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59 Cards in this Set
- Front
- Back
What are the steps involved in the nursing process?
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Assessment
Nursing Diagnoses Planning Implementation Evaluation |
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The humerus and femur are examples of flat bones. T or F?
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False
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In a condyloid joint, a spool- like surface of one bone fits into a concave surface of another bone and only flexion-extension can occur. T or F?
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False
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Bosy balance increases when individuals spread the feet farther apart, thereby broadening the base of support, and flex the hips and knees, thus lowering the center of gravity. T of F?
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True
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The semi-sitting position, or Fowler's position, calls for the head of the bed to be elevated 45 to 60 degrees. T or F?
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True
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Quadriceps drills are an isokinetic exercise. T or F?
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False
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______ are strong, flexible, inelastic fibrous bands and flattened sheets of connective tissue that attach muscle to bone.
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tendons
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Body _____ is the efficient use of the body as a machine and as a means of locomotion.
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mechanics
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_____ exercise involves muscle contraction without shortening (e.g., contractions of the quadriceps and gluteal muscles)
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Isometric
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______ of motion is the complete extent of movement of which a joint is normally capable
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range
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A _____ belt is placed around the patent's waist and secured by Velcro fasteners and can be used to assist a patient with ambulation.
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gait
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24 hr urine output is less than 50ml
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anuria
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surgically inserted catheter
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suprapubic
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procedure to relieve or prevent urinary obstruction
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irrigation
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pus in the urine
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pyuria
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post void residual
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PVR
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urinary tract infection
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UTI
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awakening at night to urinate
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nocturia
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unable to completely empty urine in the bladder
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retention
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blood in urine
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hematuria
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240hour urine output is less than 400ml
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oliguria
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painful or difficult urination
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dysuria
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involuntary loss of urine
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incontinence
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presence of sugar in the urine
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glycosuria
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stoppage of urine production
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suppression
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strong desire to void
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urgency
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excessive output of urine
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polyuria
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increased incidence of urination
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frequency
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indication of kidney disease
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proteinuria
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external catheter
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condom cathether
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What are the stages of pressure ulcers?
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Stage I
Stage II Stage III Stage IV Deep Tissue Injury or DTI Unstageable |
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Name 5 risk factors for pressure ulcer development
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immobility
poor circulation malnutrition poor hygiene lack of cognitive ability |
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on an acute care unit, the patient is to have her catheter removed. The primary nurse tells the student that all that is necessary is to "cut it," wait for the balloon to deflate, and pull it out." How will you proceed with the catheter removal?
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I would tell the nurse that as a student I must practice removing the catheter the way I have been instructed to in school. I then would proceed in the way we have learned using a clean syringe.
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A clean-voided or midstream urine specimen is required from your male patient. He is able to perform activities of daily living, including hygienic care. What will you include in teaching this patient to obtain the specimen?
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Clean the urethra opening with a personal towelette, urinate into the toilet, stop after a few seconds. Continue to urinate into the specimen jar until enough of the specimen has been obtained.
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Describe the difference between intermittent and indwelling catheterization?
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Intermittent has no balloon and it is inserted in and right back out after bladder is relieved. It does not stay in where as the indwelling does. The indwelling also has a balloon.
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the minimum urinary output for an adult is _____ ml/hr
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30 ml/hr
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What is the normal pH of urine?
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7.5
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Is protein in the urine normal?
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No
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Is glucose in the urine normal?
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No
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What is the specific gravity of urine?
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1.2
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What care is necessary for a patient with a condom catheter?
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Clean the penis before attachment. Be sure the correct size is used. Change every 24 hrs. Monitor to be sure it is not leaking.
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Identify measures that the nurse may implement to prevent infection in the catheterized patient.
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Use sterile gloves and sterile field when inserting. Perform routine checks and cleanings of perineal area. Be sure the bag is placed below the bladder and off the floor. Clean the tubing.
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Describe the normal characteristics of urine
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Pale yellow, ammonia like odor, clear, not viscous- consistency should be like water. Remember TACO- Time, amount, color, odor, also 30ml/hr
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The patient has had a laproscopic procedure earlier in the day and is having difficulty voiding the afternoon. Before initiating invasive measures, the nurse can intervene by?
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rinsing the perineal area with warm water.
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The patient on a medical unit if scheduled to have a 24-hour urine collection to diagnose a urinary disorder. The nurse should keep the jar where?
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on ice
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What type of PPE should be worn in contact isolation rooms?
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gown and gloves
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What type of PPE should be worn in droplet isolation rooms?
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gown, gloves, and mask
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What type of PPE should be worn in airborne isolation rooms?
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N_95 mask
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Identify the order of lung assessment
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inspection
palpation percussion auscultation |
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Identify the order of abdominal assessment
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inspection
auscultation percussion palpation |
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Name 3 elements of pain assessment
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intensity, duration, location
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observable or measurable data
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objective data
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data that a client describes (feelings, opinion, etc.)
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subjective data
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collection of data, verification, organization, interpretation of data
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assessment
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determining if goals have been met
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evaluation
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carrying out the plan
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implementation
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A statement of an actual or potential problem
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nursing diagnoses
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Setp1-set goals Step-2 write nursing orders
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plan
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A desired outcome that is patient centered
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Goal
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