Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Concepts 3 Test 2
Jones in class review
| Question | Answer |
|---|---|
| Tissue Redness/ Erythema indicates | inflammation and possible infection |
| Cyanosis indicates | hypoxia, pt will look blue |
| Yellow eyes or skin indicates | jaundice/ liver disease |
| Pallor indicates | poor circulation |
| Rhonci sounds like | snoring |
| Signs are | things that can be seen, heard & measured |
| Atelectasis | decreased excursion on one side of the chest caused by pneumonia or lung collapse |
| UTI Medication | Bactrum |
| Bradypnea | abnormally slow respiration rate from opioid use |
| Opioids do what to pulse | lower it |
| How often do you toilet when bladder training | every 2 hours as needed for pain |
| Dementia | deterioration of intelectual & cognitive |
| Stress Incontinence | increased abdominal pressure causes urine to leak coughing, laughing, sneezing, vomiting, heavy lifting |
| What do you do if you hear diminished sounds when auscultating on the left side | Nothing there is no left middle lobe |
| Stridor sounds like | shrill, happens when a child swallows a toy |
| If a pt is cyanotic, incontinent, & has tremors what should you address first | respiration because they are cyanotic give O2 |
| Focused Assessment | specific body part |
| Where do you palpate when assessing bladder for distension | the suprapubic area in the LLQ |
| If the specific gravity is high what medicine would you give | Bactrum |
| Chart people look at when getting a eye exam | Snellen |
| Glasgow Coma Scale | used to determine alertness & orientation and pupil reaction |
| Dehydration signs | Oliguria, pt's skin is tinting, low urine output |
| Posterior chest is where | back |
| When do you use a Caude Catheter | for enlarged prostate |
| When do you use a Tripple Lumen Catheter | after prostate surgery |
| Wheezing sounds like | musical sounds |
| If ureters are cut in a woman which type of catheter, would you use | Suprapubic |
| Which cranial nerve controls facial features | 5th nerve |
| A swollen glottis is a sign of | anaphylaxis |
| Highest possible score on Glasgow Coma Scale | 15 |
| How many carotids can you palpate at one time | 1 |
| Cranial nerves that control gag reflex | 9 & 10, use a tongue depressor & penlight to assess |
| Where do you assess apical pulse | L Midclavicular line |
| What are you looking for when assessing the back | symmetry of shoulders |
| Kussmaul sounds | abnormally deep and rapid respirations |
| How deep are LPNs allowed to palpate | maximum is 3 cm |
| The higher the score on the Glasgow Coma Scale | the more alert and oriented the pt is |
| dysphasia | An individual who has difficulty coordinating and organizing the words correctly in a sentence may be suffering from an impairment known as |
| expressive aphasia | Patients with dementia may have difficulty finding the right words to express themselves |
| receptive aphasia) | may have difficulty in understanding what is being communicated to them |
| EDEMA. | which is excess fluid in the interstitial space between the individual cells. circulatory impairment such as hypertension, fluid volume overload, or inadequate pumping strength of the heart. |
| Pitting Edema | , press the patient’s skin over a bony prominence with your fingertip and hold for approximately 2 seconds, |
| CAPILLARY REFILL. | turn pink again in 3 seconds or less, although in the older adult it may take up to 5 seconds. |
| Characteristics of Urine | color, clarity, amount, and odor. |
| hematuria | When blood is present in the urine |
| Sediment | is any substance that settles to the bottom of a liquid. Components that may produce urine sediment include uric acid, bacteria, mucus, and phosphates |
| Odor | Urine does have a very mild odor, described as slightly aromatic. Other odors, such as a sweet or fruity smell, a strong ammonia-like smell, or a foul odor, are abnormal findings |
| The normal range of urine production is | 1,000 to 3,000 mL |
| The pH of urine | 4.5 to 8.0, |
| Anuria is the absence of urine production. | Pt with anuria will mostly likely be put on dialysis |
| Specific gravity | 1.005 to 1.03. A low specific gravity may be caused by excessive fluid intake or impaired kidney function. A high specific gravity can be the result of dehydration, hemorrhage, or diabetes mellitus. |
| Normal Voiding Patterns | urinates four to six times per day |
| quickest way to assess whether or not a patient is retaining water | perform daily weights, at the same time each day, with the same scales, |
| . Patients who urinate with increased frequency | symptoms of a UTI, bladder inflammation, or diabetes mellitus. |
| Glucose in the urine | Diabetes mellitus, Cushing’s syndrome, liver and pancreatic disease |
| Urinary retention | is the inability to empty the bladder at all or the inability to completely empty the bladder. An obstruction such as a kidney stone, an enlarged prostate gland, a tumor, a pregnant uterus, an infection, or scar tissue may cause retention |
| Residual urine | is urine that remains in the bladder after the patient voids. You will perform a bladder scan |
| Urge incontinence, | also known as overactive bladder, is the inability to keep urine in the bladder long enough to get to the restroom. |
| BLADDER TRAINING. | t least 64 ounces per day, to avoid caffeinated beverages ,very 2 hours and assess the patient |
| indwelling catheter, also known as a double-lumen catheter or Foley catheter, to empty the bladder. | relieve acute urinary retention or urinary obstruction |
| straight catheter, also known as a single-lumen catheter, | neurogenic bladder, where the nerves to the bladder have been permanently damaged. |
| THREE-WAY CATHETERS. | benign prostatic hypertrophy |
| Condom catheters, also called external catheters, | are not inserted into the bladder through the urethra, so they pose less of a risk for causing a UTI. |
| urinary tract infection | UTIs are more commonly seen in women than men because of the close proximity of the urethral opening to the anus, allowing bacteria to travel from the perianal area into the urinary tract. |
| young-old” | 65 to 74 years |
| middle-old” | aged 75 to 84 years. |
| old-old | 85 years and older. |
| Centenarians | 100 years of age or older. |
| ageism | This practice of discrimination and prejudice against older adults is referred to as |
| Dysphagia | refers to swallowing disorders caused by nerve transmission interruption to the throat muscles and epiglottis after a CVA |
| hallucination | is a false perception having no relation to reality; the person may believe that they see, hear, or smell something that is not really present. |
| Dementia | decrease in intellectual functioning |
| Cataracts | occur when the lens of the eye becomes cloudy, or opaque, causing visual blurring. |
| Glaucoma | is an eye disease characterized by increased intraocular pressure, which affects the optic nerve and can lead to blindness |
| Xerostomia | is the medical term for an excessively dry mouth. |
Created by:
Najairw