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28 Cards in this Set

  • Front
  • Back
Which one of the following types of wounds is caused by a blunt instrument that causes injury to underlying soft tissue with the overlying skin remaining intact?

A) Contusion
B) Abrasion
C) Laceration
D) Avulsion
A) Contusion
In which of the following phases of wound healing is new tissue built to fill the wound space, primarily through the action of fibroblasts?

A) Hemostasis
B) Inflammatory Phase
C) Profileration Phase
D) Maturation Phase
C) Profileration Phase
Which one of the following wound complications is caused by overhydration related to urinary and fecal incontinence?

A) Necrosis
B) Edema
C) Desiccation
D) Maceration
D) Maceration
A stage III pressure ulcer requires debridement through wet-to-dry dressings, surgical intervention, or proteolytic enzymes

A)True
B) False
A) True
During medication administration, what are the nurses have certain goals and responsibilities. Which of the follow is NOT a nurses responsibility?

A) Leaving meds at bedside for patient to take on time
B) Checking the patients IV med before administering medication
C) Document all drug administration to prevent overdose
D) Return unused meds to unused med area
A) Leaving meds at bedside for patient to take on time
Which of the following should not be said to a patient while educating them about their prescribed meds?

A) Have patient make sure the name of the drug and directions from the pharmacy are the same as the doctor prescribed
B) Make sure patient knows where to find educational material about the meds
C) Tell the patient to make a list of all their meds and read them daily
D) Review the meds with the pharmacist
C) Make a list of all their meds and read them daily
What are the six rights of medication administration?

A) time, table, info, caution, precaution and label
B) drug, dose, client, route, time and documentation
C) drug, dose, client, type, label and precautions
D) drug, dose, type, label, precautions and person
B) drug, dose, client, route, time and documentation
Which of the following is not a safe way of administering medications?

A) Knowing the route, needle and angle of shot
B) Knowing patients vital signs
C) Recap the needles
D) Do not administer meds prepared by someone else
C) Recap the needles
Isotonic IV is used to treat which of the following?

A) Fluid loss, hypernatremia
B) Fluid loss, hyponatremia
C) Fluid excess, hyperkalemia
D) Renal Disease
A) Fluid Loss, Hypernatremia
What is Isotonic IV?

A) Solution given to a person with lower osmolarity than the ECF.
B) Solution given to a person with greater osmolarity than the ECF
C) Solution given that is equivalent to the percentage we have in our body
D) Solution given in fluid volume excess, hypervolemia
C) Solution given that is equivalent to the percentage we have in our body
What is an example of Isotonic IV Solution?

A) D10W, D20W, D25W
B) 0.9% NS and D5W
C) 0.45 NaCl and 0.25% NaCl
D) D5LR, D5.45NS
B) 0.9% NS and D5W
When administering Isotonic IV, a nurse should be cautious of patients with:

A) Head Trauma
B) Burn
C) Renal/Cardiac Disease
D) Vomiting
C) Renal/Cardiac Disease
What is happening in the cells during Hypotonic IV?

A) Water is moving into the ECF and expanding cells
B) Water is moving from ECF into ICF and cells are inflating
C) Water is moving into ECF and cells are shrinking
D) Water is moving and there is no change in cell size
B) Water is moving from ECF into ICF and cells are inflating
What risks are present during Hypotonic IV?

A) Hypervolemia and Heart Failure
B) Abnormal lung sounds and Dehydration
C) Excess fluid and Trauma
D) Hypovolemia and Increased Intercranial Pressure
D) Hypocolemia and Increased Intercranial Pressure
What are some contraindications of Hypotonic IV?

A) Renal and Cardiac Disease
B) GI Disease
C) Heart Failure
D) Stroke, Head Trauma or Burn
D) Stroke, Head Trauma or Burn
Which of the following are examples of Hypotonic IV?

A) D5.45, 0.45NaCl
B) 0.25% NaCl, 0.33% NaCl, 0.45% NaCl
C) D25W, D5LR, 0.33% NaCl
D) D5W, 0.45 NaCl
B) 0.25% NaCl, 0.33% NaCl, 0.45% NaCl
What is Hypertonic IV?

A) Water in the ECF causing cells to shrink
B) Water in the ICF causing cells to increase
C) Water entering but cell size not changing
D) Water in the ICF causing cells to shrink
A) Water in the ECF causing cells to shrink
When administering Hypertonic IV, what should a nurse be aware of?

A) Dehydration
B) Vomitting
C) Decreases Skin Turgor
D) FVO and Vein Irritation
D) FVO and Vein Irritatino
What should the nurse assess when administer Hypertonic IV Solution?

A) Orthopnea
B) Dyspnea
C) BP, Lung Sounds and Serum Na Levels
D) Serum Albumin Levels, Dyspnea and Orthopnea
C) BP, Lung Sounds and Serum Na Levels
Which of the following are examples of Hypertonic IV?

A) NaCl in Saline
B) Dextrose in Water, Dextrose in Saline, Dextrose in water and NaCl, Dextrose in Lactated Ringers
C) Dextrose in NaCl with Saline
D) Saline with NaCl and water
B) Dextrose in water, Dextrose in Saline, Dextrose in water and NaCl, Dextrose in Lactated Ringers
Hypervolemia is Fluid Volume Excess which is due to fluid over load.

True
False
True
Hypovolemia is fluid volume deficit which is loss of ECF exceeding intake of water

True
False
True
What is normally found in a Hypervolemic patient?
Edema, Abnormal breath sounds, Tachycardia, increased weight.
What is normally found in a patient with Hypovolemia?
Vomiting, Diarrhea, Rapid Weight Loss, Decreased Skin Turgor
What should be assessed in a hypervolemic patient?
INO, Daily Weight, Lung Sounds, Orthopnea in Semi-Fowler Position
What should be assessed in a patient with hypovolemia?
INO, Skin Turgor, Tongue for Dryness, Mental Status, Oral Care and IV Meds
What can be done to treat a Hypovolemic patient?
Administer Oral Fluid
What are some risk factors in Hypervolemia (Fluid Volume Excess)?
Heart and Renal Failure