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1. Nursing diagnosis - ANSWER The identification of a disease condition
based on the specific evaluation of signs and symptoms
2. Nociceptive somatic pain - ANSWER tissue injury: bones, soft tissue,
joints, muscles
3. Nociceptive visceral pain - ANSWER viscera: cardiac, lungs, GI, GU
4. Neuropathic pain - ANSWER irritation of CNS and PNS components
5. Melena - ANSWER black tarry stool from upper GI bleed
6. Hematochezia - ANSWER bright red blood in stool from lower GI bleed
7. In a closed system feed, the formula can hang for - ANSWER 48 hours if
sterile technique is used
8. Flush feed tube - ANSWER before and after intermittent feeds
9. every 4 hours when continuously feeding
,10.every 12 hours when feeds are being held
11.before and after every medication
12.Stoma in the small intestine - ANSWER ileostomy
13.Stoma in the large intestine - ANSWER colostomy
14.End stoma - ANSWER proximal end forms stoma and distal end is
removed or sewn closed
15.Loop stoma - ANSWER usually temporary, most common site is
transverse, loop of bowel is pulled out and external device holds bowel and
is removed within 7-10 days
16.Double barrel stoma - ANSWER 2 ends of bowel brought out through
abdomen wall, proximal end is functional. distal end is a mucus fistula
17.When do you change a stoma bag - ANSWER every 3-5 days
18.when bag is 1/3-1/2 full
19.Bronchovesicular - ANSWER normal breath sounds
20.Sonorous wheeze - ANSWER low pitch
, 21.Wheezing - ANSWER high pitched, musical
22.Stridor - ANSWER harsh, vibrating
23.Pleural rub - ANSWER creaking, grating
24.Low flow O2 systems - ANSWER nasal cannula, simple mask, partial or
non-rebreather
25.High flow O2 systems - ANSWER venturi mask, trachea collar, T-piece
26.Negative pressure of suctioning - ANSWER 80-120 mmHG
27.Sounds of a heart murmer - ANSWER blowing, swooshing
28.Systolic pressure is measured - ANSWER during the period of
ventricular contraction
29.Diastole is measured - ANSWER during the period between
contractions of atria and ventricles during which blood enters relaxed
chamber from systemic circulation and lungs
30.Tachypnea - ANSWER Increased breathing rate