Jeopardy Exam #3 Flashcards

1
Q

What are the pros/cons of using a nasal cannula?

A

pros- convenient, good for up to 6 liters of o2

cons- drying, pressure areas

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2
Q

What is a disadvantage of the face mask?

A

pts may experience claustrophobia

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3
Q

What are the pros/cons of a face tent?

A

pros- humidity

cons- not precise o2

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4
Q

What is the advantage of a venturi face mask?

A

it delivers the prescribed about of o2

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5
Q

What is a non-rebreather mask used for and what are nursing interventions?

A
  • used for short term therapy
  • precise and highest amounts of o2

interventions: inflate bag before applying and monitor for toxicity

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6
Q

What does humidifying o2 do for the patient?

A

moistens dry oxygen and keeps secretions thin and mobile

*sterile water must be used

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7
Q

What is the priority for the nurse when caring for a patient with dyspnea?

A

-position in high fowlers or orthopneic

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8
Q

What is albuterol and what does it do to vs? Common side effect?

A
  • bronchodilator (rescue inhaler not a steroid inhaler for daily use)
  • increases heart rate and CNS
  • side effect: bad taste, rinse
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9
Q

What is hypoxemia vs hypoxia?

A

hypoxemia- low o2 in blood

hypoxia- low o2 in tissues

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10
Q

What is hypercarbaria (capnia) vs hypocarbaria (capnia)?

A

high co2

low co2

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11
Q

What are the s/s of alterations in oxygenation?

A
  • SOB
  • tachypnea
  • hypertension
  • increased heart rate
  • restlessness/confusion
  • cyanosis
  • clubbing
  • irregular breathing patterns such as cheyne-stokes and kussmaul
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12
Q

What is the pitting edema scale?

A
0=0mm
1+=2mm
2+=4mm
3+=6mm
4+=8mm
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13
Q

What are the fat-soluble vitamins? What are some foods we find vitamin K in?

A

Vitamins A, D, E, K

K Foods: leafy greens, vegetables, fish, liver, meat, eggs, cereals

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14
Q

What are water-soluble vitamins? What are some foods we find vitamin C in?

A

Vitamins B1-12 and vitamin C

C Foods: citrus, tomatoes, potatoes

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15
Q

What are two of the most commonly monitored minerals? What are some foods we find these minerals in?

A

Iron- beans/lentils, dark leafy greens, cereals, whole grains, tofu, cashews

Calcium- dairy, leafy greens, breads made with fortified flour

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16
Q

What are the various types of diets clients can be put on?

**GET EXAMPLES

A
  • regular
  • clear liquids- juice counts
  • full liquid
  • soft solids
  • low roughage
  • high protein
  • diabetic diet
  • DASH diet
17
Q

What lab value indicates a potassium deficiency? What are the common causes of hypokalemia?

A
  • K+ level of < 3.5
  • diuretics
  • vomiting
  • diarrhea
  • gastric suctioning
  • steroid administration
  • hyperaldosteronism
  • anorexia/bulemia
18
Q

What are the terms for a sodium imbalance? What are the normal lab values?

A
  • hypo/hypernatremia

- normal lab values 135-145

19
Q

What are the terms for a calcium imbalance? Normal lab values?

A
  • hypo/hypercalcemia

- normal lab values 8.5-10.3

20
Q

What are the terms for potassium imbalance? Normal lab values?

A
  • hypo/hyperkalemia

- normal lab values 3.6-5.2

21
Q

What is sensible vs insensible fluid loss? Examples?

A

Sensible- can be measured
ex: urine, vomit, liquid stools
Insensible- cannot be measured
ex: perspiration, weeping edema, moisture exhaled

22
Q

What are s/s of dehydration?

A
  • thirst
  • increased heart rate
  • vasoconstriction increases BP
  • sunken eyeballs
  • tenting skin turgor
23
Q

What are s/s of fluid volume excess?

A

Hypervolemia

  • elevated BP
  • bounding pulse
  • shallow respirations
  • cool, pale skin
  • distended jugular veins
24
Q

What objective data do you gather when assessing fluid status of a client?

A
  • daily weights
  • vital signs
  • I/O flow sheets
  • edema
  • breathing pattern
25
Q

What clients are at risk for constipation?

A
  • older adults
  • sedentary lifestyle
  • inadequate intake of fluid and fiber
  • ignoring urge to defecate
26
Q

What terms do we use to describe bowel sounds?

A
  • positive bowel sounds in all four quadrants
  • hypoactive
  • hyperactive
  • no bowel sounds (listen for 5 mins)
27
Q

**What are the different types of laxatives?

A

Stool sofenters (colace)
Stimulants (bisacodyl)
Osmotic type (miralax)
Psyllium (metamucil)

28
Q

What is a FOBT? What causes a false positive?

A

Fecal Occult Blood Test

  • detects blood in the stool
  • red meat, chicken, raw veg, ASA, warfarin
29
Q

What is the difference between care for sensory overload, deficit, and deprivation?

A

sensory overload- simple explanations, quiet environment, calming music
sensory deficit- impaired functioning in one or more senses
sensory deprivation- spinal cord injury, CNS disease, brain damage, isolation, immobility