LVN 101A Wk1 Flashcards

0
Q

The primary sensory skill involved in verbal communication is?

A

Active listening

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1
Q

Effective team communication is?

A

Built on trust

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2
Q

The nurse is aware that body temperature remains relatively constant is the ?

A

Core

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3
Q

The nurse uses cooling techniques to keep the body temperature below 105F because such elevated temperature can?

A

Damage body cells

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4
Q

In order to assure optimum reception from a stethoscope the nurse will place the ear pieces pointing ?

A

Towards the face (forward)

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5
Q

The nurse uses the diaphragm of the stethoscope to best assess?

A

Lung sounds

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6
Q

The nurse explains that the pulse, the expansion and contraction of an artery, is produced by the contraction of the?

A

Left ventricle

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7
Q

When assessing vital signs on a 40yr old male, the nurse identifies a pulse rate of 120. This pulse is?

A

Tachycardiac

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8
Q

The nurse, when wishing to asses a peripheral pulse quickly, selects the ?

A

Carotid

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9
Q

The nurse best adheres to standard precautions of care when she/he?

A

A- lifts sterile swab from sterile field
B- uses disposable sterile gowns
C- washes hands for 5mins
D- keeps bed linens off the floor

Answer: Keeps bed linens of the floor

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10
Q

The nurse reminds the staff that the bacteria responsible for more disease than any other ?

A

Streptococci

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11
Q

In order to provide a safe environment for the patient the nurse will be diligent in?

A

Hand washing between patient contacts

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12
Q

Prior to beginning care of a patient, the nurse will wash his hands doe a period of?

A

30 seconds!

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13
Q

When assessing environmental factors affecting health and illness, the nurse must realize these factors are both physical and social, and that they

A

Affect one another

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14
Q

Nurses should always think this first

A

Patient safety!

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15
Q

Who is the most trusted member of the health care team?

A

Nurses

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16
Q

What are components of patient safety?

A
  • putting patient first
  • attention
  • anticipation
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17
Q

Biggest med errors occur?

A

When nurses have worked to many hours in week/ overtime shift

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18
Q

Types of communication as a nurse

A

Verbal

Written

Non-verbal

Active listening

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19
Q

A key element to therapeutic communication

A

ACTIVE LISTENING

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20
Q

A big contributor to patient safety is

A

Communication

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21
Q

Barriers of communication (general)

A

Cultural differences (ex: personal space)

Mood

Emotions

Attitude

Distractions

Assumptions & gestures

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22
Q

Barriers of communication (functional)

A

Aphasia

Impaired hearing

Language

Cognition

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23
Q

Verbal communication is expressed by

A

Your words

Your tone

Your volume

“It’s not always what you say but how you say it”

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24
Q

Non-verbal

A

Often communicates more honestly than your words, even rehearsed words:

Eyes
Body language
Facial expressions

25
Q

The goal of therapeutic communication is to get the patient to?

A

Verbalized feelings and concerns

Promotes patient in plan of care,

Client-nurse communication

Open-ended questions —->leading questions and responses

26
Q

What therapeutic communication IS NOT!

A

Y or N answers expected

Closed ended questions

Interjection personal experiences

Moralizing
Reassurance
Pat answers
Judgmental

27
Q

Patient rights

A

Always =knock

Privacy

Dignity

Right to refuse care

28
Q

Is viewed as a huge component of safety in nursing today?

A

Standard precautions

29
Q

Standard precautions protect you, the client, and other clients you will be in contact following this encounter from body fluids.

3types of transmission of body fluids are?

A

Airborne

Droplet

Contact

30
Q

Tachycardia

A

Pulse is greater than 100 bears per minute

May be result from( shock, hemorrhage, exercise, fever, acute pain, and drugs)

31
Q

Bradycardia

A

Pulse is slower than 60 beats per minute

May result from ( unrelieved severe pain, drugs, resting, and heart block)

32
Q

Dysthymia

A

Any disturbance or abnormality in a normal rhythmic pattern, specially irregularly in the normal rhythm of the heart

33
Q

Pulses should be assessed on both sides of the ?

A

Peripheral vascular system

34
Q

Apical pulse represents..?

A

The actual beating of the heart

35
Q

What is pulse deficit?

A

It is the difference between the radial and apical rates; signifies that the pumping action of the heart is faulty

36
Q

What are the Legal requirements for restraints?

A

Permission

Least restrictive

Release every 2hrs

Check every 15-30mins

37
Q

A rise in temp of 1*F may cause an increase in pulse rate of ____ beats per minute?

A

4

38
Q

Respiratory rate and blood pressure readings ___________ with a rise in temperature

A

Increase

39
Q

Blood pressure______________ because of a hemorrhage,

The pulse and respirations _____________ because of a hemorrhage

And the temperature usually _____________.

A

Falls

Increases

Decreases

40
Q

Apical pulse is indicated by writing ?

A

Ap after it or apical pulse

ex: 78ap or 78 apical pulse

41
Q

Two types of body temperature?

A

Core

Surface

42
Q

Core temperature is.?

A

Temperature of the deep tissues of the body

Remains relatively constant unless exposed to severe extremes in environmental temperatures

*assessed by a thermometer *

43
Q

Surface temperature is?

A

Temp of skin

May vary a great deal in response to the environment

Assessed by touching skin

44
Q

The body strives to maintain a temp of.

A

98.6

45
Q

Normal temp range is?

A

97f- 99.6F

46
Q

The _________________ helps to maintain a balance between heat lost and heat produced by the body.

A

Hypothalamus

47
Q

Rectal readings are normally 1F (degree) _______ than oral

A

Higher

48
Q

Ancillary readings are 1F(degree) _______ than oral.

A

Lower

49
Q

Normal rate of respirations for an adult is between?

A

12 to 20 per minute

50
Q

Tachypnea

A

Rapid respiratory rate (exercise, or fever increase rate)

51
Q

Bradypnea

A

A slow respiratory rate below 12 per minute

52
Q

Systolic = the higher number represents ?

A

The ventricles contracting

53
Q

Diastolic= the second number represents

A

The pressure within the artery between beats

54
Q

Pulse pressure is?

A

The difference between systolic and diastolic

55
Q

Dyspnea

A

Breathing with difficulty

56
Q

Apnea

A

A lack of spontaneous respirations

57
Q

Cheyne-stokes respirations

A

An abnormal pattern of respiration

Alternating patterns of apnea and devoid rapid breathing

58
Q

Sphygmomanometer

A

Device for measuring atrial blood pressure

Bo =cuff

59
Q

Orthostatic hypotension

A

A drop of 25 mm Hg in systolic pressure

& a drop of 10m. Hg in diastolic pressure

When moving from lying to sitting or sitting to standing