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UNITEK MIDTERM TERM 1 Questions & answers with Complete solutions | Latest edition
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UNITEK MIDTERM TERM 1Erythopoietin - ANS-Stimulates the bone marrow to produce RBC's
blood clot formation - ANS-stage 1: injury to blood vessel wall. stage II: in the prescence
of calcium, platelet chemicals, and PTA, prothrombin is activated to form thrombin.
Stage III: Thrombin activates fibrinogen. Activated fibrinogen forms the fibrin fibers, or
fibrin net.
location of apical pulse - ANS-Fifth intercostal space, left midclavicular line.
Pacemaker of the heart location - ANS-Located in the upper posterior wall of the right
atrium
Where is the liver located? - ANS-Located in the mid and right upper abdominal cavity.
It lies immediately below the diaphragm; Much of the liver is tucked up under the right
rib cage.
Safety during oral hygiene - ANS-Position the client's head to the side towards you if
client is unconscious.
Auscultation - ANS-process of listening to sounds produced by the body. Used on
cardiovascular system, respiratory system, and gastrointestinal system.
Standard precautions - ANS-Standard care for all patients. Hand hygiene, gloves, mask,
eye protection, face shield and gown.
Contact preacautions - ANS-used when there is a risk of transmitting or contracting a
microorganism from touching and infected object or person. In addition to standard
precautions, use disposable noncritical patient care equipment or implement patient
dedicated use of equipment. Limit transport.
Airborne precautions - ANS-In addition to standard precautions. Methods of infection
control that must be used for patients known or suspected to be infected with pathogens
transmitted by airborne droplet nuclei. Place patient in airborne infection isolation room,
negative air pressure room. Keep door closed. Wear n-95 mask or higher respirator.
Airborne precaution illnesses - ANS-Measles, Varicella Zoster virus (responsible for
chicken pox and shingles) , tuberculosis
, Droplet precautions - ANS-Must be followed for a patient known or suspected to be
infected with pathogens transmitted by large-particle droplets expelled during coughing,
sneezing, talking, or laughing. in addition to standard pre-cautions , private room, limit
transportation.
droplet precaution illnesses - ANS-influenza, meningitis, epiglotittis, sepsis, pertusis,
strep, pneumonia, mumps, rubella, adenovirus, diptheria.
contact precaution illnesses - ANS-clostridium difficile, escherichia, shigella, hepatitis A,
rotavirus.
Tracheostomy suctioning - ANS--check tracheostomy for exudate. -position patient in
semi-fowler's. -provide paper and pencil for communication. -position self at head of bed
facing patient. -auscultate lung sounds. -Place towel or drape across chest. -perform
hand hygiene and prep equipment. -open suction kit maintaining sterility. -preoxygenate
with 100% oxygen. _suction tracheal cannula. -apply intermittent suctioning for up tp 10
seconds.
Tracheostomy care - ANS--keep two extra tracheostomy tubes (one the client's size and
one a smaller size as well as a hemostat) at the bedside in the event of accidental
decannulation
-Only suction client as clinically indicated
-Tracheostomy care every 8 hours or as needed
proper back rub technique - ANS-always start at sacral area using circular motions.
Stroke upward towards shoulders. Complete massage in 3-5 minutes.
Low purine diet - ANS-necessary to prevent gout.
NG tube nursing interventions - ANS--the naris should be checked for signs of pressure
-common complaints sore throat, dry mouth, earache, dry lips and dry nasal mucosa
-frequent mouth care
-room humidifier (requires providers order)
-limited amounts of ice chips, hard candy to decrease the dry mouth effects
-after tube is removed monitor for abdominal distention
parathyroid hormone function (PTH) - ANS-Secreted by the parathyroid glands;
regulates calcium and phosphate (increases plasma calcium; exerts a phosphaturic
effect).
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