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40 terms

Nurs 101 Exam 2 review

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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