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69 Cards in this Set
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- Back
medical asepsis |
aims to decrease amount of bacteria in an environment |
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surgical asepsis |
aims to eliminate bacteria in a given field |
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primary situations for surgical asepsis |
intentional perforation of its skin, integrity of skin is broken, insertion of devises into sterile cavities |
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precautions calling for masks, eye protection AND gown |
possible splashes, sprays, splatters or droplet infection |
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Size of border around a sterile field considered contaminated |
2.5cm or 1 inch |
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reason for holding solution bottles with label facing hand |
keeps label legible |
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irritant dermatitis |
nonallergic response to latex characterized by skin redness and itching |
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type IV hypersensitivity |
cell-mediated allergic reaction to chemicals in latex processing. redness, itching, hives, swelling, red and itchy eyes and nose, cough |
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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 |
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dual sensory impairment (DSI) |
concurrent loss of vision and hearing, contributes to confusion or depression |
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age-related hearing loss |
gradual, progressive and often bilateral |
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vision impairment |
functional limitation of the eyes |
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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 |
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eye irrigations |
flush exudate, irritating solutions or foreign bodies from the eye |
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cool water for at least 15 minutes |
when a chemical or irritating substance gets in the eye |
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purpose for irrigation of the external ear |
foreign bodies, local inflammation, buildup of cerumen |
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irrigation solution for ear |
warmed to body temperature liquids
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greatest danger during ear irrigation |
rupture of tympanic membrane |
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most common sensory deficit in older adults |
hearing loss |
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four components of a hearing aid |
microphone, amplifier, receiver, power source |
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when you cup a hearing aid and hear a __________ __________ it means it's working |
squealing sound |
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Patient indicates allergic reaction to bananas or tomatoes could mean...? |
possible latex allergy |
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sterile field is |
waist level or higher |
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part of sterile gloves you can touch with bare hands |
inside of glove only |
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used for sterilizing surgical instruments and dressings |
an autoclave |
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procedures requiring sterile technique |
urinary catheterization, lumbar puncture, tracheal suctioning (& more) |
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when there are questions about lab tests |
consult reference books, agency procedure manual, or laboratory |
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physiologic factors that may affect specimen collection |
discomfort, pain, dehydration |
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psychosocial factors that may affect specimen collection |
age, gender, anxiety, embarrassment, fear, ethnicity, pts values & beliefs |
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consider blood to be a vital life source & the head is the seat of one's life source
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South East Asians
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designate which hand is used for clean or dirty tasks |
Muslim or Hindu |
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must be provided on sample labels |
date & time specimen obtained, source of culture collected, initial/signature of collector |
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amount of urine to be placed in specimen container for random collection via "hat" |
120 mL |
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performed to identify if bacteria are present & identify most effective antibiotic |
culture & sensitivity (C&S) |
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amount of urine to collect from midstream collection |
90-120mL |
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indwelling catheter culture collection |
3 mL from catheter port |
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indwelling catheter urinalysis collection |
20 mL from catheter port |
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using a Multistix reagent test strip simultaneously tests for... |
specific gravity, pH, protein, glucose, ketones, blood bilirubin, urobilinogen, leukocytes & nitrates |
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conditions tested for by hemocult stool testing |
colon cancer, bleeding GI ulcers, localized gastric or intestinal irritation |
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ingesting red meat within 3 days of hemocult stool testing |
may result in a false positive hemocult test |
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high vitamin C intake |
may result in a false negative hemocult test |
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DNA stool sample test |
identifies non-bleeding polyps with abnormal DNA |
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tested prior to meals, prior to medication administration and after meals |
blood glucose test |
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normal fasting blood glucose |
4.0-6.0 mmol/L |
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normal diabetic fasting blood glucose |
4.0-7.0 mmol/L |
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normal blood glucose after eating |
5.0-8.0 mmol/L |
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normal diabetic blood glucose after eating |
5.0-10.0 mmol/L |
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collecting a throat swab |
swab tonsillar area side to side avoiding surrounding structures and contacting inflamed or purulent sites
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collecting a nasal swab |
rotate swab quickly on site that is inflamed or contains exudate
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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 |
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signs of fluid volume deficit in eyes |
sunken eyes, dry conjunctiva, decreased or absent tearing |
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signs of fluid volume excess in eyes |
periorbital edema, blurred vision, papilledema |
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signs of fluid volume deficit in mouth |
sticky, dry mucous membrane; dry cracked lips; decreased saliva; increased viscosity of saliva; furrowed, shrunken tongue |
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signs of fluid volume excess in mouth |
excessive salivation |
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signs of fluid volume deficit in skin |
increased skin temperature; dry, scaly skin; poor turgor |
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signs of fluid volume excess in skin |
edema, anasarca |
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cardiovascular signs of fluid volume deficit |
increased pulse, weak pulse, hypotension, decreased pulse pressure, decreased cap filling, increased hematocrit, flat neck veins |
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cardiovascular signs of fluid volume excess |
bounding pulse rate, BP normal with or without orthostatic changes, 3rd heart sounds, distended neck veins |
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GI signs of fluid volume deficit or excess |
sunken abdomen (deficit only), vomiting, diarrhea, abdominal cramps |
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renal signs of fluid volume deficit
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oliguria or anuria, urine specific gravity increased
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renal signs of fluid volume excess |
decreased urine specific gravity, diuresis |
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size of catheter and balloon |
printed on catheter inflation valve |
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time monitoring voiding after catheter removal |
24 to 48 h |
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average void and timeline after catheter removal |
150 mL in 6-8h |
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signs of constipation |
infrequent BM (<3/wk), difficulty evacuating, inability to defecate, hard feces |
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fracture pan |
designed for its with body or leg casts, or those restricted from raising hips. wide end toward feet
aka "slipper pan" |
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position/degree patient bed should be at to use a bedpan
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30 degrees |
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regular bedpan |
wide end placed under buttocks, larger in size, never to be used with hip fracture or other immobilized pts |
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when is peristalsis strongest |
approximately 1h after breakfast |