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Flashcards in 462 Exam 1: REV2 Deck (92):
1

1 tablespoon = (mLs)

15

2

Diseases Associated with the effects of Aging

  • Obesity
  • Diabetes,
  • Hypertension
  • Cancer

3

This is manifested by a withdrawal syndrome that occurs when blood levels of the drug are abruptly decreased

Physical Dependence

4

This is a condition characterized by aberrant behaviors arising from a drive to obtain and take substances for reasons other than the prescribed therapeutic value.

Tolerance

5

Which nursing intervention is most appropriate when preparing to administer an opioid analgesic agent?

Count the number of doses on hand before administration.

6

What is common for those with self concept deficits?

difficulty making decisions

7

When caring for an 87-year-old patient, the nurse needs to understand that which of the following most directly influences the patient’s current self-concept:

Adjustment to role change, loss of loved ones, and physical energy

8

A patient with a cardiac history is taking the diuretic furosemide (Lasix) and is seen in the emergency department for muscle weakness. Which laboratory value do you assess first?

Serum potassium

9

What is a defining characteristics is consistent with fluid volume deficit?

Dry mucous membranes, thready pulse, tachycardia

10

Excessive or too-rapid infusion of 0.9% NaCl (normal saline) causes

  • extracellular fluid volume (ECV)
  • excess with pulmonary vessel congestion
  • pulmonary edema

11

When is assessment of muscle strength important?

potassium imbalances

12

While receiving a blood transfusion, your patient develops chills, tachycardia, and flushing. What is your priority action?

Stop the transfusion

13

How do you calculate volume for ice chips

1/2

14

requires the integration of mental and muscular activity

psychomotor

15

A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use?

Demonstration, to help w/ psychomotor skills

16

A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages based on his blood sugar results. What type of learning is this?

Cognitive

17

A postoperative patient is currently asleep. Therefore the nurse knows that:

The sedative administered may have helped him sleep, but assessment of pain is still needed.

18

Normal Value for Sodium

135 - 147 mEq/L

19

Normal Value for Potassium

3.5 - 5 mEq/L

20

Normal Value for Chloride

95 - 107 mEq/L

21

Glucose Value 2 hours after eating

Up to 140

22

A normal fasting (no food for eight hours) blood sugar level is

between 70 and 99 mg/dL

23

Hemaglobin Female

12.0 - 15.0

24

Hematocrit (%)

38-47.7

25

WBC

5,000 - 10,000

26

Platelets

150,000 - 300,000

(150 - 350)

27

the most accurate method for determining fluid balance

the patients weight

28

6 Rights of Medication Administration

Patients Make Drugs Red To Death

  1. Right Patient
  2. Right Medication
  3. Right Dose
  4. Right Route
  5. Right Time
  6. Right Documentation

29

What should the flow meter setting be for a nasal cannula?

1-6 liters/minute

30

What should teh F102% be for a nasal cannula

24 - 44%

31

What should the flow meter setting be for a non-rebreather mask?

15 liters/minute

32

What percent should the F102 be for a non rebreather mask

60-90%

33

What assessment should the nurse provide prior to oxygen administration? x5

  • oxygen saturation
  • sputum production
  • auscultate lugs
  • respiratory rate
  • check dr order
  • 2 identifiers

34

What are the 3 safety checks before administering a medication

  1. Check labael against order
  2. Verify label against MAR
  3. Check ID band against MAR

35

When do you deliver a PRN medication

as needed

36

when do you deliver a medication labeled "STAT"

immediately

37

When do you deliver a medication marked "now"

within the hour

38

When do you deliver a medication marked "on call"

as requested  by OR

39

When do you deliver a medication marked A.C.

before a meal (think AM)

40

When do you deliver a medication marked P.C.

after a meal

41

How do you deliver an oral sublingual medication?

under the tongue

42

How do you deliver an oral buccal medication

in contact with mucous membranes of the cheek

43

Nurse assessments prior to delivering an inhaled medication

  • Respiration and breath sounds
  • Ask patient about subjective symptoms
  • Explain procedure to the patient

44

What is the length of time between inhalation of the same medications

20-30 seconds

45

The length of time to wait before administering different inhaled medications

2-5 minutes

46

challenges for caregivers of family members suffering from chronic illnesses x5

  1. Prejudice

  2. lack of Education

  3. lack of Respite

  4. conflict of decisions

  5. financial

47

What are 4 examples of Chronic Illness

  1. Diabetes
  2. COPD
  3. Parkinsons
  4. MS

48

Name 4 examples of an acute illness?

  1. Pneumonia
  2. Delirium
  3. Shingles
  4. Apendicitis

49

Name 3 types of Disabilities

  1. Body System
  2. Developmental
  3. Acquired (after your born)

50

Signs (AEB) Hyperkalemia

MURDER

  • Muscle weakness
  • Urine, oliguria, anuria
  • Respiratory distress
  • Decreased cardiac contractility
  • EKG Changes, Peaked T Waves
  • Reflexes, hyper, or hypo

51

Signs (AEB) Hypokalemia

6L's

  1. Lethargy
  2. Lethat cardiac arrhthymia
  3. Leg cramps
  4. Limp Muscles
  5. Low, shallow respirations
  6. Less stool (constipation)

52

Signs (AEB) of Hypernatremia

FRIED

  • Fever
  • Restless
  • Increase BP
  • Edema
  • Decreased Urinary Output

53

What approach to take educating an older adult? x11

  • learner maximum control
  • slow pace
  • be aware of attention span
  • avoid distractions/environmental
  • involve family & caretakers
  • Sensory deprivation (large print)
  • Allow time to process
  • write instructions
  • concrete/specific
  • correct
  • praise

54

Clinical Manifestations for Hypervolemia?

  • Pulse is bounding JVD
  • High BP
  • Tachypneic
  • dyspnea
  • crackles
  • headache, confusion, muscle spasms
  • Anorexia, weight gain, ascites
  • peripheral edema

55

Clinical Manifestations of Hypocalcemia

CATS

Convulsions

Arrythmias

Tetany

Spasms/Stridor

 

56

Think Sodium think..

neurological

57

Think Potassium think....

Heart

58

Vital Signs for Hypernatremia?

  • Tachycardia
  • Hyperthermia
  • Orthostatic hypotension

59

Clinical Manifestations of Hypermagnesia

Opposite of HYPER

  • drowsy
  • nausea
  • depressed reflexes
  • respiratory depression
  • sleepy "somnolence"

60

Clinical Manifestations of Hypomagnesia

OPPOSITE of HYPO

  • Increase nerve impulse
  • tremors
  • seisure
  • constipation
  • hyperactive
  • deep tendon reflex

61

The average person should have how much urine output per hour?

  • 30mL per hour ***

62

How do you replace potassium (hypokalemia)?

  • Never IV Push
  • Oral
  • Monitor I/O
  • Potatoes, Avocado, Banana

63

Reasons for hypovolemia

  • ng drainage,
  • burns (3rd spacing),
  • dehydration,
  • shift of plasma into interstitial spaces,
  • peritonitis,
  • ascites (abdomen)

64

Acute pain is directly related to...

tissue damage

65

What type of symptoms are associated with acute pain

sympathetic nervous system responses

66

this type of pain is highly resistant to treatment

intractable pain (chronic)

67

pain associated with deep internal pain receptors?

Visceral Pain

68

Pain in the bones, joints or muscles

somatic pain

69

Pain identified as hot, stabbing, shooting, or numbing. Associated with damage to peripheral nerve or CNS

Neuropathic

70

This type of pain can be described as referred and spreading

Radiating pain

71

Pain perceived from a tissue that has been surgically removed

Phantom pain

72

Diagnostics Tests for Pneumonia

  • chest xray
  • blood test
  • pulse oximetry
  • sputum test

73

What is the phys assessment prior to meds? x7

  • vital signs
  • ability to swallow- gag reflex
  • GI motility
  • Muscle mass
  • Venous Access
  • Body sys assessment
  • right to refuse

74

What are examples of nursing diagnoses related to med admin

anxiety, deficity of knowledge, impaired mobility,  impaired swallowing, fall risk

75

What are basic rules for administering medication x9

  • prep for ONE patient at a time
  • compare order with me davailable
  • calc drug dose
  • Verify order
  • Check if it seems excessive
  • take meds directly to the patient
  • Check 2 patient identifiers
  • complete required assessent prior to giving
  • DO NOT LEAVE at bedside, stay until that complete

76

Is 25 gauge bigger or smaller than a 16 gauge needle

smaller

77

Normal Phys changes with aging

  • body composition
  • body cells less able to replace themselves
  • reduces lean body mass
  • loss of subq fat
  • body shrinkage due to loss of cartilage
  • body fat atrophy (sagging)
  • hard to maintain body temp
  • increas risk of dehydration, decrease intracellular fluid

78

Fluid Volume Excess

  • tachycardia
  • JVD
  • Bounding Pulse
  • ansarca (gen edema)
  • labs all decrease

79

Gen survey assessment

  • make sure the patient is safe when they leave the hospital
  • living conditions
  • safe environment

80

Examples of Body System Disabilities

  • Spina Bifida
  • Blindness
  • Deafness

81

Examples of Developmental Disabilities

Cerebral Palsey, Down Syndrome

82

Chvostek's Sign

83

Trousseau’s sign

84

Emotional Aspect, hospice

Affective Domain

85

measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain.

FLACC scale

86

Signs of Hyponatremia

SALT LOSS

 

  • Stupor/Coma
  • Anorexia
  • Lethargy
  • Tendon Reflexes Decreased
  • Limp Muscles
  • Orthostatic Hypotenion
  • Seizures/headaches
  • Stomach Cramping

87

a condition marked by intermittent muscular spasms, caused by malfunction of the parathyroid glands and a consequent deficiency of calcium.

Tetany

88

What directions to solutes diffuse?

high to low

89

What direction does osmosis move?

towards higher concentration

90

Hypoxia Signs & Symptoms

RAT BED

Early Signs:

  • Restlessness
  • Anxiety
  • Tachycardia/Tachypnea

Late Signs:

  • Bradycardia
  • Extreme Restlessness
  • Dyspnea

91

Magnesium food containing products

  • chocolate
  • nuts
  • peanut butter
  • banana

92

3 safety concerns with a patient on oxygen

  1. flammable
  2. skin breakdown
  3. fall risk