Unit 2 Fundamentals Of Nursing I Exam

Front 1

every two hours

Back 1

q2h

Front 2

by mouth

Back 2

po

Front 3

as necessary/needed

Back 3

p r n

Front 4

immediately

Back 4

stat

Front 5

nothing by mouth

Back 5

npo

Front 6

dram

Back 6

dr

Front 7

amount

Back 7

amt.

Front 8

chief complaint

Back 8

cc

Front 9

grain

Back 9

gr

Front 10

drop/s

Back 10

gtt/s

Front 11

short/shortness of breath

Back 11

SOB

Front 12

range of motion

Back 12

ROM

Front 13

intake and output

Back 13

I&O

Front 14

In what culture is a strong handshake considered offensive?

Back 14

Native Americans

Front 15

In what culture is an arm's length away preferred while communicating?

Back 15

Asian Americans

Front 16

In what cultures is lingering eye contact considered an invasion of privacy or a sign of disrespect?

Back 16

Native Americans + Asian Americans.

Front 17

This culture believes
- the head of a person is considered sacred. only relatives can touch.

Back 17

Southeast Asian cultures

Front 18

In this culture
-area between female's waist and knees private
- nurses should ask permission before touching area.
-should not be touched by any other male other than husband.

Back 18

Southeast Asian cultures

Front 19

In what culture is lingering eye contact considered suggestive?

Back 19

Arab

Front 20

What does JACAHO require of hospitals for patients who don't speak English?

Back 20

MUST provide trained, professional interpreters.
NEVER refer to family, friends, anyone OTHER than patient himself.

Front 21

Federal Law/Act that says people with limited English are entitled to same health care/soc. services as those who speak English fluently.

Back 21

Title IV of Civil Rights Act of 1994.

Front 22

Cultural Trends..culture tends to be private and hesitate to share information

Back 22

Native Americans

Front 23

culture tends to hesitate to give information and may mistrust medical establishmentq

Back 23

African Americans

Front 24

culture tends to sit closely to interviewers, let interactions unfold slowly

Back 24

Latinos

Front 25

culture tends to provide brief or more factual answers, little elaboration, value simplicity, meditation, and introspection.

Back 25

Asian Americans

Front 26

this perspective bases beliefs about health and disease on research findings. eg. microorganisms cause disease, hand washing reduces infection.

Back 26

Biomedical or scientific perspective

Front 27

this perspective bases beliefs about health and disease that humans and nature must be in balance, harmony to remain healthy. eg. yin/yang theory

Back 27

Naturalistic or Holistic perspective

Front 28

perspective on health in certain cultures that supernatural forces control disease, health.

Back 28

magico and religious perspective

Front 29

intolerance to dairy, patient suffers G.I symptoms, nurse provides client teaching on how to avoid dairy products, and how to obtain calcium from other sources.

Back 29

Lactase deficiency

Front 30

enzyme that breaks down alcohol into acetic acid and carbon dioxide.

Back 30

ADH (alcohol dehydrogenase)

Front 31

what cultural groups have been found to metabolize alcohol at a different rate due to physiologic variations?

Back 31

Asian Americans and Native Americans

Front 32

side effects of ADH enzyme deficiency

Back 32

flushing, increased heart rate

Front 33

An enzyme that helps red blood cells (RBC) to metabolize glucose

Back 33

G-6-PD

Front 34

deficiency in the G-6-PD enzyme cause

Back 34

destruction of red blood cells, anemia develops.

Front 35

health practices that are unique to a particular group of people

Back 35

Folk medicine

Front 36

this type of medicine offers methods of disease treatment/prevention outside modern conventional practice. eg. acupuncture, aromatherapy, reiki.

Back 36

folk medicine

Front 37

This culture is more prone to developing sickle cell anemia, hypertension, diabetes, stroke.

Back 37

African Americans

Front 38

African Americans and Mediterranean countries lack this enzyme

Back 38

G-6-PD

Front 39

Advocate for transcultural nursing. Believed in...
-assessment of cultural natures.
-acceptance of ea. client as individual
-know health issues that affect particular cult. groups.
-plan of care w/in clients belief system

Back 39

Madeline Leininger

Front 40

Name the four techniques used in a physical examination

Back 40

-inspection
-palpation
-percussion
-auscultation

Front 41

technique used in phys. assess.
-most used.
-purposeful observation.
-looking for normal/abnormal characteristics.

Back 41

inspection

Front 42

technique in phys. assess. that involves
- light touch, pressure
-used to feel pulsations, skin temp, checking edema.

Back 42

palpation

Front 43

technique used in phys. assess. involves
-striking/tapping with fingers on body parts to make vibratory sounds.
-least used assess. technique

Back 43

percussion

Front 44

technique used in phys. assess. that involves
-listening to body sounds, heart, lung, abdomen.
-stethoscope used

Back 44

auscultation

Front 45

What is the overall purpose of a physical assessment?

Back 45

To gather objective data.

Front 46

What are the four purposes of a physical assessment?

Back 46

-evaluate client's CURRENT physical cond.
- detection of early signs of dvlping health probs.
-establish a BASELINE, used in future comparissons.
- evaluate client responses to med/nursing interventions.

Front 47

WHEN is a physical assessment performed?

Back 47

-on admission.
-briefly at start of ea. shift.
-any time a condition changes in client.

Front 48

A physical assessment is apart of which phase in the nursing process?

Back 48

assessment

Front 49

When first beginning a phys. assessment, a nurse gathers a general data. this gen. data includes..

Back 49

-v/s, weight and height
-level of consciousness
-phys. looks and size, hygiene
-posture
-gait
-amb. aids? any assistive aids used
-mood/emotional tone

Front 50

Name two approaches for data collection in a physical assessment.

Back 50

1. Head to toe approach
2. Body systems approach

Front 51

During an assessment, a nurse may divide the body into 6 general areas. they are..

Back 51

1. head and neck
2. chest.
3. extremities.
4. abdomen.
5. genitalia.
6. anus/rectum.

Front 52

this phys. assess. approach helps to precent overlooking an aspect of data to collect, takes less time, runs smoothly, and is more comfortable for client, b/c it reduces # of position changes.

Back 52

head to toe approach.

Front 53

this phys. assess. approach offers data being collected according to ea. system. Positives are that findings tend to be clustered, probs. are more easily identified, but some areas are examined repeatedly

Back 53

boy systems approach.

Front 54

Alert and oriented times 3. (to person, place, time)

Back 54

A + O x 3 or A/O x 3

Front 55

PERRLA

Back 55

Pupils equally round + responsive to light and accommodation.

Front 56

elastic quality, resiliency of skin

Back 56

turgor

Front 57

this test, tests near vision with small print

Back 57

jaeger test

Front 58

specialist who tests hearing with standardized instruments

Back 58

audiologist

Front 59

science of the range of hearing

Back 59

audiometry

Front 60

earwax

Back 60

cerumen

Front 61

heart sounds are produced by

Back 61

the closing of the atrial and ventricular valves

Front 62

abnormal lung sounds are described as

Back 62

adventitious (sounds)

Front 63

lung sounds described as "crackles" are called

Back 63

rales

Front 64

lung sounds described as "gurgles" are called

Back 64

rhonchi

Front 65

abnormal lung sounds are created by

Back 65

air moving through secretions OR narrowed airways

Front 66

abnormal lung sounds described as "whistly" are called

Back 66

wheezing/wheezes

Front 67

wheezing abnormal lung sounds are caused by

Back 67

a narrowing of the airways in the lungs

Front 68

when a nurse assesses abnormal lung sounds, you should

Back 68

take note of any cough. also, raised sputum.

Front 69

changes in a person's nails: shape/thickness, also fungal infections are a common sign of

Back 69

CPD (cardiopulmonary disease)

Front 70

excessive fluid in tissue is known as

Back 70

edema

Front 71

the order of assessment technique when performing an abdominal assessment is

Back 71

inspection, auscultation, palpation, percussion

Front 72

why is it important to auscultate before palpating/percussing while performing an abdominal assessment?

Back 72

palpation/percussion before listening for bowel sounds can alter the bowel sounds, providing inaccurate data

Front 73

when are bowel sounds more frequent in the abdominal gavity?

Back 73

after eating

Front 74

What 2 self exams should nurses teach clients how to perform on themselves?

Back 74

breast self-exam. testicular self-exam.

Front 75

What are the four v/s?

Back 75

temperature, blood pressure, respirations, pulse.

Front 76

Although it is considered subjective data, what is considered the 5th vital sign?

Back 76

pain

Front 77

Vital signs provide what type of data?

Back 77

objective

Front 78

shell temperature refers to temp. of the

Back 78

skin surface

Front 79

core temperature refers to temp. of the
_________ .

Back 79

internal structures, like brain and heart.

Front 80

What is the range for a "normal" temperature? (shell)

Back 80

96.6 - 99.3

Front 81

what are the most conventional ways to check a client's temp? (sites)

Back 81

oral, rectal, axilla, ear (tympanic membrane), temporal

Front 82

which site best reflects core temp. AND is used most conveniently?

Back 82

tympanic - ear.

Front 83

What is the range for a "normal" core temp. reading?

Back 83

97.5 - 100.4

Front 84

a fever is considered with a temp. of at least _____ .

Back 84

99.3

Front 85

a word that describes a person with a fever.

Back 85

febrile

Front 86

a person who does NOT have a fever is considered

Back 86

afebrile.

Front 87

The normal range for an adult pulse is ____ .

Back 87

60 - 100 pulsations in a minute.

Front 88

by taking a person's pulse, you are measuring ____ .

Back 88

the movement of blood during the heart's contraction.

Front 89

How is the 5th vital sign measured?

Back 89

by asking the patient, on a scale of 1 - 10.

Front 90

if a pulse is between 100-150/bpm, a person is considered to be/have

Back 90

tachycardia