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69 Cards in this Set

  • Front
  • Back

medical asepsis

aims to decrease amount of bacteria in an environment

surgical asepsis

aims to eliminate bacteria in a given field

primary situations for surgical asepsis

intentional perforation of its skin, integrity of skin is broken, insertion of devises into sterile cavities

precautions calling for masks, eye protection AND gown

possible splashes, sprays, splatters or droplet infection

Size of border around a sterile field considered contaminated

2.5cm or 1 inch

reason for holding solution bottles with label facing hand

keeps label legible

irritant dermatitis

nonallergic response to latex characterized by skin redness and itching

type IV hypersensitivity

cell-mediated allergic reaction to chemicals in latex processing. redness, itching, hives, swelling, red and itchy eyes and nose, cough

items known to lead to latex allergy

adhesive tape, dental or face mask, golf club grip, ostomy bag, rubber band, balloon, bandage, elastic underwear, IV tubing, rubber gloves, condom

dual sensory impairment (DSI)

concurrent loss of vision and hearing, contributes to confusion or depression

age-related hearing loss

gradual, progressive and often bilateral

vision impairment

functional limitation of the eyes

at risk for hearing impairment

m >65, m/f > 75, PCH resident, existing visual impairment, chronic ear infection, prolonged exposure to loud noises, use of ototoxic meds

eye irrigations

flush exudate, irritating solutions or foreign bodies from the eye

cool water for at least 15 minutes

when a chemical or irritating substance gets in the eye

purpose for irrigation of the external ear

foreign bodies, local inflammation, buildup of cerumen

irrigation solution for ear

warmed to body temperature liquids

greatest danger during ear irrigation

rupture of tympanic membrane

most common sensory deficit in older adults

hearing loss

four components of a hearing aid

microphone, amplifier, receiver, power source

when you cup a hearing aid and hear a __________ __________ it means it's working

squealing sound

Patient indicates allergic reaction to bananas or tomatoes could mean...?

possible latex allergy

sterile field is

waist level or higher

part of sterile gloves you can touch with bare hands

inside of glove only

used for sterilizing surgical instruments and dressings

an autoclave

procedures requiring sterile technique

urinary catheterization, lumbar puncture, tracheal suctioning (& more)

when there are questions about lab tests

consult reference books, agency procedure manual, or laboratory

physiologic factors that may affect specimen collection

discomfort, pain, dehydration

psychosocial factors that may affect specimen collection

age, gender, anxiety, embarrassment, fear, ethnicity, pts values & beliefs

consider blood to be a vital life source & the head is the seat of one's life source
South East Asians

designate which hand is used for clean or dirty tasks

Muslim or Hindu

must be provided on sample labels

date & time specimen obtained, source of culture collected, initial/signature of collector

amount of urine to be placed in specimen container for random collection via "hat"

120 mL

performed to identify if bacteria are present & identify most effective antibiotic

culture & sensitivity (C&S)

amount of urine to collect from midstream collection

90-120mL

indwelling catheter culture collection

3 mL from catheter port

indwelling catheter urinalysis collection

20 mL from catheter port

using a Multistix reagent test strip simultaneously tests for...

specific gravity, pH, protein, glucose, ketones, blood bilirubin, urobilinogen, leukocytes & nitrates

conditions tested for by hemocult stool testing

colon cancer, bleeding GI ulcers, localized gastric or intestinal irritation

ingesting red meat within 3 days of hemocult stool testing

may result in a false positive hemocult test

high vitamin C intake

may result in a false negative hemocult test

DNA stool sample test

identifies non-bleeding polyps with abnormal DNA

tested prior to meals, prior to medication administration and after meals

blood glucose test

normal fasting blood glucose

4.0-6.0 mmol/L

normal diabetic fasting blood glucose

4.0-7.0 mmol/L

normal blood glucose after eating

5.0-8.0 mmol/L

normal diabetic blood glucose after eating

5.0-10.0 mmol/L

collecting a throat swab

swab tonsillar area side to side avoiding surrounding structures and contacting inflamed or purulent sites

collecting a nasal swab

rotate swab quickly on site that is inflamed or contains exudate

sterile urine specimen collection from a Luer-Lok catheter port

clamp drainage tube for 15 min, clean catheter entry port, attach syringe to port, aspirate 3mL into syringe, remove syringe from port, unclamp catheter tubing

signs of fluid volume deficit in eyes

sunken eyes, dry conjunctiva, decreased or absent tearing

signs of fluid volume excess in eyes

periorbital edema, blurred vision, papilledema

signs of fluid volume deficit in mouth

sticky, dry mucous membrane; dry cracked lips; decreased saliva; increased viscosity of saliva; furrowed, shrunken tongue

signs of fluid volume excess in mouth

excessive salivation

signs of fluid volume deficit in skin

increased skin temperature; dry, scaly skin; poor turgor

signs of fluid volume excess in skin

edema, anasarca

cardiovascular signs of fluid volume deficit

increased pulse, weak pulse, hypotension, decreased pulse pressure, decreased cap filling, increased hematocrit, flat neck veins

cardiovascular signs of fluid volume excess

bounding pulse rate, BP normal with or without orthostatic changes, 3rd heart sounds, distended neck veins

GI signs of fluid volume deficit or excess

sunken abdomen (deficit only), vomiting, diarrhea, abdominal cramps

renal signs of fluid volume deficit


oliguria or anuria, urine specific gravity increased

renal signs of fluid volume excess

decreased urine specific gravity, diuresis

size of catheter and balloon

printed on catheter inflation valve

time monitoring voiding after catheter removal

24 to 48 h

average void and timeline after catheter removal

150 mL in 6-8h

signs of constipation

infrequent BM (<3/wk), difficulty evacuating, inability to defecate, hard feces

fracture pan

designed for its with body or leg casts, or those restricted from raising hips. wide end toward feet

aka "slipper pan"


position/degree patient bed should be at to use a bedpan

30 degrees

regular bedpan

wide end placed under buttocks, larger in size, never to be used with hip fracture or other immobilized pts

when is peristalsis strongest

approximately 1h after breakfast