TEST 3

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Author:
abnrml101
ID:
72075
Filename:
TEST 3
Updated:
2011-03-10 13:17:03
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NURSING TEST PART
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Description:
NURSING TEST 3 PART 1
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  1. WAYS OF DESCRIBING THE ABDOMEN
    • FLAT
    • ROUNDED
    • PROTUBERANT
    • SCAPHOID
  2. ASCITES
    SEROUS FLUID IN THE PERITONEUM
  3. STRAIE
    • STRETCH MARKS
    • PINK OR BLUE WHEN NEW
    • TURN SILVERY WHITE OVER TIME
  4. AUSCULTATION
    • PALPATING FIRST CAN ALTER THE MOBILITY OF THE BOWEL SOUNDS
    • LISTEN FOR 5 MIN IF YOU DONT HEAR BOWEL SOUNDS
    • IF YOU HEAR BOWEL SOUNDS LISTEN FOR 2 MIN
  5. BORBORYGMI
    • STOMACH GROWELING
    • IT IS ACTUALLY YOUR INTESTINES
  6. DISTENTION
    EXCESS AMOUNTS OF FLATUS OR LIQUID OR SOLID WASTE IN THE INTESTINES
  7. GENITOURINARY QUESTIONS TO ASK A FEMALE CLIENT
    • WHAT AGE DID YOU BEGIN MENSTRATING
    • HOW LONG IS YOUR CYCLE
    • DATE OF LAST CYCLE
    • HOW MANY TIMES HAVE YOU BEEN PREGNANT
    • HOW MANY CHILDREN DO YOU HAVE
  8. MEASURES TO ASSIST IN RELAXATION DURING A PELVIC EXAM
    • LITHOTOMY POSITION
    • WARM THE SPECULUM
    • PICTURE ON CELING TO FOCUS ON
    • ENCOURAGE RHYTHMIC BREATHING
    • ASK CLIENT TO RELAX THIER MUSCLES
    • REMIND CLIENT NOT TO HOLD THIER BREATH
  9. QUESTIONS TO ASK THE MALE CLIENT
    • DO YOU EXAMINE YOUR TESTICLES?
    • IF SO HOW OFTEN
    • DO YOU HAVE ANY CONCERNS ABOUT SEXUAL FUNCTION
  10. INTAKE AND OUTPUT
    MONITORING I&O HELPS EVALUATE FLUID AND ELECTROLYTE STATUS
  11. TIMES TO MONITOR I&O
    • FLUID INTAKE OR URINARY OUTPUT IS LESS THAN NORMAL
    • ABNORMAL LOSSES ARE OCCURING SUCH AS FROM SURGICAL DRAIN OR VOMITING
    • IV THERAPY BEING ADMINISTERED
    • MEDICAL PROBLEMS THAT EFFECT FLUID BALANCE
    • CLIENT IS NOT STABLE
  12. MEASURING BODY WEIGHT
    EACH KILOGRAM OF WEIGHT LOST OR GAINED IS EQUIVELENT TO I LITER OF FLUID
  13. ABRASION
    SKIN RUBS AGAINST A HARD SURFACE
  14. LACERATION
    AN OPEN WOUND OR CUT
  15. FRICTION
    2 SURFACES RUB TOGETHER
  16. SHEAR
    • WHEN TISSUE LAYERS MOVE ON EACH OTHER
    • WHEN MOVING A PATIENT IN BED FRICTION HOLDS THE SKIN TO THE BED BUT THE DEEPER TISSUE IS MOVED CAUSING A SEPERATION IN THE TISSUE
  17. PRESSURE ULCER
    • TISSUE DESTRUCTION CAUSED BY COMPRESSION OF SOFT TISSUE OVER BONEY PROMINANCE
    • MOST COMMON SITES-COCCYX, ISCHIAL TUBEROSITIES, HEELS AND TROCHANTERS
  18. PRURITIS
    ITCHING
  19. EPITHELIAZATION
    • PART OF WOUND HEALING
    • PINK EPIDERMAL CELLS REPRODUCE AND MIGRATE ACROSS THE WOUND
  20. GRANULATION TISSUE
    A SCAB
  21. BASAL METABOLISM
    THE AMOUNT OF ENERGY REQUIRED TO CARRY OUT INVOLINTARY ACTIVITIESAT REST

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