Unit 1 Test Study Guide Flashcards
What should you expect to see in patients with heart failure
Edema or swelling in the legs
How should you remove the lower dentures
Lifting it up and twisting it sideways
What findings should you report immediately during toileting
Diarrhea or blood in stool
What do you do to a mechanical scale after assisting the patient onto the scale
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
What should you add to the backing of the nasal cannula tubing in order to prevent skin breakdown
Padding/gauze
What is another name for nasogastric/oral-gastric tubes
Enteral feedings
How should the pt. be positioned before during and after enteral feedings
Upright or semi-upright
How should the pt. be positioned before during and after enteral feedings
Upright or semi-upright
How should you perform the passive range of motion of hyperextension
With the elbow straight, move the arm behind the body
How should you perform the passive range of motion of hyperextension
With the elbow straight, move the arm behind the body
What should you make sure of the pt. while they are using crutches
Make sure all of their weight is on the hand grips and not under their arms
Where should the hand grips be when a pt. is using a walker
Same level as the pt. hips
What should you ask the pt. in order to prevent falling during rounds
Do you need to use the restroom
What is the first step in removing a peripheral IV catheter
Move the roller clamp on the tubing to the closed position to avoid spilling IV fluid
What should you do if a dressing adheres to the skin during removal
Moisten it with sterile water or saline
How big should the opening of a stoma wafer be
1-16 of an inch larger than the stoma
What do you clean a stoma with
Plain warm water
When you apply a gait belt while the patient is laying down or sitting up
Sitting up while they are on the side of the bed for 1-2 mins
Where should you stand while assisting in ambulating a pt.
On the pt. weaker side slightly behind the pt.
What do you use to assist in transferring a weight-bearing patient from the bed to a wheelchair
Gait belt
What should you use when assisting in ambulating a pt. who is non-weight-bearing
Only a lift
How do you take a wheelchair down a curb
Back wheels off first then front wheels
What do you use when moving a patient to reduce friction and dragging against pt. skin
Draw sheet
What does a stage 3 pressure ulcer look like
Lost skin layers and underlying fat and tissue are visible
When using a sequential compression device what is important to make sure of
Make sure the back of the knee is at the opening
What to do if coughing is painful after surgery for pt.
Encourage pt. to splint the chest with a pillow
How do pt. breathe with a spirometer
Breath in through device
What does the spirometer do
Shoes an indication of amount of air breathed in
What indicates you to to begin CPR
If a pt. is unresponsive
What kind of pain scale do you use for children
Wong baker faces
What does yellow or green purulent indicate
Infection
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
What is the five rights of delegation should you think about if a nurse ask you to perform it
Right task
What coping mechanism is someone using who makes something seem justifiable or acceptable
Rationalization
What is the most important and frat step in postmortem care
Close the eyes and mouth
