Exam 1 Flashcards
(41 cards)
What are the 6 QSEN competencies?
- patient centered care
- teamwork & collaboration
- EBP
- QI
- Safety
- Informatics
Which precautions should the door be closed for?
Strict airborne-alone, negative pressure room
Airborne-alone, does not have to be a negative pressure room
What PPE do you need for a Contact Precautions?
- Gown
- Gloves
- Wash hands
- Wounds & rashes covered
What PPE is needed for Droplet Precautions?
- Gloves
- Gown-if involved in patient care
- Mask-patient must also wear if outside the room
What PPE is needed for Strict Airborne Precautions?
- Gloves
- Mask-N 95, must be fitted for
- Duckbill mask-for patient
What PPE is needed for Airborne Precautions?
- Gloves
- Gown
- Mask-patient must also wear if outside the room
- Rash must be covered
What PPE is needed for Protective Precautions?
- Wash hands before
- Gloves
- Mask-patient
What is included in vital signs?
temp pulse respirations BP pain measurement Pulse ox
When do you measure vital signs?
w/each initial meeting
beginning the the shift (inpatient)
before, during, & after procedures
before, during & after specific or new meds. or activities
changes in pt. condition or new reported systems
What is the normal range for temperature?
Oral temp: Farenheit=96.8-100.4 Celsius=36-38 Rectal: 1 degree higher than oral Tympanic: same as rectal Axillary: 1 degree lower than oral
What is the normal range for pulse?
60-100 beats/min.
conditioned athletes can be in the 50’s
What is the normal range for respirations?
12-20 resp./min; relaxed, regular, unlabored
What is the normal range for BP?
100-120/60-80
What is the normal range for Pulse Ox?
PaO2 = 80-100 mm Hg PaCO2 = 35-45 mm Hg SaO2 = 95-100%
Why are vital signs taken?
quick & efficient method of monitoring a client’s basic physiological status
Define ventilation
(breathing)the physical process of moving air into & out of the lungs
Define diffusion
the movement of O2 & CO2 between the alveoli & the blood
Define perfusion
distribution of rRBCs from the pulmonary capillaries (carrying either O2 to the cells, or CO2 to the lungs)
What is the Fowler’s Position?
45-60 degrees
low=15 deg.
semi=30 deg.
high=60 deg.
What is the orthopenic position?
“sleeping on book sitting at desk”
What is the dorsal recumbent position?
back(supine)
What is the prone position?
lying face down
Nursing Diagnosis PES system
P=problem (diagnostic label)
E=etiology (related to or due to)
S=signs & symptoms (supporting evidence)
hypercapnia
increased CO2 level
