Fundamentals

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Author:
Michelle25
ID:
51984
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Fundamentals
Updated:
2010-11-28 22:32:20
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  1. ___________ drainage is a clear, watery plasma
    Serous
  2. ____________, indicates fresh bleeding
    Sanguineous
  3. ___________ is a pale, watery drainage that indicates bleeding
    Serosanguineous
  4. ________ is a thick, yellow, green, or brown drainage
    Purulent
  5. Normal Breath sounds
    • A. Bronchial: hollow, blowing sounds over the trachea and main bronchus.
    • B. Bronchovesicular: blowing sounds of medium pitch and intensity over the bifurcation of the bronchi.
    • C. Vesicular: soft, low-pitched sounds over the periphery of the lungs.
  6. 1 gram = ____ grains
    15
  7. ____ mg = 1 grain
    60
  8. ____ gtts = 1 mL
    15
  9. ____ ml = 1 tsp
    5 mL
  10. _____ mL = 1 T
    15 mL
  11. 1 T = ____ tsp
    3 tsp
  12. 1 oz = _____ mL
    30 mL
  13. 1 oz = 30 mL= _____ T
    2
  14. ______________ is accomplished with wet to dry dressings
    Mechanical debridement
  15. A __________ environment has been shown to improve wound healing
    moist
  16. A stage 2 pressure ulcer is characterized by : _______________
    partial- thickness skin loss
  17. Stage 3 pressure ulcer is _______________ without involvement of underlying tissues
    full-thickness skin loss
  18. Wet to dry dressings are used to _____________ the wound
    mechanically debride

  19. which position is this?
    Fowlers position

  20. What position is this?
    Sim's position
  21. By what authority may RNs delegate nursing care to others?
    State nurse practice act
  22. Before drawing ABG's, perform the ___________.
    Allens test: make clients hand blanch by obliterating both the radial and ulnar pulses. Release pressure over ulnar artery- if good: positive allens test
  23. _______ is low output of urine
    oliguria
  24. ROME
    Respiratory opposite, metabolic equal
  25. The ____ wave represents repolarization of the verntricle.
    T wave
  26. _____ of the wound is protrusion of intestinal contents (in an abdominal wound)
    Evisceration
  27. For narcotic induced respiratory depression, administer ______
    narcan
  28. Normally, kidneys excrete approx. ___ ml of urine/kg/hr, which is approx. 1 to 2 liters in a 24 hours period for adults
    1
  29. Excess fluid volume symptoms:
    • dyspnea
    • tachycardia
    • jugular vein distension
    • peripheral edema
    • pulmonary edema
  30. Fluid deficient symptoms:
    • decreased urine output
    • reduction in body weight
    • decreased skin turgor
    • dry mucous membranes
    • hypotension
    • tachycardia
  31. Dizziness, weakness, cardiac irregularities, muscle cramps, diarrhea, and nausea are signs of ________
    hyperkalemia
  32. What is the normal serum range for potassium?
    3.5 - 5.0
  33. Vagal nerve stimulation can cause a reflex slowing of the __________.
    heart rate
  34. ______________ provide the most important data about fluid volume status, so an initial weight upon admission must be obtained.
    Daily weights
  35. Each kg of body weight gained or lost is equal to ____ liter of fluid.
    1
  36. Decreased ___________ flow commonly occurs as we age. This decreases drug metabolism, which allows drugs to remain in the body longer and produces a greater drug effect.

    hepatic blood flow

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