Study Guides Test 1 Simplified

Question 1

What is an appropriate place to discuss private stuff with patients?

Answer 1

Private area

Question 2

Is a break in the skin

Answer 2

Wound

Question 3

Is an open crater Like area

Answer 3

Ulcer

Question 4

Is an area that has been rubbed away by friction

Answer 4

Abrasion

Question 5

Is a torn jagged wound

Answer 5

Laceration

Question 6

Red superficial, burns, local, inflammation carbon monoxide poisoning

Answer 6

Erythema

Question 7

Pronounce lateral curvature of the spine

Answer 7

Scoliosis

Question 8

There is an increase in intestinal activity. This may happen with diarrhea, or after eating a domino sounds, are always evaluate it together with symptoms, such as gas.

Answer 8

Hyperactive bowel sounds

Question 9

Constipation causes this issue, a crack in the skin, especially in or near mucous membranes

Answer 9

Fissure

Question 10

What is IPPA? Why in this order?

Answer 10

Inspection, auscultated, palpitation, percussion
Touching or manipulating the abdomen can alter bowel sounds does producing invalid findings

Question 11

Pale, regardless of race, anemia, and blood loss

Answer 11

Pallor

Question 12

Pink fever, hypertension

Answer 12

Flushed

Question 13

Purple trauma to soft tissue

Answer 13

Ecchymosis

Question 14

Blue low tissue oxygenation

Answer 14

Cyanosis

Question 15

Yellow liver or kidney disease, destruction of red blood cells

Answer 15

Jaundice

Question 16

Brown, ethnic, variation, sun, exposure, pregnancy, Addison disease

Answer 16

Tan

Question 17

Loud and course they are equal in length during inspiration and expiration and our separate buy a brief pause

Answer 17

Tracheal sounds

Question 18

Harsh and loud, they are shorter on inspiration and expiration with a pause between them they heard over the upper sternum anteriorly, and between the scapula posteriorly

Answer 18

Bronchial sounds

Question 19

These medium range sounds that are equal in length during inspiration and expiration have no noticeable pause. They are heard on either side of the central chest or back.

Answer 19

Bronchovesicular sound

Question 20

They’re soft rustling quality is longer on inspiration and expiration with no pause between sounds are located in the periphery of all the lung fields

Answer 20

Vesicular sounds

Question 21

What is HIPAA?

Answer 21

Health insurance, portability, and accountability act

Question 22

Small, clicking, bubbling or rattling sound in the lungs. They are heard win person breathe in.

Answer 22

Rales

Question 23

Sounds that resembles snoring

Answer 23

Rhonchi

Question 24

Wheeze like sounds heard when a person

Answer 24

Stridor

Question 25

High pitch sound produced by Narrow airways

Answer 25

Wheezing

Question 26

What should you do when a patient falls?

Answer 26

Take an incident report immediately

Question 27

Does DNR or DNI need a physician orders

Answer 27

YES!

Question 28

What should be included in the incident report?

Answer 28

Think of the W’s

Question 29

The difference between ethical and legal dilemma

Answer 29

Legal standards are useful as they help people to understand what they are not allowed to do whereas ethical standards are primary based on human principles of right and wrong

Question 30

Minimize negligence

Answer 30

Establish good communication Train medical staff Always document patient visits as they go Ensure, happy and satisfied, patience Create a good work culture

Question 31

Written account of unusual event involving, a client, employee, or a visitor that has potential for being injurious

Answer 31

Incident report

Question 32

What does mechanical immobilization of the body part accomplishes

Answer 32

Relieves, pain and muscle spasm Supports and aligns skeletal injuries Restricts movement while injuries heal Maintains a functional position until healing is complete Allows activity while restricting movement of an injured area Prevent further structural damage, and deformity

Question 33

SCD

Answer 33

Sequential compression device

Question 34

Apply emergency splint

Answer 34

Avoid changing the position of the injured part, even if it appears grossly deformed Leave a high top shoes or a sky boots in place, if the injury involves an ankle Cover any open wounds with soft material Select Richard splinting materials, such as a flat board broom handle or rolled up newspaper Pad bony prominence with soft material Apply the splinting devices so that expands the injured area from the joint above to the joint below the injury

Question 35

A pin Transects the bone

Answer 35

Buck traction

Question 36

Traction is applied

Answer 36

Russell traction

Question 37

Buck Traction Fixes What

Answer 37

Buck traction keeps the injured limb elevated

Question 38

Means pulling on the body using a persons, hand and muscular strength

Answer 38

Manual traction

Question 39

Means a pulling affect on the skeletal system by a plane devices to the skin, such as a pelvic felt any cervical Halter

Answer 39

Skin traction

Question 40

Means pull exerted directly on the skeletal system by attaching wires, pins or tongs into or through a bone

Answer 40

Skeletal traction

Question 41

What would a tilt table be used for?

Answer 41

Raise the client from a supine to standing position, helps client adjust to being upfront and bearing weight on their feet

Question 42

Reason of fowler position

Answer 42

I am dizzy

Question 43

When using assistive devices, what are you up serving with patients are walking

Answer 43

Dizziness weakness, pallor

Question 44

A Caine use for a client who has weakness on_____ of the body

Answer 44

One side

Question 45

Prosthetic limb, appropriate time to fit it of healing

Answer 45

Should be fitted several weeks to months until the wound heals in the stump size is stable. The prosthetic is cussing me to conform to the stump and meet clients needs

Question 46

Traction what is used to accomplish?

Answer 46

Traction must produce a pulling effect on the body Counter traction must be maintained The pull of traction, and the counter pool must be in exactly opposite directions Splints and slings must be suspended without interference Ropes must move freely through each pulley The prescribed amount of weight must be applied The weight must hang free

Question 47

What should the nurse do when the patient is about to fall?

Answer 47

The nurse supports the client by sliding and arm under the axilla, and placing a foot to the site for a wide base for support. With a client wait braced the nurse balances the client on a hip until help arrives or slides a client down the length of the nurses leg to the floor.

Question 48

Clients who need brief, temporary assistance with ambulation are likely to use

Answer 48

Axillary crutches

Question 49

Teaching a patient about compression

Answer 49

Squeezes your leg to help the blood flow

Question 50

Increase pressure inside a muscle, which restrict blood flow and causes pain

Answer 50

Compartment syndrome

Question 51

The top of the crutch is 2 to 3 finger with below your armpit The hand grips should be at your wrist, creases, adjust the hand grips to the level, so that your elbow, it slightly bent about 30°. The bottom of the crutches should be wider than shoulder with.

Answer 51

Adjust the length of the crutches