Final Exam Flashcards by All Kpop

what is the format of a two part nursing diagnosis?

RK, RS

risk for ____ related to
readiness for _____ as evidenced by

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what is the diffrence between a risk for statement and a readiness for statement?

risk for: is it used for potential problems, therfore will not have syptoms
focuses more on primairy prevention

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what does SOAP stand for?

subject
objective
assesment
plan

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what are the main roles preformed by nurses?

E, A, M, L, CO, R, CA, D, PM

educator
advocator
manager
leader
collab
researcher
careprovider
delagtor
policy maker

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what is the hendrich II risk model?

falls assesment tool

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what are the characteristics of a sterile field?

above the waist
below elbows
chest
sterile touching sterile
tables are sterile at waist level

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What are characteritsics of a contaminated field?

broken seals/ packaging
wet or damp surface
sterile touching clean
outside 1 in
if it flaps back
below the wasit
above elbows
back
reaching over field

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what are the common barriers to EBP?

research is costly
a lot of info is already out
delays into applying research in practice

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what are the diffrent domains of learning?

CD, PMD, AD

cognitive domain
pyschomotor domain
affective domain

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what is cognitive domain?

earning comprises knowledge and material that is remembered

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what is pyschomotor domain?

teach back method

learning incorpartes physical movemnet and the use of motor skills into learning

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what is affective domain?

learning recognizes the emotional component of intergrating new knowledge

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what is dementia?

global impairment of cognitive function that is progressive and interferes with normal functioning

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what is delirium?

acute

develops quickly
reversible
can fluctuate

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when is discharge process started?

upon admission

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what are the five stages of grief according to kubler- ross?

DAB DA

denial
anger
bargining
depression
acceptance

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what is an example of an isotonic solution?

NS, LR

normal saline
D5W
Lactated ringers

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what is the body’s normal pH?

7.35- 7. 45

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what are the blood transfusion reactions?

BP, C, F, FF

back pain
chills
fever
“feeling funny”

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what is the lab value for hyponatermia and hypernatermia?

MPCS

hypo- less than 135 mEq/L
hyper- greater than 145 mEq/L

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what is the lab value for hypokalemia and hyperkalemia ?

MPCS

hypo- less than 3.5 mEq/L
hyper- greater than 5.0 mEq/L

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what is the lab value for hypocalcemia and hypercalcemia?

MPCS

hypo- less than 9mg/dL
hyper- greater than 10.5 mg/dL

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what is the lab value for hypomagnesemia and hypermagnesemia?

MPCS

hypo- less than 1.3 mEq/ L
hyper- greater than 2.1 mEq/L

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what measurement of blood pH is considered acidosis?

do do re mi fa sol la ti do

less than 7.35

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what measurement of blood pH is considered alkalosis? | the alk is greater than the doe

Greater than 7.45

what is the normal value for co2?

35-45

what are th normal values for HCO3- ?

22- 26

what are the signs and syptoms of a fluid imbalance? | N/V, DMM, UO

N/V dry mucuos membranes urine osmarlity

what are the signs and syptoms of fluid retention? | WG, IP, LR, PE, CL,

weight gain 100 + pulse labored respirations 3+ pitting edema crackling lungs

what are the main components of a post op phase? AWM, MVS, NS, PM, 24HRFR

airway management monitoring vital signs neuro status pain management 24 hr fall risk

what are tasks that can't be delagated to a UAP? | E, A, T

- evaluatation - teaching - assesments

What is the ANA's current postion of assisted suicide?

what is the diffrence between assault and battery?

assault- verbal threats battery- physical harm

what would be an example of a misdemenor?

stealing from the hospital

what is an example of a felony?

working outside of your scope or working w/o license

if a pt has/ or is aspirating what are the signs and syptoms? | co, g, f, cy, do2

- coughing - gagging - fever - cynanosis - decreased O2

what position do you put the patient in for the insertion of a cather? | DR

- dorsal recumbent

what is the opposite of polyuria?

oliguria

when is appropriate to call the HCP about a patient expriencing decreased urination?

less than 300ml/hr

what should ice be documented as?

1/2

when are patients assesed for fall risks?

everyday

what does PICO stand for?

Problem intervention comparison outcome

what assesment is most accurate to asses excessive fluid volume/ fluid retention?

daily weights

what does it mean for a wound to be dehisced?

opened up

how often is TPN tubing changed?

every 24hr because bacteria can stick to the tubing

what is the diffrence between primary and secondary data?

- primary comes directly from the patient - secondary comes from family, friends, objective data

what is left lateral recumbent?

patient is semiprone on the left side of the body

what is supine?

the patient laying on their backs

what is prone?

when the patient is laying on their stomach

what is trendelenburg?

patient is supine with the legs elevated and the head down low

what are the three stages of normal healing? | I, P, M

- inflammatory - proliferative - maturation

what are the characteristics of a stage I pressure ucler?

non blanchable redness, skin intact

what are the characteristics of a stage II pressure ucler?

partial thickness skin loss or blistering

what are the characteristics of a stage III pressure ucler?

full thickness skin loss, the fat is visible

what are the characteristics of a stage IV pressure ucler?

full thickness tissue, muscle and bone is visible

what is serous wound drainage? | its just water its not that serious

clear, watery fluid from plasma

what is serosanguinous wound drainage?

pink to pale red mix of serous fluid and sanguineous

what is sanguineous wound drainage? | RED PENGUIN

bright red, usually indicates bleeding

what is purulent wound drainage?

thick yellow, beige with an odor usually indicated infection

what are the indicated theraputic use for NG tubes? | GD, N, MA

gastric decompression nutrition medication admin

what is a needle aspiration biopsy?

A needle biopsy is a procedure to obtain a sample of cells from your body for laboratory testing

what is the diffrence between phlebitis and infiltration?

phlebitis- inflammation of a vein caused by infection, injury, or irratation inflitration- leakage of fluid or IV medication into surrounding tissue