Ready to Pass Flashcards
Needs reinforcement signals the nurse is doing something
incorrectly
A phrase to help remember walking up stairs with crutches is
Up with the good down with the bad
What are the 5 stages of Maslows hierarchy starting with most needed
Physiological (water,food) Security needs (shelter) Belonging Esteem Self Actualization
Erikson Infancy 0-18months is
trust vs mistrust
Erikson toddler 18mo to 3 years is
autonomy vs shame and doubt
erikson pre school 3-6 years
Initiative vs guilt
erikson school age 6-12 years
industry vs inferiority
erikson adolescence
Identity vs role confusion
erikson early adulthood
intimacy vs isolation
erikson middle adulthood
generativity vs stagnation
erikson later
integrity vs despair
ADPIE :
Assessment Diagnosis Planning Intervention Evaluation
What are some signs of a non patent airway
obstruction
stridor
wheezes
ABC :
Airway
Breathing
Circulation
AWFERS:
Air Water Food Elimination Rest Socialization Hazards
Some signs patient is in color black triage
absent pulses
fixed dilated pupils
absent b/p
A patient with airway obstruction, chest wound, 15%-40% burns goes to what color
Red
What is the only type of suctioning CNAs are allowed to do
Oropharyngeal
In order for an LPN to do a blood transfusion ….
an RN must be present
Veracity:
Adherence to the truth
Liability:
obligation one incurs or might incur through acting or failing to act
Malpractice:
improper use of ones professional duties; a failure to meet care standards that causes harm to another person
Negligence:
failure to provide care that a reasonable person would perform in similar circumstances
Libel:
defamation by written or printed words or pictures
Slander:
Defamation by written or printed words
Acts of omission or commission:
Doing wrong by not acting; doing wrong by acting
Beneficence:
to do good.
Non maleficence:
to do no harm
assault:
To threaten to touch
battery
touching someone without consent
When is sabbath
Sundown on friday until sundown on saturday
Name religion: Someone should be with body from death to burial usually within 24 hours
Judaism
Name religion: body must not be touched d from 8-30 minutes after death
Judaism
Name religion: Circumcision done on day 8 after birth
Judaism
Name religion: Medical personnel do not touch or wash body after death
Judaism
Name religion:: Only family and friends allowed to touch the body, priest ties thread around wrist
Hinduism
Name religion: Last rites are chanted by bedside
Buddhism
Name religion: Dying confess sins, ask family to forgive, only family and friends allowed to touch body
Muslim
JHI:
Judaism Hinduism Islam, do not touch body
When is baptism done on mormons
after age of 8
Can you do a blood transfusion on a jehovah witness
no blood products can be used
Name religion: Touching is unacceptable with opposite sex
Asian Americans
Alcohol, Coffee and Tea are prohibited in what 2 religions
7th day adventists, mormons (latter day saints)
Name religion: combination of milk and meat is prohibited
Judaism
Name religion: sea scavengers (shrimp) are not allowed
Judaism
What is aloe vera used for and what is a side effect
topical anti-inflammatory for burns abrasions. may increase digoxin level
What is Echinacea used for and when is it contraindicated
Blood purifier that fights colds, infections and cancer, contraindicated in breast feeding women, avoid with ragweed allergy
What is Ginseng used for and what side effect does it have
used for BPH benign prostatic hypertrophy, avoid with coumadin (increases effect)
What is Saint Johns Wort used for, and what should we avoid when taking it
menstrual disorders, depression, diuretic, avoid with sunlight, antidepressants, and foods containing tyramine
What is Kava Kava used for and what is its side effect
decrease anxiety and stress, increase effect of barbiturates
What is Ginko Biloba used for and when is it contraindicated
improves blood circulation, and attention span, avoid in pregnant women and children and people taking coumadin.
What is ginger used for and when is it contraindicated
reduce morning sickness nausea, contraindicated with gallbladder disease, may cause cans depression
What is garlic used for and what are the side effects
decrease cholesterol, bp and glucose levels, may affect blood clotting, blood sugar levels
What is saw palmetto used for
supports health of prostate and improves urine flow.
What is Valerian Root used for and what is the side effect
used to calm neural system and promote sleep, may increase sedation when used with muscle relaxants etc.
What is Black Cohosh used for and when is it contraindicated.
Used for menstrual cramps, hot flashes, contraindicated in HRT CHF and pregnancy
What is Fever few used for and what is the side effect
Used for migraine headaches and arthritis, increases effect of coumadin
What is Licorice used for and when is it contraindicated
Used for peptic ulcer, GERD, weight loss, eczema, canker sores, contraindicated in heart disease
Saint Johns wart is the only herb that
decreases the effect of coumadin
Norm for female hematocrit
35%-45%
Norm for male hematocrit
40%-54%
Norm for WBC
5,000-10,000
Norm for RBC
4-5 million
Norm for platelet count
140,000-400,000
Norm for B lymphocytes
10%-20%
Norm for T lymphocytes
60%-80%
Norm for CD4
500-1000
CD4 less than ____ signifies AIDS
200
Norm for Specific gravity
1.005-1.030
Norm for pH
5.-8.
Norm for Sodium
135-145
Norm for Chloride
95-110
Norm for Glucose
60-120
Norm for Potassium
3.5-5.5
Norm for BUN
8.0-25
Norm for Creatinine
0.6-1.5
Norm for Carbon Dioxide
22-34
Norm for Calcium
9.31-10.9
Test for AIDS
Elisa then western blot
If over hydrated hematocrit
goes up
A childs specific gravity
1.000-1.030
Norm for Amylase
53-123
Norm for Lipase
7.0-60
Norm for Magnesium
1-3-2.1
Norm for Ammonia
35-65
Norm for Uric Acid
3.5-7.8
Norm for Albumin
3.1-50
Norm for Alkaline Phosphatase
4.5-13
Norm for ALT
5-35
Norm for AST
0-35
Norm for Billirubin
0.1-1.0
Norm for Billirubin Newborn
15 when born 1.0-12 after that
Norm for HgbA1c
4%-6%
Norm for Glucose Child
4-125
Norm for Calcium Child
8.0-10
Norm for Billirubin Child
0.2-1.4
How do we collect a blood culture
2 bottles, from separate sites, not from iv lines before antibiotics
Norm for pH
7.35-7.45
Norm for PaO2
80-100
Norm for PaCO2
35-45
Norm for HCO3
22-26
Norm for SaO2
greater than 95%
Acidosis means pH is
less than 7.35
Alkalosis means pH is
greater than 7.45
pancytopenia is also called
aplastic anemia
Low pH and high PaCO2 is
Respiratory Acidosis
High pH and Low PaCO2 is
Respiratory Alkalosis
Low pH and low HCO3 is
Metabolic Acidosis
High pH and high HCO3 is
Metabolic Alkalosis
Normal pH with compromised levels is called
compensated ….
HDLs are considered the ________ cholesterol as the LDLs are considered the ________
HDLs are good
LDLs are bad
Norm for HDLs are
30-75
Norm for LDLs are
less then 130
Norm for cholesterol
less than 200
Norm for PT
10-14 seconds
Norm for aPTT
30-40 seconds
Norm for PTT
25-35 seconds
PT is usually used to measure the drug
coumadin
aPTT is usually used to measure the drug
heparin
Therapeutic range should be for coagulation is
2-3 times
the PT/PTT range should be _____ times the control
1.5 - 2.5 times
Therapeutic range for Acetaminophen is
5.0-20
What is the max dose for Acetaminophen
3gm/day
Therapeutic range for Lithium
0.6-1.2
Therapeutic range for Dilantin
10-20mcg
Therapeutic range for Theophylline
10-20mcg
Therapeutic range for Digoxin
0.5-2 mg
Therapeutic range for Magnesium Sulfate
4-7 mg
Therapeutic range for Gentamycin
5-10 ug
What happens to vital signs with an infection
Temp, HR, Resp UP
What happens to vital signs with an pain
HR, Resp, BP UP
What happens to vital signs with an ICP UP
Temp B/P UP HR and Resp Down
what should the pulse be before birth
140-160
Minimum urine output should be
30ml / hour
1lb to kg is
2.2
Norm for intake fluid
1500-2500 ml over 24 hours
norm for output fluid
1500-2500 ml over 24 hours
The most accurate indicator of fluid loss is
weight
norm for Amniotic fluid ml
500-1000
Define the max, lowest and when coma is present on glascow coma scale
highest is 15
lowest is 3
below 8 coma is present
Lobe for voluntary muscle movements
Frontal lobe
Lobe for control of speech
frontal lobe
lobe for memory, problem solving, cardiac and emotional responses
frontal lobe
lobe for taste
temporal lobe
lobe for smell
temporal lobe
lobe for hearing
temporal lobe
lobe for understanding language
temporal lobe
lobe for visual stimuli
occipital lobe
lobe for coordination and interpreting sensory info from opposite side of body
parietal lobe
What is the tx for temporal arteritis
corticosteroids
Damage to which side of brain : slow cautious behavior
Left
Damage to which side of brain : speech problems aphasia
left
Damage to which side of brain : apraxia
left
Define apraxia
impaired motor function
Damage to which side of brain : right hemiplegia
left
Damage to which side of brain : quick impulsive behavior
right
Damage to which side of brain : short attention span
right
Define nerve and purpose : 1
Olfactory smell
Define nerve and purpose : 2
Optic vision
Define nerve and purpose : 3
Oculomotor eye movements
Define nerve and purpose : 4
Trochlear eye movements inward downward
Define nerve and purpose : 5
Trigeminal face jaw movements
Define nerve and purpose : 6
Abducens eye movements lateral
Define nerve and purpose : 7
Facial face movements
Define nerve and purpose : 8
Acoustic hearing
Define nerve and purpose : 9
Glossopharyngeal taste pharynx control
Define nerve and purpose : 10
vagus taste parasympathetic stimulation to heart
Define nerve and purpose : 11
spinal accessory movement of head neck shoulder
Define nerve and purpose : 12
hypoglossal movements of tongue
Trigeminal Neuralgia is
damage to 5th cranial nerve, tx. pain management
Pneumonic for Lung assessment
IPPA
Inspection
Palpation
Percussion
Auscultation
What sound in the lungs requires immediate intervention
Stridor
Pneumonic for Abdominal assessment
IAPP
Inspection
Auscultation
Percussion
Palpation
A pulsatile abdominal mass may indicate a
abdominal aortic aneurysm
Board like abdomen indicates
bleeding into abdomen
Humans sign is … and what does in indicate
dorsiflex of the foot, Deep vein thrombosis
What is something we must not do with someone with a dvt
massage extremity
Define decubitus ulcer stage 1
intact non blanching erythemic
Define decubitus ulcer stage 2
interruption of epidermis, dermis, abrasion, blister, crater
Define decubitus ulcer stage 3
full thickness crater involving damage however not penetrating the fascia
Define decubitus ulcer stage 4
full thickness crater, with involvement of muscle bone tendon joint
decubitus ulcers with eschar is
non-stageable
What is the preferred site for pets injection
vastus lateralis
What happens if we don’t rotate sites for im injections
lipodystrophy
Describe type 1 diabetes
IDDM most in children and non obese adults, little or no insulin production by beta cells
Describe type 2 diabetes
Most common in obese adults, partial decrease of insulin production, cells resistant to insulin
Fruity breath may indicate
Diabetic Ketoacidosis
Humalog is a __________ insulin with an onset of __________ lasting __________
rapid acting
10-15 min
3-6 hours
Novolog is a __________ insulin with an onset of __________ lasting __________
rapid acting
10-15 min
3-6 hours
Humalog R is a __________ insulin with an onset of __________ lasting __________
short acting
30min-1hr
4-6 hr
Novolin R is a __________ insulin with an onset of __________ lasting __________
short acting
30min - 1 hr
4-6 hours
Regular insulin is a __________ insulin with an onset of __________ lasting __________
short acting
30min - 1hr
4-6 hr
NPH is a __________ insulin with an onset of __________ lasting __________
intermediate acting
2-4 hr
16-20hr
Humulin N is a __________ insulin with an onset of __________ lasting __________
intermediate acting
2-4 hr
16-20 hr
Novolin L or Novolin N is a __________ insulin with an onset of __________ lasting __________
intermediate acting
2-4 hr
16-20 hr
Ultralente is a __________ insulin with an onset of __________ lasting __________
Long acting
6-8 hr
20-30h
Glargine or Levimir is a __________ insulin with an onset of __________ lasting __________
Very long acting
1hr
24hr
What is the sequence for mixing insulin
air cloudy
air clear
draw clear
draw cloudy
