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Final Exam Review

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Question
Answer
Heart Rate greater than 100bpm   tachycardia  
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Heart Rate less than 60bpm   bradycardia  
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To have a body temperature greater than 101   Febrile  
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to be free of fever   afebrile  
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Expected blood pressure for Adult   less than 120/80  
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Expected oxygen saturation for adult   90-100%  
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Expected Respiratory rate for adult   12-20 bpm  
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Expected Temperature for Geriatric pt   96.8  
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Expected Temperature for Adult pt   98.6  
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Oxygen mask that can deliver the most precise amount of oxygen saturation   Venturi Mask  
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Oxygen administered at 3L or greater should be:   humidified  
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Pupil constriction and dilation related to flash and removal of bright light   direct response  
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left pupil constriction when right eye is stimulated   consensual response  
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Position for administration of enema   left sims  
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position for pelvic exam   lithotomy  
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Point of Maximal Impulse   5th intercostal space left midclavicular line  
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Respiratory suctioning passes should not exceed:   10 seconds  
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Suction pressure for adult respiratory tract   80-120mmHg  
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Positioning for difficulty breathing with COPD, Chronic Bronchitis, Emphysema   Tripod  
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Dark Sticky tarry stool or emesis that has been digested   melena  
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Cleansing enema amount for an adult   500-1000mL  
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Retention enema amount for an adult   100-300mL  
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Color of Normal Tympanic Membrane   grey, pearl, reflective  
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Indwelling catheter used for male with enlarged prostate   coude catheter  
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indwelling catheter used continuous bladder irrigation   triple lumen  
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order of 3 step cleaning process for female catheter insertion   labia opposite side of nurse,labia closest to nurse, urinary meatus last  
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Stoma color   red, shiny, wet  
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standard for placement check of NG, G tube, Jtube   Aspiration and pH of stomach contents  
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Intravenous puncture site should be cleansed for:   30 Seconds  
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Landmarks for inserting NG Tube   Nose, top of ear, xiphoid process  
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Sanguineous   composed of blood  
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Oliguria   300-400mL of urine in 24 hours  
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lack of oxygen to the tissues   hypoxia  
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feely open   patent  
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