T/F: sterile field can be touched 1 inch outside the container
false
3 levels of infection control
standard, contact, droplet
T/F: if a patient cannot breath on their own and has trouble on 2L, we can give 3L
false
Are the pharynx and the larynx in the upper or lower airway?
upper
gas exchange happens in which part of the resp. system:
alveoli
how many lobes in LEFT LUNG
2
hypoxia vs dyspnea
hypoxia is inadequate O2 from vent issues, dyspnea is difficulty with general breathing
T/F: Perfusion is oxygenated blood passing thru body tissues
true
Nursing Process Steps for Oxygenation:
assess, diagnose, plan, implement, evaluate
(know anatomy of resp. system**) cardiopulmonary resuscitation: start CPR or call code blue first?
call code blue THEN start CPR
The nurse is caring for a 12 yo male patient who reported to the acute care setting with cough, congestion, and mom states, “he is making funny sounds when he breathes”. When assessing breath sounds, the nurse asks the pt to perform which action? A. Hold his breath for 15 seconds B. Observe the color of nailbeds and lips C. Cough deeply after each breath D. Breath deeply through the mouth
D
(know all levels of spine formation, how to assess musculoskeletal- in slides) what is kyphosis?
excessive spine curve
LOC stands for
level of consciousness
alert and oriented x4: what are the 4 questions?
person, place, time, situation
what does the glasgow scale evaluate?
coma: 15 levels
(list all the cranial nerves and what they do on your own paper separately) What does olfactory mean and do?
sense of smell- nose, one nostril at a time (sensory)
what does abducens nerve mean and do?
(motor) lateral movement of eyes- sight, test w pen light side to side
how many cranial nerves are there
12
how many deep tendon reflexes are there?
+4
MMSE means
mini-mental state exam
(know all breath sounds, their names, and good vs bad ones) respiratory assessment order:
inspect, palpate, auscultate
why is cyanosis a respiratory term and not an integumentary term?
the bluish color comes from lack of oxygen circulation in blood
proper GI/GU process:
inspect, auscultate, palpate, percuss (why not palpate? you should know)
how long do you auscultate the 4 abd quadrants? which one do you start with?
start @ lower right for 2 mins (or until sound is heard)
what do you ask about in GU assessment?
are you concerned about your urine?
proper cardiac assessment order:
inspect, palpate, auscultate
PMI is found where?
apex (know what PMI is)
the 4 vascular (cardiac) landmarks:
aortic, pulmonic, tricuspid, mitral
5 P's of peripheral cardio-vasc. assess.
pallor, pain, pulse(less), paralysis, paraphysis
where do you palpate apical pulse?
left-mid clavicular line (4th+5th)
what is spasticity?
stiffness of muscle/joint
know also for quiz/exam: therapeutic communication (open/closed ended, ...), all conversions + math, anatomy of the covered areas, and read all chapters + end of chapter quizzes. and breast exams-LUCK!
:)
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