fundamentals virtual ati
proper surgical hand washing - answersThe nurse who is performing a surgical hand-
washing technique should wash with her hands held higher than the elbows so that
water and soapsuds can drain away from the clean area toward the dirty area.
percardial friction rub - answersA pericardial friction rub has a scratching, grating, or
squeaking leathery sound. It tends to be high frequency and best heard with the
diaphragm of the stethoscope at the third intercostals space of the left sternal border. A
pericardial friction rub is a manifestation of pericardial inflammation and can be heard
with infective pericarditis, myocardial infarction, following cardiac surgery or trauma, and
with some autoimmune problems, such as rheumatic fever. The client who develops
pericarditis typically has chest pain which becomes worse with inspiration or coughing
and which may be relieved by sitting up and leaning forward.
murmer - answersabnormal swishing sound caused by improper closure of the heart
valves
third heart sound - answersA third heart sound is a low-pitched sound after the second
heart sound. An S3 is caused by rapid ventricular filling during diastole.
, Audible click (heart sound) - answersAn audible clicking sound occurs in clients who
have prosthetic valve replacement surgery.
blood pressure machine begins to read and weird intervals and seems to give
inconsistant readings, what should the nurse do - answersdisconnect the machine and
manually get the blood pressure readings
arthroplasty - answerssurgical repair or replacement of a joint
Autologous blood donation - answersis the collection and reinfusion of the client's own
blood. With preoperative autologous blood donation, the blood is drawn from the client 3
to 5 weeks before an elective surgical procedure and stored for transfusion at the time
of the surgery. Autologous blood is the safest form of blood transfusion; exclusive use of
a client's own blood eliminates exposure to transfusion-transmitted infection.
transer pt from bed to whelchair - answersPositioning the wheelchair at a 45° angle to
the bed allows the client to pivot, lessening the amount of rotation required.
expected findings in a patient who is post op with a Paralytic ileus - answersWith this
disorder, bowel sounds are absent and the abdomen is distended.
first action when performing cpr - answersconfirming patients inresponsiveness
patient with cancer is crying what action should nurse take - answersstay quiety with
client, hold hand
A nurse is witnessing a clientsinging an informed consent form for surgery, what
describes what the nurse is affirming by this action - answersthe nurse acts as a
witness to attest that its the clients signature on the preoperative consent form. it is the
responsibility of the provider who will perform the procedure to obtain consent by
explaining the procedure along with the associated risks and benefits
determine if patient is dehydrated - answers-grasp a skin fold on the chest under the
clavical, release it and note weather it springs back
The nurse should use this technique for collecting data on skin turgor. If the client has
good turgor and is properly hydrated, the skin will immediately return to normal; with
dehydration, the skin will remain tented. The nurse can also collect data on skin turgor
by grasping a skin fold on the back of the forearm.
where should stethascope be placed to hear a heart murmer related to AORTIC valve
stenosis - answersit should be place where the aortic valve is located in the second
intercostal space to the right of the sternum. Aortic stenosis produces a midsystolic
ejection murmur that can be heard clearly at the aortic area with the client leaning
foward
other valves.
proper surgical hand washing - answersThe nurse who is performing a surgical hand-
washing technique should wash with her hands held higher than the elbows so that
water and soapsuds can drain away from the clean area toward the dirty area.
percardial friction rub - answersA pericardial friction rub has a scratching, grating, or
squeaking leathery sound. It tends to be high frequency and best heard with the
diaphragm of the stethoscope at the third intercostals space of the left sternal border. A
pericardial friction rub is a manifestation of pericardial inflammation and can be heard
with infective pericarditis, myocardial infarction, following cardiac surgery or trauma, and
with some autoimmune problems, such as rheumatic fever. The client who develops
pericarditis typically has chest pain which becomes worse with inspiration or coughing
and which may be relieved by sitting up and leaning forward.
murmer - answersabnormal swishing sound caused by improper closure of the heart
valves
third heart sound - answersA third heart sound is a low-pitched sound after the second
heart sound. An S3 is caused by rapid ventricular filling during diastole.
, Audible click (heart sound) - answersAn audible clicking sound occurs in clients who
have prosthetic valve replacement surgery.
blood pressure machine begins to read and weird intervals and seems to give
inconsistant readings, what should the nurse do - answersdisconnect the machine and
manually get the blood pressure readings
arthroplasty - answerssurgical repair or replacement of a joint
Autologous blood donation - answersis the collection and reinfusion of the client's own
blood. With preoperative autologous blood donation, the blood is drawn from the client 3
to 5 weeks before an elective surgical procedure and stored for transfusion at the time
of the surgery. Autologous blood is the safest form of blood transfusion; exclusive use of
a client's own blood eliminates exposure to transfusion-transmitted infection.
transer pt from bed to whelchair - answersPositioning the wheelchair at a 45° angle to
the bed allows the client to pivot, lessening the amount of rotation required.
expected findings in a patient who is post op with a Paralytic ileus - answersWith this
disorder, bowel sounds are absent and the abdomen is distended.
first action when performing cpr - answersconfirming patients inresponsiveness
patient with cancer is crying what action should nurse take - answersstay quiety with
client, hold hand
A nurse is witnessing a clientsinging an informed consent form for surgery, what
describes what the nurse is affirming by this action - answersthe nurse acts as a
witness to attest that its the clients signature on the preoperative consent form. it is the
responsibility of the provider who will perform the procedure to obtain consent by
explaining the procedure along with the associated risks and benefits
determine if patient is dehydrated - answers-grasp a skin fold on the chest under the
clavical, release it and note weather it springs back
The nurse should use this technique for collecting data on skin turgor. If the client has
good turgor and is properly hydrated, the skin will immediately return to normal; with
dehydration, the skin will remain tented. The nurse can also collect data on skin turgor
by grasping a skin fold on the back of the forearm.
where should stethascope be placed to hear a heart murmer related to AORTIC valve
stenosis - answersit should be place where the aortic valve is located in the second
intercostal space to the right of the sternum. Aortic stenosis produces a midsystolic
ejection murmur that can be heard clearly at the aortic area with the client leaning
foward
other valves.
