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