Funds Final Flashcards

(67 cards)

1
Q

Valsalva maneuver

A

Tell patient not to strain because it decreases the heart rate

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2
Q

Describe types of stools

A
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3
Q

Cloudy urine, painful urination, fever, chills, nausea, confusion

A

Signs of UTI

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4
Q

Urine sample from a catheter needs to be taken from

A

Mid stream

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5
Q

Use catheter to relieve _____________ in the bladder

A

Pressure

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6
Q

What is incontinence

A

Any complaint of involuntary loss of urine

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7
Q

Positions for catheterization for males and females

A

Dorsal recumbent - females
Supine - males

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8
Q

Types of urinary incontinence (4 types)

A

Transient
Urge
Stress
Mixed

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9
Q

Position for enema

A

Left lateral position

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10
Q

Why do we want to catch a UTI quickly

A

Doesn’t spread to kidneys

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11
Q

Length of urethra males and females

A

2.5-5.0 cm - female
12.5-17.5 cm - male

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12
Q

What breaks down food in the stomach

A

Chyme

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13
Q

Definition of ventilation

A

Ventilation is the process of moving gas in and out of the lungs

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14
Q

Definition of atelectasis

A

Lung collapse

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15
Q

Urine loss resulting from causes outside of or affecting the urinary system that resolves when underlying causes are treated

A

Transient urinary incontinence

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16
Q

People who cant sleep supine is called

A

Orthopnea

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17
Q

Report of invountary loss of urine associated with urgency, frequency or nocturia

A

Urge urinary incontinence

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18
Q

Report of involuntary loss of urine on effort or physical exertion, including sporting activities or on sneezing or coughing

A

Stress urinary incontience

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19
Q

Urine loss that has features of both stress and urge incontinence

A

Mixed urinary incontinence

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20
Q

Urine loss due to inability to reach the toilet

A

Functional urinary incontinence

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21
Q

How to fix an error and charting

A

One line through it and add initial

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22
Q

SOAPIE

A

Subjective, Objective, assessment, plan, implementation, evaluation

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23
Q

Truths about urinary tract

A

It is sterile

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24
Q

If O2 is low encourage

A

Deep breathing

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25
Family care of palliative patient
Should be open visiting hours and let the family stay
26
What is post mortem care
Maintain dignity
27
Humidity is useful when giving oxygen at ____ L
At 4L
28
Preventing skin break when using oxygen by
Put pads or something behinds ears
29
How to obtain fecal specimen
Place clean container in the toilet to catch the stool, use scoop to obtain the sample, collect the stool in a dry, clean, leakproof container
30
How to help a client void
Use water running
31
How to sit while defecating
Knees up on squatty potty
32
Whens the best time to toilet a patient
20 minutes after breakfast
33
Signs of impending death
Bruising, decreased appetite, thirst
34
What is shane-stokes
Breathing up down up down up down break without breathing then up down up down
35
What happens when you avoid urge to defecate
Brain will make you move the stool through your body
36
How much fluid is needed to prevent constipation
1000-1500ml
37
How does a patient feel after colostomy
Improved quality of life but decreased self-esteem (body image)
38
How to care for a stoma
Gently clean the skin around with mild soap in a circular motion, pat area dry
39
How to talk to patients who are dying
Be honest but respectful
40
Kubler-ross stages of dying
Denial Anger Bargaining Depression Acceptance
41
Boulden theory of grieving
Shock and numbness yearning and searching Disorganization and despair Reorganization and recovery
42
If client asks to pray what do you do
Pray with them?
43
Talk about grief in an individual
healing is not linear
44
Encourage _________ to talk during palliative care
family
45
Non-verbal signs of pain
Wincing, crying, pointing
46
Respirations with narcotics
It decreases
47
Communication with dying
Be honest but respectful
48
Normal o2 liters per minute via oxygen delivery device
Nasal canalar 1-6L Face mask 5-12L Face tent 8-15L
49
Nursing actions for patients on oxygen
Put sign on door, educate patient and family, ensure device fits and O2 delivery is appropriate and accurate
50
What mask delivers oxygen and humidification
Face mask
51
_______________ is a life long process
Communication
52
Interpersonal communication is
When two people speak to each other
53
Therapeutic techniques in communication
Be open, non judgemental, empathic, eye contact
54
What must be worried/concerned about with older adults
Sense/perception of heat
55
What is holistic care
Mind, body and spiritual integration
56
What alternative care can nurses do to aid in clients with pain without analgesics
Guided imagery, distraction, education
57
What is mottling?
of the skin is a common symptom that occurs near the end of life. Red and purples spots appear on the toes, feet, and fingers and spread slowly up the arms and legs. Lips may turn purple as well.
58
What causes mottling?
caused by poor circulation; the patient's heart can no longer pump blood effectively.
59
increases venous pressure to prevent air from entering the bloodstream during catheter insertion and when catheter is disconnected or cap is changed. Maintaining integrity of closed system prevents air emboli. forced expiration against a closed glottis.
The Valsalva manoeuvre
60
Catheter size is 10 to 12 Fr for adult patients with ____ genitalia
female
61
Catheter size is 12 to 16 Fr for adult patients with ____ genitalia
male
62
When a patient dies in a home, facility, or hospital setting, nurses provide
Postmortem care
63
The following is part of _____________: Legislated health care providers - medical certificate of death: cause of death, time, actions taken Offer survivor the option of donating organs or tissue of the deceased Check orders for specimens or special orders Ask family If they want to be involved in after death care Remove equipment, tubes etc Cleanse body, brush hair, cover body wit sheet Personal belongings Apply tags according to protocol Complete documentation in nursing notes
Post mortem care
64
injections of fluids used to cleanse or stimulate the emptying of your bowel.
Enemas
65
Grimacing Nonverbal signs of distress Guarding Moaning with movement Small ROM Increased heart rate/BP Crying
Signs of pain
66
The stoma should be cleaned and the dressing changed every 6 to 12 hours or as needed skin inspected for skin breakdown or signs of infection/inflammation
Trach dressing change
67
_______ is a lifelong process
Communication