Lab 1 Flashcards

1
Q

Expected healthy stoma colour is

A

Moist & reddish pink

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2
Q

If the stoma is on the right side, this means that the output is

A

watery

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3
Q

Change the colostomy bag about every

A

2-4 days

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4
Q

Empty the bag when it is about __ full

A

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5
Q

Cut opening at least ___ larger than stoma to avoid pressure on it

A

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6
Q

If stoma is protruding into bag, it is called ______.

Let pt rest for ______.

A

prolapse;

30 mins

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7
Q

Inspection: abdomen should be _______

A

symmetrical

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8
Q

Inspection:Umbilical contour should be located at ______

A

midline

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9
Q

Inspection: Palpate for the pulse (____cm _____ umbilical)– should be only slight pulsation

A

8-10cm;

above

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10
Q

Inspection: use the ___ side of the stethoscope.

Should there be a bruit sound?

A

Bell;

NO

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11
Q

Auscultation: begin at _________

A

right lower quadrant

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12
Q

Auscultation: use the ___ side of the stethoscope.

A

diaphragm

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13
Q

Percussion: predominant sound should be ______ over air-filled structures like ___________

A

tympany;

small intestine & large intestine

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14
Q

Percussion: ______ should be heard over solid organs like ___________

A

dullness;

liver & spleen

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15
Q

Percussion: ______ is heard when there is distended abdomen

A

hyperresonance

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16
Q

Percussion: RLQ dull indicates the ______ of the liver

A

lower border

17
Q

Palpation: light (___ cm in depth)

Assess for ______

A

1cm;

tenderness

18
Q

Palpation: deep (___ cm in depth)

Check for ______

A

5-6cm;

lumps

19
Q

Describe ascites assessment

A
  1. pt in supine
  2. ask pt to place hand at mid-line of abdomen
  3. you place palms at both sides of pt’s abdomen
  4. pat gently at 1 side
  5. if ascites is present: you will feel fluid waves being transmitted to the opp. side of the abdomen
20
Q

The 3 types of appendicitis assessment

A
  1. rebound tenderness
  2. obturator sign
  3. psoas sign
21
Q

Describe rebound tenderness

A

(Roving’s sign)

  1. if pt report pain on R side (common)
  2. initiate rebound tenderness method at L side
  3. palpate deeply at 90 deg on L side
  4. at 5-6cm depth, release pressure suddenly
  5. pt will perceive sharp stabbing pain – suggests that there is peritoneal irritation
22
Q

Describe obturator sign

A
  1. flex pt’s hip & knee
  2. support pt’s R knee & ankle
  3. rotate the leg internally & externally
  4. if pain is at R lower quadrant – may be appendicitis
23
Q

Describe psoas sign

A
  1. pt lie on L side
  2. hyperextend R leg
  3. if pain at R lower quad– may be appendicitis
24
Q

Define embolus

A

Foreign body or air in the circulatory system

25
Q

For surgery: what should you do if pt is diagnosed with HIV/hep B & c?

A

Wear protective eyewear

26
Q

Surgical handrub: scrub from _______ to _______

1 way only, dont return to different areas as it might cause ________

A

fingers to elbows;

contamination

27
Q

Surgical handrub: rinse from _______ to _______ in the ____ motion

A

fingers to elbows;

upwards motion

28
Q

Surgical handrub: Wet hands, arms, forearms to ____cm above elbows

A

5cm

29
Q

Surgical handrub: Following steps 1-8, each step consists of _____ strokes

A

15

30
Q

Surgical handrub: Scrub cuticles followed by fingernails each for _____ strokes

A

30

31
Q

Most stomas shld subside swelling aft ______

A

6 wks

32
Q

If stoma is: it means that…

Pale:
Dark/purple-blue:

A

Pale: may indicate anemia

Dark/purple-blue: compromised circulation or ischemia

33
Q

Inspection: if there is bruit sound, may be an indication of ______________

A

aneurysm (bulge in blood vessel)