Term
| Techniques that LPNs use for head to toe collection: |
|
Definition
Inspection
Palpation
Percussion
Auscultation |
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Term
|
Definition
|
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Term
|
Definition
| Pupils, Equal, Round, React to light, and Accomidation |
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Term
|
Definition
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|
Term
| Normal rate of bowel sounds? |
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Definition
|
|
Term
| Descriptions of pulse sounds: |
|
Definition
| 3+ (bounding), 2+ (normal), 1+ (decreased/ thready), 0 (nonpalpable) |
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
| bluish or purple color of skin due to deficient oxygen of the blood |
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Term
|
Definition
| yellowish pigmentation of the skin, tissues and certain body fluids |
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Term
|
Definition
| a minute rash or purplish spot containing blood that appears in skin or mucous membrane as a result of localized hemorrage. |
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Term
|
Definition
| abnormal redness of the skin due to capillary congestion (as in inflammation) |
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Term
|
Definition
| a patch of skin that is altered in color but usually not elevated and that is characteristic of certain diseases like smallpox. |
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Term
|
Definition
| a small solid usually conical elevation of the skin caused by inflammation, accumulated secretion, or hypertrophy of tissue elements. |
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Term
|
Definition
| a small elevation of skin containing pus and having an inflamed base. |
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Term
|
Definition
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Term
|
Definition
| state of profound unconsciousness |
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Term
|
Definition
| several generally abnormal sounds heard on auscultation of carotid artery |
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Term
|
Definition
| increased rate of respiration |
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Term
|
Definition
|
|
Term
|
Definition
| AKA rales, abnormal resp. sounds heard more often on inspiration; discrete, discontinuous sounds, each lasting just a few milliseconds |
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Term
|
Definition
| difficult respir. usually with a whistling sound |
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Term
|
Definition
| forward curvature of the lumbar and cervical regions of the spine |
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Term
|
Definition
| outward curvature of the thoracic region resulting in a rounded upper back |
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Term
|
Definition
| lateral curvature of the spine |
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Term
|
Definition
| Pulse, Appearance, Temperature, Capillary refill, Hardness, Edema, Sensation (used to assess peripheral vascular system) |
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|
Term
| What does "ABC, IN, Out, PS" mean? |
|
Definition
| Quick pt observation. Airway, Breathing, Circulation, What's going in?, What's coming out?, Pain, Safety. |
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Term
| What is the recommendation included in Dietary Guidelines for Healthy People 2010? |
|
Definition
| Consume a variety of nutrients from all food groups, Consume less than 2300 mg sodium per day, Maintain healthy body weight, Regular physical activity, Encourage whole grains and increase fiber, Alcohol in moderation. |
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Term
|
Definition
| More nitrogen in the system. Ex. of people who have more in their system are pregnant women, children, athletes who are increasing muscle mass. Positive nitrogen balance. |
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|
Term
|
Definition
| Less nitrogen in the system. Ex. of people with less nitrogen are those with starvation, trauma, surgery, burns, immobility. Negative nitrogen balance. |
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|
Term
| Protein calorie malnutrition |
|
Definition
| Nutrient intake is insufficient to meet metabolic needs. May be a protein defic. or a calorie defic. |
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|
Term
| S/sx of protein calorie defic. |
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Definition
|
|
Term
| What are anthropometric measurements? |
|
Definition
| Height/weight, Body Mass Index, Mid-arm circumference, Triceps skin fold, Mid-arm muscle circumference |
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|
Term
| What lab values are healpful in determining nutritional status? |
|
Definition
| serum albumin levels, complete blood count, lipid panel |
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|
Term
| What are the six nutriets? |
|
Definition
| Protein, Carbohydrate, Fat, Vitamin, Mineral, Water |
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|
Term
| Energy producing nutrients? |
|
Definition
| Protein, Carbohy, and Fat |
|
|
Term
| Which nutrients are not energy producing? |
|
Definition
|
|
Term
| What are the major functions of fat? |
|
Definition
Energy, Protects vital body organs, Insulation, Essential part of cell membrane structure
Transports drugs and nutrients thru body |
|
|
Term
| Major functions of proteins? |
|
Definition
Growth and repair of tissue
Regulation of important body functions
Can be used for energy, but not primary purpose |
|
|
Term
| Diff. between simple and complex CHO? |
|
Definition
| Complex has many molecules (polysccharides); Simple have only one or two (mono and disaccharides) |
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|
Term
|
Definition
|
|
Term
|
Definition
| Glucose (blood sugar), fructose (fruit sugar), galactose (breakdown of lactose), sucrose (table sugar), maltose (breakdown of starches), lactose (milk sugar). |
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|
Term
|
Definition
| The storage form of CHO in the liver. |
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Term
|
Definition
| Can be absorbed in the body |
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|
Term
|
Definition
|
|
Term
| Complete verses incomplete protein? |
|
Definition
| Complete has all the essential amino acids, and incomplete lack one or more. |
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|
Term
| What element does protein contain that CHO and fat do not? |
|
Definition
|
|
Term
| Non-essential amino acids |
|
Definition
| Can be chemically manufactured in the body. |
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Term
|
Definition
| Must be obtained by by food, because they cannot be produced by the body. |
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Term
|
Definition
| People who consume dairy products but do not consume flesh of any kind. |
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|
Term
| What is a normal level of serum cholesterol? |
|
Definition
< 200-low risk
200-239-moderate risk
>240- high risk
LDL <100
HDL >60 |
|
|
Term
| Amount of CHO intake per day? |
|
Definition
| No more than 20-35% of total coloric intake with most coming from poly and mono - unsaturated fats. |
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|
Term
| Saturated vs unsaturated fats? |
|
Definition
| saturated has all hydrogen atoms; unsaturated is missing one or more hydrogen atoms |
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|
Term
|
Definition
|
|
Term
| What is a trans fatty acid? |
|
Definition
| Hydrogen atoms are added to mono or polyunsaturated fats. |
|
|
Term
| What % of diet should be CHO? |
|
Definition
|
|
Term
| What % of diet should come from fat? |
|
Definition
|
|
Term
| What % should be protein in diet? |
|
Definition
|
|
Term
| How to calculate an adult's requirement for protein? |
|
Definition
| Divide weight by 2.2 to get kg and multiply by 0.8 grams to get amount. |
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|
Term
| How to calculate amount of calories in fat, protein, and CHO: |
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Definition
|
|
Term
| The total daily output during a 24 hour period should be ? |
|
Definition
| 1500-2000 mL and should equal approximately the amount of input |
|
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Term
|
Definition
| urine, emisis, diarrhea, exhalation, perspiration, BM, wound drainage |
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|
Term
| What does fluid balance mean? |
|
Definition
| Input and Output are approximately the same. |
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|
Term
| Skin legions that are elevated with irregular borders and no free fluid are called? |
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Definition
|
|
Term
| What is the best area to assess for skin turgor? |
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Definition
|
|
Term
| Intermittent, high-pitched, popping sounds durinf inspiration are called? |
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Definition
|
|
Term
| What should a nurse do if adventitious sounds are heard when assessing the lung sounds of of a client? |
|
Definition
| Assess the appearance of raised sputum. |
|
|
Term
| What kind of technique is used when a nurse uses pressure to check for tenderness or unusual vibrations? |
|
Definition
|
|
Term
| What should a nurse do when obtaining a client's weight? |
|
Definition
| Check to see that the scale is calibrated. |
|
|
Term
| When should a nurse provide an in depth objective assessment? |
|
Definition
1. clients with a head injury
2. clients with psychiatric diagnosis
3. clients who took an overdose of drugs |
|
|
Term
| How should a nurse examine a child's ear/ |
|
Definition
| Pull the ear down and back to straighten the ear canal. |
|
|
Term
| Purple patches on the skin are called? |
|
Definition
|
|
Term
| During a self-breast exam, a client should? |
|
Definition
| Squeeze the nipple gently to determine whether there is any discharge. |
|
|
Term
| How is 4-mm pitting edema recorded? |
|
Definition
|
|
Term
| What should a nurse do to test the client's ability to identify fine touch? |
|
Definition
| Stroke the skin at various area's with a cotton ball. |
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|
Term
| An abdominal area that is resembles an egg and feels firm to the touch should be recorded as ? |
|
Definition
|
|
Term
| What should a nurse do first when assessing the abdomen for bowel sounds? |
|
Definition
| Warm the diaphram of the stethoscope before the procedure. |
|
|
Term
| What does a normal heart sound like? |
|
Definition
| The lub sound louder at the mitral area. |
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|
Term
| During a GI procedure, what should a nurse do with the blue vent? |
|
Definition
|
|
Term
| An artificial opening into the stomach is called? |
|
Definition
|
|
Term
| What kind of tubes are used exclusively to remove fluid and gas from the stomach? |
|
Definition
|
|
Term
| Belching often indicates that the GI tube is still in the ? |
|
Definition
|
|
Term
| Intestinal tubes are weighted with? |
|
Definition
|
|
Term
| What kind of tube is used in an emergency to remove toxic substances that have been ingested? |
|
Definition
|
|
Term
| Some nasogastric tubes have more than one? |
|
Definition
|
|
Term
| A gastronony tube is placed eitherof two ways. How? |
|
Definition
1. Surgically
2. With an endoscope |
|
|
Term
| How much formula is fed in a bolus feeding? |
|
Definition
|
|
Term
| What is it called to place a tube into a body structure? |
|
Definition
|
|
Term
| What are the disadvantages of an NG procedure? |
|
Definition
| Discomfort of the nose and throat. Tissue breakdown. NG tubes can dilate the esoph. sphincter causing reflux. |
|
|
Term
| What kind of food is given to a person with malabsorption disorder? |
|
Definition
|
|
Term
| What kind of food meets total nutritional needs? |
|
Definition
|
|
Term
| What kind of formula furnishes more protein than others? |
|
Definition
|
|
Term
| What kind of formula provides nutrition and decreases constipation or diarrhea? |
|
Definition
|
|
Term
| What kind of formula supplements nutrition without altering water distribution? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are the nurse's functions regarding NG tubes? |
|
Definition
1. Inserting NG tubes
2. Keeping the tube patent.
3. Implementing the prescribed use.
4. Removing the tube. |
|
|
Term
| When are tube feedings performed? |
|
Definition
| If oral feedings are impossible or jeopardiz safety. |
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|
Term
| What are the problems associated with bolus feedings? |
|
Definition
1. Distends the stomach rapidly causing gastric discomfort.
2. Increasing the risk of reflux, regurgitation, vomiting, and aspiration. |
|
|
Term
| Controlling gastric bleeding with pressure? |
|
Definition
|
|
Term
| A surgically created opening for the insertion of a tube? |
|
Definition
|
|
Term
| A transabdominal tube that leads to the small intestine? |
|
Definition
|
|
Term
| What is the metal guide wire that helps to straighten feeding tubes? |
|
Definition
|
|
Term
| What should a nurse do if the elderly client develops hyperglycemia when tube feeding? |
|
Definition
| Instill diluted formula and gradually increase concentration. |
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|
Term
| A elderly client has severe abdominal pain after tube feeding. What should the nurse do? |
|
Definition
| Use lasctose free and high protein formulas. |
|
|
Term
| How long should a bolus feeding last? |
|
Definition
|
|
Term
| How long do intermittent feedings last? |
|
Definition
|
|
Term
| What should a client do when assessing a client's nostril ? |
|
Definition
| Ask the client to exhale. |
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|
Term
| A nurse has to insert an intestinal decompression tube from the pyloric valve into the small intestine. What should the nurse do? |
|
Definition
|
|
Term
| What should the nurse do FIRST when removing an intestinal decompression tube? |
|
Definition
|
|
Term
| What is the main goal of a NG assessment? |
|
Definition
| Detect the nostril best suited for tube insertion. |
|
|
Term
| What is a gastric sump tube best suited for? |
|
Definition
| Removes fluid and gas from the stomach. |
|
|
Term
| What is best time to provide liquid nourishment? |
|
Definition
|
|
Term
| How much gastric residual should there be when checking? |
|
Definition
|
|
Term
| What is the most important action when discharging a client with an tube-feed? |
|
Definition
| Provide detailed written instructions. |
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|
Term
| What should a nurse do to maintain the patency of a tube? |
|
Definition
| Flush the tube with 30-60 mL water. |
|
|
Term
| Which tube feeding the least desirable? |
|
Definition
|
|
Term
| A client complains of a vomiting sensation. What should the nursing diagnosis be? |
|
Definition
|
|
Term
| The nurse pinches the tube just as the last volume of water is put into the tube. Why? |
|
Definition
| To prevent air from getting into the stube. |
|
|
Term
| A nurse is caring for a tube-fed client who has inflammation of the middle ear. Which intervention will reduce inflammation? |
|
Definition
| Insert a small diameter tube feeding. |
|
|
Term
| How are peripheral pulse sites assessed? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the process of collecting data that provides information about the client's individualized healthcare needs. |
|
Definition
|
|
Term
| What is the primary source of data? |
|
Definition
|
|
Term
| Does the health history provide objective or subjective data? |
|
Definition
|
|
Term
| A focused assessment of a pt complaining of abdominal pain would include assessing the pt.'s ? |
|
Definition
|
|
Term
| It is preferable to collect assessment data from a secondary source instead of directly from the client when? |
|
Definition
| The client is young, unconscious, or confused. |
|
|
Term
| The first thing a nurse should do before examining a client is? |
|
Definition
|
|
Term
| How to figure the pulse deficit? |
|
Definition
| Apical pulse-radial pulse |
|
|
Term
| Observing/looking carefully |
|
Definition
|
|
Term
| Using hands to touch and feel |
|
Definition
|
|
Term
| Tapping the body to produce sound waves |
|
Definition
|
|
Term
| Listening to sounds using a stethoscope |
|
Definition
|
|
Term
| Symptoms experienced by the client |
|
Definition
|
|
Term
| Signs, observable and measurable |
|
Definition
|
|
Term
| Family, friends, or records as sources |
|
Definition
|
|
Term
| Objective and Subjective data associated with an illmess |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Poor turgor and dry mucous membranes would be an indication of ? |
|
Definition
|
|
Term
| A GRATING sound heard during chest auscult? |
|
Definition
|
|
Term
| During an assessment of the eyes, the nurse would NOT record? |
|
Definition
|
|
Term
| The normal pupillary response to accommodation is? |
|
Definition
| constriction and convergence |
|
|
Term
| The use of adequate lighting is most important during? |
|
Definition
|
|
Term
| The purpose of the blanching test is to? |
|
Definition
| Check peripheral circulation. |
|
|
Term
| Where do you correctly palpate the PMI? |
|
Definition
| the right midclavicular line, fifth intercostal space. |
|
|
Term
|
Definition
|
|
Term
| Lung sounds that are "popping" are called? |
|
Definition
|
|
Term
| The correct order when assessing the abdomen are: |
|
Definition
| inspection, auscultation, palpation |
|
|
Term
| If a pt has both arms in full casts, what is the best way to assess the pulse rate? |
|
Definition
| Apical for a full 60 sec. |
|
|
Term
| What is the most accurate method for assessing the pulse rate? |
|
Definition
| auscultating directly over the point of maximum impulse. |
|
|
Term
|
Definition
| Objective and Subjective data. |
|
|
Term
| What is the difference between feeding through PEG, NG, and J tubes. |
|
Definition
| PEG and NG tubes go into the stomach. J tubes go into the intestines and should be slower than the other two. |
|
|
Term
| What are examples of incomplete proteins? |
|
Definition
| Veggi sources such as grains, corn, and peas. |
|
|
Term
| What is the protein difference between LDL and HDL cholesterols? |
|
Definition
| LDL has less protein and more fat. HDL has more protein and less fat. |
|
|
Term
| What type of fat is most likely attributed to atherosclerosis? |
|
Definition
|
|
Term
| What are the componenets of a health history? |
|
Definition
| Bio data, Chief complaint, History of present illness, Past medical hist., Family history, Lifestyle |
|
|
Term
|
Definition
| name, address, age, gender, marital stat, occupation, religion, finances, insurance |
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|
Term
| Where would "allergies" fall in a health assessment? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Return rate of normal turgor/ |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Size of lymph nodes that may indicate an infection? |
|
Definition
|
|
Term
|
Definition
| Neck stiff and sore when flexed toward chest. may signal meningitis. |
|
|
Term
|
Definition
| Added sound with a musical pitch; heard when auscult. lungs. Heard on EXHALE. Means fluid in the lungs. |
|
|
Term
| What does a Bruit signify? |
|
Definition
| an obstruction in the carotid artery. |
|
|
Term
|
Definition
|
|
Term
| When should discharge planning begin? |
|
Definition
|
|
Term
|
Definition
| Skilled nursing facility. |
|
|
Term
| What does METHOD discharge planning mean? |
|
Definition
| Medication, Environment (home), Treatment, Health teaching, Outpatient referral, Diet |
|
|
Term
|
Definition
| tool used to look into eyes |
|
|
Term
|
Definition
| tool used to look into ears |
|
|
Term
| What can periodontal disease lead to? |
|
Definition
|
|
Term
| Are lower or high tones easier to hear? |
|
Definition
|
|
Term
| What part of the stethoscope should be used when listen to lung sounds? |
|
Definition
|
|
Term
| What do crackles signify? |
|
Definition
|
|
Term
| How many places should you listen to the lungs? |
|
Definition
|
|
Term
|
Definition
| Dietary Referenced Intake; used to be called RDAs. They give information on minimum and maximum amounts of daily vit and minerals. |
|
|
Term
| How much alcohol is "in moderation"? |
|
Definition
Males 2- 4 oz drinks
Females 1- 4 oz |
|
|
Term
|
Definition
| No pork, kosher, no shellfish, no fish without scales or fins, no birds of prey, SEPERATION of MEAT and DAIRY, unleavened bread during passover. |
|
|
Term
|
Definition
|
|
Term
| Who determines health claims, serving sizes, descriptive terms on food? |
|
Definition
|
|
Term
| What act created food labeling standards? |
|
Definition
| Nutrition Labeling and Education Act of 1999 |
|
|
Term
| Polysaccharides are also called? |
|
Definition
|
|
Term
|
Definition
| It is stored as glycogen in the liver and muscles, then the extra is stored as fat. |
|
|
Term
| Glucose metabolism is regulated by? |
|
Definition
|
|
Term
| Glucose oxidation results in ? |
|
Definition
|
|
Term
| Glucose oxidation results in ? |
|
Definition
|
|
Term
| What % of diet should be simple sugars? |
|
Definition
|
|
Term
| Do foods with < 0.05 trans fat have to be put on label? |
|
Definition
|
|
Term
| Mono-unsaturated fats have a positive effect how? |
|
Definition
| By lowering LDLs. Foods include olive oil, avacods, canola oil, nuts |
|
|
Term
| Polyunsat. foods include? |
|
Definition
| sunflower, safflower, margarine, fish |
|
|
Term
| How many essential amino acids are htere? |
|
Definition
|
|
Term
|
Definition
| Trouble swallowing; speech therapists evaluate. |
|
|
Term
|
Definition
| Cream soups, ice cream, milk, cream of wheat |
|
|
Term
|
Definition
| Broth, jello, sprite, apple juice, coffee, tea, popcycle |
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|
