Shared Flashcard Set

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CNA flashcards
N/A
203
Nursing
Undergraduate 1
12/19/2014

Additional Nursing Flashcards

 


 

Cards

Term
Does the patient have the right to refuse treatment?
Definition
Yes
Term
What is the normal temperature range for "Oral"?
Definition
97.6 - 99.6
Term
What is the normal temperature range for the rectal site?
Definition
98.6 - 100.6
Term
What is the normal temperature range for the Axillary site?
Definition
96.6 - 98.6
Term
What is the noramal temperature range for the temporal artery site?
Definition
99.6
Term
What is the normal temperature range for the tympanic site?
Definition
98.6
Term
How long do you leave a glass thermometer in place for whe taking a temperature?
Definition
3 - 10 minutes
Term
Where is the radial pulse site located?
Definition
The thumb side of the wrist
Term
Where is the brachial pulse site located?
Definition
The pinky side of the arm
Term
Where is the apical pulse site located?
Definition
Under the left nipple
Term
What is the noraml range for respirations?
Definition

12-20 respirations per minute or 14-20 per minute

 

 

Term
What do you have to do if you are taking a pulse and you notice it is an irregular pulse?
Definition
Count for the full minute instead of 30 seconds
Term
How long do you count for when taking a pulse? Then what do you multiply the number by?
Definition
Take for 30 seconds, then multiply that number by 2
Term
When taking BP, which number is on top?
Definition
Systolic
Term
When taking BP, what number is on the bottom?
Definition
Diastolic
Term
What is the normal range for Systolic pressure?
Definition
90-118
Term
Which do you hear first when taking blood pressure?
Definition
Systolic
Term
What is the normal range for Diastolic pressure?
Definition
60-78
Term
Which is the last sound you hear when taking BP?
Definition
Diastolic
Term
What is the range for Hypertension?
Definition

Systolic= over 140

Diastolic= over 90

Term
What is the range for Hypotension?
Definition

Systolic= under 90

Diastolic= under 60

Term
When taking BP, how fast do you let the air out?
Definition
2-4 mm Hg per second
Term
When finding a baseline, what number do you add to the pulse number? (The number at which you do not feel the pulse anymore)
Definition
30
Term
How old in an "infant"
Definition
Birth to 1 year
Term
For a child (1 year to puberty) who needs CPR, what is the measurement for the depth of the chest?
Definition

1/3 depth of the chest

2 inches

or 5 cm

Term
For a child getting CPR, what is the ratio of compresssions to breaths when there is two rescuers?
Definition
15:2
Term
When giving a child CPR and there is only one rescuer what is the ratio for compressions to breaths?
Definition
30:2
Term
If you are by yourself giving CPR the ratio is always 30:2 no matter the age of the patient. True or false?
Definition
True
Term
What is rescue breathing?
Definition
When the person has a pulse, but not breathing
Term
For advance airway, how many breaths do you give?
Definition
One breath every 6-8 seconds without pauses
Term
When performing rescue breathing on an adult how many breaths do you give?
Definition
One breath every 5-6 seconds
Term
When performing rescue breathing on infants and children, how many breaths do you give?
Definition
One breath every 3-5 seconds
Term
If a person is overweight and they are choking what do you do?
Definition
Do not give thrusts, bend them over and give them back thrusts
Term
For a choking infant what do you do?
Definition
Keep head lower than chest, give 5 back slaps then 5 thrusts
Term
What is the goal of health care?
Definition
To reduce the risk of illness
Term
Who makes policies?
Definition
The board of trustees or the board of directors
Term
What is the DON?
Definition
Director of nursing
Term
Who is the DON?
Definition
The RN (registered nurse)
Term
Who manages the nursing team?
Definition
The DON
Term
What do RNs do?
Definition

They acess, make nursing diagnosies, plan, implement, and evaluate nursing care

(ADPIE)

Term
What is functional nursing?
Definition
Functional nursing focuses on tasks and jobs
Term
What is team nursing?
Definition
Team nursing involves a team of nursing staff led by and RN
Term
What is primary nursing?
Definition
Primary nursing involves total care
Term
What is patient-focused care?
Definition
When the services are moved from departments to the bedside
Term
What is private insurance?
Definition
Private insurance is bought by individuals and families
Term
What is group insurance?
Definition
Group insurance is bought by groups or organizations for individuals
Term
What is medicare?
Definition
A federal health insurance program for persons 65 years or older
Term
What is medicaid?
Definition
A health care payment program sponsored by the federal government and operated by the states
Term
An agency must have a license to opperate and provide care. True or false?
Definition
True
Term
What does OBRA stand for and what do they do?
Definition

Omnibus Budget Reconciliation Act.

It requires nursing centers to provide care in a manner and in a setting that maintains or improves each person's quality of life, health, and safety

Term
Health care facilities must inform residents of their rights. True or false?
Definition
True
Term
Do you need to report refused treatment?
Definition
Yes, to the nurse
Term
Do the residents have the right to personal privacy?
Definition
Yes
Term
Residents can choose their own doctor, treatment, activities, schedules, and care. True or false?
Definition
True
Term
What do you do if you tear your glove?
Definition
Throw the glove away and wash your hands
Term
What is considered contaminated on a gown?
Definition
The front and sleeves
Term
On a mask, which part is considered clean?
Definition
The ties and the ear pieces
Term
What do you wear for droplet precautions?
Definition
A mask
Term
How much of you does the gown have to cover?
Definition
From your neck to your knees
Term
How many times are gowns used?
Definition
Once
Term
When is double-baggin needed?
Definition
Double-bagging is needed when the outside of the bag is wet, soiled, or may be contaminated
Term
When do you empty the catheter bag?
Definition
At the end of shifts, or when it is full
Term
Do patients have the right to see their medical record?
Definition
Yes, if requested report to the nurse
Term
When do you record?
Definition
AFTER you provide the care, Never before you provide care
Term
What is a flow sheet used for?
Definition
To record observations and measurements
Term
What is a kardex?
Definition
A card that summarizes information in the medical record
Term
What should anyone reading your recordings know?
Definition
What you observed, the care given, and the patients response
Term
Anterior (ventral)
Definition
At or towards the front of the body or body part
Term
Posterior (dorsal)
Definition
At or towards the back of the body or body part
Term
Proximal
Definition
The part nearest to the center or to the point of origin
Term
Distal
Definition
The part farthest from the center or from the point of attachment
Term
Lateral
Definition
Away from the midline; at the side of the body or body part
Term
Medial
Definition
At or near the middle or midline of the body or body part
Term
Do you share passwords with employees?
Definition
No
Term
Before you put a person on hold, what do you ask?
Definition
"Is this an emergency?"
Term
What do health care staff share information about?
Definition
What was done for the person, what need to be done for the person, and their response to the treatment
Term
What is the medical record?
Definition
A written or electronic acount of a person's condition and response to the treatment and care
Term
The medical record is not a permanent or legal document. True or false?
Definition

False

The medical record is permanent and legal

Term
When resigning from a job, how long do you give notice?
Definition

2 weeks

Do not leave a job without giving notice

Term
After a job interview
Definition
Send a thank-you letter
Term
On a job application how many references will you need to give?
Definition
At least 4
Term
What do you do if you suspect child abuse?
Definition
Notify the nurse
Term
Give an example of neglect
Definition
Not answering a call light
Term
Can you prepare a will for a patient?
Definition

No, you must politely refuse

You can witness the signing of a will

Term
Fraud
Definition
Saying or doing something to trick, fool, or decieve  a person
Term
Assault
Definition
Attempting or threatening to touch a person's body without the person's consent
Term
Battery
Definition
Touching a person's body without their consent
Term
False Imprisonment
Definition
Unlawful restraint or restriction of a person's freedom of movement
Term
Libel
Definition
Making false statements IN PRINT, writting, or through picture or drawings
Term
Neglect
Definition
Failure to provide the person with the goods or services needed to avoid physical harm, mental anguish, or mental illness
Term
Malpractice
Definition
Negligence by a professional person
Term
Slander
Definition
Making false statements ORALLY
Term
Tort
Definition
A wrong committed against a person or the person's property
Term
Defamation
Definition
Injuring a person's name and reputation by making false statements to a third person
Term
Boundary Crossing
Definition
A brief act or behavior outside of the helpful zone
Term
Boundary Sign
Definition
An act, behavior, or thought that warns of a boundary crossing or violation
Term
Boundary Violation
Definition
An act or behavior that meets your needs, not the person's
Term
Nursing Task
Definition
Nursing care or nursing function, procedure, activity, or work that can be delegated to nursing assistants when it does not require an RN's prefessional knowledge or judgment
Term
Responsibilty
Definition
The duty or obligation to perform some act or function
Term
Accountable
Definition
Being responsible for one's actions and the actions of others who performed the delagated task
Term
Health Team
Definition
The many health care workers whose skills and knowledge focus on the person's total care
Term
LPN
Definition
A nurse who has completed a one year nursing program
Term
Nursing Team
Definition
Those who provide care - RNs, LPN/LVN, and CNAs
Term
Bariatrics
Definition
The field of medicine focused on the treatment and control of obesity
Term
Geriatrics
Definition
The branch of medicine concerned with the problems and diseases of old age and older pesons
Term
Holism
Definition
A concept that considers the whole person
Term
Morbid Obesity
Definition
The person weighs 100 pounds or more over his or her normal weight
Term
Nonverbal Communication
Definition
Communication that does not use words
Term
Obstetrics
Definition
The branch of medicine concerned with the care of women during pregnancy, labor, and childbirth and for 6-8 weeks after birth
Term
Pediatrics
Definition
The branch of medicine concerned with the growth, development, and care of children
Term
Psychiatry
Definition
The branch of medicine conerned with mental health problems
Term
Peristalsis
Definition
Involuntary muscle contractions in the digestive system that move food down the esophagus through the alimentary canal
Term
Capillary
Definition
A tiny blood vessel
Term
Artery
Definition
A blood vessel that caries blood away from the heart
Term
Menarche
Definition
The first menstruation and the start of menstrual cycles
Term
Reflex
Definition
An involuntary movement
Term
Age group of toddlerhood
Definition
1-3 years
Term
Age group of preschool
Definition
3-6 years
Term
Age group of school age
Definition
6-9 or 10 years
Term
Late childhood
Definition
9, 10, or 12
Term
Adolescence
Definition
12-18 years
Term
Atrophy
Definition
To shrink
Term
When people get older what happends to the skin?
Definition

The skin thins, sags, gets dry, is easlily injured, have to use mild soaps

The nails start to get thick and tough

The feet have poor circulation

A nick or cut can lead to serious infection

Term
How often do you reposition a patient?
Definition
Two hours
Term
Which position is not comfortable for older people?
Definition
Sim's position
Term
Supine Position
Definition
The back lying position
Term
Prone Position
Definition
The person lies on their abdomen with the head turned to one side
Term
Fowler's Position
Definition

A semi-sitting position

The head of the bed is raised between 45 and 60 degrees

Term
Sim's Position
Definition

A left side lying position

The upper right leg is sharply flexed so it is not on the lower left leg

The lower left arm is behind the person

Term
What can you do to reduce friction and shearing when moving the person in bed?
Definition
Roll them
Term
Friction
Definition
The rubbing of one surface against another
Term
Shearing
Definition
When the skin sticks to a surface while muscles slide in the direcion the body is moving
Term
Logrolling
Definition
Turning a person as a unit in alignmen, with one motion
Term
What must be kept straight when logrolling?
Definition
The spine
Term
When a person is sitting on the edge of the bed, what do you do if they become dizzy?
Definition
Lay them back down and go notify the nurse
Term
How many entrapment zones do the hospital bed systems have?
Definition
7
Term
What do you do if a person is trapped or caught in their bed?
Definition
Notify the nurse at once and try to release them
Term
How do you prevent entrapment in cribs?
Definition
The mattress must be the same size as the crib
Term
Where do you place the patients signal light?
Definition
Within their reach, on their strong side
Term
Standard equipment for bathrooms
Definition
Toilet, sink, call system and a mirror
Term
How soon must you respond when a person is in need of help in the bathroom?
Definition
Immediately
Term
Open Beds
Definition
The bed becomes an open bed when the linens are fan folded back
Term
When do you make an open bed?
Definition

New residents

Person's who are getting ready for bed

Person's who are out of bed for a short time

Term
Occupied Bed
Definition
When the person stays in bed
Term
What do you do to the bed when the person is returning from surgery?
Definition
Do a complete linen change
Term
What direction does he hem face?
Definition
Outward, away from the person
Term

After Breakfast Care

(morning care)

Definition

Morning care is given after breakfast

Hygiene measures are more thorough at this time

 

Term

Before Breakfast Care

(eary morning care or AM care)

Definition
Getting patients ready for breakfast or morning tests
Term
Afternoon Care
Definition
Routine hygiene is done after lunch and beofore the evening meal
Term

Evening Care

(PM care)

Definition
Evening care is relaxing and promotes comfort
Term
When do you do ROM?
Definition
Afternoon care
Term
Back massage, peri care, hair care, shaving, dressing, and undressing
Definition
Afternoon care
Term
How often do you give mouth care to the unconscious?
Definition

Every 2 hours

 

Term
Process for oral hygiene to the unconscious includes:
Definition

Using sponge swabs

Protect them from aspiration

Position them on one side with their head tilted to the side

Keep mouth open with a padded tongue blade

Term
Labeling the denture cup
Definition
Label the cup with the person' name, room number and bed number
Term
Do you use soap on the face?
Definition
No
Term
Cleaning the face
Definition

Clean the far eye first

Wipe from the inner to the outer aspect of the eye with a corner of the mit

Term
Water temperature for a bed bath
Definition
110-115
Term
What happens to the skin when heat is applied too long?
Definition
The skin turns red and warm
Term
Heat does what?
Definition

Relieves pain

Relaxes muscles

Promotes healing

Reduces tissue swelling

Decreases joint stiffness

 

Term
What happens to the blood vessels when heat is applied?
Definition
They dilate
Term
What happens to blood vessels when heat is applied too long?
Definition
They constrict
Term
Moist heat application
Definition

Water is in contact with the skin

Heat penetrates deeper

Have loser temps that dry heat applications

Term
Moist heat applications include:
Definition

Hot compress

Hot soak

Sitz Bath

Hot pack

Term
What is a sitz bath?
Definition
A sitz bath involves immersing the perineal and rectal areas in warm or hot water
Term
What happens to the blood vessels when cold is applied to the skin?
Definition
They constrict
Term
What happens when cold is applied for too long?
Definition
Blood vessels dilate
Term
Is water in contact with the skin when a dry heat application is used?
Definition
No
Term
How often do you check on a heat application?
Definition
Every 5 minutes
Term
How long are hot/cold applications left on for?
Definition
15-20 minutes
Term
Cold applications are used for:
Definition

Burns

Pain

Poor circulation

 

Term
What is hyperthermia?
Definition

A body temperature higher than the person's normal range

Greater than 103 F

Term
What is hypothermia?
Definition
A very low body temperature less than 95 F
Term
Rehabilitaion
Definition
The process of restoring the person to his or her highest possible level of function
Term
Restorative Nursing Care
Definition
Care that helps persons regain health, strength, and independence
Term
When collecting specimens  you must not touch the inside of the container or lid
Definition
True
Term
When washing hands, the wrists must be kept lower than the forarms.
Definition
True
Term
What kind of shaver do you use when a person is on anti-coagulents
Definition
Electric shaver only
Term
How long do you wait before a shower after putting on an ostomy pouch?
Definition
1-2 hours
Term
How often do you change an ostomy pouch?
Definition
3-7 days
Term
When do you empty an ostomy pouch?
Definition
When it is full
Term
What is the required water temperature for perineal care?
Definition
105-109 F
Term
What areas are washed during a partial bed bath?
Definition
Armpits, face, hands, back, buttox and peri area
Term
What are the five stages of dying?
Definition

D- denial

A- anger

B- bargaining

D- depression

A- acceptance

Term
Systolic
Definition
When the heart contracts
Term
How long do you wait after a cigarrette to take an oral temperature?
Definition
15-20 minutes
Term
Diastolic
Definition
When the heart is at rest
Term
Do you remove burned clothing?
Definition
No
Term
When do you report I&O?
Definition
Every shift
Term
PPE for "contact"
Definition
Gown and gloves
Term
PPE for "airborn"
Definition
Mask, and respirator
Term
PPE for "droplet"
Definition
Mask, gown, and gloves
Term
Putting on PPE
Definition

Mask

Gown

Gloves

Term
Taking off PPE
Definition

Gloves (wash hands)

Gown (wash hands)

Mask (wash hands)

Term
Nosocomial infection
Definition
Infection tha originates in a healthcare facility
Term
Bursae
Definition
Small fluid filled sacs around joints
Term
Aphasia
Definition
Inability to express or understand speech
Term
Two items that you must provide when using a bed pan:
Definition
Toilet tissue and hand wipes
Term
Quadriplegia
Definition
Paralysis of all four extremities
Term
Hemiplegia
Definition
Total paralysis of only one side of the body
Term
Paraplegia
Definition
Paralysis of both legs and the lower part of the body
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