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units 7-9 Patient Care Review
Terms in this set (71)
is it acceptable to give a patient a glass of water if asked
false- you have to check if they can have NPO, they might have an IV, and ER patient, or have surgery soon
inability to control your bladder or bowels
what kind of bedpan should be used for a patient that has limited mobility?
Fracture Pan (slipper pan)
Which is considered the "bad" cholesterol LDL or HDL?
LDL- lower density lipoproteins
What would the diameter be for and 18F catheter?
18size x 0.33(the scale they made up for Foley catheters) = 5.94mm
what is the acronym now used to describe abuse in either children or the elderly?
NAT )non- accidental trauma
what is the standard size urinary catheter for male patients?
Patients in shock will have increase ______ ______ and rapid, _____ breaths
heart rate, shallow
What is a normal PT(prothrombin) reading?
a patient with kidney stones does not have to have their eliminated urine monitored
false- the urine should be strained to see if they have passed and of the stones.
what is the term for a patient that has had a diseased portion of their large bowel removed?
what position is difficult for a patient with COPD to maintain?
what is the term for an individual who has a pulse rate over 100 ppm?
what position may the patient be paced in during a barium enema in order to get the contrast in all parts of the bowel via gravity?
what nerve, when stimulated during measurement of temp, can cause a slow heart rate
what accessory could be used to help a patient maintain their position?
sponges, not restraints (using immobilzation devices)
a decubitus ulcer may develop if a patient is in one position on the X-ray table for more than 10 minutes
true- use of thin table pad helps to eliminate pressure
one example of when a bolster put under the knees will help with patient comfort
-lower back pain
what respiratory conditions has a state of reduced CO2 in the blood?
- hypocarbia or hypocapnea
name 3 factors that affect body temperature
-time of day
-presence of disease or infection
-digestion of food
name two determinations that would be evaluated in a CBC? (complete blood count)
-red blood cells
-white blood cells
name 3 anatomical sites where a patient can develop decubitus ulcers
-backs of knees
-balls of feet
-back of skull
what type of casting material is used for fractures that need to be reduced?
what position should a patient that has become vasovagal be placed in?
trendelenberg (means faint- trying to get blood back to their head)
name 3 conditions that would indicate a cast is too tight
-loss of feeling
-cold blue skin
-pain with movement
-absencse of pulse
what are elderly patients susceptible to sliding from stretcher to x-ray table that can lead to pressure sores?
skin abrasions or contusions
what reading would indicate a patient is allow risk for high cholestrol?
greater than 60 mg/dL means a patient is at low risk
name one purpose for a urninary catheter
-track how much their output is
-keep bladder constantly empty
-instilling medication and draining it out again
restraints can be applied without a physicians orders if there is the presence of imminent danger to others and the patient themselves
true- emergent restraints
(other type is non-emergent restraints)
what type of urinary catheter has a higher risk of infection being introduced to the genitals?
what type of injury would be contraindicated for use of a sliding mat when transporting the patient to the x-ray table
spinal injury (they ll usually be on some type of backboard anyways- don't use soft sliders)
across table lateral c -spine would be first image taken, nothing else before
what immobilization device could be used for a patient that cannot internally rotate their legs
sandbags or tape
what technology does a temporal artery thermometer use in order to get a reading
what would be a radiographic indication of shaken baby syndrome
separation of sutures
buldging of the fontanels
what is the name of the repositioning movement, if not performed correctly, could cause a catastrophic necrologic injury to a patient with a suspected c-spine injury
increased blood volume will cause an increased in blood pressure
true- if you have too much blood the heart has to go faster so its going to increase the BP to try to get rid of that
one example of non-physical abuse of the elderly
one example of why its important to obtain the patients history
-safe and comfortable exam
-obtain as much info as possible
what is the name of the notes in a patient s chart that describes the patients most current health status
what four physical assessments are performed on patients
BP , breathing rate, temperature, skin colour, level of consciousness
what observable characteristic does a patient with emphysema have?
- barrel chested- their diaphragm keeps going down the worse it gets
what does NPO stand for
nothing by mouth
what other symptom besides dizziness or feeling faint could be experience by a patient that is hyperventilating
get numbness and tingling of their extremities
what effect may be delayed in a patient that received IV contrast in CT
what rectal temperature would indicate that a patient has a fever
39 degrees celsius
what doe VCUG stand for
what can affect a tympanic temperature reading
middle ear infection, ear wax,
what would be the cause of leakage of urine around urinary catheter
- the balloon isn't inflated enough
-wrong size for the patient
for what test may a sanitary napkin be provided to the patient
uterus test- hysterosalpingogram
what position should be the patient be placed in if they suddenly become dyspneic (difficulty breathing)
-sitting up- fowlers
what is the term for an irregular heart beat
what are the sign that a patient is having an MI? (myocardioinfarction)
- chest pains, shooting pains down their left arm, dizzy, nausea, weakness, feels faint, pain in shoulder or jaw
the body is most stable when the centre of gravity bisects the base of support
false- line of gravity bisects the base of support
what does INR stand for
international normalized ratio- test for blood clotting
what method of measuring temperature is not used on a new born due to the risk of injury
what pulse point may be absent in a patient resulting in a request of an angiographic examination
pedal pulse- that might be an indication you aren't getting circulation
how many cm is a urinary catheter inserted for a female patients
what term is used to describe difficulty breathing
Problem breathing laying down- relieved once sitting or standing
name the immobilization method useful when imaging the skull in paediatric patients
-bunny method of mummy method
plaque in the arteries would cause a patient to have low BP
false- high BP because blood cannot flow easily
what type of urinary catheter would be used for someone with a prostatic obstruction
suprapubic catheter- put in through abdomen
two examples when a patient would be placed in a sims position
recovery for seizing, enema insertions,
taking rectal temp
name 3 factors that affect blood pressure
diet, age, gender, physical development, time of day, health status, emotions, activity
what is the systolic reading for a patient that has a stage 2 hypertension
160 mm Hg
what type of urinary catheter needs to be changed ever 24-48 hours
what condition would a patient with a high serum bilirubin suffer from
what would be the INR reading for a patient not on warfarin the may indicate the patient may be at risk for hemorrhaging
anything above 1.2 (warn range from 2-3)
what is the standard size of FOeley catheters for females
what device can be used to assist a patient to sit or stand
what would be the measurement for a normal blood glucose level
75 mg/ dL
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