INTRO FINAL Flashcards

Question

RATIO AND PROPORTION METHOD

Answer 1

HAVE / QUANTITY = DESIRED / X

Answer 2

X ML = 125 MG / 5 ML = 174 MG / X X ML = 125X = 870 X ML = 125X / 125 = 870 / 125 X ML = 6.96 ML X ML = 7 ML

Answer 3

X = DESIRED X QUANTITY / HAVE

Answer 4

X = DESIRED X QUANTITY / HAVE X ML = 174 MG X 5 ML / 125 MG X ML = 870 ML / 125 X ML = 6.96 ML X ML = 7 ML

Answer 5

ONLY AT THE VERY END

Answer 6

TOP NUMBER OF BP MAXIMUM PRESSURE EXERTED WHEN THE HEART CONTRACTS

Answer 7

BOTTOM NUMBER OF BP MINIMUM PRESSURE WHEN HEART IS RELAXED *REMEMBER AN SD CARD SO S/D IF YOU GET CONFUSED

Answer 8

VOLUME OF BLOOD EJECTED BY THE HEART IN ONE MINUTE CO = SV * HR (SV IS STROKE VOLUME)

Answer 9

VOLUME OF BLOOD EJECTED BY THE LEFT VENTRICLE DURING ONE CONTRACTION CO = SV * HR

Answer 10

INCREASED CO INCREASED SV INCREASED HR INCREASED VOLUME INCREASED VISCOSITY DECREASED BLOOD VESSEL ELASTICITY ATHEROSCLEROSIS INCREASED CONTRACTILITY INCREASED PRELOAD (EXERCISE) INCREASED AFTERLOAD

Answer 11

BP IS OUTSIDE OF EXPECTED RANGE CHILDREN ELDERLY HISTORY OF ELEVATED OR DECREASED BP CRITICALLY ILL

Answer 12

CUFF WIDTH SHOULD BE 80%+ OF THE CLIENTS ARM

Answer 13

DON'T CROSS LEGS FEET FLAT ON FLOOR SUPPORT ARM BY RESTING ON FURNITURE ARM PLACED AT HEART LEVEL AND PALM UP CUFF 1 INCH ABOVE ANTECUBITAL FOSSA STETHO OVER BRACHIAL ARTERY

Answer 14

30 MMHG ABOVE EXPECTED OR 200 MMHG

Answer 15

FIRST SOUND IS SYSTOLIC NO SOUND IS DIASTOLIC

Answer 16

1. BREAST SURGERY THAT INVOLVED REMOVAL OF LYMPH NODES 2. RECENT SURGERY 3. ACUTE INJURY 4. SPECIAL MEDICAL EQUIPMENT LIKE A PICC LINE, ARTERIOVENOUS SHUNT FOR HEMODIALYSIS 5. EXTREMITY WITH PERIPHERAL IV CATHETER 6. SEVERE EDEMA

Answer 17

THIGH AND USE POPLITEAL ARTERY *WILL BE SEVERAL MMHG HIGHER THAN ARM CAN ALSO USE WRIST OR LOWER LEG

Answer 18

1. TOO SMALL CUFF- FALSELY HIGH 2. TOO TIGHT CUFF- FALSELY HIGH 3. WHITE COAT SYNDROME, ARM NOT SUPPORTED, NOT ALLOWED REST AFTER ACTIVITY

Answer 19

WEIGHT STIMULANTS CAFFEINE NICOTINE MEDS Na INTAKE STRESS ANXIETY FEAR

Answer 20

PAIN FEVER HYPOGLYCEMIA HEART FAILURE

Answer 21

HIGH BP. INCREASES RISK OF HEART ATTACK OR STROKE. USUALLY DUE TO THICKENING OF ARTERIAL VESSEL WALLS AND DECREASE IN ELASTICITY WHICH INCREASES PERIPHERAL VASCULAR RESISTANCE

Answer 22

LESS THAN 120/LESS THAN 80

Answer 23

120-129 / LESS THAN 80

Answer 24

130-139 / 80-89

Answer 25

140+ / 90+

Answer 26

180+ / 120+

Answer 27

LESS THAN 90 / LESS THAN 60

Answer 28

DEHYDRATION BLOOD LOSS SHOCK SIGNIFICANT ILLNESS SEPSIS

Answer 29

DIZZINESS NAUSEA BLURRED VISION INCREASED HR FATIGUE

Answer 30

DROP IN BP WHEN A CLIENT RISES TO SITTING OR STANDING FROM DEHYDRATION, HYPOTENSION, HEART FAILURE, CNS ISSUE DROP IN SYSTOLIC OF AT LEAST 20 DROP IN DIASTOLIC OF AT LEAST 10 WITHIN 1 MINUTE AFTER MOVING, BUT UP TO 3 MINUTES

Answer 31

INCREASE FLUIDS COMPRESSION STOCKINGS CHANGE POSITIONS SLOWLY SLIGHTLY ELEVATE HOB AVOID LYING/SITTING FOR EXTENDED TIME EVALUATE MEDS

Answer 32

PACEMAKER OF THE HEART

Answer 33

HR OVER 100/MIN

Answer 34

TESTS VAGUS NERVE BEAR DOWN LIKE BM STIMULATES PARASYMPATHETIC NERVOUS SYSTEM DROPS HR

Answer 35

HR LESS THAN 60/MIN

Answer 36

CLIENTS WHO ARE VERY PHYSICALLY FIT

Answer 37

APEX OF THE HEART 5TH INTERCOSTAL SPACE, LEFT SIDE, MIDCLAVICULAR LINE

Answer 38

LOW PITCHED DULL LUB EASIER TO HEAR WITH BELL

Answer 39

SHORTER HIGHER PITCHED DUB EASIER TO HEAR WITH DIAPHRAGM

Answer 40

TEMPORAL CAROTID BRACHIAL RADIAL FEMORAL POPLITEAL DORSALIS PEDIS POSTERIOR TIBIAL

Answer 41

DIFFERENCE IN APICAL AND PERIPHERAL PULSE IN 1 MINUTE 2 NURSES COUNT AT SAME TIME

Answer 42

CLIENT IS RELAXED HASN'T EXERCISED OR USED NICOTINE IN LAST FEW MINUTES (WOULD INCREASE)

Answer 43

0 = ABSENT +1 = WEAK/THREADY +2 = NORMAL +3 = INCREASED/BOUNDING

Answer 44

DON'T DOCUMENT NON PALPABLE, GO GET DOPPLER DUS DOPPLER ULTRASOUND STETHOSCOPE

Answer 45

30 SECONDS

Answer 46

96.8-100.4F average of 98.6 F

Answer 47

36-38 C AVERAGE 37 C

Answer 48

MORNING, BUT VARIABLE THROUGHOUT DAY

Answer 49

EXERCISE STRESS EXTERNAL ENVIRONMENT TIME OF DAY ILLNESS

Answer 50

SWEATING SHIVERING VASOCONSTRICTION VASODILATION METABOLIC PROCESSES CONDUCTION CONVECTION EVAPORATION RADIATION

Answer 51

OVER 100.4

Answer 52

STATE OF HAVING A FEVER

Answer 53

FEVER BREAKS

Answer 54

HYPOTHALAMUS CANNOT MAINTAIN TEMP REGULATION S/S- DIZZINESS, WEAKNESS, THIRST, NAUSEA, SYNCOPE, TACHYCARDIA, CONFUSION, ORGAN FAILURE, DEATH

Answer 55

MOVE TO COOLER ENVIRONMENT REMOVE EXCESS CLOTHING COLD PACKS TO NECK, AXILLAE, GROIN FAN IV FLUIDS

Answer 56

SHIVERING DECREASED MOTOR SKILLS IMPAIRED PERIPHERAL PERFUSION CONFUSION DILATED PUPILS LOSS OF CONSCIOUSNESS LOSS OF DEEP TENDON REFLEXES COMA CARDIAC ARREST

Answer 57

WARMING BLANKET RADIANT WARMER INCREASE ROOM TEMP ADD CLOTHING PLACE HAT ON HEAD WARMED IV FLUIDS

Answer 58

EASILY ACCESSIBLE ACCURATE BODY SURFACE TEMP INACCURATE IF ATE/DRANK/SMOKED IN 30 MINUTES NOT FOR NEWBORNS, INFANTS, YOUNG CHILDREN

Answer 59

1. EASILY ACCESSIBLE 2. RAPID RESULT 3. ACCURATE CORE TEMP 4. NOT ALTERED BY ENVIRONMENT 5. NOT ACCURATE WITH CERUMEN OR EAR INFECTION 6. DIFFICULT IN NEWBORNS/INFANTS/YOUNGER THAN 3

Answer 60

1. EASILY ACCESSIBLE 2. RAPID RESULT 3. NO RISK OF INJURY 4. ALL AGE GROUPS 5. REFLECTS RAPID CORE CHANGES 6. AFFECTED BY MOISTURE ON SKIN LIKE SWEAT 7. INACCURATE WITH HEAD COVERING OR HAIR ON FOREHEAD

Answer 61

1. ALL AGE GROUPS 2. NO RISK OF INJURY 3. MORE TIME 4. NOT FOR RAPID CHANGES 5. POTENTIAL FOR ENVIRONMENTAL ALTERATIONS

Answer 62

RELIABLE TEMP UNLPLEASANT RISK FOR RECTAL MUCOSA INJURY ALTERED WITH STOOL NOT FOR DIARRHEA, CHEMO, HEMMORRHOIDS, RECTAL SURGERY OR COAGULATION DISORDERS

Answer 63

1. PRETEND TO CHECK PULSE 2. MUST ALSO CHECK RATE, RHYTHM, DEPTH, EFFORT

Answer 64

RR OVER 20/MIN

Answer 65

RR LOWER THAN 12/MIN

Answer 66

NALOXONE DECREASE ICP SLIGHTLY ELEVATE HOB

Answer 67

CESSATION OF RESPIRATIONS

Answer 68

CYCLING PATTERN RANGE FROM SHALLOW TO DEEP FOLLOWED BY QUICK BREATHS FOLLOWED BY APNEA INCREASED ICP, BRAIN TUMOR, STROKE, HEART FAILURE

Answer 69

REGULAR RHYTHM ABNORMALLY DEEP AND RAPID MAY SHOW LEABORED BREATHING OR RESPIRATORY DISTRESS METABOLIC ACIDOSIS, SEVERE KIDNEY DISEASE

Answer 70

LESS THAN 2 SECONDS

Answer 71

MUST BE DRY FREE OF DARK COLORED POLISH SKIN PIGMENTATION ARTIFICIAL NAILS TAKES 15-30 SECONDS

Answer 72

EARLOBE FOOT/WRIST OF NEWBORN

Answer 73

NOT ENOUGH OXYGEN IS BEING SUPLIED TO THE TISSUES

Answer 74

DECREASED OXYGEN IN THE BLOOD

Answer 75

handwashing, maintaining oral health by brushing the teeth, and removing pathogens through routine bathing.

Answer 76

COLOR, HYDRATION, TURGOR, TEXTURE, LESIONS, FEET, NAILS, CUTICLES, CIRCULATION, DEXTERITY, GAIT, ABILITY, SAFETY CONCERNS, EMOTIONAL STATUS, EDUCATION NEEDS

Answer 77

INFLAMED TONGUE

Answer 78

CRACKED LIPS

Answer 79

INFLAMMATION OF ORAL MUCOUSA

Answer 80

BACTERIAL STATIC PROPERTY RISK OF PNEUMONIA FROM STATIC SECRETIONS IN UNCONSCIOUS PATIENT

Answer 81

INNER TO OUTER CANTHUS DIFFERENT PART OF CLOTH FOR EACH EYE MORE FREQUENTLY IF UNCONSCIOUS, NOT BLINKING ASSESS FOR SECRETIONS, GLASES, DRY EYES, ALLERGIES

Answer 82

OUTER CANAL WITH WASH CLOTH NO Q TIPS BC COULD DAMAGE TYMPANIC MEMBRANE

Answer 83

SKIN LOOSLY BOUND EASILY DAMAGED LAYERS BIND AS THEY AGE

Answer 84

SEX HORMONES SEBACEOUS GLANDS-OIL SWEAT GLANDS-ODOR

Answer 85

DECREASED COLLAGEN-WRINKLES THINNING LOSS OF ELASTICITY DECREASED SWEAT AND OIL DRIER AND MORE LESIONS INCREASE FACIAL HAIR DRY BRITTLE NAILS DECREASED SALIVA

Answer 86

SOCIOECONOMIC STATUS LIMITED ABILITY DENTAL PROBLEMS

Answer 87

ACTIVITY INTOLERANCE SELF CARE DEFICIT IMPAIRED MOBILITY IMAPIRED SKIN INTEGRITY IMPAIRED ORAL MUCOUS MEMBRANES RISK FOR INFECTION

Answer 88

WHO IS INVOLVED COMMUNITY AGENCIES NEEDED AMOUNT OF HELP REQUIRED SET PRIORITIES BASED ON ASSISTANCE REQUIRED, EXTENT OF PROBLEMS, NATURE OF DIAGNOSIS

Answer 89

PROVIDE PRIVACY PROFESSIONALISM MODESTY SAFETY WARMTH OF WATER, ROOM, BLANKET MITT LOSES LESS HEAT AND REDUCES DRAG

Answer 90

CLEANSE AND REDUCE MICROBE COUNT REMOVE DEAD SKIN STIMULATE CIRCULATION PROVIDE RELAXATION ENHANCE HEALING

Answer 91

COMPLETE PARTIAL- CAN'T TOLERATE THERAPEUTIC BED BATH

Answer 92

LONG, FIRM STROKES DISTAL TO PROXIMAL FOR VENOUS CIRCULATION DIFFERENT PARTS OF CLOTH LIGHT STROKES IF Hx OF CLOTS

Answer 93

APPLY TO ALL AREAS NOT BETWEEN TOES- RISK OF IRRITATION AND MACERATION

Answer 94

FLAT ON BACK

Answer 95

FLAT ON STOMACH WITH HEAD TO THE SIDE

Answer 96

LIE ON SIDE TOP LEG OVER BOTTOM LEG RELIEVES PRESSURE ON COCCYX

Answer 97

BETWEEN SUPINE AND PRONE LEX FLEXED IN FRONT OF PATIENT ARMS COMFORTABLY BESIDE PATIENT AND NOT UNDERNEATH

Answer 98

HOB AT 45 DEGREES HIPS MAY OR MAY NOT BE FLEXED COMMON FOR COMFORT AND CARE

Answer 99

HOB AT 30 DEGREES FOR CARDIAC OR RESPIRATORY CONDITIONS FOR NG TUBE PATIENTS

Answer 100

PATIENT SITS AT SIDE OF BED HEAD RESTS OVER TABLE ON SEVERAL PILLOWS FOR BREATHING DIFFICULTIES

Answer 101

HOB LOWER THAN FEE HYPOTENSION AND EMERGENCIES VENOUS RETURN TO HEAD AND HEART

Answer 102

EXCESS MUCOUS INCREASES HAI BRUSH BID FLOSS 1X/D IF UNCONCIOUS/VENTILATED/ OR NPO- Q1-2H SUCTION FOR UNCONSCIOUS CHECK FOR GAG REFLEX, DIABETES, ARTIFICIAL AIRWAY, CHEMO

Answer 103

ORAL RINSE PASTE ANTIMICROBIAL EFFECT DECREASE HAI NOT NEAR EYES OR EARS LEAVE ON FOR MORE EFFECTS USE IN BASINS

Answer 104

1. DRY WELL TO PREVENT FUNGAL GROWTH 2. BRUSH HAIR DAILY AND BRAID LONG HAIR 3. COMBING MOST EFFECTIVE FOR LICE 4. TRIM NAILS IN LINE WITH TIP OF FINGER AND CLEANS 5. DIABETIC FOOD CARE DAILY

Answer 105

UNCIRCUMCISED, CATHS, POST RECTAL OR GENITAL SURGERY, CHILDBRITH INCREASE ROI CONCERNS- BURNING, SORENESS, EXCORIATION, PAIN, DISCHARGE,

Answer 106

INCONTINENCE DRESSINGS CATHETERS OBESITY

Answer 107

NS NS OR WATER ON SOFT GAUZE TO CLEAN EYE SOCKET STORE IN WATER OR NS IN LABELED CONTAINER OBSERVE FOR INFECTION

Answer 108

INSPECT FEET AND BETWEEN TOES DAILY LUKEWARM WATER NO SOAKING THOROUGH DRYING NO LOTION BETWEEN TOES WE CAN FILE BUT NOT CUT WITHOUT ORDERS COTTON SOCKS COMFORTABLE/STURDY SHOES NO HEATING PAD ELEVATE FEET DON'T CROSS LEGS FOR LONG PERIODS AVOID SMOKING ROM FOR 5 MINUTES 2-3 TIMES A DAY

Answer 109

WERE PATIENT EXPECTATIONS MET PATIENT OUTCOME USE TEACHBACK BATHED MOISTUREIZED TEETH BRUSHED/FLOSSED EYES, EARS, NOSE WITHOUT REDNESS OR DRAINAGE FEET HAVE NOT BREAKDOWN NAILS CLEAN AND TRIMMED

Answer 110

1. ID WITH 2 IDENTIFIERS 2. MOVE FROM CLEAN TO LESS CLEAN 3. USE GLOVES 4. TEST WATER TEMP 5. GOOD BODY MECHANICS 6. PROPER DIRECTION TO UAP 7. SAFE PATIENT HANDLING

Answer 111

RED = RIGHT BLUE = LEFT

Answer 112

STORE WITH DOOR OPEN

Answer 113

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION

Answer 114

SPECIFIC MEASURABLE ATTAINABLE REASONABLE TIME CONTRAINT

Answer 115

HABITAT OF INFECTIOUS AGENT WHERE IT LIVES, GROWS, REPLICATES

Answer 116

INFECTED PERSON TO INFECTED PERSON

Answer 117

DOPLETS FROM THE RESPIRATORY TRACT TRAVEL THROUGH AIR AND TO MUCOSA OF A HOST

Answer 118

SMALL PARTICULATES MOVE INTO THE SPACE OF ANOTHER PERSON

Answer 119

MICROORGANISMS MOVE DIRECTLY FROM PERSON TO PERSON WITH NOTHING IN BETWEEN

Answer 120

MICROORGANISMS MOVE TO ANOTHER PERSON WITH A CONTAMINATED OBJECT OR PERSON BETWEEN

Answer 121

NEUTROPHILS AND MACROPHAGES AND THEIR WORK AS PHAGOCYTES

Answer 122

ANTIBODIES, IMMUNOGLOBULINS AND LYMPHOCYTES

Answer 123

1. PATTERN RECEPTORS RECOGNIZE HARMFUL STIMULI 2. INFLAMMATORY PATHWAYS ACTIVATED 3. INFLAMMATORY MARKERS RELEASED 4. INFLAMMATORY CELLS RECRUITED

Answer 124

INFECTION ENTERS AND BEGINS TO MULTIPLY

Answer 125

CLIENT BEGINS HAVING MILD SYMPTOMS

Answer 126

SPECIFIC S/S OBVIOUS AND MAYBE SEVERE

Answer 127

S/S BEGIN TO WANE

Answer 128

CLIENT RETURNS TO NORMAL

Answer 129

CONFINED TO ONE AREA TREATED WITH TOPICAL OR ORAL ANTIBIOTICS

Answer 130

START LOCAL AND SPREAD TO THE BLOOD STREAM TO INFECT THE ENTIRE BODY LIKE SEPSIS

Answer 131

15-20 SECONDS SOAP AND WATER FOR C DIFF, VISIBLE DEBRIS, SPORE POTENTIAL

Answer 132

GREATER THAN 70% ALCOHOL

Answer 133

HANDS ARE SOILED BEFORE PT CONTACT AFTER PATIENT CONTACT BEFORE STERILE GLOVING CONTACT WITH BODY FLUIDS EACH TIME GLOVES REMOVED

Answer 134

CLEAN TECHNIQUE ELIMINATION OF AND ABSENCE OF DISEASE CAUSING MICROORGANISMS

Answer 135

STERILE TECHNIQUE

Answer 136

1. OBJECT IS FREE OF ALL MICROORGANISMS 2. ALL OBJECTS ON FIELD MUST BE STERILE 3. OPEN ORDER: AWAY, SIDE, CLOSEST TO YOU 4. MUST BE AT OR ABOVE WAIST 5. MOISTURE CONTAMINATES-CAPILLARY ACTION 6. BOTTLE CAPS FACE UP 7. OUTER 1 INCH IS UNSTERILE 8. AVOID TALKING, LAUGHING, SNEEZING OVER FIELD

Answer 137

INFECTION PREVENTION PRACTICES APPLIED TO ALL WHETHER INFECTIOUS OR NOT

Answer 138

GOWN MASK GOGGLES GLOVES

Answer 139

GLOVES GOGGLES GOWN MAKS HAND HYGIENE

Answer 140

LESS THAN 5 MICRONS OR ON DUST PARTICLES N95 RESPIRATOR NEGATIVE PRESSURE ROOM TB CHICKEN POX COVID EBOLA

Answer 141

PARTICLES LARGER THAN 5 MICRONS DROP TO THE FLOOR WITHIN 3 FEET OF HOST MASK REQUIRED INFLUENZA PERTUSSIS

Answer 142

DIRECT OR INDIRECT TRANSMISSION ALL ITEMS CONTAMINATED WITHIN 24 HOURS ALWAYS: GOWN, GLOVES, HAND HYGIENE, MASK IF SPLASHING MRSA

Answer 143

CONTACT BUT ALSO WIPE ROOM SURFACES ROUTINELY CDIFF

Answer 144

PRIVATE ROOM POSITIVE AIRFLOW HEPA FILTRATION MASK OUT OF ROOM NO LIVE PLANTS IMMUNOSUPPRESSED NEUTROPENIC DOOR CLOSED LIMIT OUTSIDE MOVEMENT CLEAN GOWN AND PPE FOR PT IF TRANSPORT

Answer 145

HAND HYGIENE GOWN GLOVES MASK IF RISK

Answer 146

HAND HYGIENE GOWN GLOVES MASK IF SPLASH RISK TWICE DAILY SURFACE CLEANING

Answer 147

HAND HYGIENE MASK EYE PROTECTION GOWN GLOVES

Answer 148

HAND HYGIENE STANDARD PRECAUTIONS MASK

Answer 149

HAND HYGIENE N95 STANDARD PRECAUTIONS NEGATIVE PRESSURE ROOM DOOR CLOSED

Answer 150

NOBODY SICK MAY VISIT HAND HYGIENE PATIENT WEARS MASK OUT OF ROOM NO LIVE PLANTS POSITIVE PRESSURE

Answer 151

CLASBI- CENTRAL LINE CAUTI- CATHETER SSI- SURGICAL SITE VAP- VENTILATOR PNEUMONIA

Answer 152

FROM A PROCEDURE

Answer 153

FROM MICROORGANISM OUTSIDE OF INDIVIDUAL

Answer 154

PATIENT FLORA BECOMES ALTERED AND OVERGROWN

Answer 155

BENE MUTATION AFTER SURVIVING ANTIBIOTIC THERAPY MRSA, VRE, CDIFF

Answer 156

INVASIVE PROCEDURES ALTERED IMMUNE DEFENSES ELDERLY ANTIBIOTIC ADMIN MDRO

Answer 157

HAND HYGIENE CONSERVATIVE ANTIBIOTIC USE UNIVERSAL PRECAUTIONS TRANSMISSION BASED PRECAUTIONS PROPER PPE DISPOSAL NOT SHARING PATIENT ITEMS ANTIMICROBIAL DRESSINGS NO ARTIFICIAL FINGERNAILS LIMIT CATHS BREAK THE CHAIN

Answer 158

HANDWASHING PPE SAFE SHARP DISPOSAL NEVER RECAP NEEDLE

Answer 159

COOL JUICES/DRINKS COOL ROOM LIGHT/NO COVER SHEET ONLY ANTYPYRETICS- TYLENOL/ADVIL ANTIBIOTICS IF WARRANTED COOL THEM DOWN

Answer 160

ACCREDITS PERFORMANCE OUTCOMES MEASURED

Answer 161

TIME OUT SITE IS MARKED, CONSISTENT WITH PERMIT BEFORE ANESTHESIA AND BEFORE SURGERY

Answer 162

PULL AIM SQUEEZE SWEEP

Answer 163

YEARLY SINCE 2002 BY TJC 1. ID PATIENT CORRECTLY 2. IMPROVE STAFF COMMUNICATION 3. MEDICATION SAFETY 4. ALRMS SAFETY 5. PREVENT INFECTIONS 6. REDUCE PATIENT SAFETY RISK 7. IMPROVE EQUITY 8. PREVENT SURGICAL MISTAKES

Answer 164

REQUIRE OCCURRENCE REPORT TO IMPROVE

Answer 165

NEVER EVENT DEATH OR SERIOUS INJURY ROOT CAUSE ANALYSIS QUALITY ASSURANCE

Answer 166

PHYSICAL OR PSYCHOLOGIC ATTRIBUTES SEIZURES

Answer 167

BY HCP MED ERROR POOR TECHNIQUE

Answer 168

FAULTY EQUIPMENT INJURY OR DEATH REPORTABLE TO FDA

Answer 169

RESCURE AND REMOVE ACTIVATE ALARM CONFINE FIRE EXTINGUISH

Answer 170

A- TRASH/WOOD/PAPER B- LQUIDS/GASES C- ENERGIZED ELECTRICAL SOURCES

Answer 171

RUBBER TREE PRODUCT REPEATED USE = HYPERSENSITIVITY HANDWASHING REMOVES IRRITANTS LESS LIKELY WITHOUT POWDER

Answer 172

NO SMOKING SIGN PRESCRIBED DRUG AND AMOUNT LIMIT ITEMS THAT GENERATE STATIC ELECTRICITY LIMIT WOOL, NYLONG, SYNTHETICS USE COTTON SMOKE ALARMS FIRE EXTINGUISHER AVOID HEATING OIL AND NAIL POLISH REMOVER

Answer 173

HRF BRACELET BED OR CHAIR ALARM NON SKID FOOTWEAR PATIENT ITEMS IN REACH FREQUENT ROUNDING

Answer 174

1. REDUCE FALLS OR INTERRUPTION OF THERAPY 2. REDUCE HARM TO SELF OR OTHERS 3. NOT P UNISHMENT 4. LEAST RESTRICTIVE MEASURES FIRST 5. CAN BE CHEMICAL 6. MANDATED BY FEDERAL AND STATE LAWS 7. ASSAULT AND BETTERY OR FALSE IMPRISONMENT

Answer 175

1. REEVALUATED Q24H 2. CAN'T BE PRN 3. ASSESS THE TIONS Q2H 4. YOU ARE DOING THEIR ADLS 5. MUST MONITOR AND PROVIDE NEDS 6. RELEASE RESTRAINTS PER POLICY

Answer 176

BEHAVIOR- Q15 MINUTE MONITORING ALL 4 RAILS IS RESTRAINT UNLESS SEDATED DON'T ATTACH TO SIDE RAILS ATTACH TO FRAIM QUICK RELEASE KNOT BED IN LOWEST POSITION AND MAT ON FLOOR

Answer 177

DISORDERLY DISCHARGE OF NEURONS ALL 4 RAILS UP AND PADDED POSITION SIDE LYING HAVE O2,, SUCTION, ORAL AIRWAY AT BEDSIDE NOTHING IN MOUTH LOOSEN CLOTHING STAY WITH PT TIME SEIZURE ASSESS FOR INJURY AND COMFORT AFTERWARDS

Answer 178

POTENTIAL ERROR THAT COULD HAVE CAUSED HARM BUT WAS CAUGHT AND AVOIDED

Answer 179

UNEXPECTED THAT OCCURRED WITHOUT INJURY TO PATIENT

Answer 180

CRITICAL UNEXPECTED ADVERSE SEVERE PHYSICAL/PSYCH HARM

Answer 181

WRONG PROCEDURE WRONG SITE

Answer 182

DEATH/INJURY DUE TO CONTAMINATION

Answer 183

SUICIDE IN CARE

Answer 184

STAGE3, 4, OR UNSTAGEABLE PI ACQUIRED IN HOSPITAL

Answer 185

RESTRAINTS CAUSED DEATH/INJURY

Answer 186

DEATH/INJURY DUE TO METAL OBJECT LEFT DURING MRI

Answer 187

SEXUAL ABUSE OR ASSAULT WHILE IN CARE OR ON GROUNDS

Answer 188

PLAN- CHOOSE PROBLEM DO- MAKE CHANGE STUDY- ANALYZE ACT- DECIDE IMPLEMENTATION

Answer 189

FORCE OF RUBBING 2 SOURCES AGAINST ONE ANOTHER FORCE THAT OCCURS IN DIRECTION OPPOSITE TO MOVEMENT GREATER SURFACE AREA = MORE FRICTION

Answer 190

HAVE PT CROSS ARMS TO REDUCE SURFACE AREA BEFORE MOVING HAVE PATIENT BEND KNEES TO HELP THEM MOVE UP MOVE PILLOWS AND HAVE PT LIFT HEAD OFF BED IF ABLE

Answer 191

SLIDING RESULT OF GRAVITY PUSHING DOWN ON THE PATIENT'S BODY AND THE RESISTANCE BETWEEN THE PATIENT AND THE CHAIR OR BED. WHEN HOB ELEVATED GREATER THAN 60 DEGREES, SKIN REMAINS STATIONARY ON THE SHEETS AND THE BONY STRUCTURES BENEATH IT MOVE TOWARDS THE FOOT OF THE BED

Answer 192

USE DRAW SHEETS AND SLIDING BOARDS KEEP HOB 30 DEGREES

Answer 193

STRETCHING, TIGHTENING OR TENSING OF MUSCLES WITHOUT JOINT MOVEMENT IMPROVES CIRCULATION INCREASES MUSCLE MASS, TONE AND STRENGTH INCREASES OSTEOBLASTIC ACTIVITY INCREASES RR AND HR CAN BE A STRESSOR EVEN THOUGH NOT ACTIVE YOGA, STRETCHING, QUAD AND GLUTE TIGHTENING IF BEDBOUND

Answer 194

AEROBIC/ACTIVE MOVEMENT CONCENTRIC AND ECCENTRIC TENSIONS OF MUSCLE FIBERS IMPROVES CIRCULATION, RESPIRATORY FUNCTION, INCREASES MUSCLE MASS, TONE, STRENGTH PROMOTES OSTEOBLASTIC ACTIVITY-PREVENTS OSTEOPOROSIS WALKING, RUNNING, SWIMMING, BIKING

Answer 195

COORDINATED EFFORTS OF MUSCULOSKELETAL AND NERVOUS SYSTEMS TO AVOID INJURIES BACKS ONLY SAFELY LIFE 30-35 LBS BALANCE AND USE OF THIGH MUSCLES LIFT DEVICES

Answer 196

TEENS S CURVE OF SPINE

Answer 197

CONVEX CURVATURE OF SPINE TOO FAR FORWARD ROUNDED UPPER BACK CAN'T STAND UP STRAIGHT HUNCHBACK-ELDERLY

Answer 198

CONCAVE CURVATURE OF SPINE INWARD AT LOWER BACK, SWAY BACK, PREGNANCY

Answer 199

BALL IS LOOSE IN HIP SOCKET AND DISLOCATES EASILY

Answer 200

S/S- DECREASED METABOLIC RATE, SLOW GI, ANOREXIA, NEGATIVE N BALANCE INTERVENTIONS: HIGH PROTEIN, HIGH CALORIES, VIT B, VIT C, CA, TPN, ENTERAL/GI FEEDINGS,

Answer 201

S/S- SNAP/CRACKLE/POP, HYPOSTATIC PNEUMONIA, LUNG INFECTION, HYPOEXPANSION, DECREASED CILIARY ACTION AND MUCUS REMOVAL, ATELECTASIS INTERVENTIONS- TURN, DEEP BREATH, COUGH Q1-2H, INCENTIVE SPIROMETER, CHEST PHYSIOTHERAPY, RESPIRATORY ASSESSMENT, FLUID INTAKE MONITOR O2

Answer 202

Q 1-2 H MOBILIZE STATIC MUCUS

Answer 203

Q1H WHILE AWAKE X 10 INHALES

Answer 204

POSTURAL DRAINAGE

Answer 205

2L PER DAY FOR THIN, WATERY, CLEAR, MUCUS

Answer 206

IF YOU DON'T USE IT, YOU LOSE IT IMPAIR BALANCE ALTERED CAL METABOLISM- OSTEOPOROSIS CONTRACTURES INTERVENTIONS- ROM, PRONE POSITION, CPM, PREVENT FOOTDROP, ISOMETRIC EXERCISE, SITTING, AMBULATION

Answer 207

2-3 X / DAY Q8H 5 REPS PER JOINT

Answer 208

CONTINUOUS PASSIVE MOTION AFTER KNEE REPLACEMENT SHOULDERS IN AFFECTED SIDE OF CVA SPLINTS

Answer 209

FOOT STAYS IN PLANTAR FLEXION AMBULATION IMPOSSIBLE HIGH TOP SHOES AND POSITIONINGHELP

Answer 210

QID WHEN NOT AMBULATION

Answer 211

LESS DRAINAGE VIA GRAVITY INCREASED RISK FOR RENAL CALCULI, URINARY STASIS, UTI GI SLOWS, CONSTIPATION- 16X MORE LIKELY, GERD, IMPACTION INTERVENTIONS- 2L FLUIDS, I&O RELATIVELY EQUAL, PROMOTE URINATION, HIGH FIBER, FRESH FRUITS, VEGGIES, ELEVATE HOB AFTER MEALS

Answer 212

STRAIGHTEN

Answer 213

MOVE CLOSER

Answer 214

FACE BACKWARD

Answer 215

FACE FORWARD

Answer 216

CIRCULAR MOTION

Answer 217

SIDE TO SIDE

Answer 218

TURN INWARD

Answer 219

TURN OUTWARD

Answer 220

S/S- COMPROMISED CAPILLARY BLOOD FLOW, PI, TISSUE ISCHEMIA INTERVENTIONS- PROPER POSITION, LIFT DEVICES, RULE OF 30, ASSESSMENT Q2H, SKIN AND PERINEAL CARE, TURN Q1-2H, LIMIT CHAIR TO 1H, SHIFT WEIGHT Q15 MIN, SPECIALTY MATTRESS, FLOAT HEELS

Answer 221

S/S- ORTHOSTATIC HYPOTENSION, LESS BLOOD VOLUME, BLOOD POOLING, DECREASED AUTONOMIC RESPONSE, HEART HAS TO WORK HARDER, OXYGEN CONSUMPTION INCREASES INTERVENTIONS- RAISE HOB TO ENCOURAGE BLOOD FLOW, DANGLING BEFORE AMBULATION, SLOW CHANGES, FALL RISK SAFETY, ANTIEMBOLISM STOCKINGS, MONITOR VS, DISCOURAGE VALSALVA MANEUVER

Answer 222

1. BLOOD CLOTS 2. VIRCHOWS TRIAD 3. DVT

Answer 223

HYDRATION, TEACHING, POSITION CHANGES, ASAP AMBULATION, ROM 2-3 TIMES A DAY, QNTIEMBOLIC EXERCISES Q1-2H WHILE AWAKE, SCD- REMOVE Q8H, LOOSE CLOTHING, DON'T MESSAGE LEGS

Answer 224

ACCUMULATION OF PLATELETS, FIBRIN, CLOTTING FACTORS ATTACH INTERIOR LINING OF VEIN OR ARTERY

Answer 225

CLOT THAT DETACHES OR MOVES WITHIN VESSELS

Answer 226

OF CALF IS MOST COMMON IS A NEVER EVENT CAN LEAD TO PE, MI, OR CVI ASSESS FOR EDEMA, WARMTH, TENDERNESS IN LE PROPHYLAXIS IS KEY

Answer 227

ENDOCRINE CALCIUM ABSORPTION GI FUNCTION

Answer 228

ORTHOSTATIC HYPOTENSION INCREASED CARDIAC WORKLOAD THROMBUS

Answer 229

LOSS OF MASS ATROPHY

Answer 230

URINARY STASIS RENAL CALCULI

Answer 231

CONSTIPATION FECAL IMPATION

Answer 232

ATELECTASIS HYPOSTATIC PNEUMONIA

Answer 233

IMPAIRED CALCIUM ABSORPTION JOINT ABNORMALITIES

Answer 234

PI ISCHEMIA

Answer 235

ON STRONGER SIDE 6-10 INCHES FORWARD BODY WEIGHT ON BOTH LEGS WEAKER LEG IS MOVED FORWARD DIVIDE WEIGHT BETWEEN CANE AND STRONGER LEG STRONGER LEG IS ADVANCED PAST CANE DIVIDE WEIGHT BETWEEN CANE AND WEAKER LEG

Answer 236

GOING UP STAIRS- LEAD WITH STRONGER GOING DOWN STAIRS- LEAD WITH WEAKER DON'T HOP

Answer 237

1-2 INCHES BETWEEN PAD AND AXILIA NO WEIGHT ON AXILLA

Answer 238

GIVE STABILITY BOTH LEGS WEIGHT BEARING

Answer 239

ALL WEIGHT ON ONE FOOT WEIGHT ON CRUTCHES WEIGHT ON GOOD LEG AFFECTED LEG DOES NOT TOUCH GROUND

Answer 240

PARTIAL WEIGHT ON EACH FOOT LEG AND OPPOSITE CRUTCH MOVE AND THEN OTHER SIDE

Answer 241

PARAPLEGIA MOVE LEGS TOGETHER

Answer 242

ALVEOLAR COLLAPSE FROM LOW OXYGEN DUE TO LOW SURFACTANT LEVELS

Answer 243

RESULTS IN HYPOXIA TO TISSUES AND DECREASED PRELOAD Tx IS IVF

Answer 244

PREGNANCY OBESITY NEUROMUSCULAR DISEASE MUSCULOSKELETAL ABNORMALITIES-KYPHOSIS, TRAUMA, CNS, SPINAL CORD

Answer 245

CLUBBED FINGERS BARREL CHEST RBC INCREASE TRYING TO COMPENSATE RENAL INSUFFICIENCY DECREASE ERYTHROPOIETIN PRODUCTION CAUSING ANEMIA

Answer 246

UPRIGHT POSITION FOR BREATHING HOW MANY PILLOWS DO THEY USE SLEEP IN RECLINER

Answer 247

3-4 TIMES A WEEK 30-60 MINUTES

Answer 248

5-10 BREATHS QH WHILE AWAKE

Answer 249

Q2H WHILE AWAKE

Answer 250

HYPEROXYGENATE FIRST TO DECREASE SUCTION INDUCED HYPOXEMIA INTERMITTENT SUCTION NO LONGER THAN 10 SECONDS NEVER SUCTION DURING INSERTION LIMIT TO 2 PASSES

Answer 251

LOW FLOW 1-6 LPM

Answer 252

6-10 LPM 5 IS MINIMUM LOW FLOW

Answer 253

DEEP INSPIRATION PROLONGED EXPIRATION PREVENTS ALVEOLAR COLLAPSE

Answer 254

PULMONARY DISEASE LABOR RELAX INTERCOSTAL AND ACCESSORY MUSCLES TO DECREASED AIR TRAPPING AND WORK OF BREATHING

Answer 255

AIR IN PLEURAL SPACE COLLAPSED LUNG

Answer 256

BLOOD IN PLEURAL SPACE OTHER THAN TRAUMATIC INJURIES

Answer 257

DRAIN AIR OR BLOOD KEEP SECURED BELOW CHEST LEVEL MONITOR WATER SEAL MARK LEVEL OF DRAINAGE

Answer 258

LOW O2 DECREASES DRIVE TO BREATH HYPOXIC

Answer 259

KEEP ASKING QUESTIONS

Answer 260

THOUGHTS/FEELINGS

Answer 261

SPECIFIC MEASURABLE ATTAINABLE REALISTIC TIMED

Answer 262

INDEPENDENT DO NO REQUIRE ORDER OR SUPERVISION

Answer 263

DEPENDENT-REQUIRES ORDER REQUIRE SPECIFIC NURSING RESPONSIBILITIES AND NURSING KNOWLEDGE

Answer 264

INTERDEPENDENT INTERDISCIPLINARY CARE PLAN

Answer 265

INTERVENTIONS/Tx PERFORMED THROUGH INTERACTIONS WITH PATIENTS

Answer 266

INTERVENTIONS/Tx PERFORMED AWAY FROM PT BUT ON THEIR BEHALF LIKE DOCUMENTATION OR COLLABORATION

Answer 267

SYSTEMATICALLY DEVELOPED STATEMENTS THAT HELPS MAKE DECISIONS

Answer 268

PREPRINTING DOCUMENTS CONTAINING ORDERS FOR THE CONDUCT OF ROUTINE THERAPIES, MONITORING, GUIDELINE, AND/OR DIAGNOSTIC PROCEDURES

Answer 269

EVIDENCE OF STANDARD OF CARE

Answer 270

WATER DEFICIT

Answer 271

LOSS OF MORE WATER THAN SALT

Answer 272

WATER EXCESS

Answer 273

WATER INTOXICATION

Answer 274

CONFUSION EDEMA INCREASED WEIGHT

Answer 275

HYPOTENSION WEAK PULSE HIGH OUTPUT ORIENTATION, VISION, HEARING, REFLEX, MUSCLE CHANGES, DECREASED WEIGHT SKIN BREAKDOWN

Answer 276

KIDNEYS AND LUNGS

Answer 277

HYPERVENTILATION PH UP CO2 DOWN PULMONARY EMBOLI FEVER HYPOXIA PREGNANCY ALTITUDE ANXIETY

Answer 278

LOW GASTRIC JUICES OVERUSE OF ANTACIDS POTASSIUM WASTING DIURETICS PH UP HCO3 UP

Answer 279

HYPOVENTILATION PH DOWN CO2 UP AIRWAY OBSTRUCTION COPD CHEST TRAUMA NEUROMUSCULAR DISEASE DRUG OVERDOSE PULMONARY EDEMA

Answer 280

DIABETIC KETOACIDOSIS SALICYLATE OD SHOCK SEPSIS SEVERE DIARRHEA RENAL FAILURE PH DOWN HCO3 DOWN

Answer 281

HYPOVENTILATION --> HYPOXIA DROWSINESS DIZZINESS DISORIENTATION MUSCLE WEAKNESS DYSRHYTHMIAS HYPERKALEMIA HEADACHE DYSPNEA RAPID/SHALLOW RESPIRATIONS

Answer 282

RESTLESSNESS-->LETHARGY DECREASED LOC IRRITABLE N&V DIARRHEA TREMORS MUSCLE CRAMPS HYPOKALEMA TINGLING TACHYCARDIA

Answer 283

DYSPNEA DEEP/RAPID RR TACHYPNEA DEHYDRATION

Answer 284

CARDIAC DYSRHYTHMIAS HYPOKALEMIA WEAKNESS CRAMPING HYPERACTIVE REFLEXES TETONY CONVULSIONS CONFUSION

Answer 285

MALES 4.7-6.1 FEMALES 4.2-5.4

Answer 286

MALES 14-18 FEMALES 12-16

Answer 287

MALE 42-52 FEMALE 37-47

Answer 288

5000-10000

Answer 289

LESS THAN 20

Answer 290

LESS THAN 200

Answer 291

LESS THAN 130

Answer 292

MALES 35-65 FEMALES 35-80

Answer 293

1.005-1.025

Answer 294

LESS THAN 0.5 G/DAY

Answer 295

MALE 0.6-1.2 FEMALE 0.5-1.1

Answer 296

4-6 GREATER THAN 8 INDICATES POOR DM CONTROL

Answer 297

BEFORE MEALS

Answer 298

AFTER MEALS

Answer 299

RIGHT DRUG RIGHT DOSE RIGHT PATIENT RIGHT ROUTE RIGHT TIME RIGHT DOCUMENTATION

Answer 300

NO ABBREVIATION

Answer 301

PRECUTANEOUS ENDOSCOPIC GASTROSTOMY

Answer 302

ACUTE KIDNEY INFECTION

Answer 303

CHRONIC KIDNEY DISEASE

Answer 304

ACUTE RENAL FAILURE

Answer 305

END STAGE RENAL DISEASE

Answer 306

AGAINST MEDICAL ADVICE

Answer 307

ACUTE MYOCARDIAL INFARCTION

Answer 308

CARDIOVASCULAR DISEASE

Answer 309

SHORTNESS OF BREATH

Answer 310

CEREBROVASCULAR ACCIDENT

Answer 311

TRANSISCHEMIC ATTACK

Answer 312

DEGENERATIVE JOINT DISEASE

Answer 313

ABOVE KNEE AMPUTATION

Answer 314

INSULIN DEPENDENT DIABETES MELLITUS

Answer 315

PROTECTIVE MECHANISM IDENTIFIABLE CAUSE SHORT DURATION LIMITED TISSUE DAMAGE

Answer 316

OCCURS OVER TIME UNPREDICTABLE EPISODES EX HEADACHES

Answer 317

CHRONIC PAIN ABSENCE OF IDENTIFIABLE CAUSE

Answer 318

ACUTE AND CHRONIC NOCICEPTIVE OR NEUROPATHIC REASONS

Answer 319

SOMATIC OR VISCERAL OF NOCICEPTIVE OR NEUROPATHIC NATURE FROM ORGANS OR DAMAGED NERVES

Answer 320

RELATED TO AN ABSENT LIM OR ORGAN

Answer 321

PALLIATIVE OR PROVOKING FACTORS QUALITY REGION/RADIATION SEVERITY TIMING EFFECT ON UR LIFE

Answer 322

NSAIDS ACETAMINOPHEN ADJUVANT

Answer 323

SIDE EFFECTS: GI BLEED, RENAL INSUFFICIENCY, HTN EX: IBPROFEN, ASA

Answer 324

SE: HEPATOXACITY OFTEN IN COMBINED MEDS 4 GM MAX/DAY

Answer 325

USED TO TREAT OTHER CONDITIONS PAIRS WELL WITH PAIN MEDS EX: ANTIDEPRESSANTS, CORTICOSTEROIDS, SEDATIVES, ANTIANXIETY

Answer 326

MODERATE TO SEVERE PAIN WORKS ON CNS MORPHINE IS THE BASIC MEASUREMENT NARCAN REVERSES- SHORTER HALF LIFE RESPIRATORY DEPRESSION S/E: N&V, CONSTIPATION, ITCHING, ALTERED MENTAL STATUS, URINARY RENTENTION

Answer 327

PATIENTS ARE THE EXPERTS ESTABLISH RELATIONSHIP OF TRUST AVOID LABELING PATIENTS AS DRUG SEEKING AROUND THE CLOCK DOSING IS MORE EFFECTIVE CONSTIPATION IS PRIMARY SYMPTOM OF OPIOID USE- STIMULANT LAXATIVE PREFERRED DOCUMENT PHARM AND NON PHARM INTERVENTIONS

Answer 328

FOR PREVENTION HEPARIN TO PREVENT THROMBOSIS

Answer 329

REPLACE FLUIDS OR VITAMINS PALLIATION OF PAIN AND CURE- ANTIBIOTICS SUPPORTIVE- ANESTHESIA

Answer 330

BASED ON DESIRED EFFECT ON BODY SYSTEM

Answer 331

THE MAXIMAL THERAPEUTIC LEVEL MAX SERUM DOSE AND TIME VARIES

Answer 332

LOWEST THERAPEUTIC LEVEL DRAW 30 MINUTE BEFORE NEXT DOSE

Answer 333

ASSESSMENT EVALUATION REFUSAL EDUCATION

Answer 334

ADMIN UNTIL DOSAGE IS CHANGED OR ANOTHER MED IS PRESCRIBED

Answer 335

GIVEN ONE TIME FOR A SPECIFIC REASON

Answer 336

NEEDED RIGHT AWAY NOT STAT

Answer 337

WHEN PATIENT REQUIRES IT

Answer 338

IMMEDIATELY EMERGENCY

Answer 339

MEDS TAKEN OUTSIDE OF HOSPITAL

Answer 340

3-5 MINUTES

Answer 341

3-20 MINUTES

Answer 342

3-20 MINUTES

Answer 343

30-45 MINUTES

Answer 344

SKIN RECTAL VAGINAL OTIC OPTIC NASAL

Answer 345

DO NOT CRUSH

Answer 346

PATIENT SITTING DISSOLVE UNDER TONGUE DON'T EAT DRINK SMOKE UNTIL ABSORBED

Answer 347

AEROSOL, MIS, POWDER VIA INHALERS BRONCHODILATION SYSTEMIC EFFECTS LIKE TACHYCARDIA EXHALE FIRST, INHALE SLOWLY, HOLD 5-10 SECONDS, 30 SECONDS BETWEEN PUFFS RINSE AND SPIT AFTER STEROIDS TO REDUCE RISK OF THRUSH

Answer 348

DON'T TOUCH CORNEA PULL DOWN CONJUNCTIVAL SAC PRESS LACRIMAL DUCT DON'T SHARE ONLY ON AFFECTED EYE

Answer 349

ALWAYS AT ROOM STEMP STERILE SOLUTIONS NEVER OCCLUDE CANAL DO NOT FORCE MEDS YOUNG CHILD-EAR DOWN AND BACK OTHERS- EAR UP AND BACK

Answer 350

INJECTION INTO TISSUES

Answer 351

1/4-3/4 INCH 27-25

Answer 352

1-1.5 INCH 25-18 G