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NRSG 200 Exam 1
Basics of vital signs, physical assessment, med admin, patient safety, mobility, hygiene, & infection control
94
Nursing
Undergraduate 2
10/11/2009

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Term
Prodromal stage
Definition
Between non-specific symptom onset, but before specific symptom onset
Term
PPE
Definition
personal protective equipment
Term
VRE
Definition
vancomycin resistant enterococcus
lives for up to 10 days on surfaces
lives on hands for several hours
isolate Pt for 6 months with contact precautions
Term
ESBL
Definition
extended spectrum beta-lactamase
a multiple drug resistant organism
Term
MRSA in sputum
Definition
private room, use mask
Term
MRSA in wound
Definition
private room, gown
Term
c. difficile
Definition
clostidium difficile, a toxin producing bacteria causing acute diarrhea
May be the result of antibiotics
contact precautions
Wash hands with soap and water, No alcohol foams/gels
Term
RSV
Definition
respiratory syncytial virus
contact isolation
Term
Rotavirus
Definition
contact precautions
Term
parainfluenza
Definition
contact precautions
Term
shingles
Definition
contact precautions
Term
pertussis
Definition
respiratory precautions
Term
adenovirus
Definition
respiratory precautions
Term
tuberculosis
Definition
N95 mask
negative pressure precautions
Term
chicken pox
Definition
gown & gloves
negative pressure precautions
nursing students not allowed to care for Pt with chicken pox
Term
rubeola
Definition
measles
gown & gloves
negative pressure precautions
nursing student not allowed to care for Pt with rubeola
Term
MDRO
Definition
multiple drug resistant organisms
Term
red container
Definition
biohazards
Term
blood glucose machine
Definition
store out of Pt rooms
clean with bleach between uses
Term
pertussis
Definition
whooping cough
respiratory isolation
Term
influenza
Definition
surgical mask
Term
viral meningitis
Definition
no isolation
Term
bacterial meningitis
Definition
surgical mask until 24 hours from first dose of antibiotics
Term
shingles
Definition
varicella zoster
a herpes virus
private room if over a large area
Term
Too high O2 concentration
Definition
death in 1 to 3 minutes
Term
deadly odorless gas
Definition
carbon monoxide
Term
MSDS
Definition
material safety data sheets
Term
client-inherent accidents
Definition
caused by the Pt
Term
shigella
Definition
common cause of food born illness
Term
listeria
Definition
common cause of food born illness
Term
Bradenscale
Definition
for predicting pressure ulcer risk
Term
Monitor restraints how often?
Definition
Every 1 to 2 hours
Must be part of medical Tx
Term
kinins
Definition
serum proteins
includes vasoactive kinins & prostaglandins
Term
inflammatory exudate
Definition
fluid, dead tissues, WBCs
lymph system carries this fluid away
Term
granulation tissues
Definition
scar tissue
not as strong as normal tissue
Term
EBP
Definition
evidence based practice
Term
Partial bedbath
Definition
Includes hands, face, axillae, & perineal
Term
effleurage
Definition
long, slow, gliding massage strokes
Term
BR
Definition
bed rest
Term
BRP
Definition
bathroom privileges
Term
What can be done to monitor the metabolic impact of immobility
Definition
look for fluid retention/dehydration
food intake and elimination
wound healing
Laboratory: electrolytes, serum proteins, & BUN
Term
Lying down does what to cardiac workload?
Definition
increases workload and pulse, and increases O2 demand
Term
third heart sound
Definition
early sign of CHF
Term
cold periphery in immobile Pt
Definition
Possible that heart can't handle the workload
Term
legs if immobile
Definition
DVT hazard of immobility
assess legs every 8 hours
assess for tenderness
measure calf circumference daily
Term
atelectasis
Definition
collapse of all or part of a lung
Term
negative nitrogen balance
Definition
more nitrogen excreted than is ingested in protein
results in muscle and tissue breakdown
risk of immobility
Term
isotonic
Definition
doing work and shortening muscle
Term
isometric
Definition
doing work without shortening muscle
Term
Get Pt out of bed how many hours after admission?
Definition
6 to 8
Term
isometric
Definition
doing work without shortening muscle
Term
Get Pt to sit up at edge of bed or in chair how often?
Definition
at least three times a day (meal times)
Term
Have Pt ambulate how often?
Definition
at least once a day
Term
Deep breathing how often?
Definition
10 times, every hour while awake
Term
glasses and hearing aides for immobile Pt?
Definition
encourage
Term
Joints become stiff after how long disuse?
Definition
24 hours
Term
spirometer
Definition
device for measuring air expired
Term
aortic sounds assessed where?
Definition
right, second intercostal space
Term
pulmonic sounds assessed where?
Definition
left, second intercostal
Term
Erb's point
Definition
left, third intercostal space (left sternal border)
Term
Tricuspid assessed where?
Definition
fourth intercostal space, left sternal border
Term
Mitral assessed where?
Definition
apical pulse
Term
first law to regulate medications
Definition
Pure Food and Drug Act of 1906
Term
NPA
Definition
nurse practice act
Term
Perscribers must document what for each medication?
Definition
diagnosis
condition
need
Term
Components of medication orders
Definition
hospital identification info
route
dose
frequency
date and time
signature of prescriber
Term
7 rights of medication administration
Definition
right drug
right dose
right patient
right route
right time
right documentation
Pt right to refuse
Term
ID
Definition
infectious disease
Term
PC
Definition
after meals
Term
Luer-Lok
Definition
between syringe and needle
Term
intradermal angle
Definition
15 degrees
Term
ventrogluteal site
Definition
index finger pointing to anterior superior iliac crest
palm over greater trochanter
inject into gluteus medius
Term
vastus lateralis
Definition
lateral thigh muscle
Term
normal body temp range
Definition
up to 100.4 F
36 to 38 C
Term
temp sites
Definition
tympanic membrane
temporal artery
esophageal
pulmonary artery
Term
neural and vascular control of body temp is regulated by?
Definition
hypothalamus
Term
anterior hypothalamus controls?
Definition
heat loss
Term
posterior hypothalamus controls?
Definition
heat production
Term
thyroxine
Definition
made by thyroid
increases metabolic rate
Term
tympanic membrane thermometer
Definition
infrared
Term
temporal artery thermometer
Definition
scanning infrared
Term
stimulates cardiac contraction
Definition
SA node
Term
PMI before age 4
Definition
4th intercostal space and more lateral
Term
Bell is for what pitch?
Definition
low-pitched sounds
Term
diaphragm is for what pitch
Definition
high pitched sounds
Term
MCL
Definition
Mid clavicular line
Term
passive breathing is controlled by?
Definition
brain stem
Term
respiratory centers
Definition
medulla oblongata
pons
Term
chemoreceptors involved in respiration
Definition
medulla
carotid and aortic bodies
respond to O2, CO2, and H+ in arterial blood
Term
breathing ratio
Definition
1:2
inhale:exhale
Term
types of breathing
Definition
costal (thoracic)
diaphragmatic (abdominal)
Term
infant breathing
Definition
less regular
Term
percent arterial oxygen saturation
Definition
percent of hemoglobin that is bound with O2
Term
SpO2
Definition
arterial blood oxygen saturation
less than 70 percent in life threatening
measurement accuracy affected by carbon monoxide
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