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Cards In This Set
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Wheal
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Irregular shaped elevated or superficial localized edema (itching may be present)
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Nurses first reaction to wound evisceration
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Reinfored with sterile gauze soaked in saline
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While performing oral care to an unconscious pt what should the nurse always have on hand?
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Have suction ready
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How often should a nurse perform an assessment
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Whenever the nurse deems necessary (or at the beginning of every shift)
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How to prevent atelecatsis in a pt
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Incentive spirometer (coughing and deep breathing exercises)
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What should the nurse teach pts who are on home I&O
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What foods to include as intake (icecream & jello, anything liquid at room or body temp)
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Dehiscence
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When a surgicial wound opens and departs at the layers
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How much volume in a residual tells the nurse that she should withhold the tube feeding?
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> 100 mL
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Best way to gain cooperation and compliance of a client
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Explain the procedure and the rational (why this is being performed)
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Best method to respond to a pt who is not willing to cooperate
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Question the pt on why they are refusing treatment (maybe they are scared and you can help them by explaining the procedure)
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Best way to teach a pt who had a CVA how to feel themselves
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Pantomim with verbal instruction (show pt this is how you chew)
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Joint in which passive circumduction is performed
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Shoulder
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How to measure most accurate amount foley drainage
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Use a measuring device/container, place on a flat surface and look at eye level
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Cold therapy
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Vasoconstriction, reduced cell metabolism, increased blood viscosity
therapeutic affect - works as an analgesic use 10-20 mins q hr, assess q 5 mins |
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Pulse pressure
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Difference btwn systolic and diastolic BP
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