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74 Cards in this Set
- Front
- Back
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Normal WBC Counts |
5,000-10,000 mm3 |
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Hgb (Male) |
14-18 g/dl |
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Hgb (Female) |
12-16 g/dl |
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Hct (Male) |
42-52% |
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Hct (Female) |
37-47% |
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Systolic BP in the legs is usually higher than the systolic blood pressure in the arms by how many milimeters of mercury |
10-40 mm/hg |
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Which site does the nurse use for pulse assessment when the patient is on cardiac medication such as digoxin |
apical pulse |
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what type of respirations are characterized by periods of apnea and hyperventilation |
cheynes stokes |
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at what rate is the manometer needle allowed to fall when measuring bp |
2-3 mm/hg per second |
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explain cardiac output |
the volume of blood pumped by the hear in 60 seconds |
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what is an auscultatory gap |
disappearance of sound when obtaining a blood pressure |
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when can the auscultatory gap be heard |
between the first and second korotkoff sounds |
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what is the lower limit of the adult range for normal body temperature |
96.8 F |
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how is pulse deficit determined |
apical pulse - radial pulse = pulse deficit |
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the nurse enters a patient's room and sees that there is a fire in the garbage can. What is the nurse's first action |
Rescue and Remove |
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when placing a wrist restraint how many fingers should the nurse be able to fit under the restraint |
2 fingers |
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how often must restraints be removed |
every 2 hours at least |
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what does the acronym RACE stand for |
Rescue/Remove Alarm Confine Extinguish |
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what does the acronym PASS stand for |
Pull Aim Squeeze Sweep |
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which evaluation is no longer used to assess for a thrombus in the leg because of concern it could cause a blood clot to dislodge |
homan's |
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what is a chemical restraint |
any medication used to control patient's behavior or restrict movement |
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after verbal orders for restraints is given when must the HCP evaluate the patient face to face |
within one hour |
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can prn restraint orders be given |
no |
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which cranial nerve is responsible for the sense of smell |
1. Olfactory |
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which cranial nerve is responsible for the sense of hearing and equilibrium |
8. Acoustic |
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which cranial nerve is responsible for all muscles in the tongue |
12. Hypoglossal |
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what is normal capillary refill |
1-3 seconds |
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where is the S1 sound best heard |
the apex |
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room air is what percent oxygen |
21% |
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which oxygen delivery system delivers the highest FiO2 |
a nonrebreathing mask |
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soft breezy and low pitched describe what breath sounds |
vesicular |
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exchange of gases in the alveoli and the capillaries is part of which oxygenation process |
diffusion |
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the delivery of blood throughout the body for gas exchange is called what |
perfusion |
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what is atelectasis |
collapsed alveoli |
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what is the most common form of anemia |
iron deficiency anemia |
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how do you calculate the pack years in a current or previous smoker |
years smoked x packs a day = pack years |
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what is the name of the chemical produced in the lungs to maintain surface tension of the alveoli to keep the alveoli from collapsing |
surfactant |
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oxygen deficit at the tissue level is called what |
hypoxia |
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oxygen deficit at the blood level is called |
hypoxemia |
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where can the nurse differentiate central versus peripheral cyanosis in a patient |
conjunctiva, buccal mucosa, tongue |
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what does pulse ox measure |
how much hgb is saturated with o2 |
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what is a dysrhythmia |
an abnormal disordered or disturbed heart rhythm |
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what is systole |
the heart pumps |
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what is diastole |
the heart relaxes |
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what is the SA node |
the normal pacemaker of the heart |
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what kind of rhythm does this strip represent |
normal sinus rhythm |
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in an adult how many heartbeats per minute are considered sinus tachychardia |
>100 |
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in an adult how many bpm are considered sinus bradychardia |
<60 |
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which liver virus is spread by fecal oral transmission |
hep A |
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what ppe does a nurse wear when caring for a patient on contact precautions |
gloves and gown |
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a patient with a wound infected with mrsa will be on what type of precautions |
contact |
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a patient with pulmonary or laryngeal tuberculosis will be on what type of precautions |
airborne |
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what is the most plentiful type of white blood cell in the blood stream |
neutrophils |
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what does serous exudate look like |
watery |
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in an adult what is a normal WBC |
5000-10000 mm3 |
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what is a pathalogical fracture |
caused by weakened bone tissue |
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what is scoliosis |
lateral S or C shaped spinal column |
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how often must a bedfast patient be turned |
at least every two hours |
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what is the maximum time an immobile patient should sit in a chair |
60 minutes |
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how often must a patient seated in a chair be adjusted |
every 15 minutes |
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which muscle has the best track record for im injection safety and efficacy |
ventrogluteal |
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which muscle is the best choice for im injection in newborns |
vastus lateralis |
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which organ is primarily responsible in metabolism of medication |
liver |
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which organ is primarily responsible in excreting medication |
kidney |
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what is the nurse's primary responsibility when a med error occurs |
the patient's safety |
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when should the nurse not administer digoxin |
if apical pulse is <60 |
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how does the nurse straighten the ear canal in adults and children older than 3 |
pull pinna upward and back |
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AC |
before meals |
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needle length for IM deltoid in adult |
1 inch |
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needle length IM ventrogluteal adult |
1 1/2 inch |
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what organ toxicity is associated with vancomycin |
nephrotoxicity |
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PC |
after meals |
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HS |
hour of sleep |
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what cardiac assessment is required prior to administering digoxin |
apical pulse for one full minute |
