nursing basics Flashcards
the nurse administers a tube feeding to a client with a decreased mental status. Right after completeing the tube feeding, what is the MOST important position for the client to be in?
On the right side with the HOB elevated as it helps empty the stomach
what is fresh frozen plamsa used for? what is it NOT used for
for volume expansion caused by fluid and blood loss
does not increase hemoglobin, platelets, or hematocrit
for a client younger than 18 BUT has a child, can they give consent
yes a person under 18 but has a child can provide consent
where is the apcial pulse auscultated?
at the 5th intercostal space, midclavicular line in adults
what is erbs point and where is it auscultated?
where all of the heart valves can be heard. Its located at the 3rd intercostal space, left sternal border
where can you hear the pulmonary and aortic valve?
the 2nd intercostal space. Pulmonary on the left sternal border and the aortic on the right border
a pnt fell. What assessment indicates that the pnt has a # hip?
the leg is shortened and externally rotated due to muscle spasms.
after a liver biposy, the nurse places the client in what position?
Right side lying.
how to use crutches properly
- weight should be on handpiece, not axilla
- elbows should be flexed at 20-30 degrees
- crutches should be 8-10 inches out to the side
- instruct the pnt to routinely check the crutch tips
when going up the stairs with a cane…
remember “up with the good, down with the bad”. when going up the stairs the good leg goes up followed by the assistive device and bad leg…
Tmn staging
Tumour size
Involvement of lymph nodes
Metastasis
Leukaemia acute versus chronic
Acute- Proliferation of immature cells
Chronic- mature WBCs
