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Fundamentals Of Nursing Theory > Study Guides Test 1 Simplified > Flashcards

Study Guides Test 1 Simplified Flashcards

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1
Q

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

A

Private area

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2
Q

Is a break in the skin

A

Wound

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3
Q

Is an open crater Like area

A

Ulcer

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4
Q

Is an area that has been rubbed away by friction

A

Abrasion

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5
Q

Is a torn jagged wound

A

Laceration

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6
Q

Red superficial, burns, local, inflammation carbon monoxide poisoning

A

Erythema

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7
Q

Pronounce lateral curvature of the spine

A

Scoliosis

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8
Q

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.

A

Hyperactive bowel sounds

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9
Q

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

A

Fissure

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10
Q

What is IPPA? Why in this order?

A

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

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11
Q

Pale, regardless of race, anemia, and blood loss

A

Pallor

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12
Q

Pink fever, hypertension

A

Flushed

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13
Q

Purple trauma to soft tissue

A

Ecchymosis

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14
Q

Blue low tissue oxygenation

A

Cyanosis

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15
Q

Yellow liver or kidney disease, destruction of red blood cells

A

Jaundice

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16
Q

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

A

Tan

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17
Q

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

A

Tracheal sounds

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18
Q

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

A

Bronchial sounds

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19
Q

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.

A

Bronchovesicular sound

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20
Q

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

A

Vesicular sounds

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21
Q

What is HIPAA?

A

Health insurance, portability, and accountability act

22
Q

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

A

Rales

23
Q

Sounds that resembles snoring

A

Rhonchi

24
Q

Wheeze like sounds heard when a person

A

Stridor

25
Q

High pitch sound produced by Narrow airways

A

Wheezing

26
Q

What should you do when a patient falls?

A

Take an incident report immediately

27
Q

Does DNR or DNI need a physician orders

A

YES!

28
Q

What should be included in the incident report?

A

Think of the W’s

29
Q

The difference between ethical and legal dilemma

A

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

30
Q

Minimize negligence

A

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

31
Q

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

A

Incident report

32
Q

What does mechanical immobilization of the body part accomplishes

A

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

33
Q

SCD

A

Sequential compression device

34
Q

Apply emergency splint

A

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

35
Q

A pin Transects the bone

A

Buck traction

36
Q

Traction is applied

A

Russell traction

37
Q

Buck Traction Fixes What

A

Buck traction keeps the injured limb elevated

38
Q

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

A

Manual traction

39
Q

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

A

Skin traction

40
Q

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

A

Skeletal traction

41
Q

What would a tilt table be used for?

A

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

42
Q

Reason of fowler position

A

I am dizzy

43
Q

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

A

Dizziness weakness, pallor

44
Q

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

A

One side

45
Q

Prosthetic limb, appropriate time to fit it of healing

A

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

46
Q

Traction what is used to accomplish?

A

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

47
Q

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

A

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.

48
Q

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

A

Axillary crutches

49
Q

Teaching a patient about compression

A

Squeezes your leg to help the blood flow

50
Q

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

A

Compartment syndrome

51
Q

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.

A

Adjust the length of the crutches

Fundamentals Of Nursing Theory (6 decks)

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