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Fundamentals exam 2
| Question | Answer |
|---|---|
| function of respiratory system | Gas exchange: Pulmonary ventilation, Alveolar gas exchange, Transport of oxygen and carbon dioxide |
| gas exchange occurs.. | when alveoli are ventilated |
| parenteral | injected into body tissues. Examples: injections, intradermal, IV, SQ, IM |
| pharmacokinetics | Absorption, distribution, metabolism, and excretion of medications |
| anaphylactic reactions | Life-threatening reactions to a medication that typically result in impairment of the airway and difficulty breathing |
| adverse reaction | Unintended, undesirable, often unpredictable, severe responses to a medication |
| med interaction | When one medication modifies the action of another medication |
| therapeutic effect | The expected, intended, physiological effect caused by a medication |
| side effect | Common, predictable, unavoidable secondary effects produced at a usual therapeutic dose of a medication |
| allergic reaction | Unpredictable reactions to a medication caused by a hypersensitive immune response |
| med reconcilliation | Process by which nurses, pharmacisits, and other health care providers compare the medication that a patient is currently taking with what the patient should be taking and any newly ordered medications. |
| NOW order | A single dose of a medication is to be given shortly, within 90 minutes of the order being received (not as urgent |
| STAT order | A single dose of a medication is to be given immediately, urgently, and only once |
| PRN order | as needed” basis, as required by the client and as determined by the nurse |
| Standing order | Order that remains in place until the prescriber cancels it by another order, until a prescribed number of days elapse, or until of number of treatments or doses are provided |
| Single (one-time) order | ordered to be given only once, at a time specified by the prescriber |
| true or false Eye ointments are applied to the lower eyelids starting at the outer canthus. | false |
| true or false When receiving medication via inhaler, clients should be instructed to hold their breath for 10 seconds after inhaling the medication. | true |
| true or false Eye drops should be placed in the client’s lower conjunctival sac. | true |
| true or false After receiving vaginal medication, clients should remain on their backs, in the dorsal recumbent position, for at least 30 minutes. | false: should be 10 minutes |
| Which route of administration requires the principles of sterile technique be followed | D. Ophthalmic |
| safest intramuscular injection site | ventrogluteal |
| intramuscular injection. size needle | 21 gauge |
| subcutaneous injection. size needle | 25 gage |
| needle gauge becomes smaller, the needle diameter | increases |
| angle should be used for intradermal injections? | 5-15 degrees |
| medical asepsis | clean technique,” procedures used to reduce the number of organisms present (cleaning) |
| surgical asepsis | sterile technique,” procedures used to eliminate all microorganisms, including pathogens and spores, from an object or area (sterile gloves, sterile environment, sterile surfaces |
| Jackson-Pratt drain: | closed wound drainage device that "pulls" exudate/drainage from the client via suction, the closed system reduces possibility of microorganisms entering the wound via the drain; |
| Penrose drain: | Open wound drainage device that permits draining of exudate/drainage via gravity; consists of an open soft rubber tube; commonly inserted through stab wounds close to the incision |
| Hemovac drain: | Closed wound drainage device that "pulls" exudate/drainage from the client via suction, the closed system reduces possibility of microorganisms entering the wound via the drain |
| How does a sutured surgical wound heal | primary intention |
| How should the nurse clean a wound | From the area of least contamination to area of most contamination |
| What is the purpose of a Jackson-Pratt (JP) drain | drain wound by suction |
| What is the primary purpose of a wet-to-dry dressing | absorb drainage and debris without disrupting granulation tissue. |
| As wounds are repairing and healing themselves, which healing stage involves filling of the wound with granulation tissue, wound contraction, and wound resurfacing via epithelization | d. Proliferative phase |
| Stage 1 pressure sore | Non-blanchable redness: usually over a bony prominence, discoloration, warmth, edema, hardness may also be present, |
| stage 2 pressure sore | Partial-Thickness: shallow, open ulcer with a red-pink wound bed without slough/bruising or, as an intact or open-ruptured serum-filled or serosanguineous blister. |
| stage 3 pressure sore | Full-Thickness Skin Loss: Depth varies by anatomical location, subcutaneous fat may be visible but bone, tendon, muscle not exposed. May include undermining and tunneling. |
| stage 4 pressure sore | Full-Thickness Tissue Loss: Depth varies by anatomical location, wound extends into bone, tendon, or muscle. Undermining and tunneling common. Serious infection can result. |
| Unstageable/Unclassified pressure sore | full-Thickness Tissue Loss in which actual depth of an ulcer is completely obscured by slough and/or eschar and the wound bed is unstageable. |
| Nonrebreather | Mask that fits securely over the mouth and nose, has a bag attached, has a one-way valve that prevents the client from rebreathing exhaled air, and is used to deliver oxygen therapy at concentrations of 60-100% |
| simple face mask | Mask that fits securely over the mouth and nose, no bag attached, used to delivery oxygen therapy at concentrations of 40-60% (contraindicated with COPD pt |
| nasal cannula | Simple, comfortable device that delivers oxygen via 2 prongs that sit in the nares, offers client the most movement and flexibility, used to deliver oxygen therapy at concentrations of 24-45% at 1- 6 L/min |
| partial nonbreather | Mask that fits securely over the mouth and nose, has a bag attached, allows the client to rebreathe the first third of exhaled air in conjunction with oxygen, and is used to deliver oxygen at concentrations of 60-95% |
| facetent | “Open” mask that provides less direct oxygen administration compared to a face mask |
| venturi mask | Mask that fits securely over the mouth and nose, delivers oxygen concentrations of 30-80% with oxygen flow rates of 4-12 L/min, depending on the interchangeable connector selected or the adjustable barrel selected |
| high flow nasal canulla | A device that delivers oxygen flows from 6-15 L/min via 2 prongs that sit in the nares. Eliminates the need for most oxygen masks that cover the face. |