100% Correct Answers Verified | Updated
Respiratory care orders consist of what 4 things>
1) Type ofTreatment
2) Frequency
3) Medication dosage and route
4) Physician signature
Patient progress notes consist of what 5 things?
1) Respiratory notes
2) Nursing notes (check pt status)
3) Admission notes (admitting dr. and Dx)
4) Physician notes
5) Maternal Hx and neonatal data
4 types of patient lab reports?
1) ABG analysis
2) Pumonary Function Testing
3) Imaging reports (CXR CT, PET, MRI, etc)
4) Basic lab assessments (CBC, Lytes, UA, Pleural Fluid, etc)
What is normal urine output?
40 mL/hour and 1 L/day
2 examples of sensible water loss?
urine, vomiting
2examples of insensible water loss?
skin, lung
If Intake exceeds Output it could result in what 4 things?
1) Weight Gain
2) Electrolyte imbalance
3) Increased hemodynamic pressures
4) Decreased lung compliance
What is normal CVP?
2-6 mmHg
CVP <2 mmHg can indicate ___?
hypovolemia
CVP >6 mmHg can indicate ___?
hypervolemia
What is normal level of consciousness?
,Alert and responsive
What might a lethargic, somnolent, or sleepy LOC indicate?
Sleep apnea or excessive O2 in a patient with COPD
How would you describe the response of a patient who is confused or stuporous?
Inappropriate response
What 2 conditions might you consider in a patient displaying a confused or stuporous LOC?
drug overdose, intoxication
Describe semicomatose state?
responds only to painful stimuli
describe obtunded LOC?
drowsy state, may have decreased cough or gag
describe comatosed state?
doesn't respond to painful stimuli
Ability to perform ADL's is assessed using what scoring system? What is highest and what is lowest
score?
Katz scoring system
6 is highest score, ) is lowest score
Physical examination consists of what 4 things?
1) Inspection
2) Palpation
3) Percussion
4) Auscultation
4 types of Advance Directives?
1) DNR (no resuscitation)
2) DNI
3) Living Will (doesn't appoint anyone to make decisions)
4) Durable power of attorney for healthcare (names a proxy)
What is the KISS method when conducting a patient interview?
Communication using simple language
What is patient education?
Patient education is the process of influencing pt. behavior and producing the changes in knowledge,
attitudes, and skills necessary to maintain or improve health
Effective education begins with what?
, Assessment of the patient's and family's learning needs
A patient's ability to learn is based on what 6factors?
1) Cultural and religious values
2) Emotional barriers
3) Desire and motivation to learn
4) Physical and cognitive limitations
5) Language barriers
6) Age and education barriers
Possible barriers to patient learning include what 6 things?
1) Financial considerations
2) Lack of support system
3) Emotional
4) Misconceptions about disease and treatment
5) Negative past experience
6) Denial of personal responsibility
Name 5 Preferred Learning Styles?
1) Visual
2) Auditory
3) Hands-On
4) Lecture
5) Discussion
Social History might include what two things?
Smoking and substance abuse history
describe digital clubbing?
Angle of nailbed increases (fingers and toes)
Name 2 incidences where venous distension (or JVD) occurs?
1) CHF
2) During exhalation in pt's with obstructive lung disease
When assessing capillary refill, color should return within how long?
3 seconds
Jaundice appears most obviously in what 2 areas of the body?
Face and Trunk
What 3 things may cause erythema?
capillary congestion, inflammation, or infection
How many grams of reduced hemoglobin is enough to cause cyanosis?
5 grams