Comprehensive Flashcards

(58 cards)

1
Q

If you have someone on hospice care, talk to someone about which advance directives?

A

Code status
Living Will

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2
Q

Reasons why people refuse hospice care?

A

Afraid to lose independent control over personal care
Not ready to die
Cost of care

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3
Q

Definition of palliative care that focuses on providing patients relief from pain?

A

Relieving pain without dealing with the cause of the condition

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4
Q

TURP

A

Transurethral Resection of the Prostate
( report to RN blood clots, blood in urine)

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5
Q

What is used to help prevent post op problems after TURP

A

Continuous bladder irrigation

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6
Q

Who do you call if a person who is nonreligious is nearing death?

A

Spiritual Coordinator

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7
Q

Review side effects coumadin

A

Nausea
Vomiting
Bleeding
Dirrhea

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8
Q

If someone eats breakfast or takes their coumadin the day of surgery, will they still have that surgery?

A

NO

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9
Q

What are schedule II drugs?

A

Narcotics

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10
Q

Who puts out black box warnings?

A

FDA

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11
Q

S/S glaucoma

A

eye pain
nausea
vomiting
halos around lights
headaches

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12
Q

S/S Morphine

A

Tachycardia
Respiratory depression
Decreased alertness

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13
Q

What are the steps of urinary catheter insertion on a female?

A

Sterile procedure
Supine position
Legs spread and bent at knees
Bag on stationary part of bed

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14
Q

How to draw up NPH medication?

A

Clear to cloudy
Roll insulin so it mixes better
Wipe top with alcohol pad

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15
Q

When irrigating a wound, what is the proper procedure?

A

Clean to dirty

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16
Q

Who must complete an admission assessment within 24 hours?

A

RN

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17
Q

How to do a focused respiratory assessment?

A

Inspect equal chest rise and fall bilaterally
Ausculate in zig zag pattern 8 front 10 back
Assess Sputum
Document adventitious breath sounds

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18
Q

Is a UAP allowed to put medicated barrier creams on?

A

NO

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19
Q

What are the different types of drainage?

A

Purulent drainage - Yellow, green, tan, brown, thick, foul odor
Sanguineous - bright red

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20
Q

What are closed Ended Questions

A

Yes and no questions only

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21
Q

Is percocet a schedule II drug?

A

Yes

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22
Q

What do Tylenol, Percocet, and Norco have in common?

A

Acetaminophen

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23
Q

Who classifies what schedule a drug is?

A

DEA

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24
Q

Are you to rub the injection site after administering Heparin?

25
What should you teach a patient with diabetic neuropathy?
Observe feet daily Keep dry Lubricate as needed
26
Review insertion of NG tube
Patient should NOT experience vomiting XRAY to verify placement Secure with tape Measure from earlobe to Xyphoid to sternum
27
Orthopneic Position
Hunched over bedside table
28
COPD O2 flow
Do not exceed 2L
29
Safe oxygen uses
O2 in use sign on door Store upright in a cool dry place Secure in tank rack No smoking signs
30
What gives a poor O2 sat reading?
Fingernail polish
31
Dehiscence vs Evisceratin
Dehiscence- the spliting or bursting open of a would (causes: faulty sutures
32
Review S/S of dehydration
HR increased BP decreased
33
How should a patient who has had recent surgery get peristalsis started?
Early ambulation
34
Can a UAP measure and empty a foley catheter?
YES
35
Is giving meds by an NG tube a sterile procedure?
NO
36
What can be documented as intake?
Fluid/ anything that melts at room temp
37
S/S of NG tube suction
Abdominal bleeding Red drainage in container
38
When is Osteoarthritis worse?
In the morning Gets better as day goes on
39
How to reposition a patient after a hip replacement?
Can only sit upright for 15 min at a time UAP not allowed tot change dressings Hip abduction pillow Do not sit higher than a 45 degree angle
40
After HIp replacement- C/O productive cough
Gas exchange
41
Osteoarthritis on Schedule II drug, would you be concerned if they say they were constipated?
YES
42
Side effect from Predinose
Cushing's Disease
43
Fosamax
Take first thing in the morning, empty stomach, full glass of water Take 1x a week Sit up at least 30 min after taking (Do NOT lay down after) Pregnant people should not handle Assess PQRST
44
PQRST scale
Palliative Quality Radiate Severity Time
45
S/S Hypercalcemia
Encourage decrease in calcium intake in diet Decreased deep tendon reflexes Bone pain Thirst
46
What side you stand on a patient with left sided weakness?
Left side
47
How to use crutches
Weight on nonaffected leg, move both crutches then injured leg Up stairs: strong leg first Down Stairs: weak legs first
48
Orthostatic hypotension
When patient stands up and becomes dizzy BP decreases
49
Hip replacement
Do NOT bend more than 90 degree angle to avoid hyperflexion Do NOT cross legs Do not walk without assistive device
50
Pathological fracture
A broken bone caused by a disease ex: bone gets thin from osteoporosis and pt becomes fall risk and breaks hip
51
Bone mineral testing is to determine what?
Osteoporosis
52
What helps relieve rheumatoid arthritis pain?
Ibuprofen
53
S/S Fluid Volume Deficit (FVD)
Dry mucous membrane Poor skin turgor Flat jugular vein Change in mental status
54
Penile cancer risk factors
Men 50 and older Multiple sex partners ( frequent STIs) Smoking Un-circumcise Poor personal Hygiene
55
What do you teach a postop patient?
Cough and deep breathing Early ambulation IS Splinting
56
How to use a cane?
Hold on strong side Position slightly out to side Move cane forward at the same time you step with affected side
57
How to use a walker?
Walk inside walker Adjust to correct height Put walker arm's length in front of you
58
Compartment Syndrome
Painful pressure build up in muscles Review 7Ps (Pain-early, Pallor, Paresthesia, Paralysis, Poikilothermic, Pulselessness-late sign, puffiness)