vital signs
What are the vital signs we are learning, and what is considered the 5th vital sign
temperature, pulse, respiratory, blood pressure, and the 5th is pain
what are the phases of an infection
incubation period, prodromal phase, clinical illness, and convalescence
How often should you turn a patient
what are two lifestyle factors that effect urinary eliminataion
Lifestyle factors
Psychosocial
Activity and exercise
Developmental factors
Physiological factors
A patient has an order for Chloromycetin, 500 mg every 6 hours. The drug comes in 250 mg capsules. What would the nurse administer?
2 tabs
What are 3 times to assess vital signs
On admission
Change in client’s health statusChange in client’s health status
Client reports symptoms such as chestClient reports symptoms such as chest
pain, feeling hot, or faintpain, feeling hot, or faint
Pre and post surgery/invasive procedurePre and post surgery/invasive procedure
Pre and post medication administrationPre and post medication administration
that could affect CV systemthat could affect CV system
Pre and post nursing intervention thatPre and post nursing intervention that
could affect vital signscould affect vital signs
What is a nosocomial infection?
A hospital acquired infection
what are 3 abnormal findings of the mouth
•Halitosis- bad breath
•Glossitis-inflammation of the toung
•Gingivitis- swollen gums
•Periodontal disease
•Reddened or excoriated mucosa
what are 3 interventions you can take to modify the environment for someone with a weak bladder
call light near the bed
urinal or bed pan available
bedside toilet
A child is to receive 500 mg of an antibiotic suspension. The label on the bottle reads 250 mg/5 mL. The nurse should administer how much of the suspension in one dose?
10ml
what are the 4 fever patterns
constant, remittent, relapsing, and intermittent
What are 3 signs of a localized infection
Localized swelling
Localized redness
Pain or tenderness with palpation or
movement
Palpable heat in the infected area
Loss of function of the body part affected,
depending on the site and extent of
involvement
what are primary, secondary, and tertiary intention wound healing
primary intention- when we have tissue surfaces that are closed intentionally
secondary- we let it close on its own
tertiary- when we leave a wound open for a while to heal on its own and then go back to close it later
when taking a urine specimen for a catheter port, what are the 3 steps
1. Clamp tubing approx.
8 inches below port.
2. Clean port with alcohol swab for 15 seconds.
3. Draw out urine with syringe and place in specimen container for lab.
the physician orders medication z 0.3mg PO BID for an 8 year old child who weights 26kg. Inital dose of .01- 0.3mg/kg/day given in 2-3 equally divided doses.
what is the highest recommended dose for the child is __ mg twice daily
.39 mg
What are the 4 heat losses
Conduction- transfer of heat between
two objects that are in physical
contact.
Convection-Transfer of heat by
movement of air.
Radiation- Transfer of heat by to
objects not in physical contact.
Evaporation- Transfer of heat by water
vapor.
what are 3 signs of a systemic infection
Fever
Increased pulse and respiratory rate if the
fever high
Malaise and loss of energy
Anorexia and, in some situations, nausea
and vomiting
Enlargement and tenderness of lymph
nodes that drain the area of infection
What are the 4 stages of a bed sore, and how deep into the skin do they go
Stage 1: non-blanchable area on the outside of the epidermis
Stage 2: partial thickness loss of the epidermis and dermis
stage 3: full skin thickness loss of the epidermis, dermis and hypodermis
stage 4: full thickness skin loss that extends to the muscle/bone
what are urinary incontinence characteristics
stress incontinence
urge incontinence
total incontinence
The physician orders granisetron 450 mcg IV 30 minutes prior to chemotherapy. The label reads 0.1 mg per mL. How many mL will the nurse administer to the patient?
4.5 ml
What process is happening when you're taking systolic and diastolic.
systolic is contraction of the ventricles
and diastolic are the ventricles at rest
what are active immunity, passive immunity, artificial active immunity, and artifical passive immunity
Active Immunity
Host produces antibodies in response to naturalHost produces antibodies in response to natural
antigens or artificial antigensantigens or artificial antigens
Natural active immunityNatural active immunity
Antibodies are formed in presence of active infectionAntibodies are formed in presence of active infection
in the bodyin the body
Duration lifelongDuration lifelong
Artificial active immunityArtificial active immunity
Antigens administered to stimulate antibody formationAntigens administered to stimulate antibody formation
Lasts for many yearsLasts for many years
Reinforced by boosterReinforced by booster
Passive Immunity
Host receives natural or artificial antibodiesHost receives natural or artificial antibodies
produced from another sourceproduced from another source
Natural passive immunityNatural passive immunity
Antibodies transferred naturally from an immuneAntibodies transferred naturally from an immune
mother to baby through the placenta or in colostrumsmother to baby through the placenta or in colostrums
Lasts 6 months to 1 yearLasts 6 months to 1 year
Artificial passive immunityArtificial passive immunity
Occurs when immune serum (antibody) from anOccurs when immune serum (antibody) from an
animal or another human is injectedanimal or another human is injected
Lasts 2 to 3 weeksLasts 2 to 3 week
What is serous exudate, purulent exudate, sanguineous exudate, and mixed exudate
Serous exudate- mostly serum (watery and clear)
purulent exudate- thicker, pus and varies is color
sanguineous exudate- bloody
mixed exudate- can be clear and bloody (serosanguineous) or pus and blood (purosanguineous)
there can be problems with urination what is dysuria, oliguria, anuria, polyuria
dysuria- discomfort or pain
oliguria-abnormal small amounts
anuria-absence of urine and less than 100ml a day
polyuria- large amounts of urine
The physician orders to administer Prednisolone oral solution 0.03 g daily. The label reads Predisolone 15 mg per 5 mL. How many tsp will the patient receive?
2 tsp