Fundamentals final

Question 1

Insert peripheral catheter at what angle?

Answer 1

10-30 degrees

Question 2

Romberg test what?

Answer 2

balance

Question 3

erythema

Answer 3

redness, inflammation

Question 4

Indication of infiltration at the IV site

Answer 4

skin blanching, edema and coolness

Question 5

infiltration

Answer 5

accumulation of materials in the tissues or cells at excessive amounts

Question 6

exudate indicates

Answer 6

infection

Question 7

phlebitis

Answer 7

inflammation of veins, causes warmth

Question 8

Requirements for NG tube placement:

Answer 8

1. semi-high fowler’s position at 90 degree
2. withdraw the tube but dont remove if they begin to choke
3. take sips of water to promote insertion

Question 9

Heparin administered where

Answer 9

abdomen

Question 10

heparin

Answer 10

blood thinner, prevent blood clots

Question 11

nasotracheal suctioning technique

Answer 11

apply intermittent suction during the withdrawal of the catheter to prevent injury to the mucosa

Question 12

hypoxemia

Answer 12

low levels of oxygen in the blood

Question 13

hypokalemia

Answer 13

low in potassium

Question 14

flow rate of oxygen via nasal cannula

Answer 14

1-6L/min

Question 15

paralytic ileus

Answer 15

immobile bowel

Question 16

pericardial friction rub

Answer 16

a high-pitched scratching, grating, or squeaking leathery sound heard best with the diaphragm of the stethoscope at the left sternal border

Question 17

third heart sound

Answer 17

low-pitched sound after the second heart sound

Question 18

autologous blood

Answer 18

is the safest form of blood transfusion because the use of clients own blood eliminates infection

Question 19

indwelling urinary catheter is placed where for males?

Answer 19

lower abdomen or upper thigh

Question 20

primary prevention

Answer 20

educating

Question 21

secondary prevention

Answer 21

measures that identify early stages of a condition

Question 22

tertiary prevention

Answer 22

occurs after diagnosis of a condition

Question 23

positive chvostek’s

Answer 23

decrease in calcium that causes facial twitching

Question 24

fire extinguisher steps

Answer 24

1. remove the safety pin
2. aim the hose at the fire
3. squeeze the handle
4. sweep side to side

Question 25

hemolytic:

Answer 25

-when the clients blood is incompatible with the donors blood -chills, low back pain, hypotension and tachycardia

Question 26

febrile

Answer 26

-clients blood is sensitive to the wbc's and platelets in the donor blood -fever, chills, headaches, and flushing

Question 27

circulatory overload

Answer 27

-when blood is administered to quickly -dyspnea, cough, headache, and hypertension

Question 28

sepsis

Answer 28

-blood contaminated with bacteria -high fever, vomiting , diarrhea

Question 29

hypovolemic shock indications

Answer 29

-tachycardia -cool, clammy skin -decrease in urine output, less than 30 ml/hr -tachypnea

Question 30

hyponatremia

Answer 30

low sodium levels

Question 31

opioid adverse effects

Answer 31

constipation and respiratory depression

Question 32

antipyretic

Answer 32

used for fevers

Question 33

anti hypertensive medication

Answer 33

high blood pressure

Question 34

low sodium level manifestations

Answer 34

Manifestations include abdominal cramping, weakness, confusion, lethargy, headache, and nausea.

Question 35

Droplet precautions

Answer 35

influenza, rubella, meningococcal pneumonia, and streptococcal pharyngitis.

Question 36

Airborne

Answer 36

varicella, tuberculosis, and measles.

Question 37

Contact

Answer 37

vancomycin-resistant enterococci, methicillin-resistant Staphylococcus aureus, and scabies.

Question 38

Potassium affects

Answer 38

the contractility of the heart and this client would be at risk for developing dysrhythmias.

Question 39

stage 1 pressure injury uses what dressing

Answer 39

transparent

Question 40

stage 2 pressure injury uses what dressing

Answer 40

hydrocolloid

Question 41

stage 3 pressure injury uses what dressing

Answer 41

alginate

Question 43

incomplete proteins

Answer 43

lentils, veggies, grains, nuts and seeds