nursing fundamentals and clinical skills pt 2

Question 1

a description of the meds composition and molecular structure

Answer 1

chemical name

Question 2

is the first manufacturers name for the med

Answer 2

generic name

Question 3

denotes the marketing name that the manufactures uses to sell a med

Answer 3

trade name

Question 4

involves decimals and uses divisions and multiples of 10

Answer 4

metric system

Question 5

refers to injection into the dermis, just under the epidermis. 5-15 degrees

Answer 5

intradermal route

Question 6

involves injecting meds into the loose connective tissues under the dermis at a 45 to 90 degree angle

Answer 6

subcut route

Question 7

administered directly into the muscle at a 90 degree angle

Answer 7

intramuscular route

Question 8

the safest site and the preferred site for adults and children over 7 to 12 mos. it is free of nerves and bv and has easily palpable bony landmarks

Answer 8

ventrogluteal site

Question 9

traditional site for IM injections but is no longer recommended. risk of damage to sciatic nerve

Answer 9

dorsogluteal site

Question 10

site most commonly used with infants and young children but may be used with adults. located on the anterior lateral aspect of the thigh

Answer 10

vastus lateralis site

Question 11

an easily accessible site but is not well developed in all clients. site should be used only for sm amounts of meds

Answer 11

deltoid site

Question 12

are preventable events associated with the prescribing, transcribing, dispensing, or administering of meds

Answer 12

med errors

Question 13

the coordinated efforts of the musculoskeletal and nervous systems to maintain balance, posture, and body alignment during lifting, bending, moving, and performing ADLs

Answer 13

body mechanics

Question 14

physical activity for the purpose of toning the body, improving health, and maintaining fitness

Answer 14

exercise

Question 15

are any manual method or any physical or mechanical device, material, or piece of equipment that reduces the ability of the client to move freely

Answer 15

physical restraint

Question 16

are meds given to restrict or manage a clients behaviour or to restrict a clients movement that are not a standard therapy or dose for the clients condition

Answer 16

chemical restraints

Question 17

control a clients mobility

Answer 17

environmental restraint

Question 18

means that all other possible interventions have been attempted before the decision is made to use a restraint

Answer 18

least restraint

Question 19

sudden, transient alterations in brain function that result from excessive levels of electrical activity in the brain that lead to a sudden, violent, involuntary series of contractions of a group of muscles

Answer 19

seizures

Question 20

inflammation of the mouth that is caused by a variety of conditions, including viral infections

Answer 20

stomatitis

Question 21

the aspiration of secretions from the trachea and bronchial tree bu application of negative pressure suction

Answer 21

suctioning

Question 22

removal of copious, thick, tenacious, or dried secretions from the trach tube in order to maintain a patent airway, prevent infection, and prevent irritation

Answer 22

tracheostomy care

Question 23

a catheter inserted through the thorax to remove abnormal accumulation of air, fluid, or blood from the pleural space or mediastinum

Answer 23

chest tube

Question 24

provide oxygen in concentrations thet vary with the persons respiratory effort

Answer 24

low flow devices

Question 25

deliver oxygen at rates above the normal inspiratory flow and maintain a fixed fio2 independent of the clients respiratory pattern

Answer 25

high flow devices

Question 26

are inserted into a vein for the purpose of delivering medication or fluids directly into the bloodstream

Answer 26

CVAD

Question 27

designed for short term use

Answer 27

PICCS

Question 28

are most commonly placed in the arm

Answer 28

short peripheral IVs

Question 29

range in length from 7.5 to 25cm and lie deep 8n the cephalic or basilic vein with the tip not extending past the axillary

Answer 29

mid line catheters

Question 30

are used to admin meds and solutions irritating to veins, deliver long term therapy, and deliver rapid infusion of meds or large amounts of fluids

Answer 30

CVCs

Question 31

inserted by a physician, and clients with these catheters must remain in the acute care setting. inserted percutaneously in areas that are warm and moist such as neck and groin. not left in place long

Answer 31

nontunnelled catheters

Question 32

inserted in the operativing room under a local anesthetic and can be left in for years. hard to disguise and require daily care but can be cared for in the home setting

Answer 32

tunneled catheters

Question 33

require insertion in the operating room with local anesthesia and also can be left in for years, commonly implanted in the chest

Answer 33

implanted ports

Question 34

they have the same osmolarity as body fluids, commonly used for ECF replacement

Answer 34

isotonic solutions

Question 35

have a lower osmolarott than body fluids, solutions can cause movement of water into cells by osmosis

Answer 35

hypotonic solutions

Question 36

have a higher osmolaritt than body fluids, concentrate ECF and cause movement of water from cells into the ECF by osmosis

Answer 36

hypertonic solutions

Question 37

are used when intravascular access is desired for intermittent admin of meds by IV bolus or IV piggyback

Answer 37

saline locks

Question 38

an unpleasant sensory and emotional expierence associated with, or resembling that associated with actual or potential tissue damage

Answer 38

pain

Question 39

caused by damage to somatic or visceral tissue

Answer 39

nociceptive pain

Question 40

caused by damage to nerve cells or changes in spinal cord processing and is described as burning, shooting or stabbing

Answer 40

neuropathic pain

Question 41

usually has a sudden onset and diminishes over time as healing occurs

Answer 41

acute pain

Question 42

an infusion pump that is programed for dose and time intervals, allowing pts to control analgesic admin without overdosing

Answer 42

patient controlled analgesia

Question 43

are the elements necessary for body processes and functions

Answer 43

nutrients

Question 44

is a tool that helps clients to make appropriate nutritional choices and healthy living decisions

Answer 44

Canada's food guide

Question 45

a diet intended to treat disease or help to manage a medical condition

Answer 45

therapeutic diet

Question 46

refers to the delivery of liquid nutrients into the GI tract via a tube

Answer 46

enteral nutrition

Question 47

are inserted through the nose to the stomach

Answer 47

nasogastric tube

Question 48

placed through the nose into the stomach and then moved into the duodenum

Answer 48

nasoenteral tube

Question 49

placed directly into the stomach through abdominal wall and sutures in place

Answer 49

G-tube

Question 50

inserted directly into the jejunum for clients with pathological conditions of the upper GI tract

Answer 50

J-tube

Question 51

is a form of specialized nutrition support in which nutrients are provided intravenously to provide a positive buttoned balance

Answer 51

parenteral nutrition

Question 52

can be used for clients who are expierencing mild or moderate malnutrition for up to weeks as long as the formula has a final dextrose concentration of 5 to 10% and an animal acid content of 3%

Answer 52

peripheral parenteral nutrition

Question 53

admin of carbs in the form of dextrose, dags I special emulisified form, proteins in the form of amino acids, vitamins, minerals, and water

Answer 53

TPN

Question 54

an infusion of 10 to 20% fat emulsion that provides essential fatty acids

Answer 54

intralipid therapy

Question 55

a combo of dextrose amino acids, and lipids in one container

Answer 55

total nutrient admixture

Question 56

the absence of urine formation

Answer 56

Anuria

Question 57

passage of lrg amounts of urine

Answer 57

diuresis

Question 58

painful of difficult urination

Answer 58

dysuria

Question 59

voiding at frequent intervals

Answer 59

frequency

Question 60

presence of blood in urine

Answer 60

haematuria

Question 61

excessive or frequent urination after going to bed

Answer 61

nocturia

Question 62

urine output of less than 400ml per day

Answer 62

oliguria

Question 63

voiding large amounts of urine

Answer 63

polyuria

Question 64

is the marked accumulation of urine in the bladder as a result of the inability of the bladder to empty

Answer 64

urinary retention

Question 65

is the loss of control over micturition

Answer 65

urinary incontinence

Question 66

loss of urine outside of or affecting the urinary system that resolves when the underlying causes

Answer 66

transient

Question 67

involuntary passage of urine after a strong sense of urgency to void and the bladder contracts and empties in an involuntary fashion

Answer 67

urge

Question 68

leakage of sm volumes of urine caused by a sudden increase in intra abd pressure

Answer 68

stress

Question 69

having features of both stress and urge incontinence

Answer 69

mixed

Question 70

involuntary, unpredictable passage of urine in a client with an intact urinary and nervous system

Answer 70

functional

Question 71

involuntary loss of a sm amount of urine when the bladder does not completely empty with high residual urine volume

Answer 71

UI associated with chronic retention of urine

Question 72

urine loss due to multiple interacting factors both inside and outside the urinary tract

Answer 72

multifaxtorial UI

Question 73

divert the flow of urine from the kidneys directly to the abdominal surface via a urinary stoma

Answer 73

urinary diversions