LVN 101A Wk1 Flashcards
The primary sensory skill involved in verbal communication is?
Active listening
Effective team communication is?
Built on trust
The nurse is aware that body temperature remains relatively constant is the ?
Core
The nurse uses cooling techniques to keep the body temperature below 105F because such elevated temperature can?
Damage body cells
In order to assure optimum reception from a stethoscope the nurse will place the ear pieces pointing ?
Towards the face (forward)
The nurse uses the diaphragm of the stethoscope to best assess?
Lung sounds
The nurse explains that the pulse, the expansion and contraction of an artery, is produced by the contraction of the?
Left ventricle
When assessing vital signs on a 40yr old male, the nurse identifies a pulse rate of 120. This pulse is?
Tachycardiac
The nurse, when wishing to asses a peripheral pulse quickly, selects the ?
Carotid
The nurse best adheres to standard precautions of care when she/he?
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
The nurse reminds the staff that the bacteria responsible for more disease than any other ?
Streptococci
In order to provide a safe environment for the patient the nurse will be diligent in?
Hand washing between patient contacts
Prior to beginning care of a patient, the nurse will wash his hands doe a period of?
30 seconds!
When assessing environmental factors affecting health and illness, the nurse must realize these factors are both physical and social, and that they
Affect one another
Nurses should always think this first
Patient safety!
Who is the most trusted member of the health care team?
Nurses
What are components of patient safety?
- putting patient first
- attention
- anticipation
Biggest med errors occur?
When nurses have worked to many hours in week/ overtime shift
Types of communication as a nurse
Verbal
Written
Non-verbal
Active listening
A key element to therapeutic communication
ACTIVE LISTENING
A big contributor to patient safety is
Communication
Barriers of communication (general)
Cultural differences (ex: personal space)
Mood
Emotions
Attitude
Distractions
Assumptions & gestures
Barriers of communication (functional)
Aphasia
Impaired hearing
Language
Cognition
Verbal communication is expressed by
Your words
Your tone
Your volume
“It’s not always what you say but how you say it”
Non-verbal
Often communicates more honestly than your words, even rehearsed words:
Eyes
Body language
Facial expressions
The goal of therapeutic communication is to get the patient to?
Verbalized feelings and concerns
Promotes patient in plan of care,
Client-nurse communication
Open-ended questions —->leading questions and responses
What therapeutic communication IS NOT!
Y or N answers expected
Closed ended questions
Interjection personal experiences
Moralizing
Reassurance
Pat answers
Judgmental
Patient rights
Always =knock
Privacy
Dignity
Right to refuse care
Is viewed as a huge component of safety in nursing today?
Standard precautions
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?
Airborne
Droplet
Contact
Tachycardia
Pulse is greater than 100 bears per minute
May be result from( shock, hemorrhage, exercise, fever, acute pain, and drugs)
Bradycardia
Pulse is slower than 60 beats per minute
May result from ( unrelieved severe pain, drugs, resting, and heart block)
Dysthymia
Any disturbance or abnormality in a normal rhythmic pattern, specially irregularly in the normal rhythm of the heart
Pulses should be assessed on both sides of the ?
Peripheral vascular system
Apical pulse represents..?
The actual beating of the heart
What is pulse deficit?
It is the difference between the radial and apical rates; signifies that the pumping action of the heart is faulty
What are the Legal requirements for restraints?
Permission
Least restrictive
Release every 2hrs
Check every 15-30mins
A rise in temp of 1*F may cause an increase in pulse rate of ____ beats per minute?
4
Respiratory rate and blood pressure readings ___________ with a rise in temperature
Increase
Blood pressure______________ because of a hemorrhage,
The pulse and respirations _____________ because of a hemorrhage
And the temperature usually _____________.
Falls
Increases
Decreases
Apical pulse is indicated by writing ?
Ap after it or apical pulse
ex: 78ap or 78 apical pulse
Two types of body temperature?
Core
Surface
Core temperature is.?
Temperature of the deep tissues of the body
Remains relatively constant unless exposed to severe extremes in environmental temperatures
*assessed by a thermometer *
Surface temperature is?
Temp of skin
May vary a great deal in response to the environment
Assessed by touching skin
The body strives to maintain a temp of.
98.6
Normal temp range is?
97f- 99.6F
The _________________ helps to maintain a balance between heat lost and heat produced by the body.
Hypothalamus
Rectal readings are normally 1F (degree) _______ than oral
Higher
Ancillary readings are 1F(degree) _______ than oral.
Lower
Normal rate of respirations for an adult is between?
12 to 20 per minute
Tachypnea
Rapid respiratory rate (exercise, or fever increase rate)
Bradypnea
A slow respiratory rate below 12 per minute
Systolic = the higher number represents ?
The ventricles contracting
Diastolic= the second number represents
The pressure within the artery between beats
Pulse pressure is?
The difference between systolic and diastolic
Dyspnea
Breathing with difficulty
Apnea
A lack of spontaneous respirations
Cheyne-stokes respirations
An abnormal pattern of respiration
Alternating patterns of apnea and devoid rapid breathing
Sphygmomanometer
Device for measuring atrial blood pressure
Bo =cuff
Orthostatic hypotension
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
