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1. what part of the patient's body does a nurse wash first?
face
2. how long before trying to sleep should you avoid working out?
2 hours
3. anorexia nervosa actual body weight as % of ideal
actual BW less than 85% of ideal BW
4. BMI calculation
kg/m^2
5. if a patient uses a single cane or crutch as a mobility aid for an injured
leg..
A. what side should they use it on?
B. what leg should they advance first?
A. on the uninjured side
B. the injured leg
6. natural substances that increase pain transmission (4)
substance P
prostaglandins
bradykinin
histamine
7. what does gastric decompression do?
relieves distention, nausea, or vomiting
8. what pH aspirate is expected when collecting gastric contents
less than 4 pH
9. position during NG tube placement
high-fowlers
10.how does the HC team confirm correct placement of NG tube?
x-ray
11.
how often should women get breast cancer screenings?
every 3 years until 40
annually from 40-50
every 2 years after 50
12.domains of learning (3)
1
,cognitive--obtaining and applying info
affective--feelings, beliefs
psychomotor
13.skin changes in older adults (3)
decreased skin turgor
thinning of subcutaneous fat layer
thinning of connective tissue layer (dermis)
14.needle gauge for injections
A. IM
B. ID
A. 22 G
B. 25-27 G
needle
15.where is medication error report sent?
to risk prevention
16.how long should you allow alcohol to dry after disinfecting?
30 seconds
17.if nurse catches patient with drugs, what should they do?
notify physician
notify security to ask pt to dispose
borborygmi sounds
gastric rumbling and gurgling--indicates GI is functioning
18.how much water should you flush through enteral feeding tube before
and after feedings?
30 mL
1 mL = ? cc
1 cc
1 tsp= ? mL
5 mL
19.how far past disappearance of radial pulse should you pump up BP
cuff?
30 mmHg
20.what is required when preparing IV injection from an ampule (small
glass capsule)
filter needle--prevents tiny glass particles from being drawn up
21.what must nurses document when administering medications? (3)
pt reaction to drug
time of admin
dose
22.why should high rate infusions be questioned on infants?
2
,they are at risk of fluid overload!
23.after insertion of PICC, the nurse should...
wait for x-ray confirmation
24.IM injection site for infants
vastus lateralis (outer thigh)
25.how deep should you palpate abdominal organs?
4 cm
26.how deep should you palpate the rest of the body?
1 cm
27.what is the bell of the stethoscope used to listen to?
low-pitched sounds (i.e. unexpected heart sounds, bruits)
28.systolic BP measures...
force against blood vessels during ventricular systole
29.diastolic BP measures...
force against blood vessels during ventricular diastole
30.normal temp range (3)
A. oral
B. tympanic, axillary
C. rectal
A. 36-38 degrees C
B. 35.5-37.5 degrees C
C. 36.5-38.5 degrees C
31.peripheral pulse scale (5)
0=absent
1+= weak
2+= expected
3+= strong
4+= bounding
normal HR range
60-100 bpm
32.
Nursing process steps (4)
1. Evaluation
2. Assessment
3. Diagnosis
4. Planning
33.lateral violence
acts of aggression between colleagues (i.e. gossiping, bullying)
34.Joint commission 'do not use' abbreviation list
3
, abbreviations that can be easily misinterpreted
QOD, q.d.--must write it out
IU--must use units
35.who is responsible for obtaining informed consent from patients?
physician
36.how much of daily grain intake should be whole grains?
at least half
37.when to obtain trough drug level
38.immediately before next drug administration so we know the lowest it gets
before the next dose
natural substances that decrease pain transmission (2)
39.serotonin
endorphins
40.chronic pain
ongoing or recurring pain lasting longer than 6 months and persisting beyond
tissue healing
41.what type of pain causes physiological responses like vital changes and
fight-or-flight response
acute pain
42.acute pain management focuses on..
underlying problem
43.chronic pain management focuses on..
symptom relief
44.nociceptive pain
pain from damage or inflammation of tissue (excluding nervous system)
45.types of nociceptive pain (3)
46.somatic--bones, joints, muscles, skin, connective tissue
visceral--internal organs
cutaneous--skin
47.type of pain that responds best to adjuvant medications
neuropathic pain
48.adjuvant medications
antidepressant/anxiolytics
anticonvulsants
muscle relaxants
49.best non-pharm therapy for inflammation
cold
50.best non-pharm therapy to increase blood flow and reduce stiffness
heat
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