Unit 1 Test Study Guide Flashcards

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

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
When using a sequential compression device what is important to make sure of
Make sure the back of the knee is at the opening
26
What to do if coughing is painful after surgery for pt.
Encourage pt. to splint the chest with a pillow
27
How do pt. breathe with a spirometer
Breath in through device
28
What does the spirometer do
Shoes an indication of amount of air breathed in
29
What indicates you to to begin CPR
If a pt. is unresponsive
30
What kind of pain scale do you use for children
Wong baker faces
31
What does yellow or green purulent indicate
Infection
32
How do you know if the blood pressure cuff is in the right place
Lower edge of the cuff is 1 inch above crease of elbow
33
What is the five rights of delegation should you think about if a nurse ask you to perform it
Right task
34
What coping mechanism is someone using who makes something seem justifiable or acceptable
Rationalization
35
What is the most important and frat step in postmortem care
Close the eyes and mouth