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Adult Nursing I (NUR 240) > HESI Exam - Quizlet Notecards > Flashcards

HESI Exam - Quizlet Notecards Flashcards

1
Q

Maslow’s Hierarchy of Needs

in order

A

1.) Physiological needs
2.) Safety needs
3.) Love & belonging
4.) Self-esteem
5.) Self-actualization

PSLSS

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2
Q

Physiological Needs

A
  • Oxygen
  • Water
  • Food
  • Elimination
  • Temperature
  • Physical activity
  • Rest
  • Sexuality

Ex: Nurses take vital signs, aid in ambulate, toileting, measure I&O

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3
Q

Pulse Normal Range (BPM)

A

60 - 100 BPM

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4
Q

Cause of Respiratory Acidosis

A

Hypoventilation (retention of too much CO2, which is a volatile acid)

  • respiratory problems
  • retention of CO2
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5
Q

PT

A

Prothrombin Time

  • Test to evaluate blood clotting
  • Prothrombin is a protein produced by the liver. It is one of many factors that helps with blood clotting.
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6
Q

HESI Hint: Safety

A

The most essential element of nursing care is patient safety.

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7
Q

Conversion of kg to lbs

A

MULTIPLY by 2.2

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8
Q

Conversion of lbs to kg

A

DIVIDE by 2.2

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9
Q

Normal range of Magnesium (Mg2+)

A

1.3 - 2.3 mEq/L

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10
Q

Metabolic Alkalosis Compensation

A

Hypoventilation to retain more CO2 (volatile acid)

Lungs aid kidneys (respiratoyr aids metabolic)

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11
Q

What types of procedures are assigned to professional nurses?

A

sterile or invasive procedures

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12
Q

What are the 5 rights of delegation?

A

1.) Right Task
2.) Right Circumstance
3.) Right Person
4.) Right Direction / Communication
5.) Right Supervision / Evaluation

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13
Q

Satefy Needs

A
  • Personal security
  • Protection from physical & emotional potential or actual harm

EX: Nurse uses proper hand hygiene, sterile technique, safe medication administration, skillfully move patients, addresses patient anxiety, explains new procedures or interventions

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14
Q

Love & Belonging

A
  • Understanding & acceptance of others in both giving & receiving love
  • Feeling of belonging to groups

EX: Nurses include support persons in patient’s care, nurse-patient relationship is established on mutual trust, nurses refer patients to support groups

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15
Q

Self-Esteem

A
  • Feel good about themselves
  • Feel pride & a sense of accomplishment
  • Believe that others also respect & appreciate those accomplishments

EX: Nurses can recognize changes (mastectomy, puberty, etc.), can change patient’s perceptions of self, respect values & beliefs, encourage patients to set attainable goals, help garner support from support system

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16
Q

Self-Actualization

A
  • The need for people to reach their full potential through development of their unique capabilities
  • Each lower level of need must be met to some degree before this need can be satisfied

EX: Acceptance of self & others as they are, ability to be objective, respect for all people

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17
Q

Normal temperature range in F

A

96.4 - 99.5

Book says 96.6 - 99.5

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18
Q

Normal temperature range in C

A

35.8 - 37.5

Book says 35.9 - 37.5

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19
Q

Normal range for respirations

A

12 - 20 per minute

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20
Q

Normal range for blood pressure

A

< 120 / 80

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21
Q

Normal range for sodium (Na+)

A

135 - 145 mEq/L

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22
Q

Normal range for Potassium (K+)

A

3.5 - 5.0 mEq/L

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23
Q

Normal range for Calcium (Ca2+)

A
  • Normal total serum Ca+ level: 8.6 - 10.2 mg/dL
  • Normal ionized serum Ca+ level: 4.5 - 5.1 mg/dL
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24
Q

Normal Range for Total Serum Calcium

A

8.6 - 10.2 mg/dL

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25
Q

Normal Range for Ionized Calcium

A

4.5 - 5.1 mg/dL

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26
Q

Normal range for Chloride (Cl-)

A

97 - 107 mEq/L

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27
Q

Normal range of Bicarbonate (HCO3-)

A

25 - 29 mEq/L

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28
Q

Normal range of Phosphate (PO4-)

A

2.5 - 4.5 mg/dL

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29
Q

Normal Creatinine Range for Men & Women

A
  • Men: 0.74 - 1.35 mg/dL
  • Women: 0.59 - 1.04 mg/dL

Book states adults are: 0.6 - 1.2 mg/dL

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30
Q

Normal Creatinine Range for Men

A

0.74 - 1.35 mg/dL

31
Q

Normal Creatinine Range for Women

A

0.59 - 1.04 mg/dL

32
Q

Normal range for BUN to Creatinine Ratio

A

10:1 to 20:1

33
Q

Normal range for BUN

A

6 - 24 mg/dL

Book states for people 12 & older normal BUN range is 8 - 23 mg/dL

34
Q

What type of relationship occurs between Calcium & Phosphate?

A

Inversely proportional relationship

35
Q

Explain the relationship between Calcium & Phosphate

A

As blood calcium rises, phosphate levels fall

36
Q

Normal range of pH

A

7.35 - 7.45

37
Q

Normal range of pCO2

A

35 - 45 mm

38
Q

Normal range of HCO3

A

21 - 28 mEq/L

Book says 22 - 26 mEq/L

39
Q

Normal range of pO2

A

80 - 100 mmHg

40
Q

Normal range of SpO2 saturation

41
Q

Respiratory Acidosis Compensation

A

Metabolic Alkalosis: tubular cells reabsorb more HCO3, collecting duct cells secrete more H+ & generating more HCO3

Kidneys aid the lungs (metabolci aids respiratory)

42
Q

Cause of Respiratory Alkalosis & provide an example

A

Hyperventilation (blow off too much CO2)

  • Example: panic attack
43
Q

Respiratory Alkalosis Compensation

A

Metabolic Acidosis: kidneys excrete bicarb & conserve H; shallow, rapid breaths

Kidneys aid the lungs (metabolic aids respiratory)

44
Q

Metabolic Acidosis Cause

A
  • Renal Failure
  • Unmanageable diarrhea
45
Q

Metabolic Acidosis Compensation & provide an example

A

Hyperventilation (blow off CO2)

  • EX: Kussmaul breathing

Lungs aid the kidneys (respiratoyr adis metabolic)

46
Q

Causes fo Metabolic Alkalosis

A
  • Severe vomiting
  • Excessive GI Suctioning
  • Diuretics
  • Excessive sodium bicarbonate (NaHCO3)
47
Q

PTT

A

Partial Thromboplastin Time

  • Test uses a blood sample to measure how long it takes blood to clot
  • Monitor warfarin & heparin
48
Q

INR

A

International Normalized Ratio

  • Type of calculation based on PT results
  • Normal Range in Healthy People: 1.1 or below
  • Normal Range for those on Warfarin: 2.0 - 3.0
49
Q

Normal range for INR

A
  • Health People: 1.1 or below
  • Indiduals on Warfarin: 2.0 - 3.0
50
Q

Unintentional Tort

A

Negligence & malpractice

(same meaning, but malpractice refers to professional exhibiting negligence)

EX: falls, skin breakdown

51
Q

Negligence Definition

A

Performing an act that a reasonably prudent person under similar circumstances would no do or, conversely, failing to perform an act that a reasonably prudent person under similar circumstances would do

52
Q

Intentional Tort: Assult

A

Assult: threat or attempt to harm

EX: threatening to give apatient an injection despite them protesting

53
Q

Intentional Tort: Battery

A

Battery: an assult carried out, physical act or forced care / treatment

EX: giving an injection against patient’s will, forcibly removing a patient’s clothing

54
Q

Intentional Tort: False Imprisionment

A

False Imprisionment: Unjustified retention or prevention of the movement of another person without consnet

EX: all 4 bed rails up, indiscriminate & thoughtless use of restraints

55
Q

Intentional Tort: Defamation

A

Defamation: derogatory remarks that deminish one’s reputation; libel = written; slander = spoken

EX: nurse makes false or exaggerated statmeents bout their patients or coworkers

56
Q

Intentional Tort: Invasion of Privacy

A

Invasion of Privacy: breaking confidentiality, accessing information you’re not privy to

EX: unnecessary exposure of patient (i.e. open hospital gown when walking), discussing patient’s in environments where others can hear, soliciting information not needed for care planning, not concealing patient identity in case studies or research

57
Q

Intentional Tort: Fraud

A

Fraud: misrepresentation

EX: nurse reporting vital sings that they never collected, misrepresenting the outcome of a procedure, illegally obtaining a license

58
Q

List types of UNINTENTIONAL Tort

A
  • Negligence
  • Malpractice
59
Q

List types of INTENTINOAL Tort

A
  • Assault
  • Battery
  • False Imprisionment
  • Defamation
  • Invasion of Privacy
  • Fraud
60
Q

HESI HINT: Positive Question Style

A

Most questions are written in a positive style

Positive questions may ask what the nurse should do or what the best or firtst nursing intervention should be

61
Q

HESI HINT: Negative Question Style

A
  • Negative style questions contain key words that denote the negative sytle

EX: “Which response indicates a nurse should reteach?” or “Which medication order should the nurse question?”

62
Q

What are the 3 legal requirements of a surgical permit?

A
  • Voluntary
  • Informed
  • Written
63
Q

What is the nurse’s legal respnosibility when asked to perform a task for which he / she is unprepared?

A

Inform the HCP requesting the task & refuse to perform the task

64
Q

What is the nurse’s action when a prescription is believed to be incorrect?

A
  • Inform the HCP & note the record of same & their response
  • Notify the nursing supervisor
  • Refuse to carry out the prescription
65
Q

By what authority can RNs delegate nursing care to others?

A

State Nurse Practice Act

66
Q

A UAP may perform care that falls within which component of the nursing process?

A

Implementation

  • As far as ADPIE, UAPs cannot typically perform duties that fall within the ADP or E steps (assessment, diagnosis, planning, or evaluation)
67
Q

Type of communication to implement a democratic leadership style

A

Assertive

  • Assertive communication begins with “I need…“ NOT “You must…”
68
Q

Which of the following can be delegated to a UAP?

a.) Inserting a Foley cathether
b.) Measuring & recording a client’s output through a Foley catheter
c.) Teaching a client how to care for a catheter after discharge
d.) Assessing for symptoms of a UTI

A

b.) Measuring & recording the client’s output through a foley catheter (falls within IMPLEMENTATION phase & does nto require nursing judgement (however, EVALUATION of I & O must be done by a nurse)

  • A.) Inserting Foley = sterile procedure
  • C.) Teaching client about catheter care after dc
  • D.) Assessing for symptoms of a UTI
69
Q

Essential steps of supervision

A
  • Direction
  • Evaluation
  • Follow-Up
70
Q

What is beneficence?

A

Do good

calling family to say pt is critically ill but we are caring for them

71
Q

What is fidelity?

A

faithful & follow through

follow through with your nursing responsibilities

72
Q

What is nonmaleficence?

A

avoid causing harm

  • double checking a drug dose with another nurse
73
Q

What is verocity?

A

very honest (tell the truth)

med error with no adverse rxn, but still report it

74
Q

Regarding Tort Law, who does the burden of proof lie with?

A

the accuser, NOT the accused

Adult Nursing I (NUR 240) (6 decks)

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