Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

random > random > Flashcards

random Flashcards

1
Q

how should the nurse approch someone wit hearing impairement

A

approch from the front and visbily gain the clients attention before speaking

  • face directly so the speakers face can be seen
  • use facial expression and gestures
  • put sign outside door
  • turn lights on because a lot of people will lip read
  • sppech should be directed toward the least affected ear and should be a normal volume
  • hearing aids should be in place
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

muslim care

A

-face kabba in the holy ciy of mecca- toward northwast during prayer
-ritual prayer occurs 5X day and dying clients pray more
-modesty (same sex)
-halal and if not availble josher and veg are accetable
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ramadan

A

the sick and dying are not required to fast with other muslims from dawn until sunset
-if they chose to fast meals and meds should be rescheduled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

postmortem care for muslin

A 
ritual washing (usually by fam)
-burial occurs quickly after death sometimes event he same day (so provide fam with supplies for postmortem care)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

islam unit

A

family most important and should allow them to visit unles they intefer with care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

pressure injury repoistioning care

A

LIFT not pull
turn every 2-4 hours! not 6!!
-avoid donut type decides and dyntheic sheepskin
-use foam pads
-use emollients and barrier creams to hydrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

massage is ontrinidcated in

A

presence of inalmamtion, thin skin, dmaged skin, damged blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

infiltration is

A

complication that occurs when solution infuses into the surrounding tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

intervention for infiltration

A

discontinuing the IV imm, start new iv on oppsite ext f poissble

  • elevate
  • cold or warm moist compress based on the solution infiltrated. Heat is avoided when extravasation of a vesicant (ie, drug capable of causing tissue necrosis) occurs.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

flush saline locks

A

every 8-12 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

signs of ifiltration

A 
coolness
warmth
hardness
drainage
edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

venturi mask

A

high flow device that deliver a guarnteed o2 conenttration regarless of the clients RR, DEPTH OR TIDAL VOLUME

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

venutri mask is app when

A

tacypnea, shallow breathing with decresed tv, hypercabia, hypoxemia or rapid chanes in ocentration such as COPDDDD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

nasal cannula and copd

A

good for clients with normal vital signs and TV

-not best choice for unstable COPD client with varying tv

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

non breather normally used

A

short term

low sat resulting from asthma, pnuemonia, trauma, severe sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

oxymier

A

nasal cannula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

postermortem care typically

A

performed imm following death

  • cannot delay jusr bc dam isnt here unless they request it
  • fam does not have to be present for postmorem care unless they notify for relgious
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

circumstances when postmortem care can be delayed

A

cultural or relgious reasons

  • relgious cermonies
  • state or agency polcies (on nonnatural (sucide), traumatic, criminal)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

learning technq

A

using pics and simplified text if low ltieracy

  • including fam mem in teaching process
  • progessionally produced prgoams
  • reuptuable internet sites so dont discourage them
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

outcomse of quality improvment program should be

A

objectiive measurable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

cervical caera

A

higher among hisapanis, american indians, African americans
-twice as high of mortality rate in african america
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

HTN

A

african american

  • more women than men
  • more death amond amfrican american than american women
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

ischemic stroke

A

african americans higher change than whites or hispanics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

riskf actors for stroke

A

HTN
DM
SICKLE CELL ANEMIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

osteoporeiss common among

A

white and asian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

melanoma

A

white 10X more than african
light skinnened
over age 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

negative pressure wound therpy

A

application of nengative pressur to a wound to enhance bacteria and exudate removal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

netgative pressure promtoes

A

healing by stimulating cell grwoth and vessel perfusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

negative pressure wound therpy care

A
  • meds preprocedure
  • after wound cleansing, skin protctant applied around the wound
  • sterile foam dressing is cut to fit the wound size
  • icculsive dressing large enough to go beyond the wound edges
  • vaccum assist closure unit connected to cretate negative pressure
  • the foam dressing is placed used sterile technique not clean techinue to prevent wound contamination
  • the foram fressing is cut to the size of the wound bed but never cut directly over it because material can call
  • the foam dressing should ompress/shrink when deice turned on
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

ear irrgation prescribed to

A

remove impacted or exces cerbumen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

ear irgration technique

A

assess contrindication (fever, ear infection)
use an otoscope to inspect external ear
-explain procedure and sensations such as vetigo fullness and warmth are common
-place client in sitting poistion or side lying wih head tileted toward the affected eat
- place towel or emesis basin under ear
-solution should be at body temp 98.6
-pull ear up and back if
or down if e ≤3
-irragte by slowly directing the syringe up toard the top ear
- stop imm if the client exp severe pain , nausea or dizz
-repeat as tolerated
-document type, temp, volume of siltion, exudate characterisic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

muslim client

A

private room not necesary, cna be assigned to a room with another muslim or a women with similar practices regarding modesty
-husband often request to be with the wife but most important is female care workers should be preesnt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

absoultete nuerophil count

A

2200-7700

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

less than 500 neutrophil

A

indicates severe neutropenia and increases the risk of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

nutropenia eduaction

A

avoid gardening and contact with fresh flowes, plants because soil contains pathogens

  • private room
  • visotrs should wear mask
  • they can consume raw cooked veg but not RAW or unwashed
  • fullycooked meat
  • mostuizer to prevent dry skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

mal de ojo

A

evil eye

  • latin american culture
  • caused when stranger or someone percieved as powerful admires or coomplicments a child
  • illness or ucrse can be broken if the admirire touches the child when speaking or imm afterwards
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

mal de ojo manesifest by

A

vomiting
fever
crying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

lmited life ex[ectany clients have concerns

A

about completly personal busniess such as ensuring the possessions go to app peeople

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

nasoenertic tube used when

A

necessary to bypass the esophagus and the stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

nasoenteric tubes have decreased risk for

A

aspiration compared to nasogstric tubes however, a nagoenteric tube can become disloged to the lungs causing aspiation of enternal feeedings

41
Q

aspiration penumonaia signs

A

crackles
wheezing
dyspnea
prod cough

42
Q

aspiration penumonia from tube feeding intervention

A

STOPPPP the feeding asap-inital step

tube placement should be checked (measuring insertion depth, xray, aspiratie PH)

43
Q

pulse oximete estimates the

A

sao2 (arterial blood sat) by attching senor to finger, toe, foreheadm earlobe, or nose

44
Q

what can decrease spo2 readings

A

low blood flow or decreased perfusion (dythemia, pvd, hf, edema, hypotension, )

  • eelvated temp not one
  • dehydration not one
45
Q

after mastectomy surgery

A 
semi fowler (not high folwer because it might cause low bp and dixx) with affected arm and hand elevated on severeal pillows to pomrote drainage
-
46
Q

apositioning after anesthesia

A

avid high folwer becuse it will cause the bp to drop and dixx

47
Q

unilateral wekaness education

A
  • first clothe the affect side

- approch them from the unaffected side to avoid startling

48
Q

receptive aphsia (wenicke)

A

impairment of verbal and written langague so use visual and hand gesturs

49
Q

when using intrepeter

A
  • try to get same gender
  • maintain eye contact with the clilent
  • speak slowly, pause after 1-2 sentences
  • simple instructors
  • dont ask them to nod
  • make them teah back
  • teach one inervention at a time and in the order it will occur
50
Q

arab culture

A

man is not allowed to be alone with a women other than his wife but some times it is okay if a third party is present

51
Q

eye contact as sign of directful

A

arab
asian
native american

52
Q

comfortable with silence

A

native americans
and asisns
-they view it as a sign of respect pviacy and respectful of elders

53
Q

touching head is disrectful

A

asian and hisapnic

54
Q

heat exposure signs

A 
hyperthermia
intravasular volme depletion
-electroyle inbalances
-dizz
-wakeness
-sweting
-flsuhing
-tayccardia
-nasuea
-mucle cramping
55
Q

if heat exhaustion suspected

A

move the client to a coller temp and provie cool sports drink (gadorate) or water

56
Q

prioty in heat exhaustion

A

lower body temp to prevent head stroke

57
Q

if clients temo ruses after moving to cooler temp

A

ince packs palced on axilla and groint

58
Q

if heat exhuastion sytmosmr resolves

A

dont need to viti HCP

but they should not leave till the symtoms subside

59
Q

what is a copliation in clients who are dyring

A

anorixia

60
Q

end of life care

A

they can refuse food and drink

  • but ca give appetite stimulants such as dexmathson
  • invovle the client in meal plannig
  • provide opp to eat meals with fam and friends
61
Q

proper use of crutches

A

-should have 3-4 fingers width space between axilla and the pad (1-2 in)
-handgrip location should allow 20-30 degree of flexion
-

62
Q

3 point

A

partial or no weight bering on the affected ext

63
Q

2 point

A

partial

64
Q

4 point

A

full weight bearing

65
Q

progressing of gait

A

3-2-4

66
Q

walking with crutches

A

advance curthces and the affect leg and then advance the unaffected leg

67
Q

when elder abuse is suspected

A

perfrom further assessment to validate and confirm any inital findings (geeneral hygine, clothing, nutrtional hydration status, )

68
Q

hgb in male

A

13-17

69
Q

hct in male

A

39-50

70
Q

judaism diet

A

no pork, shellfish, fish without scales

-separte meat from diary (3-6 hours)

71
Q

garlic appliciation

A

crushed garlic to the skin

-thought to heal infection but can cause dermatitis and burns on the wrists

72
Q

cupping

A

remove illness from the body

-burished belmishes

73
Q

coining

A

chines and vitnemis to remove illness

  • a sound surgace such as coin or spoon
  • weltlike linear lesions
74
Q

postmortem care

A

clos the eyes

  • maintain standard or isloation precaustions in place at the time of death
  • remove tubes and dressing unless autpsy is needed
  • straigten body and wash
  • leave denutres in palce
  • towel folded under the chin to keep jaw closed
  • pad under perinum incase stool or urine from relaxed sphincters
  • place pillow under the head to prevent blood from pooling and discoloring the face
  • give clients belongs to a fam mem or send with the body
75
Q

best culturally comeptent care principles

A

ask them what they think caused the disease

76
Q

enternal feeding ubes become obstructued if

A

the tube is not flushed frequently enough
meds are not curshed
-

77
Q

how di dislodge the clogged feeding tube

A

use large barrel dydrdine to flush and spirate warm water back and fofrth motion hrough the tube
- if the feeding tube cannot be unclog with warm water, attempt to use an digestive enzyme soltion (but these noramlly require to sit for 30-1 hour before flushing and apsiration)
-DO NOT INSTILL DARK COLOA OR CRNBERRY juice because it will make it worse and can mask GI bleeding
-

78
Q

WHy do you want to flush wuth harge barrel syndringe instead of small

A

small barrel sydnrine causes too much pressure and can rupture the tube

79
Q

people of american indian and asian culture

A

dont make eye contact

80
Q

american and european culture

A

love direct eye contact

81
Q

most reliable indicator of pain

A

self report of symtoms

82
Q

changes in vital signs

A

not relaible source when determining pain

83
Q

when there is new sudden onset of restlness or agitation the nurse should look at

A

o2 or bg

84
Q

if the cllient can speak or breathing is effortless and quiet

A

the pt doesnt need help with opening airway

85
Q

if client is snoring

A

then open the airway

86
Q

incisoins take how long to heal

A

4-6 wk

87
Q

how to take care of incision

A
  • itching, tingling and nulbless are common for several weeks
  • tub baths should be avoided-dont apply lotions or powers-wear eleastic hose on the legs
88
Q

what is normal after incision

A

itching
numbess
tingling

89
Q

complicatino of poor wound healing

A

dehiscnce

90
Q

dehiscne

A

occurs when the edges of a surgical wound fail to approximate and seperate

91
Q

dehiscine internveiton

A

stool softerns

  • antiemetics
  • abdominal binder to provide hemostasis and supprot the incision
  • mointor glucose to prevent infection risk <140 for fasting and <180 for random glycose
  • splinting the abdomen by holding pillow or folded blanket
92
Q

non kosher foods

A

most capsules because they contain gelatin which is made from teh collagen of animals
-use tablets instead

93
Q

extended release capsules

A

should be swllowed whole and curshing or breaking the capsule can cause uncontrolled dilvery of the meds

94
Q

clients who undergo suregy may expiercne

A

post op cognitive dysfunction such as memory impairment and probelms with concentraion, language comprehension and social integration
-some clients might cry easily or become teary

95
Q

risk of post cog dysfunction

A

increases with age, longer operative times, complications, post surgical infectoins

96
Q

POCD time frame

A

can occur days to weeks(4-6) following surgery

97
Q

walking with a client who is blind

A

uses slighted guide technique by walking slightly ahead of the client and the client holds the nurses elbow
-nurse should describe the env while ambulating the client

98
Q

on the first post op day

A

nurse assists client with ambulation to evaluate alertness, pain level, signs of hypotesnion, gait and abiliity to ambulte safetly

random (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions