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SEMESTER 2 EXAMS > NS1222 > Flashcards

NS1222 Flashcards

1
Q

Subcutaneous medication administration

A

Needle size :25/26 g
Needle length:16mm 45 degree angle
9mm-90degrees
Don’t aspirated

Common meds given : vaccines, insulin, clexane

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2
Q

Intramuscular medication administration

A 
Common meds: analgesia,antemetics, 
Needle size: 25-38mm 90 degrees
Ventro: 3ml
Deltoid:1ml
Vastus:3ml
Aspirate
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3
Q

Factors to consider when selecting a needle to administer an IM injection of metaclopramode

A

Persons weight-amount of muscle mass/adipose tissue
Site of injection
Viscosity of the medication

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4
Q

Glasgow coma scale

A 
Eye response (4)
Verbal response (5)
Motor response (6)
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5
Q

Alpha cells

A

Produce the hormone glucagon
Stimulates breakdown of glycogen into glucose
Breaks down fat and protein into the intermediate metabolites that are converted into glucose

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6
Q

Beta cells

A

Secrete the hormone insulin in response to a rising level of circulating glucose

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7
Q

Insulin

A

Stimulates the skeletal muscles to uptake glucose and convert it to glycogen and uptake amino acids from the blood and convert them to a protein

WATCH VID

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8
Q

People at risk of type 2 diabetes

A

People with impaired glucose tolerance (IGT)

People with a history of a cardiovascular event

People aged 35 and over
Indigenous peoples
Hypertension,BMI over 30
Woman with polycystic ovary syndrome who are obese

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9
Q

Elective surgery

A

Surgery that is performed to prove life or patient well-being but is not for immediate life threatening conditions

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10
Q

Emergency surgery

A

Necessary to prevent death or risk of permanent dysfunction of the body and it’s process

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11
Q

Cosmetic surgery

A

To improve function or appearance

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12
Q

Pre op considerations

A 
Tape rings/remove jewellery
Remove mail polish
Remove make-up
Nil by mouth
TEDS
Vitals are normal
Valid consent
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13
Q

Post op care

A

Immediate post op observations
Wound and drains
Pain levels
Fluid status, how much has gone in, how much has gone out

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14
Q

How to prevent deep vein thrombosis

A

TEDS
LEG EXERCISES
EARLY MOBILISATION
FLUID INTAKE

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15
Q

How to prevent atelectasis or respiratory compromise

A

Deep breathing and coughing
Mobilisation
Positioning

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16
Q

If the patient become SOB, tachypnoeic and hypoxic what can you do?

A

Reposition (high-Fowlers)
Encourage deep breathing and coughing
Conduct respiratory assessment
Vitals

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17
Q

Criteria for discharge from post anaesthetic care (PACU)

A

Vitals must be stable
Pain score must be minimal
Dressings must be dry and intact
GCS should be 15

18
Q

Dehiscence

A

When a wound ruptures along a surgical incision

19
Q

Evisceration

A

When surgical excision opens and abdominal organs protrude from the incision

20
Q

Wound healing

PRIMARY

A

When the tissue surfaces have been approximated

E.g. A wound closed with sutures

21
Q

Wound healing

SECONDARY

A

When wound edges cannot or should not be closed and allowed to heal gradually
E.g. Ulcer

22
Q

Wound healing

TERTIARY

A

Initially cleaned and then closed after 4-5 days - considered for highly contaminated wounds

23
Q

Chain of infection

A 
Infectious agent
Reservoirs 
Portal of exit
Means of transmission 
Portal of entry 
Susceptible host
24
Q

Wound ooze

SEROUS

A

Watery clear fluid

E.g. Blister

25
Q

Wound ooze

Haemoserous (sanguinous)

A

Consists of large amounts of red blood cells and looks like blood mixed with clear fluid

26
Q

Wound ooze

PURULENT

A

Thicker consistency, varies from yellow, green, brown

Result of tissue debris and bacteria, often unpleasant odour

27
Q

Discharge planning

A

Should commence as part of the persons initial assessment (within 24 hours)

28
Q

Health education

A

Is about assessing the needs of the person first. It’s about what they want and need, not what we think is best

29
Q

Factors to consider when discharging a person

A

How they are getting home
Are they performing their ADL’s independently
Is their house appropriate
When is their follow up appointment
Who is with them at home
Do they have discharge medications, do they understand the Meds
How they are having their wound dressing done
Do they need or want any services to help them at home

30
Q

Respiratory inspection

A 
Tachypnoea
Nadal flaring
Use of accessory muscles 
Tracheal deviation
SOB
Colour
31
Q

Respiratory auscultation

A

Crackles
Wh is as
Rhonchi

32
Q

Respiratory percussion and palpitation

A

Tympany
Tactile Fremitus
Respiratory excursion

33
Q

Nursing interventions for a person with altered respiratory symptoms

A 
Reposition
Deep breathing and coughing
Applying oxygen
Vital signs 
Respiratory assessment
34
Q

How to position someone for a cardiovascular assessment

A

Supine
Upright
Lateral
Semi-Fowlers

35
Q

How to ensure patient comfort during a CA

A 
Provide a gown so not exposed
Ensure curtains are pulled
Make sure they don't need the toilet
No visitors
Ask if they would like someone present 
Make sure they are pain free
36
Q

S1

A

Beginning of systole closure of mitral and tricuspid valves

37
Q

S2

A

The end of the systole/beginning of diastole; closure of aortic and pulmonic valves

38
Q

Assessing apical pulse

A

You palmate the point of maximal impulses and if it is difficult to find, you can ask the person to roll on their left side

39
Q

When collecting a cardiovascular health history

A

Family medical history -specifically close fam
Are they on any medications for their heart or blood
Have they ever experience chest pain
What does it feels like, where the pain is, does it move or radiate, 0-10 pain, how long it’s lasted, what makes it stop, what brings it on

40
Q

What values are you listening to during a cardiovascular examination

A

Aortic 2nd right sterns border

pulmonary 2nd left sternal border

Tricuspid 4th/5th left sternal border

Mitral 5/6th mid clavicular line

SEMESTER 2 EXAMS (11 decks)

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