic acid for postmenopausal women
↓ r/o ♥ DZ
Things with purine in them, and thus GOUT people shouldn’t eat?
Whole grain breads, oatmeal, wheat
Baker’s/Brewer’s yeast
Gravies, fish, organ meats, mushrooms
green peas, spinach, cauliflower
Older adults memory deficit
short term
Expected ▲ to bladder and bowel with age
smaller bladder, ↑ frequency
slower bowel
Older adults and opiates
↑ sensitivity, r/q strategic lowering of dosages to reduce side effects