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___________ drainage is a clear, watery plasma
Serous
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____________, indicates fresh bleeding
Sanguineous
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___________ is a pale, watery drainage that indicates bleeding
Serosanguineous
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________ is a thick, yellow, green, or brown drainage
Purulent
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Normal Breath sounds
- A. Bronchial: hollow, blowing sounds over the trachea and main bronchus.
- B. Bronchovesicular: blowing sounds of medium pitch and intensity over the bifurcation of the bronchi.
- C. Vesicular: soft, low-pitched sounds over the periphery of the lungs.
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-
-
-
-
-
-
-
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______________ is accomplished with wet to dry dressings
Mechanical debridement
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A __________ environment has been shown to improve wound healing
moist
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A stage 2 pressure ulcer is characterized by : _______________
partial- thickness skin loss
-
Stage 3 pressure ulcer is _______________ without involvement of underlying tissues
full-thickness skin loss
-
Wet to dry dressings are used to _____________ the wound
mechanically debride
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which position is this?
Fowlers position
-
What position is this?
Sim's position
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By what authority may RNs delegate nursing care to others?
State nurse practice act
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Before drawing ABG's, perform the ___________.
Allens test: make clients hand blanch by obliterating both the radial and ulnar pulses. Release pressure over ulnar artery- if good: positive allens test
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_______ is low output of urine
oliguria
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ROME
Respiratory opposite, metabolic equal
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The ____ wave represents repolarization of the verntricle.
T wave
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_____ of the wound is protrusion of intestinal contents (in an abdominal wound)
Evisceration
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For narcotic induced respiratory depression, administer ______
narcan
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Normally, kidneys excrete approx. ___ ml of urine/kg/hr, which is approx. 1 to 2 liters in a 24 hours period for adults
1
-
Excess fluid volume symptoms:
- dyspnea
- tachycardia
- jugular vein distension
- peripheral edema
- pulmonary edema
-
Fluid deficient symptoms:
- decreased urine output
- reduction in body weight
- decreased skin turgor
- dry mucous membranes
- hypotension
- tachycardia
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Dizziness, weakness, cardiac irregularities, muscle cramps, diarrhea, and nausea are signs of ________
hyperkalemia
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What is the normal serum range for potassium?
3.5 - 5.0
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Vagal nerve stimulation can cause a reflex slowing of the __________.
heart rate
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______________ provide the most important data about fluid volume status, so an initial weight upon admission must be obtained.
Daily weights
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Each kg of body weight gained or lost is equal to ____ liter of fluid.
1
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Decreased ___________ flow commonly occurs as we age. This decreases drug metabolism, which allows drugs to remain in the body longer and produces a greater drug effect.
hepatic blood flow
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