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Fundamentals 2 Final > Funds Final > Flashcards

Funds Final Flashcards

1
Q

Valsalva maneuver

A

Tell patient not to strain because it decreases the heart rate

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2
Q

Describe types of stools

A
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3
Q

Cloudy urine, painful urination, fever, chills, nausea, confusion

A

Signs of UTI

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4
Q

Urine sample from a catheter needs to be taken from

A

Mid stream

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5
Q

Use catheter to relieve _____________ in the bladder

A

Pressure

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6
Q

What is incontinence

A

Any complaint of involuntary loss of urine

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7
Q

Positions for catheterization for males and females

A

Dorsal recumbent - females
Supine - males

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8
Q

Types of urinary incontinence (4 types)

A

Transient
Urge
Stress
Mixed

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9
Q

Position for enema

A

Left lateral position

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10
Q

Why do we want to catch a UTI quickly

A

Doesn’t spread to kidneys

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11
Q

Length of urethra males and females

A

2.5-5.0 cm - female
12.5-17.5 cm - male

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12
Q

What breaks down food in the stomach

A

Chyme

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13
Q

Definition of ventilation

A

Ventilation is the process of moving gas in and out of the lungs

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14
Q

Definition of atelectasis

A

Lung collapse

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15
Q

Urine loss resulting from causes outside of or affecting the urinary system that resolves when underlying causes are treated

A

Transient urinary incontinence

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16
Q

People who cant sleep supine is called

A

Orthopnea

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17
Q

Report of invountary loss of urine associated with urgency, frequency or nocturia

A

Urge urinary incontinence

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18
Q

Report of involuntary loss of urine on effort or physical exertion, including sporting activities or on sneezing or coughing

A

Stress urinary incontience

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19
Q

Urine loss that has features of both stress and urge incontinence

A

Mixed urinary incontinence

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20
Q

Urine loss due to inability to reach the toilet

A

Functional urinary incontinence

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21
Q

How to fix an error and charting

A

One line through it and add initial

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22
Q

SOAPIE

A

Subjective, Objective, assessment, plan, implementation, evaluation

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23
Q

Truths about urinary tract

A

It is sterile

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24
Q

If O2 is low encourage

A

Deep breathing

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25
Q

Family care of palliative patient

A

Should be open visiting hours and let the family stay

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26
Q

What is post mortem care

A

Maintain dignity

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27
Q

Humidity is useful when giving oxygen at ____ L

A

At 4L

28
Q

Preventing skin break when using oxygen by

A

Put pads or something behinds ears

29
Q

How to obtain fecal specimen

A

Place clean container in the toilet to catch the stool, use scoop to obtain the sample, collect the stool in a dry, clean, leakproof container

30
Q

How to help a client void

A

Use water running

31
Q

How to sit while defecating

A

Knees up on squatty potty

32
Q

Whens the best time to toilet a patient

A

20 minutes after breakfast

33
Q

Signs of impending death

A

Bruising, decreased appetite, thirst

34
Q

What is shane-stokes

A

Breathing up down up down up down break without breathing then up down up down

35
Q

What happens when you avoid urge to defecate

A

Brain will make you move the stool through your body

36
Q

How much fluid is needed to prevent constipation

A

1000-1500ml

37
Q

How does a patient feel after colostomy

A

Improved quality of life but decreased self-esteem (body image)

38
Q

How to care for a stoma

A

Gently clean the skin around with mild soap in a circular motion, pat area dry

39
Q

How to talk to patients who are dying

A

Be honest but respectful

40
Q

Kubler-ross stages of dying

A

Denial
Anger
Bargaining
Depression
Acceptance

41
Q

Boulden theory of grieving

A

Shock and numbness
yearning and searching
Disorganization and despair
Reorganization and recovery

42
Q

If client asks to pray what do you do

A

Pray with them?

43
Q

Talk about grief in an individual

A

healing is not linear

44
Q

Encourage _________ to talk during palliative care

A

family

45
Q

Non-verbal signs of pain

A

Wincing, crying, pointing

46
Q

Respirations with narcotics

A

It decreases

47
Q

Communication with dying

A

Be honest but respectful

48
Q

Normal o2 liters per minute via oxygen delivery device

A

Nasal canalar 1-6L
Face mask 5-12L
Face tent 8-15L

49
Q

Nursing actions for patients on oxygen

A

Put sign on door, educate patient and family, ensure device fits and O2 delivery is appropriate and accurate

50
Q

What mask delivers oxygen and humidification

A

Face mask

51
Q

_______________ is a life long process

A

Communication

52
Q

Interpersonal communication is

A

When two people speak to each other

53
Q

Therapeutic techniques in communication

A

Be open, non judgemental, empathic, eye contact

54
Q

What must be worried/concerned about with older adults

A

Sense/perception of heat

55
Q

What is holistic care

A

Mind, body and spiritual integration

56
Q

What alternative care can nurses do to aid in clients with pain without analgesics

A

Guided imagery, distraction, education

57
Q

What is mottling?

A

of the skin is a common symptom that occurs near the end of life. Red and purples spots appear on the toes, feet, and fingers and spread slowly up the arms and legs. Lips may turn purple as well.

58
Q

What causes mottling?

A

caused by poor circulation; the patient’s heart can no longer pump blood effectively.

59
Q

increases venous pressure to prevent air from entering the bloodstream during catheter insertion and when catheter is disconnected or cap is changed. Maintaining integrity of closed system prevents air emboli.
forced expiration against a closed glottis.

A

The Valsalva manoeuvre

60
Q

Catheter size is 10 to 12 Fr for adult patients with ____ genitalia

A

female

61
Q

Catheter size is 12 to 16 Fr for adult patients with ____ genitalia

A

male

62
Q

When a patient dies in a home, facility, or hospital setting, nurses provide

A

Postmortem care

63
Q

The following is part of _____________:
Legislated health care providers - medical certificate of death: cause of death, time, actions taken
Offer survivor the option of donating organs or tissue of the deceased
Check orders for specimens or special orders
Ask family If they want to be involved in after death care
Remove equipment, tubes etc
Cleanse body, brush hair, cover body wit sheet
Personal belongings
Apply tags according to protocol
Complete documentation in nursing notes

A

Post mortem care

64
Q

injections of fluids used to cleanse or stimulate the emptying of your bowel.

A

Enemas

65
Q

Grimacing
Nonverbal signs of distress
Guarding
Moaning with movement
Small ROM
Increased heart rate/BP
Crying

A

Signs of pain

66
Q

The stoma should be cleaned and the dressing changed every 6 to 12 hours or as needed
skin inspected for skin breakdown or signs of infection/inflammation

A

Trach dressing change

67
Q

_______ is a lifelong process

A

Communication

Fundamentals 2 Final (1 decks)

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