Nurs 101 Exam 2 review
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Created by:
lynnmw1208 on February 9, 2012
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40 terms
Terms | Definitions |
|---|---|
 intramuscular sites | ventrogluteal, vastus lateralis, deltoid |
| subcutaneous sites | lower abdomen, lower back, anterior thigh, back of arm, scapula |
| intradermal | 5-15 degree angle, should be able to see needle through skin |
| otic | -drops must be room temperature to prevent vertigo -pull auricle back and up to straighten ear -lay 2-3 minutes after |
| ophthalmic | - insert drops into center of conjunctival sac - avoid touching eye - apply gentle pressure to nasolacrimal duct |
| buccal | place solid medication against mucous membrane of cheek until it dissolves |
| z track method | pulling skin back while giving an IM; once skin is release the opening closes keeping the medication in the muscle |
| anaphylactic reaction | mild to sever allergic reaction |
| high alert drugs | potassium chloride, heparin, insulin, chemotherapy drugs |
| 10 rights | right: medication, dose, time, route, client, documentation, client education, refuse, assessment, evaluation |
| dehiscence | partial or total opening of a surgical wound |
| evisceration | wound opens up and internal organs protrude through |
| stage 1 ulcer | intact skin with nonblanchable redness; pain |
| stage 2 ulcer | partial-thickness skin loss involving epidermis, dermis or both; pain |
| stage 3 ulcer | full-thickness tissue loss with visible adipose tissue; no pain |
| stage 4 ulcer | full-thickness tissue loss with exposed bone, muscle or tendon |
| serous | clear, sticky, watery |
| sanguineous | RBC, thick red; bleeding |
| serosanguineous | thin, pink tinge |
| purulent | tan, yellow, brown, thick |
| primary intention healing | well-approximated, redness, swelling pain; minimal or not tissue loss and little risk for infection; minimal scarring |
| secondary intention healing | greater risk for infection; extensive tissue loss, edges can't be closed, repair time longer, scarring greater; pressure ulcers, burns |
| tertiary intention healing | traumatic wounds, initially left open for several days; edema, infection or exudate resolves |
| ss of infection | fever, chills, achiness, malaise, review lab work |
| reservoir | people, plants, animals, environment |
| portal of exit | skin, tears, respiratory tract, GI tract, urinary tract, blood |
| portal of entry | respiratory tract, GI, GU, parenteral, transplacental, conjunctiva |
| inflammation signs | pain, swelling, redness, heat, impaired function |
| airborne | trasmitted by the air as droplet nuclei |
| droplet | serious illnesses transmitted by particles |
| contact | serious illnesses trasmitted by contact with client |
| clean | used in administration of medication, enemas, tube feedings, daily hygiene |
| sterile | used in dressing changes, catheterizations, surgical procedures |
| therapeutic effect | expected, predictable, desirable results |
| side effect | unintended, secondary effect, predictable |
| adverse effect | severe response to a medication, unintended, undesirable |
| idiosyncratic reaction | over or under-reaction to a medication |
| toxic effect | medication accumulates in the blood |
| exogenous | post-operative infection |
| endogenous | can occur when part of the client's flora becomes altered and an overgrowth results |
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