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z_NUR112: MIDTERM_LAST LEG > Memorization > Flashcards

Memorization Flashcards

1
Q

How are classes of surgery documented?

A

P1-P6

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2
Q

Define each class of surgery.

A
  • P1= Normal healthy
  • P2= Mild systemic disease
  • P3= Severe systemic disease
  • P4= Severe systemic disease w/ threat to life
  • P5= Moribund
  • P6= Organ Donar
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3
Q

How many stages of ulcers are there?

A

4

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4
Q

Describe each Ulcer stage.

A
  • Stage 1 = Intact skin, non-blanchable redness
  • Stage 2 = Partial-thickness skin loss involving epidermis, dermis, or both
  • Stage 3 = Full-thickness tissue loss with visible fat
  • Stage 4 = Full-thickness tissue loss with exposed bone, muscle, or tendon
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5
Q

What is the normal range of:

pH

pACO2

HCO3

A
  • pH = 7.35-7.45
  • pACO2 = 35-45
  • HCO3 = 22-26
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6
Q

What are the 3 types of O2 delivery masks?

A
  1. Nasal Canulla
  2. Simple
  3. Venturi
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7
Q

How many liters can each O2 mask deliver?

Indicate any exceptions/considerations.

A
  • Nasal Cannula = 1-6 L, >4 L requires humidified O2
  • Simple Mask = 5-8 L, Can go over 8 w/ O2 at 60% max
  • Venturi = 4-12 L, Can go to 15L for 100% O2, most refined delivery control
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8
Q

When must a medication order of “NOW” be given?

A

<90 minutes

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9
Q

When is a medication order of “PRN” given?

A

As required/needed

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10
Q

What are the 4 patenteral methods?

A
  1. ID = Intradermal
  2. Sub-Q = Subcutaneous
  3. IM = Intramuscular
  4. IV = Intravenous
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11
Q

What is the angle for an ID injection?

A

5-15°

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12
Q

What is the angle for an Sub-Q injection?

A

45-90°

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13
Q

What is the angle for an IM injection?

A

90°

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14
Q

Locations for Sub-Q?

A
  • Upper arm
  • Upper back below scapula
  • Upper ventral/dorsal (top of butt)
  • Belly, under navel
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15
Q

Locations forIM?

A
  • Ventrogluteal
  • Vastus Lateralis
  • Deltoid
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16
Q

What values does a CBC give?

A
  • RBC
  • Hgb
  • Hct
  • WBC
  • Platelet
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17
Q

Normal Range: RBC

A
  • M: 4.7-6.1
  • F: 4.2-5.4
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18
Q

Normal Range: Hgb

A
  • M: 14-18
  • F: 12-16
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19
Q

Normal Range: WBC

A

5-10K

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20
Q

Normal Range: Platelet

A

150-450K

21
Q

High Hgb means…

A
  • Your body needs more oxygen delivered
  • Can be due to smoking, high elevation, etc
22
Q

Low Hgb indicates

A

possible anemia

23
Q

Hct indicates

A

percentage of RBC in blood

24
Q

A CMP gives us what values?

A
  • Electrolytes
    • Sodium (Na)
    • Potassium (K)
    • Chloride (Cl)
    • Bicarbonate (HCO3)
25
Q

Normal range: Na

A

135-145

26
Q

Normal range: K

A

3.5-5.0

27
Q

Normal range: Cl

A

98-106

28
Q

Bicarbonate

A

22-26

29
Q

Normal range: Serum Creatinine (Cr)

A
  • M: 0.6-1.2
  • F: 0.5-1.1
30
Q

Normal Range: BUN

A

10-20

31
Q

Normal Range: Magnesium (Mg)

A

1.5-2.5

32
Q

Define Cheyne-Stokes respiration

A
  • Respiratory rate and depth are irregular
  • alternating periods of apnea and hyperventilation
  • Cycle: slow, shallow breaths that gradually increase to abnormal rate/depth. Pattern reverses, breathing slows and becomes shallow, climaxing in apnea before respiration resumes
  • Sign of “impending doom” as it is common when approaching death
33
Q

Define Kussmaul’s respiration

A

Abnormally deep, regular at increased rate

34
Q

Define Biot’s respiration

A
  • Abnromally shallow for two or three breaths
  • followed by irregular period of apnea
35
Q

Describe the effect of the following BP assessment errors:

Bladder/cuff to wide

Bladder/cuff to narrow/short

Cuff wrapped too loosely/unevenly

A

Effects

Bladder/cuff to wide = False Low Reading

Bladder/cuff to narrow/short = False High Reading

Cuff wrapped too loosely/unevenly = False High Reading

36
Q

Describe the effect of the following BP assessment errors:

Deflating cuff to slowly

Deflating cuff to rapidly

Arm below heart level

Arm above heart level

Arm not supported

A

Effects

Deflating cuff to slowly = False High Diastolic

Deflating cuff to rapidly = False Low Systolic and False high Diastolic

Arm below heart level = False High BP

Arm above heart level = False Low BP

Arm not supported = False High BP

37
Q

Give the typical volume amounts for the following injections:

ID

IM

Sub-Q

A

ID = < 0.5mL

IM = < 2mL for small muscles, <5mL for large muscles

Sub-Q = < 1mL, (but up to 2mL is safe)

38
Q

The Braden Scale is used for…

What does higher number mean vs lower number?

A
  • measuring ulcer risk
  • Higher the number, the lower the risk
39
Q

What is the order of donning PPE?

A
  • Cap
  • Gown
  • Mask
  • Goggles
  • Gloves
40
Q

What is the order of removing PPE?

A
  • Gloves
  • Goggles
  • Gown
  • Mask
  • Cap
41
Q

Describe a Papule

A
  • Palpable, circumscribed, solid elevation in skin
  • smaller than 1cm
  • a small mole
42
Q

What is a macule?

A

flat, nonpalpable change in skin color, <1 cm, ex. FRECKLE

43
Q

What is a nodule?

A

Growth under the skin, at least 1 cm, ex. WART

44
Q

What is a wheal?

A

Bug bite

45
Q

What is a vesicle?

A

Blister

46
Q

What is a pustule?

A

elvated skin leasion filled w/ pus. Ex. ACNE

47
Q

Describe murmur grades 1-3

A

Grade 1 = Barely audible in a quiet room (extremely difficult to hear)

Grade 2 = Clearly audible, but quiet

Grade 3 = Moderately loud

48
Q

Describe murmur grades 4-6

A

Grade 4 = Loud, with associated thrill

Grade 5 = Very loud, thrill easily palpable

Grade 6 = Louder, may be heard w/out stethoscope; thrill palpable and visible

z_NUR112: MIDTERM_LAST LEG (11 decks)

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