Week 2 - Lecture Flashcards

1
Q

Musculoskeletal Assessment

A
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2
Q

What is the function of the Cerebellum?

A

Provides balance and coordination

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3
Q

How is Muscle Strength graded?

A

5/5 - Normal or full strength
4/5 - Good strength
3/5 - Fair strength
2/5 - Poor strength
1/5 - Trace strength
0/5 - Zero strength

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4
Q

What does 5/5 (full) strength mean?

A

The pt moves joints through full range of motion and against gravity with full resistance

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5
Q

What does 4/5 (good) strength mean?

A

Pt completes ROM against gravity with minimal resistance.

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6
Q

What does 3/5 (fair) strength mean?

A

Pt completes ROM against gravity only

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7
Q

What does 2/5 (poor) strength mean?

A

Pt completes full ROM with gravity eliminated

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8
Q

What does 1/5 (trace) strength mean?

A

Pt’s attempt at muscle contraction is plapable but without joint movement.

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9
Q

What does 0/5 (zero) strength mean?

A

No evidence of muscle contraction.

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10
Q

WOUND INTEGUMENTARY ASSESSMENT

A
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11
Q

What are Bloodborne Pathogens?

A

Microorganisms carried in the blood and body fluids that are capable of infecting other persons with serious and difficult to treat viral infections.

Ex: HIV, Hepatitis

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12
Q

What is Antiseptic Hand Rub?

A

It reduces the number of microorganisms present

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13
Q

What is Alcohol Based Hand Rub?

A

It decreases viable organisms. Can be used up to 10-15 times then perform hand hygiene.

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14
Q

What is Antimicrobial Soap?

A

It decreases the number of microbial flora.

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15
Q

What are the Five Moments for Hand Hygiene?

A

1.- Before touching a patient
2.- Before clean/aseptic procedures
3.- After body fluid exposure risk
4.- After touching the patient
5.- After touching patient surroundings.

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16
Q

What are Standard Precautions?

A

Precautions used in the care of ALL patinets regardless of their diagnosis or presumed infection status.

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17
Q

What is the order for Donning PPE?

A

1) Gown
2) Mask
3) Eye protection
4) Gloves

18
Q

What is the order for Doffing PPE?

A

1) Gloves
2) Eye protection
3) Mask
4) Gown

19
Q

What are types of Isolation Precautions?

A
  • Standard (PRN)
  • Airborne (Respitator)
  • Droplet (mask 3ft of pt)
  • Contact (gown, gloves, facial)
20
Q

What are Nosocimial Infections?

A

Infections that are associated with the delivery of health care services . - Developed in the hospital setting.

21
Q

What are Medical Asepsis?

A

Practices intended to confine a specific microorganism to a specific area, limiting the number, growth and transmition of microorganisms.

22
Q

What are Surgical Asepsis?

A
  • Sterile technique
  • Practices that keep an area or object free of all microorganisms
    *Used for all procedures involving sterile areas of the body.
23
Q

What is a Sterile Field?

A

An area free of microorganisms.

24
Q

What are Fomites?

A

Objects or materials that are likely to carry infection, such as clothes, utensils, and furniture.

EX: Sneezing and coughing

25
Q

Erythema means…

A

Redness

26
Q

Ecchymosis/Ecchymotic means…

A

Bruising

27
Q

Hematoma means…

A

Pool of blood under the skin

28
Q

Exudate means…

A

Drainage

29
Q

Serous means…

A

White serum from blood

30
Q

Sanguineous means…

A

Red part of blood

31
Q

Serosanguineous means…

A

Pinkish color. Combination of white and red blood.

32
Q

Purulent means…

A

Pus drainage

33
Q

Approximated means…

A

Closed tissue surfaces of a wound

34
Q

What is Dehiscence?

A

When a wound reopens

35
Q

What is Evisceration?

A

When a wound reopens and internal organs come out.

36
Q

What do you do in case of Dehiscence or Evisceration?

A
  • Soak up sterile dressings with saline
  • Apply steri-strips
  • Call the doctor
37
Q

What is Wound Debridement?

A

Removal of necrotic (black dead tissue), non-viable tissue, pressure ulcers, burns, and other wounds

38
Q

What is Slough?

A

Yellow dead tissue

39
Q

What is necrosis?

A

Black dead tissue

40
Q

What are the four methods of debridement?

A

1) Sharp and scalpel - Surgical removal (nurses do not cut skin)

2) Mechanical - Scrubbing force/ wet to dry

3) Chemical - Enzymes and other compounds to dissolve necrotic tissue

4) Autolytic - Transparent dressing, body is able to dissolve dead tissue