Kaplan

Question 1

The phases Nursing Diagnosis

Answer 1

assessment ( data, vitals, past hx), planning, nursing diagnosis(specific problem needing to be addressed) , implementation, evaluation

Question 2

orthopnea

Answer 2

inability to breathe expect in upright position

Question 3

crackles

Answer 3

abnormal breathing sounds, high-pitched, heard during inspiration, not cleared by couch, heard at base of the lung

Question 4

renal diet

Answer 4

kidneys can’t filter off electrolytes and proteins. low sodium, potassium(avocados, bananas, oranges, raisins), phosphorus( whole grain breads, dark sodas, nut and sunflower seeds), protein

Question 5

total parental nutrition

Answer 5

IV high in glucose, vitamins, minerals, protein, and lipids. requires blood glucose monitoring 4-6 hours

Question 6

NG tube

Answer 6

check pH, gives meds, feeds, and empties stomach

Question 7

foot care

Answer 7

don’t cut with scissors, elevate feet

Question 8

oral care

Answer 8

pt must bu up in bed ( fowers position)

Question 9

incentive spirometer

Answer 9

pt to achieve maximum voluntary lung expansion and prevents atelectasis, 10 per hour, inhale slowly, sit in semi fowers position, cough after procedure

Question 10

pulse oximetry

Answer 10

measures the pt arterial oxygen saturation to detect hypoxemia

Question 11

what condition causes crackles

Answer 11

underlying inflammation

Question 12

pursed lip breathing

Answer 12

prevent air trapping

Question 13

when washing hands what must you do

Answer 13

use friction

Question 14

what does isometric exercise do?

Answer 14

use foot to push against something. type of strength training in which the joint angle and muscle length do not change during contraction

Question 15

hypoxia

Answer 15

deficiency in the amount of oxygen reaching the tissues.

Question 16

semi fowers postion

Answer 16

30-45

Question 17

code of ethics

Answer 17

developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession( don’t share pt stuff in a lab partner in class)

Question 18

testing for occult blood

Answer 18

obtain specimen in two different places of the stool

Question 19

maslow hierarchy of needs

Answer 19

physiological, safety, love and belonging, esteem,self-auctualization

Question 20

blood pressure cuff

Answer 20

make sure the cuff fits the pt arm, not to big or not too small

Question 21

physical assessment: percussion

Answer 21

tapping fingers or hands quickly to locate borders and identify organ shape and position

Question 22

abdominal assessment

Answer 22

dont palpate over 6 cm

Question 23

droplet precaution

Answer 23

used with pathogens transmitted by infectious droplet, happens during coughing or sneezing, use mask if puts is being transported, private room wit door closed

Question 24

aseptic technique

Answer 24

is a method designed to prevent contamination from microorganisms. medical: clean surgical: sterile

Question 25

fluid volume deficit

Answer 25

weak pulses, rapid respirations, monitor vitals, measure intake and outpt, asses skin turgor

Question 26

urinalysis

Answer 26

pH 4.6-8 clear, not cloudy , screening for culture and sensitivity is obtained through midstream or strike methods

Question 27

evaluated body temps

Answer 27

oral:101 37.7 rectal: 100.4 38

Question 28

full liquid diet

Answer 28

all clear liquids and smooth textured dietary products such as refined cooked cereals fruit juices an duper vegetables

Question 29

respiratory rate

Answer 29

12-20, tachypnea greater than 20 Bradypnea less than 12

Question 30

airborne precautions

Answer 30

private room, monitored with negative air pressures, tranmitted direct or indirect

Question 31

HIPPA

Answer 31

protect the privacy of personal health information