Fundamentals of Nursing Flashcards
Refresher Course (Day 1) Sir Daclis (142 cards)
1
Q
Types of fire extinguisher: Class A
A
Ordinary Combustible: Paper, plastic, wood, cloth
2
Q
Types of fire extinguisher: Class B
A
Flammable Liquids: Gasoline, Oil, Grease, Paints
3
Q
Types of fire extinguisher: Class C
A
Electrical fires: Office equipments
4
Q
Types of fire extinguisher: Class D
A
Metal fires: Sodium, Aluminum, Mg, K
5
Q
Extinguisher how to use:
“RACE PASS”
A
Remove
Activate the alarm
Confine
Extinguish
Pull
Aim
Squeeze
Sweep side to side
6
Q
Intrinsic factors in fall
A
Dizziness, Disorientation, Low LOC
7
Q
Morse fall scale if more than
A
50 high risk
8
Q
History of fall
A
25 pts
9
Q
Ambulatory aids
A
15 pts
10
Q
IV contraptions
A
20 pts
11
Q
Gait
A
Weak 10
Impaired 20
12
Q
Mental status impaired
A
15
13
Q
Preventions of falls side rails
A
3 sides only
4 sides may indicate false imprisonment
14
Q
Physical assessment standard
A
IPaPeA
15
Q
massess, tenderness, organ enlargment
A
Palpation
16
Q
Dull sound
A
Soft tissue
17
Q
Resonant
A
LUng
18
Q
Hyperressonance
A
High air (COPD)
19
Q
Tympanu
A
Fluids (Stomach)
20
Q
High pithc
A
Diaphgram
21
Q
Bell
A
Low pitched
22
Q
Abdominal:
A
IAPePa
23
Q
Auscultation of bowel sounds pattern
A
RLQ, RUQ, LUQ, LLQ
Each area 5 mins
24
Q
Normal bowel sounds:
A
5-20 per min
25
Respiratory assessment position
Upright
26
Abdominal assessment position
Dorsal recumbent
27
Best time to perform BSE
5-7 days after menstruation,
IF menopause same day of the month
Start at age 20 y.o
28
Sign of inflammation in BSe
Peau de orange
29
Most common area of breast tumor
Upper outer quad
30
group of lymph nodes in the axilla
Tail of spence
31
Xray of the breast
Mammography
35-39 y.o
32
Detects cervical cancer
Pap smear
Age 21 y.o every 3 yrs
Lithotomy
33
Detect testicular cancer
Testicular self exam
After warm shower for
13 y.o
34
Best time for Sputum exam
Early AM
35
Hidden blood in the stool exam for Colorectal CA, peptic ulcer dx
Guiac test
36
False positive in Guiac test
Rich in iron
Red meat
37
False negative in Guiac test
High vit C
More than 250 mg
38
False positive in Guiac test AVOID
Aspirin
Anticoagulants
NSAIDs
Steroids
39
Normal result in Guiac test
(+) Blue/green
(-) No color change
40
CBC
.5 use N
Male: 5.0 - 6
F: 4.5 - 5.5
41
Normal WBC
5k-10k
42
routine urinalysis
30-50 ml
43
Culture and sensitivity urine
5-10 ml
44
most common cause of UTI in hospitals
Catheter: E coli
45
for creatinine clearance
24 hour urine collection
46
Schilling test
Pernicious anemia
47
Vanillymandelin Acid Test VMA
Pheocromocytoma
48
neutrophils
1500-6000
49
Not for immunocompromised
below 500 sevre
FRESH flowers, fruits
Pitcher of water
Infected individuals
50
Platelets
150k-450k
51
high platelet count
AVOID
Contact sports
Straight razor
Regular toothbrush
Invasive procedure
52
Coagulation studies bleeding time
1-10 mins
53
Prothrombin time
10-12 secs
54
AST and ALT:
10-40
55
Albumin
3.5-5
56
Amylase
25-150
57
BUN
10-20
58
S. creatinine
0.6-1.2 mgdl
59
Chloride
95-105
60
Before extraction of ABG
Allen's test
61
ABG values
pH 7.35-7.45
62
CO2
35-45
63
HCo3
22-26
64
Upper GI series
Laryngo
Bronchp
EGD
Esophago
GAstro
Duodenoscopy
65
Lower GI
Colonoscopy
66
Prep for Upper GI endoscopy
"CNAVA"
Consent
NPO post midng
Atropine SO4
Valium
Anesthetic spray
67
WOF (Upper GI endoscopy)
Bleeding
Perforation
68
Prep for Lower GI
"LLNC"
Low residue diet
Laxative
NPO midnt
Cleaning enema
Left sims
69
Post op care for Lower GI
Bleeding and Perforation
70
Series of Xray with fluoroscopy
Barium studies
71
Stool not excreted within 24 hrs
Bowel obstructio
72
LGIS
Barium enema
73
UGIS
Barium swallow
74
CPT technique
"PVP"
Percussion
Vibration
Postural drainagw
75
Do CPT when
before meals or 2 hrs post meals
After nebu
Mouth care after procedure
76
position for suctioning in unconscious pt
Side lying
77
For consciousn
Fowlers
78
Nasopharyngeal tube
tip of the nose to earlobe
79
Tracheal suction
1-2 cm
80
most accurate oxygen deliverer
Venturi mask
Best for COPD
81
Oxygen for suctioning
Non rebreather
82
Oxygen for magnesium poisoning severe hypoxemia
High flow nasal cannula
83
nursing int before suction
Hyperoxygenate for 1 mins
Apply suction during WITHDRAWAL
84
Durations of suctioning
Duration 5-10 max of 15
Interval 20-30 secs
Total of 5 mins
85
2 types of suction machine and its power
Durable: 10-15 mmHg adult
Wall mounted: 100-120 mmHg adult
86
removes fluid in the pleural space
Thoracentesis
87
prep for thoracentesis
"CLCUC"
Consent
Lidocaine allergy
Coagulation studies
UTZ/Xray b4 procedure
Chest tube remain
88
During thoracentesis
Sitting at the edge
Lateral recumebnt
89
Post op thora
Unffected side to avoid leak
90
Monitor after thoracentesis
RR
Expetorate blood
Respiratory distress: USe of accessory muscles
91
Chest tube thoracostomy
Negative pressure immersed in H2o for 2cm
92
Normal in CTT
Tidaling or intermittend bubbling
93
Continous bubbling in CTT
Air leak
94
Absent bbbling in CTT
check for KInks
if not kinks report to physician to re expand lungs
95
Drainage for CTT
100 ml per hr
96
if 400 ml or more for 24 hrs in CTT
REMOVE
97
if disconnected tube
Cover dry sterile gauce and petroleum gauge
tape at 3 sides
98
if bottle break in CTT
immersed in basin of water or NSS
99
cuff pressure in tracheostomy
20-30 mmhg
100
which at bedside in tracheostomy
Obturator as Guide
101
Cleaner in tracheostomy
Hydrogen peroxide half strength mixed with NSS or water
102
Must be at bedside if patient is in tracheostomy
Suction machine
Inner cannula
Obturator
103
Lavage
Drainage
104
Gavage
Feeding
105
Single lumen
Levin tube
106
Double lumen
SAlem sump
107
Insertion of NGT
High fowlers
Hyperextended neck
Flex n eck
108
Length of NGT "NEX"
Tip of NEX
Nose - Earlobe - Xiphoid
109
Check for placement of NGT
Aspirate gastric content
pH 1-4
Xray (CONFIRMATORY)
110
After feeding in NGT
Semif owlerrs
111
If 100 ml drainage
Hold the feeding
112
flushing of NGT
before and afterr
30-60 ml
113
Regular stoma large intestine
Colostomy
114
Smaller stoma in the RLQ small intestine
Ileostomy
115
Ileostomy stools
Liquid stoold
Diarrhea
116
WOF in ileostomy
Obstructoon
Avoid
Raw vege
Nuts
Popcorn
117
Transverse colon
Mushy stools
118
Ascending colon
Liquid stool
119
Descending colon
Semi formed
120
Sigmoid colon
Well formed
121
Stoma assesssment: Pale pink
Anemia
122
Stoma assesssment: Black
Necrotic
123
Stoma assesssment: Bluish
Ichemia
124
Empty bag when
1/2-1/3 full
125
Wafer
Into the skin
126
Foods that cause stoma odor
Oily
Fatty
Spicy
Brocolli, cabbage, spinach
127
Foods that reduce odor
(PaBuYoCOT)
Parsley
Buttermilk
Yogurt
Cranberry juice
Orange juice
Tomato juice
128
COAL in crutchesq
Cane
Opposite
Affected
Leg
129
upstairs
goodleg
130
Downstairs
Basd leg
131
right cruthc then left
2 pt gait
132
Catheter: Single lumen
Straight cath
133
Double lumen
Foley cath
134
Triple lumen
Cystoclysis (continous bladder irrigation)
135
Male secure cath
Lower abdomen
Upper thigh
136
Female secure cath
Inner thigh
137
Position upon catheter
M: Supine leg extended
F: Dorscal recumben
138
Clean procedures
eyes
Git
Vagina
139
Enema position
Left sims
140
Rectal cath
Water based lube 1-2 inch
141
Low flow enema
12 in above
142
High flow enema
18 inch above
