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Human Needs 1 > HESI > Flashcards

HESI Flashcards

1
Q

maslows hierarchy of needs from most basic

A 
physiological
safety and security
love and belonging
self-esteem
self-actualization
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2
Q

what can you hear with bell of stethoscope

A

low pitched sounds (murmurs and bruits)

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3
Q

what can you hear with diaphragm of stethoscope

A

high pitched sounds (wheezes and crackles)

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4
Q

when would you hear resonance with percussion

A

low loud sound over normal lung tissue

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5
Q

when would you hear tympany with percussion

A

drum like quality over stomach or bowel

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6
Q

when would you hear a dull sound with percussion

A

over liver

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7
Q

ADPIE

A 
assessment
diagnosis (nursing)
planning
implementation
evaluation
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8
Q

reduces number of pathogens in one area (clean technique)

A

medical asepsis

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9
Q

when would you use medical asepsis

A

daily hygiene practices
giving oral meds
enemas
tube feeds

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10
Q

makes object free of all microorganisms (sterile technique)

A

surgical asepsis

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11
Q

when would you use surgical asepsis

A

sterile dressing changes
catheterizations
OR

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12
Q

wound healing by sutured incision

A

primary intention

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13
Q

wound healing from the edges inward

A

secondary intention

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14
Q

wound healing by delayed suturing when wound is infected

A

tertiary intention

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15
Q

when should you not use heat (4)

A
  • area being treated with radiation
  • bleeding
  • localized inflammation
  • injury within past 24 hours
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16
Q

when should you not use cold (2)

A
  • edema at injured site

- neuropathy

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17
Q

when would you get a false high bp reading

A

cuff too small

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18
Q

when would you get a false low bp reading

A

cuff too big

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19
Q

somatic pain from skeletal muscles, ligaments, joints

A

nociceptive

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20
Q

OPQRST

A 
onset
palliative/provocative
quality
region/radiating
severity
timing
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21
Q

4 categories adjuvant meds

A

antiemetics
antidepressants
NSAIDs
corticosteroids

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22
Q

what operative complication can antibiotics cause

A

resp depression

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23
Q

what operative complication can antidepressants cause

A

hypotensive effects

24
Q

what operative complication can tranquilizers cause

A

hypotension

25
Q

what operative complication can loop and thiazide diuretics cause

A

electrolyte imbalance

26
Q

what operative complication can steroids cause

A

decreases wound healing and inflammation

27
Q

pharmacokinetic process ADME

A

absorption
distribution
metabolism
excretion

28
Q

how to evaluate kidney clearance for meds in older adults

A

creatinine clearance

29
Q

what should not be given with tetracyclines

A

dairy

30
Q

what should not be given with antiinfectives

A

grapefruit

31
Q

what should not be given with antidepressants

A

tyramine-rich foods

32
Q

what should not be given with warfarin

A

foods high in vitamin K

33
Q

what harmful effect can herbal supplement comfrey cause

A

liver damage

34
Q

what harmful effect can herbal supplement kava cause

A

hepatotoxicity

35
Q

what harmful effect can herbal supplement ephedra cause

A

MI and hypertension

36
Q

7 rights of med admin

A 
person
med
dose
time
route
reason
documentation
37
Q

examples of meds with highest risk of causing injury (3)

A

insulin
narcotics
opioids

38
Q

how to give meds through enteral tube feedings

A
  • clamp tube feeds
  • flush with water before and after
  • crush meds
  • never mix meds
39
Q

how to give eardrops to children and adults

A

children: down and back
adults: up and back

40
Q

subq injection sites

A

arm
stomach
leg

41
Q

gauge for subq injections

A

25 G

42
Q

degree for admin subq injections

A

45-90

43
Q

IM injection sites

A

deltoid
ventrogluteal
vastus lateralis

44
Q

gauge for IM injections

A

18-22 G

45
Q

degree for admin IM injections

A

90

46
Q

intradermal injection sites

A

inner arm

back

47
Q

gauge for intradermal injections

A

25-27 G

48
Q

degree for admin intradermal injections

A

5-15

49
Q

preferred site for admin of injections for babies/toddlers

A

vastus lateralis

50
Q

max mL given through IM deltoid injection for children

A

0.5 mL

51
Q

herbal supplements that can effect coagulation (3)

A

ginger
gingko
vitamin e

52
Q

risk factors for pressure injuries (8)

A 
immobility
incontinence
diabetes
equipment
poor nutrition
decreased pain
old age
obesity
53
Q

braden scale high risk

A

12 or less

54
Q

braden scale moderate risk

A

13-18

55
Q

stages pressure injuries

A

1) nonblanchable erythema on intact skin
2) partial thickness skin loss with exposed dermis
3) full thickness skin loss (fat and slough visible)
4) full thickness skin and tissue loss (fascia, muscle, tendon, ligament, cartilage or bone visible)

56
Q

best practices to prevent medical error in operative rooms

A

time out
SCIP protocol
hand-off communication

57
Q

common post op complications (6)

A

urinary retention
pulmonary complications (atelectasis, pneumonia, embolus)
wound healing problems
UTIs
thromophlebitis
decreased GI peristalsis (constipation, paralytic ileus)

Human Needs 1 (27 decks)

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