Nursing 208 Final || Guaranteed Pass.
Normal (Resident) Flora correct answers microbes that are inhabitants on our body that are
normal, usually helpful, necessary and not a problem.
Can cause infection though if the conditions are right and they begin to grow abnormally.
Cicatrix correct answers Another name for scar tissue formed during the reparative stage of
inflammation process.
Decreased Ca+ (Hypocalcemia) correct answers What do Trousseau's and Chvostek's signs
indicate?
Fasting blood glucose correct answers Test that determines if High levels of glucose exist in the
blood; may signify undiagnosed DM
1st Line of defense is the Chemical Buffer System
2nd Line of defense is the lungs
3rd Line of defense is the kidneys correct answers What are the 3 body defenses that work to
maintain homeostasis of the acid base balance of the body?
Splinting correct answers Taught pre-op and would be useful during TC&DB
Alanine aminotransferase - tests liver function correct answers What is ALT and what does it do?
Teaching that pain medications will be available if they need post-op correct answers Pre-op
teaching for post-op pain management includes:
Virulence correct answers how strong the microbe is and how likely it will produce an infection
,Infection correct answers 1. an invasion of body tissue by microorganisms and their proliferation
(growth)
2. occurs when newly introduced or resident microorganisms succeed invading a part of the body
where the host's defense mechanisms are ineffective and the pathogen causes tissue damage.
1. It must be voluntary and uncoerced
2. Pt must have all available information in order to be well informed of the procedure being
recommended
3. Pt must have the capacity to understand, cant be intoxicated or have any mental deficits
(would require family or caretaker to sign). correct answers What 3 things are needed to
constitute informed consent prior to Sx?
Verification - begins with decision to have Sx correct answers What is the first stage of universal
protocol?
Identify correct Pt
Identify correct procedure
Identify correct side or site
When applicable ensure correct implants are present. correct answers What happens during the
"time out" phase?
Circulating Nurse correct answers Which nurse gives the detailed handoff to the PACU nurse?
The Kidney's: They excrete or retain H+ ions according to the pH of the body.
This is a much slower process and may require several days to show any effect on the the ABG
results.
,Regulates HCO3 and H+ Levels. correct answers What is considered the third line of defense
against Uncompensated ABGS?
Fluid collects in the interstitial spaces or free body spaces and cant be used (may occur in the
pleural space or space around tissue or joints). correct answers What is Third Spacing?
Low pH
High PCO2
Nl-HCO3 correct answers What characteristics would be noticed on the ABGS of a patient in
uncompensated respiratory acidosis?
It helps to support or open the chest correct answers What is the Sims position good for?
Did you see the chart?! correct answers Look! a chart!
pH
PCO2
HCO3 correct answers What 3 values are looked at to determine Acid Base Balance?
non specific defense correct answers protects us against any microbe or invader; primary line of
defense is the skin and mucous membranes...
Third Spacing correct answers Fluid collects in the interstitial spaces or free body spaces and
cant be used (may occur in the pleural space or space around tissue or joints).
Positioning (Head up or Sims)
Incentive Spirometer correct answers What are two interventions a nurse may do for a Pt with
O2 problems?
, Specific defense correct answers protect us against certain identifiable bacteria, fungi, etc;
involves the immune system and requires previous exposure; two components are antibody and
cell mediated defenses
Hemorrhage, fever, vomiting, diarrhea, and/or electrolyte imbalances. correct answers What may
be a cause of Excess fluid loss?
It is a sustained maximum inspiration device used to mobilize secretions in the lungs following
Sx or prolonged periods of immobility in the hospital to prevent atelectasis/pneumonia.
It measures the the flow of air inhaled through the mouth. correct answers What is the purpose
for a Incentive Spirometer and how does it work?
It helps the Pt develop control over their breathing. The pursed lip creates a little resistance to the
air flowing out of the lungs, prolonging the exhalation and preventing airway collapse by
maintaining positive airway pressure. correct answers Why would a Pt be using Pursed Lip
Breathing technique?
1. pain
2. swelling
3. redness
4. heat
5. decreased function of affected area correct answers What are the 5 signs of inflammation?
1. vascular and cellular response-blood vessels constrict then vasodilate. blood, fluids, and
proteins flood area.
2. exudate stage- a barrier is formed, exudates may form
3. reparative stage-tissue is repaired correct answers What are the 3 stages of inflammatory
response?
serous exudate correct answers clear portion of blood, watery, and has few cells
Normal (Resident) Flora correct answers microbes that are inhabitants on our body that are
normal, usually helpful, necessary and not a problem.
Can cause infection though if the conditions are right and they begin to grow abnormally.
Cicatrix correct answers Another name for scar tissue formed during the reparative stage of
inflammation process.
Decreased Ca+ (Hypocalcemia) correct answers What do Trousseau's and Chvostek's signs
indicate?
Fasting blood glucose correct answers Test that determines if High levels of glucose exist in the
blood; may signify undiagnosed DM
1st Line of defense is the Chemical Buffer System
2nd Line of defense is the lungs
3rd Line of defense is the kidneys correct answers What are the 3 body defenses that work to
maintain homeostasis of the acid base balance of the body?
Splinting correct answers Taught pre-op and would be useful during TC&DB
Alanine aminotransferase - tests liver function correct answers What is ALT and what does it do?
Teaching that pain medications will be available if they need post-op correct answers Pre-op
teaching for post-op pain management includes:
Virulence correct answers how strong the microbe is and how likely it will produce an infection
,Infection correct answers 1. an invasion of body tissue by microorganisms and their proliferation
(growth)
2. occurs when newly introduced or resident microorganisms succeed invading a part of the body
where the host's defense mechanisms are ineffective and the pathogen causes tissue damage.
1. It must be voluntary and uncoerced
2. Pt must have all available information in order to be well informed of the procedure being
recommended
3. Pt must have the capacity to understand, cant be intoxicated or have any mental deficits
(would require family or caretaker to sign). correct answers What 3 things are needed to
constitute informed consent prior to Sx?
Verification - begins with decision to have Sx correct answers What is the first stage of universal
protocol?
Identify correct Pt
Identify correct procedure
Identify correct side or site
When applicable ensure correct implants are present. correct answers What happens during the
"time out" phase?
Circulating Nurse correct answers Which nurse gives the detailed handoff to the PACU nurse?
The Kidney's: They excrete or retain H+ ions according to the pH of the body.
This is a much slower process and may require several days to show any effect on the the ABG
results.
,Regulates HCO3 and H+ Levels. correct answers What is considered the third line of defense
against Uncompensated ABGS?
Fluid collects in the interstitial spaces or free body spaces and cant be used (may occur in the
pleural space or space around tissue or joints). correct answers What is Third Spacing?
Low pH
High PCO2
Nl-HCO3 correct answers What characteristics would be noticed on the ABGS of a patient in
uncompensated respiratory acidosis?
It helps to support or open the chest correct answers What is the Sims position good for?
Did you see the chart?! correct answers Look! a chart!
pH
PCO2
HCO3 correct answers What 3 values are looked at to determine Acid Base Balance?
non specific defense correct answers protects us against any microbe or invader; primary line of
defense is the skin and mucous membranes...
Third Spacing correct answers Fluid collects in the interstitial spaces or free body spaces and
cant be used (may occur in the pleural space or space around tissue or joints).
Positioning (Head up or Sims)
Incentive Spirometer correct answers What are two interventions a nurse may do for a Pt with
O2 problems?
, Specific defense correct answers protect us against certain identifiable bacteria, fungi, etc;
involves the immune system and requires previous exposure; two components are antibody and
cell mediated defenses
Hemorrhage, fever, vomiting, diarrhea, and/or electrolyte imbalances. correct answers What may
be a cause of Excess fluid loss?
It is a sustained maximum inspiration device used to mobilize secretions in the lungs following
Sx or prolonged periods of immobility in the hospital to prevent atelectasis/pneumonia.
It measures the the flow of air inhaled through the mouth. correct answers What is the purpose
for a Incentive Spirometer and how does it work?
It helps the Pt develop control over their breathing. The pursed lip creates a little resistance to the
air flowing out of the lungs, prolonging the exhalation and preventing airway collapse by
maintaining positive airway pressure. correct answers Why would a Pt be using Pursed Lip
Breathing technique?
1. pain
2. swelling
3. redness
4. heat
5. decreased function of affected area correct answers What are the 5 signs of inflammation?
1. vascular and cellular response-blood vessels constrict then vasodilate. blood, fluids, and
proteins flood area.
2. exudate stage- a barrier is formed, exudates may form
3. reparative stage-tissue is repaired correct answers What are the 3 stages of inflammatory
response?
serous exudate correct answers clear portion of blood, watery, and has few cells
