Unit 1 Test Study Guide Flashcards

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1
Q

What should you expect to see in patients with heart failure

A

Edema or swelling in the legs

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2
Q

How should you remove the lower dentures

A

Lifting it up and twisting it sideways

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3
Q

What findings should you report immediately during toileting

A

Diarrhea or blood in stool

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4
Q

What do you do to a mechanical scale after assisting the patient onto the scale

A

Ask the pt. their approximate weight and slide the large weight on the bottom to the groove closest but lower than the patients estimated weight

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5
Q

What should you add to the backing of the nasal cannula tubing in order to prevent skin breakdown

A

Padding/gauze

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6
Q

What is another name for nasogastric/oral-gastric tubes

A

Enteral feedings

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7
Q

How should the pt. be positioned before during and after enteral feedings

A

Upright or semi-upright

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8
Q

How should the pt. be positioned before during and after enteral feedings

A

Upright or semi-upright

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9
Q

How should you perform the passive range of motion of hyperextension

A

With the elbow straight, move the arm behind the body

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10
Q

How should you perform the passive range of motion of hyperextension

A

With the elbow straight, move the arm behind the body

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11
Q

What should you make sure of the pt. while they are using crutches

A

Make sure all of their weight is on the hand grips and not under their arms

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12
Q

Where should the hand grips be when a pt. is using a walker

A

Same level as the pt. hips

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13
Q

What should you ask the pt. in order to prevent falling during rounds

A

Do you need to use the restroom

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14
Q

What is the first step in removing a peripheral IV catheter

A

Move the roller clamp on the tubing to the closed position to avoid spilling IV fluid

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15
Q

What should you do if a dressing adheres to the skin during removal

A

Moisten it with sterile water or saline

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16
Q

How big should the opening of a stoma wafer be

A

1-16 of an inch larger than the stoma

17
Q

What do you clean a stoma with

A

Plain warm water

18
Q

When you apply a gait belt while the patient is laying down or sitting up

A

Sitting up while they are on the side of the bed for 1-2 mins

19
Q

Where should you stand while assisting in ambulating a pt.

A

On the pt. weaker side slightly behind the pt.

20
Q

What do you use to assist in transferring a weight-bearing patient from the bed to a wheelchair

A

Gait belt

21
Q

What should you use when assisting in ambulating a pt. who is non-weight-bearing

A

Only a lift

22
Q

How do you take a wheelchair down a curb

A

Back wheels off first then front wheels

23
Q

What do you use when moving a patient to reduce friction and dragging against pt. skin

A

Draw sheet

24
Q

What does a stage 3 pressure ulcer look like

A

Lost skin layers and underlying fat and tissue are visible

25
Q

When using a sequential compression device what is important to make sure of

A

Make sure the back of the knee is at the opening

26
Q

What to do if coughing is painful after surgery for pt.

A

Encourage pt. to splint the chest with a pillow

27
Q

How do pt. breathe with a spirometer

A

Breath in through device

28
Q

What does the spirometer do

A

Shoes an indication of amount of air breathed in

29
Q

What indicates you to to begin CPR

A

If a pt. is unresponsive

30
Q

What kind of pain scale do you use for children

A

Wong baker faces

31
Q

What does yellow or green purulent indicate

A

Infection

32
Q

How do you know if the blood pressure cuff is in the right place

A

Lower edge of the cuff is 1 inch above crease of elbow

33
Q

What is the five rights of delegation should you think about if a nurse ask you to perform it

A

Right task

34
Q

What coping mechanism is someone using who makes something seem justifiable or acceptable

A

Rationalization

35
Q

What is the most important and frat step in postmortem care

A

Close the eyes and mouth