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Integrated Nursing Practice > Final Review > Flashcards

Final Review Flashcards

1
Q

3 factors that may contribute to medication errors

A

Knowledge deficit
interruptions
pre-pouring meds for multiple clients

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2
Q

The normal for vital signs

A

BP 120/80
P60-100
T36-38
R12-20

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3
Q

Best way to decrease the potential of a client falling who has orthostatic hypotension.

A

Sit up slowly, dangle for a few minutes before ambulating

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4
Q

A colleague takes a phone order from a doctor, she asks you to write it out. What is your best response?

A

Thank her for taking order, here is the chart. Please write it on the doctor’s order sheet.

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5
Q

An MRI has been ordered for your client. What should you report to the physician?

A

That the patient has a pacemaker

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6
Q

Define “auscultation” “palpation” “inspection” and “percussion”

A

Auscultation - listen here
Palpations - touch
Inspection - see
Percussion - tap

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7
Q

A patient must remain in bed for several weeks. What action could you do to help prevent the development of pressure ulcers?

A

Frequent repositioning

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8
Q

Keeping immunizations current, maintain a healthy diet and understand that antibiotics are not for all infections. Is a step to reducing occurrence of infections.
True/False

A

True

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9
Q

3 techniques to prevent and control infection

A

Hand washing
Aseptic technique and
Universal standard precautions

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10
Q

What is a gastrostomy tube (G-tube)

A

A tube inserted through a surgical opening into the stomach

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11
Q

Bradycardia

A

Pulse below 60 BPM

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12
Q

How can immobility affect the respiratory system?

A

Causing stasis of secretions that can lead to pneumonia

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13
Q

What form of medication is absorbed fastest by the body?

A

IV

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14
Q

Using the clock face method is best for someone who is visually impaired.
True or False

A

True

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15
Q

List 6 fall risk factors

A

Poor lighting and confusion,

Muscle weakness and polypharmacy Inappropriate Footwear and history of seizures

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16
Q

What position would you put someone in who has dyspnea, orthopnea and severe anxiety?

A

Fowler’s

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17
Q

List 3 factors the LPN should consider when planning and performing a bath

A 
Temperature of room 
Type of bath 
Skin condition 
Transfer equipment available 
How much the client wants/needs help 
Assess for pain
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18
Q

What is one of the best methods of preventing pressure ulcer formation?

A

Repositioning
Movement
ROM

19
Q

4 common locations where skin breakdown can occur

A 
Back of head 
shoulder blades 
elbows 
wrist 
coccyx 
buttocks heels 
Pinna of ear
20
Q

4 food items that may be considered appropriate for a person with dysphagia

A 
Custard
pudding 
scrambled eggs 
mashed potatoes 
milkshakes 
cream of wheat 
yogurt 
fizzy drinks
21
Q

Some best measures a nurse can take to prevent musculoskeletal injury are. (3)

A
  1. Incorporate good body mechanics while giving care
  2. Use principles of ergonomics
  3. Enlist the help of a co-worker
22
Q

Subjective data is ______

A

What client says

23
Q

Objective data is ______

A

Measurable

24
Q

Woman reports to the doctor’s office with complaints of urinary frequency and dysuria. What tests would likely be ordered?

A

MSU for C&S and R&M

25
Q

While pouring sterile saline into a sterile basin and it splatters onto the cloth backing this is breaking sterile technique.
True/False

A

True

26
Q

When doing a dressing change; how would you remove the old dressing?

A

Remove tape slowly towards wound

27
Q

When should you document medication administration?

A

After you see the client swallow

28
Q

A nurse would assess for ‘epistaxis’ when doing a dressing change.
True or False

A

False

29
Q

Normal flora are bacteria that help do _________.

A

Maintain health

30
Q

3 characteristics you assesss when measuring a client’s respirations.

A

Rate
Rhythm
Depth

31
Q

Why do we do data collection?

A

To get a Baseline

32
Q

Palpating pedal pulses, measuring blood pressure and observing capillary refill:what system would you be assessing?

A

Cardiovascular

33
Q

Resident is in the bathroom when you go to give him his meds. What do you do?

A

Put men’s back in med cart and return once back in bed

34
Q

Another name for pressure ulcer

A

Decubitus

35
Q

Where is the apical pulse located?

A

Left of the sternum

36
Q

How does a pathogen get from one host to another?

A

Mode of transmission

37
Q

You delegate an HCA to take vitals, you are responsible to review and interpret the results.
True or False

A

True

38
Q

A client with dysphasia; it is best to offer thickened fluids slowly
True or False

A

True

39
Q

The 10 rights to medication administration

A 
Person 
drug 
time 
route 
frequency 
reason 
refusal 
education 
evaluation 
documentation
40
Q

5 contributing factors besides ‘pressure’ that assist in the development of skin breakdown

A 
Moisture 
Shearing 
Malnutrition 
Age 
Friction
41
Q

A nurse notes that a client has bruising on the anterior aspect of the inner thigh while doing a bed bath. In doing so she is
A) using the skill of palpation
B) exercising one of the caring behaviours
C) integrating her holistic assessment while providing care
D) treating the ailment

A

C

42
Q

Client has right side hemiplagia; you are transferring him to the w/c. Where should the w/c be placed?

A

On left side of bed facing head of bed

43
Q

What type of infection control measures are used in the hospital?

A

Standard precautions

44
Q

Adventitious sounds

A

Crackles and wheezing

Integrated Nursing Practice (8 decks)

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