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59 Cards in this Set

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What are the steps involved in the nursing process?
Assessment
Nursing Diagnoses
Planning
Implementation
Evaluation
The humerus and femur are examples of flat bones. T or F?
False
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?
False
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?
True
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?
True
Quadriceps drills are an isokinetic exercise. T or F?
False
______ are strong, flexible, inelastic fibrous bands and flattened sheets of connective tissue that attach muscle to bone.
tendons
Body _____ is the efficient use of the body as a machine and as a means of locomotion.
mechanics
_____ exercise involves muscle contraction without shortening (e.g., contractions of the quadriceps and gluteal muscles)
Isometric
______ of motion is the complete extent of movement of which a joint is normally capable
range
A _____ belt is placed around the patent's waist and secured by Velcro fasteners and can be used to assist a patient with ambulation.
gait
24 hr urine output is less than 50ml
anuria
surgically inserted catheter
suprapubic
procedure to relieve or prevent urinary obstruction
irrigation
pus in the urine
pyuria
post void residual
PVR
urinary tract infection
UTI
awakening at night to urinate
nocturia
unable to completely empty urine in the bladder
retention
blood in urine
hematuria
240hour urine output is less than 400ml
oliguria
painful or difficult urination
dysuria
involuntary loss of urine
incontinence
presence of sugar in the urine
glycosuria
stoppage of urine production
suppression
strong desire to void
urgency
excessive output of urine
polyuria
increased incidence of urination
frequency
indication of kidney disease
proteinuria
external catheter
condom cathether
What are the stages of pressure ulcers?
Stage I
Stage II
Stage III
Stage IV
Deep Tissue Injury or DTI
Unstageable
Name 5 risk factors for pressure ulcer development
immobility
poor circulation
malnutrition
poor hygiene
lack of cognitive ability
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?
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.
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?
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.
Describe the difference between intermittent and indwelling catheterization?
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.
the minimum urinary output for an adult is _____ ml/hr
30 ml/hr
What is the normal pH of urine?
7.5
Is protein in the urine normal?
No
Is glucose in the urine normal?
No
What is the specific gravity of urine?
1.2
What care is necessary for a patient with a condom catheter?
Clean the penis before attachment. Be sure the correct size is used. Change every 24 hrs. Monitor to be sure it is not leaking.
Identify measures that the nurse may implement to prevent infection in the catheterized patient.
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.
Describe the normal characteristics of urine
Pale yellow, ammonia like odor, clear, not viscous- consistency should be like water. Remember TACO- Time, amount, color, odor, also 30ml/hr
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?
rinsing the perineal area with warm water.
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?
on ice
What type of PPE should be worn in contact isolation rooms?
gown and gloves
What type of PPE should be worn in droplet isolation rooms?
gown, gloves, and mask
What type of PPE should be worn in airborne isolation rooms?
N_95 mask
Identify the order of lung assessment
inspection
palpation
percussion
auscultation
Identify the order of abdominal assessment
inspection
auscultation
percussion
palpation
Name 3 elements of pain assessment
intensity, duration, location
observable or measurable data
objective data
data that a client describes (feelings, opinion, etc.)
subjective data
collection of data, verification, organization, interpretation of data
assessment
determining if goals have been met
evaluation
carrying out the plan
implementation
A statement of an actual or potential problem
nursing diagnoses
Setp1-set goals Step-2 write nursing orders
plan
A desired outcome that is patient centered
Goal