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pca > Untitled Deck > Flashcards

Untitled Deck Flashcards

1
Q

What are vital signs?

A

Critical indicators of a patient’s health status used to evaluate health status, provide comparison information, and determine changes in body function and response to treatment.

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2
Q

When should vital signs be taken?

A

Before, during, and after treatment.

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3
Q

What factors can affect vital signs?

A

Sleepiness, activity level, noise, fear, and anxiety can all affect readings.

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4
Q

What is important to do before taking vital signs?

A

Always verify the patient’s identity prior to taking vital signs.

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5
Q

Why is it important to eliminate noise when taking vital signs?

A

To ensure accuracy.

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6
Q

What should you do if you are unsure about a reading?

A

Ask the nurse to verify.

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7
Q

What does temperature indicate?

A

A vital sign indicating body heat.

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8
Q

What is considered febrile?

A

Temperature > 100°F.

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9
Q

What does afebrile mean?

A

Without fever.

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10
Q

What is hypothermia?

A

Low body temperature.

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11
Q

What is hyperthermia?

A

Increased body temperature.

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12
Q

What is pulse?

A

The rhythmic expansion and contraction of an artery as blood is pumped through it.

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13
Q

What is tachycardia?

A

Heart rate > 100 beats per minute.

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14
Q

What is bradycardia?

A

Heart rate < 60 beats per minute.

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15
Q

What is respiration?

A

The process of taking in oxygen and expelling carbon dioxide.

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16
Q

What is apnea?

A

Absence of respiration.

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17
Q

What is dyspnea?

A

Difficulty breathing.

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18
Q

What is orthopnea?

A

Positional breathing (e.g., standing or sitting).

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19
Q

What is hyperventilation?

A

Rapid, deep breathing.

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20
Q

What is hypoventilation?

A

Slow, shallow, and irregular breathing.

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21
Q

What is Cheyne-Stokes respiration?

A

A pattern of increasing rate and depth, followed by slow/shallow breaths and a period of apnea (often associated with end-of-life).

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22
Q

What is blood pressure?

A

The pressure of circulating blood on the walls of blood vessels.

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23
Q

What is systolic blood pressure?

A

Top number (heart contraction) in a blood pressure reading.

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24
Q

What is diastolic blood pressure?

A

Bottom number (heart at rest) in a blood pressure reading.

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25
Q

What is the normal range for blood pressure?

A

100/60 - 140/90 mmHg.

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26
Q

What is hypertension?

A

High BP (>140/90 mmHg).

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27
Q

What is hypotension?

A

Low BP (<100/60 mmHg).

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28
Q

What is pulse oximetry?

A

A method to monitor oxygen saturation levels in the blood.

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29
Q

What is the normal range for pulse oximetry?

A

Mid to high 90s (percent).

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30
Q

What is ear temperature (tympanic)?

A

A method of measuring body temperature using the ear.

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31
Q

What are the restrictions regarding oxygen as a medication?

A

PCA’s are not allowed to place oxygen on a patient, adjust the flow rate, or change oxygen from the wall to a portable tank or from a portable tank to the wall.

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32
Q

What is the normal range for temperature?

A

Normal: 98.6°F. Temps below 97°F (tympanic) must be reported and documented.

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33
Q

What is the normal range for pulse?

A

Normal: 60-100 beats per minute (regular rate).

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34
Q

What is the normal range for respirations?

A

Normal: 12-20 breaths per minute, easy and quiet.

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35
Q

What is the normal range for blood pressure?

A

Normal: 100/60 to 140/90 mmHg.

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36
Q

What is the normal range for pulse oximetry?

A

Normal: High 90’s.

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37
Q

What is the Ounce to CC conversion?

A

1 oz = 30cc

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38
Q

What does Anorexia mean?

A

Loss of Appetite

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39
Q

What does Dysphagia mean?

A

Difficulty Swallowing

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40
Q

What does Dysphasia mean?

A

Difficulty Speaking

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41
Q

What does Dehydrated mean?

A

Lack of fluids ‘dry’

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42
Q

What does Aspirate mean?

A

Food or liquids down the wind pipe instead of the esophagus

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43
Q

What does N/G stand for?

A

Naso/Gastric

44
Q

What does TF stand for?

A

Tube Feed

45
Q

What does GI stand for?

A

Gastro/Intestinal

46
Q

What does Edema mean?

A

Swelling

47
Q

What does po stand for?

A

By mouth

48
Q

What does NPO stand for?

A

Nothing by mouth

49
Q

What does I&0 stand for?

A

Intake and Output

50
Q

What does cc/ml stand for?

A

Cubic Centimeter millimeter

51
Q

What does ADA stand for?

A

American Diabetes Association

52
Q

What does NA stand for?

A

Sodium

53
Q

What does Gm stand for?

A

Gram

54
Q

What does ‘Radial’ refer to?

A

Wrist

55
Q

What does ‘Brachial’ refer to?

A

Arm

56
Q

What does ‘Apical’ refer to?

A

Heart

57
Q

What does ‘Carotid’ refer to?

A

Neck

58
Q

Is it okay to take the pulse off the pulse oximeter?

A

FALSE

59
Q

What does ADL stand for?

A

Activities of Daily Living

60
Q

What does AC mean?

A

Before Meal

61
Q

What does PC mean?

A

After Meals

62
Q

What does AMB stand for?

A

Ambulate

63
Q

What does PM mean?

A

Evening

64
Q

What does AD lib mean?

A

As tolerated

65
Q

What does BRP stand for?

A

Bathroom Privileges

66
Q

What does E&M mean?

A

Empty and measure

67
Q

What does ES stand for?

A

Elastic Stockings

68
Q

What does OOB mean?

A

Out of Bed

69
Q

What does R&R stand for?

A

Remove and Reapply

70
Q

What does Q2 mean?

A

Turns

71
Q

What does SMC stand for?

A

Special Mouth care

72
Q

What does SCD mean?

A

Sequential Compression Device

73
Q

What does TPR stand for?

A

Temperature, Pulse and Respirations

74
Q

What does VS mean?

A

Vital Signs

75
Q

What does ROM stand for?

A

Range of Motion

76
Q

What does CHG mean?

A

Chlorhexidine Gluconate allergy

77
Q

What does DNR stand for?

A

Do not resuscitate

78
Q

What does BEFAST stand for?

A

Balance eyes face arms speech time

79
Q

When should compressions be started?

A

Absent of pulse

80
Q

Who must check the defibrillator daily?

A

RN

81
Q

What is the recommended compression rate for adults?

A

Compress at a rate of - 100/min with at least a depth of 2 inches for adults.

82
Q

What is the recommended compression depth for infants?

A

Compress at a depth of 1 ½ inches for infants.

83
Q

What does CAB stand for in CPR?

A

CAB stands for Chest Compression, Airway, Breathing.

84
Q

What color is the medication box?

A

The medication box is orange.

85
Q

What color is the intubation box?

A

The intubation box is yellow.

86
Q

Who should have daily CHG baths?

A

All patients with central lines or foley catheters.

87
Q

What are the 5 Ps?

A

Pain, Proactive Toileting, Positioning, Place items within reach, Pose the question.

88
Q

How often should perineal care be performed?

A

Perineal care should be performed every 24 hours.

89
Q

What is the correct wiping technique for foley care?

A

Wipe the front and back of the foley, then use a new wipe to clean the catheter from the urethral opening to the drainage system.

90
Q

What direction should you wipe during perineal care?

A

Always wipe from urinary to rectum. Never reverse.

91
Q

What should be done to the patient before surgery?

A

Make sure they’ve been cleaned and teeth and dentures are brushed/cleaned.

92
Q

What items should be removed from the patient before surgery?

A

Remove jewelry, prosthetics, hearing aids, and hair accessories. Document on belongings list.

93
Q

What must the patient wear before surgery?

A

Must have patient ID band on, gown only, no undergarments.

94
Q

What should be set up in the room before the patient arrives?

A

Set up the room with admission kit, incentive spirometer, urinal/bedpan, toiletries, IV pump, and SCD machine.

95
Q

What does DTV stand for?

A

DTV stands for ‘Due to void.’

96
Q

What should a patient do after catheter removal?

A

The patient should void within 6-8 hours after catheter removal.

97
Q

What does it mean when a patient, family, or designee choose not to artificially revive a patient?

A

It means they have decided against resuscitation efforts.

98
Q

What is required for a decision not to artificially revive a patient?

A

A doctor’s order is required.

99
Q

What color bracelet may a patient have if they choose not to be revived?

A

The patient may have an orange plaid bracelet.

100
Q

When should the pouch be emptied?

A

When it is ⅓-½ full.

101
Q

What is ‘burping the bag’?

A

Releasing air from the pouch to prevent pressure buildup.

102
Q

What should be done if the pouch is leaking?

A

Notify the RN immediately.

103
Q

What are the PCT roles for PureWick?

A

Gather supplies, assist with clipping, empty canister, record I&O, replace wick.

104
Q

How often should the wick be replaced for females?

A

Every 8-12 hours.

105
Q

How often should the wick be replaced for males?

A

Every 24 hours.

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