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adult 1 unit 1
| Question | Answer |
|---|---|
| THIS IS A PROBLEM SOLVING METHOD,SYSTEMATIC,GOAL-DIRECTED,FLEXIBLE,RATIONAL APPROACH,IT PROVIDES A BASIS FOR PROFESSIONAL ACCOUNTABILITY,WHAT PROCESS IS THIS? | NURSING PROCESS |
| THE NURSING PROCESS INCLUDES 4 KEYS ROLES WHICH ARE... | COLLECTING INFO,IDENTIFYING THE PROBLEM, DEVELOPING AN OUTCOME BASED PLAN AND THE EVALUATION |
| ASSESSMENT,NURSING DIAGNOSIS,PLANNING, IMPLEMENTATION & EVAL ARE THE 5 STEPS OF WHICH PROCESS? | NURSING |
| WHAT STEP OF THE NURSING PROCESS IS CAREFUL OBSERVATION AND EVALUATION OF A CLIENT'S HEALTH STATUS? | ASSESSMENT |
| THIS IS WHAT THE PT OR THE FAMILY TELLS YOU, WHAT TYPE OF DATA IS THIS? | SUBJECT |
| THIS DATA IS MEASURABLE AND NOT BASED ON ASSUMPTIONS,WHAT DATA IS THIS? | OBJECTIVE |
| A STATEMENT THAT DESCRIBES A SPECIFIC RESPONSE TO AN SCTUAL OR POTENTIAL HEALTH PROBLEM THAT REQUIRES NURSING INTERVENTION? | DIAGNOSIS |
| THE PROBLEM, THE CAUSE AND SIGNS AND SYMPTOMS ARE PARTS TO WHAT? | NURSING DIAGNOSIS |
| SETTING PRIORITIES,DEFINING EXPECTED (DESIRED) OUCOMES(GOALS),DETERMINING SPECIFIC NURSING INTERVENTIONS & RECORDING THE PLAN OF CARE IS PART OF THE NURSING PROCESS? | PLANNING |
| CARRYING OUT THE WRITTEN PLAN OF CARE,PERFORMING INTERVENTIONS,MONITORING THE CLIENT'S STATUS AND ASSESSING AND REASSESSING THE CLIENT BEFORE,DURING AND AFTER TREATMENTS WHAT PART OF THE NURSING PROCESS IS THIS? | IMPLEMENTATION |
| ASSESSMENT AND REVIEW OF THE QUALITY & SUITABILITY OF CARE GIVEN AND THE CLIENTS RESPONSE TO THAT CARE, WHAT PART OF THE NURSING PROCESS IS THIS? | EVALUATION |
| WHAT ARE 3 POSSIBLE CONCLUSIONS OF A EVALUATION? | 1.OUTCOME ACHIEVED,PROBLEM SOLVED & ORDERS DISCONTINUED.2.OUTCOME NOT MET,CARE IS CONTINUED/REVISED 3.OUTCOME NOT ACHIEVED,PLAN REQ CRITICAL RE-EVAL & MAJOR REVISIONS |
| BEGINS WITH THE DECISION TO PERFORM SURGERY & CONTINUES UNTIL THE PATIENT REACHES THE OPERATING AREA, WHAT STAGE OF PERIOPERATIVE NURSING IS THIS? | PREOPERATIVE |
| INCLUDES THE ENTIRE SURGICAL PROCEDURE UNTIL THE TRANSFER OF THE PATIENT TO THE RECOVERY AREA, WHAT STAGE OF PERIOPERATIVE IS THIS? | INTRAOPERATIVE |
| BEGINS WITH ADMISSION TO THE RECOVERY ROOM AND CONTINUES UNTIL THE PATIENT RECEIVES A F/U EXAM AT HME OR DISCHARGE TO A REHAB UNIT,WHAT STAGE OF PERIOPERATIVE IS THIS? | POSTOPERATIVE |
| DIAGNOSTIC,EXPLORATORY,CURATIVE, PALLIATIVE AND COSMETIC ARE ALL REASON FOR WHAT? | SURGERY |
| EXAMPLE: BREAST BIO, WHAT REASON IS THIS SURGERY NEEDED? | DIAGNOSTIC |
| EXAMPLE: ABDDOMEN FOR AB PAIN "WHY IN PAIN", WHAT REASON IS SURGERY NEEDED? | EXPLORATORY |
| EXAMPLE: TO TAKE CARE OF A PROBLEM, HIP REPLACEMENT, WHAT REASON IS SURGERY NEEDED? | CURATIVE |
| EXAMPLE:TO RELIEVE PAIN/ALEVIATE THE PAIN, NOT TO CURE,WHAT REASON IS SURGERY NEEDED? | PALLIATIVE |
| EXAMPLE:RHINO "NOSE JOB", BOOB JOB, WHAT REASON IS SURGERY NEEDED? | COSMETIC |
| EMERGENCY,URGENT,REQUIRED,ELECTIVE AND OPITION ARE ALL CATAGORIES OF SURGERY BASED ON WHAY? | URGENCY |
| GUNSHOT WOUND IS AN EXAMPLE OF WHAT CATAGORY? | EMERGENCY |
| ACUTE GALL BLADDER IS AN EXAMPLE OF WHAT CATAGORY? | URGENT |
| CATARACT/PROSTATE SURGERY IS AN EXAMPLE OF WHAT CATAGORY? | REQUIRED |
| REVISIONS OF A SCAR IS AN EXAMPLE OF WHAT CATAGORY? | ELECTIVE |
| COSMETIC SURGERY IS AN EXAMPLE OF WHAT CATAGORY? | OPTIONAL |
| LABS, DIAG TESTS, HEALTH HX, PHYSICAL ASSESSMENT, PSYCHOSOCIAL & CULTURAL NEEDS IS? | PREOPERATIVE:ASSESSMENT |
| CBC, CMP & TYPE AND CROSS LABS ARE DONE DURING? | PREOPERATIVE:ASSESSMENT |
| THIS IS ALSO CALLED "INFORMED CONSENT", MUST BE SIGNED BY PATIENT BEFORE SURGERY,SURGEON MUST INFORM PT ABOUT THE PROCEDURE, RISKS & BENEFITS, THIS IS THE ? | PREOP:SURGICAL CONSENT |
| WHO'S ROLE IS IT TO MAKE SURE THE PT UNDERSTANDS THE SURGEONS EXPLANATION, IF NOT THEY WILL NOTIFY THE SURGEON FOR FURTHER EXPLANATION | THE NURSE |
| WHO IS RESPONSIBLE TO HAVE THE CONSENT SIGNED AND WITNESSED AND IN THE CHART BEFORE THE PT GOES TO SURGERY? | THE NURSE |
| IF A PATIENT IS INCONSCSIOUS OR NOT MENTALLY COMPETENT WHO MUST SIGN THE CONSENT FORM? | A FAMILY MEMBER OR LEGAL GUARDIAN |
| IF A PT IS UNDER 18 YRS WHO MUST SIGN THE CONSENT FORM? | PARENT OR LEGAL GUARDIAN |
| IF A PT IS UNDER 18 AND LIVES AWAY FROM PARENTS OR LEGAL GUARDIAN, THEY ARE CONSIDERED AN EMANCIPATED MINOR AND WHO WILL SIGN THE CONSENT? | THEY WILL |
| bEFORE THEY ARE MEDICATED WHAT SHOULD YOU MAKE SURE IS DONE? | THE CONSENT FORM IS SIGNED |
| THIS HELPS THE PT UNDERSTAND WHAT TO EXPECT AFTER THE SURGERY, IT MAY HELP TO COMFORT PATIENTS & PREPARE THEM? | PRE-OP TEACHINGS |
| WHAT ARE 2 TYPES OF INTRAOPERATIVE ANESTHSIA'S? | GENERAL & REGIONAL |
| THIS ACT'S ON THE CNS AND PRODUCES LOSS OF SENSATION, REFLEXES, AND CONSCIOUSNESS. BREATHING, CIRCULATION AND TEMP ARE NOT REGULATED PSYCHOLOGICALLY, MUST BE MONITORED CAREFULLY DURING SURGERY, WHAT TYPE OF ANESTHIA IS THIS? | GENERAL |
| USES TO BLOCK CONDUCTION OF A NERVEIMPULSE TO ASPECIFIC AREA, PT EXPERIENCE A LOSS OF SENSATION & MOTOR FUNCTION TO THAT AREA, WHAT TYPE OF ANESTHIA IS THIS? | REGIONAL |
| WHAT ARE 2 TYPES OF REGIONAL ANESTHESIA? | SPINAL & EPIDURAL |
| INJECTION OF LOCAL ANESTHSIA INTO SUBARACHNOID CEREBROSPINAL FLUID SPACE, WHAT TYPE OF REGIONAL ANESTHIA IS THIS? | SPINAL |
| INJECTION OF LOCAL ANESTHESIA INTO EPIDURAL SPACE, WHAT TYPE IS THIS? | EPIDURAL |
| MD, COMPLETED 2 YRS OF RESIDENCY AND IS RESPONSIBLE FOR ADMIN OF ANESTHIA & MONITORING THE PT DURING SURGERY, WHO AM I? | ANESTHEOLOGIST |
| MD THAT HAS NOT COMPLETED RESIDENCY, DMD CAN ADMIN LIMITED ANESTHSIA AND A RN THAT HAS COMPLETED ACCREDIATED CRNA PROGRAM,WHO AM I? | ANESTHESIS |
| STERILE,ASSISTS THE TEAM, HANDS INSTUMENTS TO THE SURGEON,PREPARES SUTURES, RECEIVES LAB SPECIMENS, COUNTS SPONGES AND NEEDLES WHO AM I? | SCRUB NURSE |
| NOT STERILE, MOVES AROUND, OPENS SUPPLIES AND EQUIPMENT, DOCUMENTS,ADJUSTS LIGHTS, COORDINATES OTHER DEPT/PERSONNEL, WHO AM I? | CIRCULATING NURSE |
| STEET CLOTHES ARE ALLOWED WHAT ZONE IS THIS? | UNRESTRICTED ZONE |
| PERSONNEL REQUIRED TO WEAR SRUB CLOTHES AND CAPS, WHAT ZONE IS THIS? | SEMI-RESTRICTED ZONE |
| PERSONNEL REQUIRED TO WEAR SCRUB CLOTHES, CAPS, SHOE COVERS AND MASKS, WHAT ZONE IS THIS? | RESTRICTED ZONE |
| ANESTHESIS, ANESTHEOLOGIST, SCRUB NURSE, CIRCULATING NURSE SURGEON AND ASSISTANTS ARE ALL_________________ | INTRAOPERATIVE |
| THIS IS A STERILE TECHNIQUE THAT PREVENTS CONTAMINATION OF SURGICAL WOUNDS, WHAT TECHNIQUE IS THIS IN THE IRAOPERATIVE PHASE? | SURGICAL ASEPSIS |
| INFECTION,FLUID VOLUME EXCESS OR DEFICIT, INJURY R/T POSTIONING AND HYPOTHERMIA ARE POSSIBLE ___________________COMPLICATIONS? | INTRAOPERATIVE |
| THIS IS AN INHERITED DISORDER AND IS ALSO A INTAOP COMPLICATION? | MALIGNANT HYPERTHERMIA |
| WHAT IS PACU? | POST OP PERIOD: POST ANESTHESIA CARE UNIT OR RECOVERY ROOM |
| HEMORRHAGE,SHOCK,HYPOXIA,ASPIRATION/VOMITING,URINARY RETENSION,DISTENTION/IIEUS,PNEUMONIA,THROMBOPHLEBITIS,WOUND INFECTION AND PE ARE ALL COMPLICATIONS THAT CAN HAPPEN WHEN? | POST-OP |
| BEGINS WHEN THE PATIENT ARRIVES ON THE MED-SURG UNIT, NURSES ANTICIPATE,PREVENT, AND MINIMIZE POST OP PROBLEMS AND FREQUENT ASSESSMENTS WHEN? | LATER POST OP PERIOD |
| WHAT ARE THE 3 PHASES OF WOUND HEALING? | INFLAMMATION STAGE, PROLIFERATIVE PHASE AND MATURATION/REMOLDING PHASE |
| BLOOD CLOT FORMS, SWELLING OCCURS, PHAGOCYTES INGEST DEBRIS FROM THE DAMAGED TISSUE AND BLOOD CLOT, USUALLY LASTS 1-4 DAYS WHAT PHASE IS THIS? | INFLAMMATION |
| COLLAGEN PRODUCED, GRANULATION TISSUE FORMS, LASTS 5-20DAYS WHAT PHASE IS THIS? | PROLIFERATIVE PHASE |
| TENSILE STRENGTH INCREASES, GETS STRONGER, LASTS 21 DAYS/MONTHS/YEARS WHAT PHASE IS THIS | MATURATION/REMOLDING PHASE |
| PRIMARY,SECONDARY, AND TERIARY ARE TYPES OF WHAT? | WOUND HEALING |
| WOUND EDGES ARE APPROXIMATED AND SUTURED. HEALS 8-10 DAYS WITH MINIMAL SCARRING, WHAT TYPE OF WOUND HEALING IS THIS? | PRIMARY |
| WOUND EDGES NOT APPROXIMATED, WOUNDS FILLS WITH GRANULATION TISSUE, USED FOR ULCERS AND INFECTED WOUNDS, SLOW HEALING, WHAT TYPE OF WOULD HEALING IS THIS? | SECONDARY |
| APPROXIMATION OF WOUND EDGES DELAYED DUE TO INFECTION, WOUND IS DRAINED, CLEANED OF INFECTION AND THEN SUTURED, WHAT TYPE OF WOUND HEALING IS THIS? | TERTIARY |
| WHAT IS SEPARATION OF WOUND EDGES? | DEHISENCE |
| WHAT IS STRAIN ON WOUND AND ORGANS PERTRUDING OUTSIDE OF WOUND? | EVICERATION |
| INTERCELLULAR,EXTRACELLULAR,INTERSTITAL & INTRAVASCULAR ARE LOCATIONS OF WHAT? | FLUIDS |
| IN THE CELL | INTRACELLULAR |
| OUTSIDE THE CELL | EXTRACELLULAR |
| BETWEEN THE CELLS | INTERSTITAL |
| IN THE PLASM OR SERUM | INTRAVASCULAR |
| URINE, DRAINAGE, BLOOD LOSS IS MEASURABLE, WHAT TYPE OF FLUID LOSS IS THIS? | SENSIBLE FLUID LOSS |
| SWEATING AND BREATHING IS NOT MEASURABLE, WHAT TYPE OF FLUID LOSS IS THIS? | INSENSIBLE |
| MOVEMENT OF FLUIDS BACK AND FORTH AND THE EXCHANGE OF CHEMICALS IS | TRANSLOCATION |
| WHAT CARRIES A CHARGE? | ELECTROLYTES |
| THIS RELEASES HYDROGEN IN THE FLUID | ACIDS |
| THIS BINDS | BASES |
| THIS IS IN THE HYPOTHALAMUS,IT REGULATES FLUIDS | OSMORERECEPTOR |
| THIS IS IN THE HEART,STRETCH RECEPTORS IN THE AORTIC ARCH & CAROTID SINUS THAT SIGNAL THE BRAIN TO RELEASE ADH | BARORECEPTORS |
| THIS MAINTAINS A HEALTHY BLOOD VOLUME AND BLOOD PRESURE, MAINTAINS A BALANCE OF SODIUM & WATER IN THE BODY & RAISES BP | RENIN-ANGIOTENSIN-ALDOSTERONE |
| THIS DECRESES BP AND REDUCES INTRAVASCULAR BLOOD VOLUME,PRODUCED IN THE HEART MUSCLE WHEN THER IS OVER FILLING & DECREASES ADH,ALDOSTERONE AND RENIN | ATRIAL NATRIURETIC PEPTIDE |
| MOVEMENT OF FLUID FROM AN AREA OF SOLUTE CONCENTRATION(MORE FLUID) TO AN AREA OF HIGH SOLUTE CONCENTRATION(LESS FLUID) CONTINUES UNTIL THE SOLUTION BECOMES ISOTONIC | OSMOSIS |
| RELOCATES THE WATER& SOME DISSOLVED SUBSTANCES(OXYGEN)ACCORDING TO PRESSURE DIFF, MOVES FROM AN AREA OF HIGH PRESSURE TO LOWER AREA PRESSURE | FILTRATION |
| WHAT PART OF THEBODY USES FILTRATION TO EXCRETE FLUID AND WASTE, THEN SELECTIVELY REABSORBS WATER AND CHEMICALS? | KIDNEYS |
| WHAT IS MOVEMENT OF SOLUTES? | DIFFUSION |
| DISSOLVED SUBSTANCES (SOLUTES) MOVE FROM HIGH AREA OF CONCENTRATION TO A LOW AREA OF CONCENTRATION | PASSIVE |
| OCCURS WHEN SUBSTANCES REQUIRE ASSISTANCE EX:GLUCOSE REQUIRES INSULIN | FACILITATED |
| REQUIRES ENERGY (ATP) | ACTIVE TRANSPORT |
| CELLS AND PLASMA ARE | WHOLE BLOOD |
| THESE ARE THE CLOTTING COMPONENTS IN BLOOD | PLATELETS |
| WBC'S | GRANULOCYTES |
| SERUM WITH CELLS,COAGULATION COMPONENTS,COUMADIN REVERSAL | PLASMA |
| PLASMA PROTEIN | ALBUMIN |
| CLOTTING FACTOR, TREATS CLOTTING DISORDER | CRYOPRECIPITATE |
| DECREASED VOLUME, TOO LOW OF FLUID, S/S DECREASED URINE OUTPUT, DARK IN COLOR, INCREASED HEART RATE, THIRST & POOR SKIN TURGOR | HYPOVOLEMIA |
| HOW DO YOU TREAT HYPOVOLEMI? | INCREASE THE PT'S INTAKE |
| INCREASED VOLUME, TOO MUCH FLUID,S/S ADEMA, JUGULAR VEIN DISTENTION,PULMONARY CONGESTION, SHORT OF AIR, HAVE CRACKLES,INCREASED BP & WEIGHT GAIN | HYPERVOLEMIA |
| HOW DO WE TREAT HYPERVOLEMIA | DECREASE FLUIDS, DECREASE SODIUM INTAKE & GIVE ANTIDIRECTIC AND DIALYSIS LAST RESORT |
| MOVEMENT OF FLUID TO TISSUE COMPARTMENTS, S/S WEIGHTLOSS, DECREASED BP, SHOCK | THIRD SPACING |
| HOW DO WE TREAT THIRD SPACING? | ALBUMIN & DIARETICS |
| DIET, VOMITING, DIARRHEA, IV SOLUTIONS, MEDS, ORAL INTAKE, RENAL FAILURE AND ENDOCRINE DISORDERS CAUSE | ELECTROLYTE IMBALANCES |
| NORMAL RANGE 135-145MEQ IS | SODIUM IMBALANCES |
| TOOLITTLE, DECREASED SODIUM INTAKE,MENTAL CONFUSION, MUSCLE WEAKNESS, ANEOREXIA, INCREASED TEMP & HR,N/V,COMA & RESTLESSNESS | HYPONATREMIA |
| HOW DO WE TREAT HYPONATREMIA | INCREASE SODIUM INTAKE PO OR IV |
| TOO MUCH, INCREASE, EXCESS SODIUM INTAKE, S/S, THIRST, DRY M/M AMD DECREASED URINE OUTPUT | HYPERNATREMIA |
| HOW DO WE TREAT HYPERNATREMIA | HYPOTONIC IV D5 NORMAL SALINE, LOW SODIUM DIET |
| NORMAL RANGE 3.5-5.0MEQ | POTASSIUM IMBALANCES |
| LOW PATASSIUM, DECREASED POTASSIUM, S/S FATIGUE, WEAKNESS, N/V, ANOREXIA, CARDIAC DYSRYTHMIAS, LEG CRAMPS, MUSCLE WEAKNESS & EKG CHANGES | HYPOKALEMIA |
| HOW DO WE TREAT HYPOKALEMIA | POTASSIUM PILLS BY PO, CAN GIVE BY IV, NEVER PUSH POTASSIUM IT CAN KILL, GIVE IT SLOW W/PUMP |
| TOO MUCH POTASSIUM S/S DIARRHEA, NAUSEA, MUSCLE WEAKNESS, EKG CHANGES | HYPERKALEMIA |
| HOW DO WE TREAT HYPERKALEMIA | DECREASE POTASSIUM INTAKE |
| NORMAL RANGE 9.0-11.0 MEQ (SERUM)NORMAL IONIZED CALCIUM 4.4-5.4MEQ | CALCIUM IMBALANCES |
| DECREASE CALCIUM IN THE BLOOD S/S TINGLING IN EXTREMITIES, AROUND THE MOUTH, MUSCLE & AB CRAMPS, SEIZURES, BLEEDING | HYPOCALCEMIA |
| HOW DO WE TREAT HYPOCALCEMIA | GIVE ORAL CALCIUM,GIVE VIT D, IV CALCIUM |
| INCREASED CALCIUM IN THE BLOOD | HYPERCALCEMIA |
| NORMAL RANGE 1.3-2.1 MEQ | MAGNESIUM |
| LOW MAG IN THE BLOOD | HYPOMAGNESEMIA |
| INCREASED MAG IN THE BLOOD | HYPERMAGNESEMIA |
| THIS IS THE AMOUNT OF HYDROGEN IONS IN A SOLUTION | PH |
| 1-14 | PH RANGE |
| 1 = | HIGHLY ACIDIC |
| 14 = | HIGHLY BASIC |
| 7.35-7.45 IS THE NORMAL RANGE FOR | BLOOD |
| WHAT RELEASE OR CONCERVE CO2 | LUNGS |
| WHAT RETAINS OR EXCRETES BICARBONATE IONS | KIDNEYS |
| 7.35 - 7.45 | NORMAL PH |
| 35-45 | NORMAL CO2 |
| 22-26 | NORMAL HCO3 |
Created by:
jmbosworth1972
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