Funds Test 2 Flashcards
Pruritis
Itchy
Maceration
skin being soft after being in moisture
Which way should we wipe eyes?
Inside to outside
Water Temp
105-115
What to do if pt is getting an autopsy
leave everything as it is
OSHA
occupational, safety and health administration, government agency that says an employee has a right to a safe work place
CMS
medicare/Medicaid, patient safety, will not pay for never events
Joint Commission
accredits hospitals and creates a national patient safety goals- use 2 patient identifiers and encourages patient to speak up
Institute of medicine
publication that led to culture of safety
QUSEN
quality and safety education for nurses- competencies for nursing students/ new nurses
Foreign, Air Embolism, Wrong Blood, Pressure Ulcer, Falls, Catheter Infections, Poorly controlled BG, Surgical Infections, DVT/PE
Never events
Universal Sign of Choking
hands around neck
Get up and go test
patient can stand up out of chair steadily
How often do we have to release restraints?
2 hours
R.A.C.E
Rescue
Alarm
Confine
Extinguish
Alveoli Sacks
site of gas exchange, O2 and CO2 are exchanged MOST IMPORTANT PART OF RESPIRATORY SYSTEM
Diffusion
allows CO2 and O2 to exchange places
Respiratory Center
Located in medulla and pons
Passive Phase of Ventilation
exhaling
Active Phase of ventialtion
inhaling
A:P Diameter
front to back should be shorter than transverse diameter
Cheyenne- Stokes
varying periods of increasing depth interspersed with apnea
Kussmaul
rapid, deep labored breathing; sign of diabetic ketoacidosis
Biot
irregular, interspaced periods of apnea in a disorganized sequence of breaths, from neuro injury
Ataxic
significant disorganization with irregular and varying depths of respirations from neuro injury
Hypoxia
low oxygen in tissues
Hypoxemia
low oxygen in blood
Hypercapnia
high CO2 levels in blood
Bronchial
hear over trachea
Bronchovesicular
hear in bronchial tubes
Vesicular
hear in lungs
Crackles
fluid in lungs
Ronchi
harsh sounds, results from congestion
Atelectasis
collapse of alveoli sacks
What should you be cautious about with COPD
oxygen
Late signs of hypoxia
clubbing of fingers
Chest Physiotherapy
beating on chest to clear mucus
How many liters of oxygen can you put on a patient?
2 Liters
6 L
highest amount on nasal cannula
What percent oxygen is room air
21%
Neck Edema
Left sided heart failure
Veins
carry blood to heart
Arteries
carry blood away from heart
Atherosclerosis
hardening of vessels
CHF
heart not able to pump to meet body demands
Intermittent Caludication
pain when getting up to walk
Ischemic Stroke
not enough O2 to brain and tissues die
Hemorrhagic Stroke
when a blood vessel in brain ruptures and causes bleeding on brains
Deep Vein Thrombosis
in deep vessel in leg- unilateral swelling
Superficial Thrombosis
in vessel nearer to surface of skin
DEA
determines how we waste, dispense and store meds
Stock Supply
bulk quantity we keep on floor, multi dose supply ex insulin
Unit-dose system
locked mobile cart, separate drawer for each patient
Automated Dispensing System
computerized, has a MAR in computer, keeps count of drugs
Adverse Effects
harmful, unintended, unpredicted and more sever than side effects
Cumulative Effect
when the body cannot metabolize or excrete as quickly as we are administering the med; common with geriatric patients
Orders must have
date, time, frequency, route and dose
Liver tests
AST, ALT
Kidney tests
BUN, creatine
CQIR
incident report
Enternal Route
Goes straight into GI tract
Peg Tube
crushed or liquid; 20-30 mL before and after med
Parenteral Route
injection or IV
DONT GIVE INJECTIONS IN THE
dorsal gluteal
Shoulder Injection muscle
deltoid
Thigh Injection muscle
vastus lateralis and rectus femoris
Upper Thigh injections
ventral glutreal
Odic Eyedrops
Kids- down and back
Adults- up and back
Transdermal
patches, remove old patch and add new one in a different spot
InTRApersonal
self talk
InTERpersonal
communication between 2 or more people
I- SBAR-R
Identify, situation, background, assessment, recommendation, read back
CUS
Concerned, uncomfortable, unSafe
HIPPA
health insurance portability and accountability act
PHI
patients health information
EMR
electronic health record
Isometric
No movements when doing exercise ex Plank
Isotonic
make muscles short and contract repeatedly ex running and walking
Isokinetic
exercise that gives resistance ex weight training
Heat Stroke
when body temp gets to 104
Abduction
move away from body
Adduction
moves towards body
Flexion
toward body
Extension
away from body
Pronation
down
Supination
up
Clonus
involuntary muscle contraction
Lordosis
deep curve in lumbar area of back
Kyphosis
deep hump in back “hunch back”
Sprain
tearing of ligaments
Strains
over stretching muscle or tendon
Trendelenburg
bed tilt
Dorsal Recumbent
birth position
Reticular Activating System
controls sleep
Stage 1
transition from awake to asleep
Stage 2
falls asleep; easily a rousable, vitals decrease
Stage 3
deeper sleep, vitals decrease even more
Stage 4
deepest sleep; vitals at lowest
REM
where dreams occur, vitals increase
Narcolepsy
cataplexy