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Interventional Orders 170 > Final Exam > Flashcards

Final Exam Flashcards

1
Q

List the activity orders from most confined to least restrained

A
  1. CBR
  2. BR with commode
  3. BR w BRP
  4. Dangle
  5. Up in chair
  6. Walk with assistance
  7. Ambulate
  8. AAT
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2
Q

What is a therapeutic diet

A

Diet with modifications or restrictions

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3
Q

What is the BP of an adult

A

120/80

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4
Q

Why is bowel prep ordered

A

Prevent contamination and prevent blocking the surgeons view of the abdominal organs

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5
Q

What is an OR Slate ?

A

List of surgeries being done the following day

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6
Q

What is a gluten free diet?

A

For celiac disease

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7
Q

What is intravenous PCA?

A

Small tube in your arm - pain mess are delivered to your body though your veins

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8
Q

What is the normal range of human body temperature

A

97-99 F

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9
Q

What is a full fluid diet

A

Liquified food at room temp

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10
Q

What are examples of wound/skin treatment orders

A
  1. Remove staples
  2. Change dressing
  3. Saline soaked dressings to leg ulcer
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11
Q

Mr. Green is on the OR slate for surgery today, what are our duties

A
  1. File diagnostic reports
  2. Get old/thinned chart
  3. Have chart andMAR ready
  4. Double check chart
  5. OR porter will come get pt.
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12
Q

NUA duties when pt is being discharged with a prescription:

A
  1. print off discharge RX
  2. fax it to where it needs to go
  3. fax it for patient
  4. indicate on every sheet RX was faxed and time/where it was faxed to
  5. inform RN when RX has been faxed
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13
Q

if the patient is to go home the next day what can the NUA do?

A
  1. kardex

2. symbolize

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14
Q

NUA duties w/ patient discharges w/ home care:

A
  1. enter HCC referral

2. record order in discharge section of kardex

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15
Q

NUA duties for Social Work referrals:

A
  1. enter into medi-tech
  2. kardex
  3. symbolize
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16
Q

NUA duties for Pt. discharges w. F/U apt:

A
  1. phone drs. office to book apt.
  2. complete apt card
  3. RN will read note w/ patient
  4. card if pt will be leaving following day
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17
Q

NUA responsibilities for discharge orders:

A
  1. record pt name/room on ADT sheet
  2. make arrangements that are necessary
  3. record time pt left
  4. enter discharge into comp
  5. recycle kardex
  6. inform housekeeping
  7. pull MAR/nursing notes and place with chart
  8. dismantle chart
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18
Q

what is the purpose of physio

A
  1. improve circulation
  2. strengthen muscles
  3. restore motion
  4. correct deformities
  5. relieves pain
  6. speeds up recovery
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19
Q

if a doctor orders “MME” what doe this mean?

A

(mini mental exam) put OT referral in the write MME in comments

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20
Q

what is an adults usual pulse/heart rate:

A

70-82 BPM

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21
Q

the doctor has ordered “NVS q30minx6hs” what are NUA duties ?

A
  1. kardex
  2. symbolize
  3. NVS sheet
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22
Q

define administrative dietitian

A

director of the dietary department

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23
Q

what does the administrative dietitian do?

A
  1. oversees operation of department
  2. purchases food
  3. admin duties
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24
Q

define therapeutic dietitian and his role

A
  1. prepares menus for pts.
  2. visits patients
  3. teaching of diets for pts and families
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25
Q

what are the functions of the FNS department

A
  1. plan diets for pts. and employees
  2. prepare and serve food
  3. prepare diets as per BC diet manual
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26
Q

what are the staff members of the FNS department

A
  1. dietitian
  2. food service supervisor
  3. food service worker
  4. cooks
  5. dishwasher
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27
Q

what are the 4 types of “methods of feeding patients”

A
  1. ingestion
  2. NG tube
  3. gastostomy tube
  4. TPN
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28
Q

what are the 2 main categories for diet orders

A
  1. standard/DAT

2. therapeutic diet

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29
Q

what are 4 textures of diets

A
  1. normal
  2. digestive light
  3. clear fluids
  4. full fluids
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30
Q

what are examples of therapeutic diets (9)

A
  1. 1000 calorie diet
  2. 1400 calorie diabetic
  3. hi fiber diet
  4. gluten free diet
  5. bland diet
  6. digestive soft
  7. tube feedings
  8. health heart diet
  9. paediatric diet
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31
Q

common categories found on admission orders:

A
  1. diet
  2. activity
  3. diagnostic
  4. vital signs
  5. meds
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32
Q

NUA duties for Surgical admission

A
  1. greet pt
  2. admit routine
  3. check pre-op tests are complete
  4. put sticker on chart, kardex and enter if pt has allergies
  5. put pre-op checklist on clipboard for nurse
  6. leave labels and MAR in front of chart
  7. have old chart
  8. OR will call for patient when ready
  9. OR will call porter
  10. double check chart
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33
Q

define CBR

A

patient remains in bed at all times

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34
Q

define BR w. Commode

A

patient may use the commode at bedside

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35
Q

define BR w. BRP

A

patient is on bedrest but may use the bathroom

36
Q

define dangle

A

patient sits at edge of bed and dangles feet over the bed

37
Q

define up in chair

A

patient sits in lounge chair beside bed

38
Q

define walk with assistance

A

physio or nurse will assist patient

39
Q

define AAT/Up as tolerated

A

patient has no restrictions

40
Q

ambulation is allowed in the following advancing stages:

A
  1. dangle
  2. up in chair
  3. walk with assistance
  4. AAT
41
Q

NUA duties for activity orders:

A
  1. enter order
  2. kardex
  3. symbolize
42
Q

why does the doctor order vital signs?

A

to help diagnose patients disease and determine progress

43
Q

what do vital signs consist of:

A
  1. pulse
  2. BP
  3. temperature
  4. respiration rate
44
Q

how may the pulse be taken: (5)

A
  1. radial
  2. carotoid
  3. femoral
  4. pedal
  5. apex
45
Q

what is a adults Respiration rate:

A

15-20/min

46
Q

define systole:

A

top number, records the heart at work

47
Q

define diastole:

A

bottom number, records the heart at rest

48
Q

NUA duties for Vital Sign orders:

A
  1. kardex

2. symbolize

49
Q

what does near vital signs include

A
  1. pupil reaction
  2. reflexes
  3. motor strength
  4. level of consciousness
50
Q

NUA duties for NVS orders:

A
  1. kardex
  2. symbolze
  3. NVS record
51
Q

what are examples of pre-op orders

A
  1. diet
  2. meds
  3. labs
  4. iv therapy
  5. skin prep
  6. bowel prep
  7. urinary cath
52
Q

who orders pre-op meds?

A

anesthetist

53
Q

what lab test is done on a pt before surgery ?

A

type and crossmatch

54
Q

what 2 antibiotics are commonly ordered prior to surgery

A
  1. ancef

2. flagyl

55
Q

why is a type and crossmatch test done before surgery

A

incase there is blood loss during surgery

56
Q

why is skin prep done prior to surgery

A

prevent contamination

57
Q

why is bowel prep done prior to surgery

A

to prevent contamination, prevent blocking surgeons view of the abdominal organs

58
Q

NUA duties for processing oral laxative order (bowel prep)

A
  1. MAR

2. symbolize

59
Q

NUA duties for skin prep

A
  1. kadex

2. symbolize

60
Q

define a catheter

A

tube inserted into body cavity, duct or vessel

61
Q

NUA duties for urinary catheterization orders

A
  1. kardex

2. symbolize

62
Q

what do we do with the OR slate when it prints off?

A

highlight patients scheduled for following day

63
Q

how long does a pt spend in PAR

A

1-3 hours

64
Q

NUA duties for Post-Op orders

A
  1. return old/thinned chart
  2. file all forms
  3. record date/type of surgery done
  4. process all post-op orders
65
Q

define PCA

A

drug delivery system

66
Q

what are the 2 types of PCA

A
  1. intravenous

2. epidural

67
Q

what are the 2 functions on the PCA pump that keeps you safe?

A
  1. safety time called lockout

2. limit to how much you can have

68
Q

what is I&O mean?

A

patients fluid intake and output ins estimated and recorded throughout a shift

69
Q

NUA duties for intake and output orders:

A
  1. get fluid balance sheet
  2. kardex
  3. symbolize
70
Q

why are dressings used?

A

to protect surgical incisions and wounds

71
Q

NUA duties for wound and skin treatment orders:

A
  1. kardex

2. symbolize

72
Q

oral suction is usually performed on what basis?

A

PRN

73
Q

what are the 2 common suctions devices

A
  1. wall mount

2. gomco

74
Q

what are the 2 common incisional drains

A
  1. hemovac

2. davol

75
Q

what drain is the most common abdominal drain?

A

penrose drain

76
Q

the rehab department includes:

A
  1. physio
  2. OT
  3. speech therapist
77
Q

what are 2 examples of physic orders

A
  1. DB&C q4h

2. chest physio

78
Q

what are the 4 types of weight bearing

A
  1. NWB
  2. FWB
  3. PWB
  4. Feather WB
79
Q

define range of motion (ROM)

A

exercises used to advance or preserve joint mobility and muscle tone

80
Q

what are the 4 types of ROM exercises

A
  1. passive
  2. active assisted
  3. active
  4. resisted
81
Q

NUA duties for processing physio orders

A
  1. enter into comp
  2. kardex
  3. symbolize
82
Q

define OT

A

trains patient in self care, helps build moral ad physical fitness, assists pt to return to community life

83
Q

NUA duties for processing OT orders

A
  1. enter
  2. kardex
  3. symbolize
84
Q

define speech therapy

A

improve the quality of speech for patients with impaired speech

85
Q

NUA duties for Speech Therapy Orders

A
  1. enter
  2. kardex
  3. symbolize

Interventional Orders 170 (6 decks)

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