test 9 Flashcards

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1
Q

post op nurse helps pt cough by

A

hugging pillow, splinting.

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2
Q

bright red drainage

A

Sanguineous

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3
Q

6 hour post op nurse priorities

A
  • assess pain level
  • check dressing for drainage
  • check vitals
  • offer fluids
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4
Q

wound healing needs further teaching if

A

i only have to drink 500mL fluid

exclude foods high in vitamin B

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5
Q

change sterile dressing steps

A
explain procedure to pt
administer pain meds 30 mins before
wash hands
apply clean gloves
remove old dressing
note drainage
remove gloves
wash hands
sterile gloves and field
new dressing
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6
Q

wet to dry dressings should…

A

dry by next shift

absorb drainage

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7
Q

what type debridement is wet to dry dressing?

A

mechanical

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8
Q

when not to use transparent dressings

A

deep wounds
puncture with bleeding
large cut near hairline
heavy exudate

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9
Q

when to check pt w resp problems and abd binder

A

change in respirations

problem mDyspnea

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10
Q

common bandage to anchor dressing

A

figure 8

circular

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11
Q

3 reasons smoking inhibits wound healing

A

decreases tissue oxygenation
decreases functional HGB
interferes with normal cell function.

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12
Q

clear watery drainage

A

Serous

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13
Q

Call HCP for how much drainage?

A

300mL

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14
Q

dehiscence seen in what stage

A

Reconstruction/proliferative

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15
Q

montgomery straps used for

A

wounds with heavy drainage

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16
Q

allergy alert for arteriogram

A

iodine/shellfish

17
Q

when collect post void residual

A

10 minutes after last void

18
Q

type stool sample taken to lab immediately

A

ova and parasites

19
Q

black and tarry stools mean

A

upper GI bleed

20
Q

collect sterile urine culture

A

clamp below port for 15-30 mins before
disinfect port
withdrawl 3mL urine
transfer to sterile container

21
Q

main complaint low BGL

A

headache

22
Q

why most substances enter the intracellular compartment

A

so they can carry out functions in body

23
Q

process of Lasix

A

Osmosis

24
Q

advantages of transparent dressing

A

adheres well to intact skin
breathable
see skin

25
Q

priorities for wound evisceration

A

check VS
assess wound
cover wound with wet sterile dressing (0.9% NS)
Call DR

26
Q

Normal pH

A

7.35-7.45

27
Q

what electrolyte imbalance causes fluid retention

A

Hypernatremia

28
Q

RR 46, CO2-28, pH-7.5

A

Respiratory alkilosis

29
Q

what acid base imbalance is low HCO3

A

metabolic acidosis

30
Q

wound healing by secondary intention

A

granulation

wound edges are not approximated

31
Q

metabolic acidosis

A

lungs UP high CO2

Down pH

32
Q

metabolic alkalosis

A

Low CO2

HIgh pH

33
Q

metabolic alkalosis

A

HIGH pH

HIGH HCO3

34
Q

metabolic acidosis

A

LOW pH

LOW HCO3

35
Q

CO2 range

A

35-45

36
Q

HCO3

A

22-26