Med Surge 3 Final
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Brain and Spinal cord
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| show | Peripheral nerves and Cranial nerves
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| Autonomic nervous system | show 🗑
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| Frontal lobe | show 🗑
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| show | Sensory interpretation, Proprioception, and Body image
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| Temporal lobe | show 🗑
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| show | Memory - deep in the temporal lobe
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| show | Interpretation of vision
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| show | Vital life center
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| Cerebellum | show 🗑
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| Vertebral column | show 🗑
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| First pair of spinal nerves | show 🗑
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| show | Fight of flight (Dilated pupils) - general rule: speed up except GI tract
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| Parasympathetic nervous system | show 🗑
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| show | Olfactory (S)
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| show | Optic (S)
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| CN 3 | show 🗑
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| show | Trochlear (M)
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| show | Trigeminal (B)
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| show | Abducens (M)
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| CN 7 | show 🗑
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| CN 8 | show 🗑
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| CN 9 | show 🗑
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| show | Vagus (B)
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| CN 11 | show 🗑
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| show | Hypoglossal (M)
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| CN 3, 4, and 6 | show 🗑
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| Miotic | show 🗑
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| Mydriatic | show 🗑
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| show | A decrease in response to surroundings
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| show | person, place, time, situation
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| CSF in the brain | show 🗑
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| show | water, blood, and CSF
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| Epidural hematoma | show 🗑
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| Subdural hematoma | show 🗑
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| ICP normal range | show 🗑
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| The earliest sign of serious impairment of brain circulation related to ICP | show 🗑
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| show | osmotic diuretic (pulls fluid from different places, VERY important to get electrolytes); it does not cross an intact blood brain barrier
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| show | Central Perfusion Pressure (needs to be >70 to have adequate O2)
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| CBF | show 🗑
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| CBV | show 🗑
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| CPP | show 🗑
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| show | Increased myocardial contractility
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| show | the most common, compression of brain tissue
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| show | Increased BP, Decreased HR, Decreased RR
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| show | assessment finding of IICP
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| show | brain herniation
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| IICP Diagnoses | show 🗑
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| Relieve IICP | show 🗑
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| show | avoid shivering (it increases ICP)
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| Generalized seizures | show 🗑
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| Epilepsy | show 🗑
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| show | electrical activity with or without stimulus that encompasses the whole head
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| CT for seizures | show 🗑
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| Dilantin (Phenytoin) | show 🗑
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| Celebrex (Fosphenytoin) | show 🗑
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| show | 10-20
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| show | most important plan of care is to place a sign above the bed
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| show | let them rest, without rest they will seize again
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| show | Stress/tension, HTN, and vascular
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| show | get a thorough history
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| show | Sensory - pain is NOT an aura
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| Migraine triggers | show 🗑
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| show | taken every day - Inderal (beta blockers)
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| Sumatriptan (Imitrex) | show 🗑
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| show | Zofran when they are nauseous, once they have vomited they need phenergan (must be diluted in at least 10 mL NS and given slowly - at least over 5 minutes)
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| show | tell them to go to the ED immediately
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| Malignancies | show 🗑
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| show | arise from neuroglia
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| Meningioma | show 🗑
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| Neuromas | show 🗑
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| Pituitary Adenomas | show 🗑
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| show | Speculated that at least 40% of cerebral hemorrhage in people under 40 is related to angiomas
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| Grade 1 Tumor | show 🗑
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| show | The tumor grows slowly, but may spread into nearby tissue and may become a higher grade tumor. Most likely a glioma
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| Grade 3 Tumor | show 🗑
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| Grade 4 Tumor | show 🗑
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| show | most serious because it is acute. Usually results in atrial fibrillation.
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| show | <24 hr in duration. One sided weakness (no bilateral paresthesias)
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| Left brain CVA | show 🗑
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| show | Left hemiplegia
Spatial-perceptual issues
Hemi-neglect (Denial – neglect of the affected side (don’t realize that it is even still there))
Distractibility
Poor judgment
Left visual field defects
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| Patient who is right handed and experiences a left sided stroke | show 🗑
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| Anterior Cerebral Artery | show 🗑
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| show | Supply cerebellum, brainstem, spinal cord, medial and inferior aspects of temporal lobes. And the occipital lobes
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| Middle Cerebral Artery | show 🗑
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| Hemorrhagic CVA | show 🗑
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| show | Force fluids after and creatinine levels need to be checked
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| show | Feed on UNAFFECTED side, HOB up, and thickened liquids
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| Verbal deficits after CVA | show 🗑
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| show | When transferring patient from a chair to a wheelchair, do not have them lean forward and keep their good leg straight
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| show | Usually results in decreased LOC
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| show | becomes hypotonic when in the body but may be identified as isotonic
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| Hypertonic Solutions | show 🗑
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| Isotonic Solutions | show 🗑
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| show | Concussion
Contusion
Laceration
Transection
Shearing of vessels
Hemorrhage
Edema
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| show | talk to the trauma doctor, obtain a written order to remove the backboard after his c-spine has been cleared and leave the collar in place
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| Spinal Shock | show 🗑
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| Autonomic Dysreflexia | show 🗑
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| MS | show 🗑
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| show | Intentional (Not resting)
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| show | Number 1 concern = airway (check pulse ox and pulmonary function - peak flow)
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| Guillain Barre Diagnosis | show 🗑
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| show | Ventilatory/intubation/trach and IV immunioglobulin (must be hung at the same time every time)
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| show | Painful twitch
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| show | Antiseizure medicaitons - Tegretol (Carbamazepine)
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| show | prevent pain
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| show | more common in younger patients
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| Parkinson's | show 🗑
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| show | Tremor at rest, Muscle rigidity, Bradykenesia, Shuffling gait
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| show | priority is the ability to chew and swallow
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| Parkinson's Medication toxicity | show 🗑
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| show | Sinemet – Ldopa often given in combination with Carbidopa,
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| Parkinson's walking education | show 🗑
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| show | Easily fatigability, diplopia, ptosis (weak eye closure)
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| MG Diagnosis | show 🗑
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| Anticholinesterase drugs | show 🗑
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| show | Sudden exacerbation of symptoms (ventilatory distress, increased muscle weakness, difficulty swallowing and talking), Tensilon test = pt improves, Give anticholinesterase medications
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| Cholinergic Crisis | show 🗑
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| show | administer medications 30 - 60 minutes BEFORE meals to help with chewing and swallowing
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| Orthopedic overuse | show 🗑
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| show | Inflammation of the fluid filled sacs that prevent friction between bones in joints
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| show | Inflammation of the tendon sheaths and the synovial membrane
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| Bursitis and tendonitis treatment | show 🗑
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| Carpel Tunnel Syndrome | show 🗑
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| Carpel Tunnel Treatment | show 🗑
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| show | "Bible bumps" - forms at the dorsum of the wrist usually resulting from chronic overuse irritation. Tx = stop activity and possible surgery
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| Epicondylitis (tennis elbow) | show 🗑
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| show | Pneumonia, DVT, pressure ulcers
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| show | Can produce degenerative changes. Caused by nonuse, lack of exercise, pain, weakened muscles, joint contractures (takes 24-48 hrs to develop), prolonged bed rest, and incorrect positioning in bed
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| Preventing immobility | show 🗑
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| Deep Tissue Injury | show 🗑
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| Rehab of immobility | show 🗑
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| Joint Strains | show 🗑
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| Strain Treatment | show 🗑
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| Joint Sprains | show 🗑
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| Dislocation or subluxation of joints | show 🗑
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| show | Tear in 1 or more of the SITs muscles, + drop test, Tender AC joint, unable to perform over the head activities, MRI needed, NSAIDS and possible surgery
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| Torn Ligaments | show 🗑
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| show | 2 crescent shaped cartilage discs attached to head of the tibia, allows knee to bed without pain, knee may "give away", loose cartilage may become trapped preventing extension, Rest NSAIDs and surgery
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| Osgood-Schlatter disease | show 🗑
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| show | May occur suddenly, common in runners especially those that don't warm up. Sharp pain with inability to plantar flex, surgical repair and a cast (long term immobility of joint). Will never get back to 100%
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| Fractures | show 🗑
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| Most dangerous fracture | show 🗑
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| show | 45 degree angle
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| Spiral fx | show 🗑
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| Greenstick fx | show 🗑
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| show | NSAIDs/ Prostaglandins, morphine, possible surgery
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| show | produced with the help of an enzyme called cyclooxygenase (AKA as Cox).
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| show | Splints to avoid joint movement, crutches to avoid weight bearing, canes to limit weight bearing
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| show | RICE, if open - cover with sterile dressing, stop bleeding, check pulses, splint
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| Traction for fx | show 🗑
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| Pt in traction reports severe pain from muscle spasms | show 🗑
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| show | Decrease spasm, hip fractures
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| Russell's traction | show 🗑
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| Bryant's traction | show 🗑
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| Pelvic traction | show 🗑
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| Skeletal traction | show 🗑
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| show | used in fx that are not healing appropriately, can be internal or external
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| show | sterile supplies but clean procedure. Site can be covered with a 4x4 but is not needed if the area is dry
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| Casting | show 🗑
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| Plaster Cast | show 🗑
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| Fiberglass cast | show 🗑
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| show | Distal vascular checks (swelling), distal neuro checks (sensation and motion), checking for hot spots indicating infection or possible cast compression
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| show | Biggest issue is pain and the ability to deep breathe. No use of restrictive devices, pillow used for splinting with coughing
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| show | nonsymmetrical chest with breathing. Highly unstable chest wall that interferes with ability to ventilate. may require ventilator and PEEP.
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| Complications of fx | show 🗑
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| Compartment syndrome | show 🗑
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| Forearm Compartments | show 🗑
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| show | 3
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| Lower leg compartments | show 🗑
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| show | deep, throbbing, unrelenting PAIN
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| show | Contractured wrist and fingers of affected hand – secondary to impaired arterial blood flow
Unable to extend fingers
Diminished color, temperature, and pulsations distally
Permanent damage in hours if arterial circulation not restored
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| show | Surgical removal of all or part of a limb.
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| Diabetic foot amputation | show 🗑
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| show | Elevate, ACE, Clean and DRY surgical wound, encourage movement of affected limb, monitor drainage pain and infection, stump sock after dressing comes off. Goal is to keep the limb health for fitting of prosthesis.
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| show | Pain or discomfort associated with the actual vertebral column, the nerves emanating from within the vertebral column, and, or the muscles articulating with the vertebral column.
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| Low back pain | show 🗑
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| Low cervical region pain | show 🗑
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| Back strain | show 🗑
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| Acute sharp pain | show 🗑
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| show | nerve involvement
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| show | chronic issue
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| Sciatica or radiculopathy | show 🗑
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| Back pain management | show 🗑
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| show | 40% remit in one week
60 -80 % remit in 3 weeks
90 % remit in two months
May be chronic (up to 3 mo)
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| show | May be injured by trauma and/ or wear and tear disorders that cause the nucleus pulposus to herniated through the annulus
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| Degeneration and/or herniation of intervertebral discs | show 🗑
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| show | MRI = diagnostic tool of choice, myelogram, EMG possibility
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| Medical Management: Cervical Neck | show 🗑
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| Discectomy | show 🗑
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| show | Removal of boney processes that allows the visualization of the nerves and the removal of pathology
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| show | Removal of the lamina and part of the vertebral arch
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| show | Increasing the space in the intervertebral foramen to allow more space for the nerve
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| Nursing Management: Neck | show 🗑
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| Bone Cancer | show 🗑
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| Hypercalcemia | show 🗑
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| show | Chronic, progressive degeneration of the hands and weight bearing joints such as the knee, hip, and lumbar vertebrae.
Most common disorder of joints
Causes chronic join pain especially with early movement
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| show | A connective tissue disorder
Inflammatory based arthritis
Autoimmune response occurs in the synovial fluid
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| show | Over 40, obesity, wear and tear, trauma, congenital, inflammatory, poor posture, prolonged steroid use
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| show | Prevent disease or halt progression, maintain joint mobility, prevent deformity, reduce pain
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| show | deep aching pain, especially upon wakening, limited ROM, improves with movement, related to temperature. Joint stiffness usually lasts less than 30 minutes
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| show | swelling, warmth, erythema, bilateral and symmetric. Joint stiffness > 30 minutes
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| show | hard nodules or boney swellings around the distal interphangeal joints - late stages of OA
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| Bouchard’s Nodes | show 🗑
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| show | X-rays, lab tests (inflammatory indicators: ANA, ESR, CRP)
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| show | maintain normal weight, physical activity, minimal wear and tear
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| OA Management | show 🗑
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| Cox 1 | show 🗑
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| Cox 2 Inhibitors | show 🗑
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| Joint replacement | show 🗑
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| show | Removal of the head of the femur followed by placement of a prosthetic implant of the head of the femur and/or socket
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| Knee Replacement | show 🗑
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| show | infection, hemorrhage
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| show | worry more about dislocation. NO internal rotation, do not adduct hip past midline, do not sit on low chairs, lean forward, or put on shoes without extension equipment
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| show | Greater chance for them to have hemorrhage because of vessel location. No external rotation, do not flex hip greater than 90 degrees, don't sit on low chairs or lean forward while sitting. Do not raise knee higher than hip, don't pivot on involved leg
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| Hemorrhage r/t joint replacement | show 🗑
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| show | Assess color, temperature, and movement. Monitor for swelling and/or deep throbbing unrelenting pain, pain with movement
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| DVT | show 🗑
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| show | Wrong Move (disslocation) - anytime
Wind (pneumonia) - 48 hrs
Water (UTI/Bladder)- 48 to 72 hrs
Wound (Infection)- 72 to 96 hrs
Walk (DVT)- 72 to 120 hrs
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| show | A metabolic, age related bone disorder in which bone demineralization causes decreased bone density, bone loss, decreased bone mass, and bone weakening
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| Primary Osteoporosis | show 🗑
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| show | More in men r/t steroids and smokers
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| show | prevention of bone loss, deformity and complications, and fractures
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| Osteoporosis Assessment | show 🗑
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| show | Adequate calcium, vitamin d, and protein, weight bearing exercise, avoid ETOH, caffeine, and smoking, HRT
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| Osteoporosis Diagnosis | show 🗑
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| show | Encourage regular weight bearing exercises (walking, biking, low impact aerobics)
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| show | inhibit osteoclast function thus suppressing bone loss. Fosamax, Boniva, Calcitonin, Reclast, selective estrogen receptor modulators, parathyroid hormone agonist, biophosphate. Medications can be given daily
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| show | once a week, sitting or standing up 30 min
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| show | Once a month, sitting or standing up 30 min
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| show | Daily nasal sprain then IM/SQ
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| Reclast | show 🗑
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| show | Evista
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| show | Forteo
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| show | the nurse should question a prescription for hormone replacement therapy
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| show | An auto immune disorder that results in an exaggerated production of autoantibodies. Characterized by exacerbations and remissions
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| show | vague symptoms: x-rays to rule out arthritis, labs and endocrine studies r/t weight loss, weakness….play the rule out game to properly diagnose
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| SLE skin | show 🗑
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| show | history and physical. Blood tests revealing anemia, thrombocytopenia, leukocytosis or leukeopenia, positive ANA (antinuclear antibodies), urine to see if there is any hematuria
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| SLE treatment | show 🗑
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| Vagnintis | show 🗑
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| show | Fish like odor, plated or glitter cells
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| Oral Candidiasis | show 🗑
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| The nurse is performing an oral assessment on a pt and notes white-plaque-like lesions on the tongue, palate, pharynx, and buccal mucosa. When patches are wiped away the underlying surfaces are red and sore. What disorder does the nurse suspect? | show 🗑
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| show | a retrovirus that invades certain lymphatic cells such as helper T cells or CD4 cells (cell wall receptor cells) and macrophages and leads to their destruction and ultimately loss of effective immune functioning.
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| show | a wasting syndrome resulting from HIV infections that is characterized by immune system failure
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| show | offer humoral (Body fluid/blood) immunity and are antibody producing
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| T cells | show 🗑
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| show | migrate to the thymus where they are converted to T cells
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| show | react to antigens and activate the immune system; T cells secrete cytokines that attract and activate B cells
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| show | Once the HIV infection occurs and despite the virus being inactive antibodies are formed against it. Go from HIV (+) to (-)
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| Classification/Stages of HIV/AIDS | show 🗑
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| Primary Infection (Acute HIV infection) | show 🗑
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| show | the balance between HIV and the body’s response to it. The higher the viral set point the poorer the prognosis.
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| show | Virus present but in low enough levels that it does not cause sx except for persistent lymphadnopathy. Focus on maintaining health and good defense responses.
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| show | Symptoms begin to arise (treat the symptoms). Immunocompromised, fever, diarrhea, hairy leukoplakia, thrombocytopenic purpura
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| AIDS (CDC Category C) | show 🗑
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| HIV/AIDS diagnosis | show 🗑
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| Ora Quick Rapid HIV-1 test | show 🗑
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| show | a regimen consisting of two antiretroviral agents inhibitors plus a protease inhibitor OR two protease inhibitors and one antiretroviral agent (2 and 1). Antivirals and Protease inhibitors
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| show | Supportive approach by body systems symptoms and stage. Emotional support, education, and social stigma and confidentiality.
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||||
| show | Numerator = the distance between the patient and the chart
Denominator = the distance from which a person with normal vision could read the lettering
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| show | a general term describing visual impairment that requires patients to use devices and strategies (magnifying glass) in addition of corrective lenses to perform visually based tasks
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| Best Corrected Visual Acuity (BCVA) | show 🗑
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| 20/80 to 20/100 | show 🗑
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| 20/200 t0 20/400 | show 🗑
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| show | BCVA that does not exceed 20/200 in the best eye and a widest visual field diameter of 20 degrees or less
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| Blindness causes | show 🗑
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| Blindness management | show 🗑
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| show | decreased ability to see objects clearly. refractory or nonrefractory
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| Refractory: Hyperopia | show 🗑
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| show | Inability to see DISTANT objects clearly because of a failure to accommodate - Light focuses behind the retina. Most common in children (Near sighted)
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| show | Natural loss of accommodation caused by changes in lens accommodation (usually hyperopic in nature)- Poor near vision, Almost 100% of 60 year old require glasses
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| show | Curvature issues in the lens or other part of the optic apparatus that results in a refractive error- Easily corrected
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| show | Different refractory errors in each eye. May be congenital or acquired.
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| show | degeneration, tears, detachments, hemorrhages
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| Nonrefractory: Glaucoma | show 🗑
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| Glaucoma | show 🗑
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| show | Is a primary issue of angled tissue in the anterior chamber that results in resistant flow of the aqueous humor - Most common form
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| show | Resistance/blocking of aqueous humor between the posterior surface of the iris and lens, which places pressure against the pupil close proximity to the pupil - Rare, constitutes a medical emergency
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| Cataracts | show 🗑
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| Macular Degeneration | show 🗑
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||||
| show | deviation from symmetrical movement. AKA Tropias
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| Esotrophic | show 🗑
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| Exotrophic | show 🗑
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| Hypertrophic | show 🗑
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| Hypotrophic | show 🗑
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| Conjunctivitis | show 🗑
|
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| show | occurs as the result of blunt or penetration injury because of foreign bodies, chemicals, lacerations, blunt force trauma, traumatic enuculation, chronic eye dryness
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| show | Progressive decrease in near vision - may still have 20/20 vision, requires reading glasses, usually after age 40
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| show | silent in early stages, bilateral, mild to dull ache, halos around lights, blurred vision, loss of visual acuity is not corrected by glasses, headache
🗑
|
||||
| show | ACUTE - rapid onset, unilateral pain, conjunctivitis, cloudy cornea, photophobia, blurred vision
🗑
|
||||
| Cataracts s/s | show 🗑
|
||||
| Retinal detachment s/s | show 🗑
|
||||
| Fluorescence tape and a Wood Lamp | show 🗑
|
||||
| Ear infections: external canal | show 🗑
|
||||
| Ear infections: inner ear | show 🗑
|
||||
| show | Inflammation of the external canal. Pain and fullness, pain when lifting up the pinna, yellow/green foul smelling discharge, canal is red and edematous
🗑
|
||||
| Cholesteatoma | show 🗑
|
||||
| Otitis Media | show 🗑
|
||||
| Meniere’s Disease | show 🗑
|
||||
| show | sensoineural hearing loss, tinnitus
🗑
|
||||
| show | extreme vertigo, n/v
🗑
|
||||
| show | low Na diet, antihistamines, antiemetic, diuretics
🗑
|
||||
| show | Eyes get very big when changing positions to try to stop themselves if they are spinning. Patient has to get used to it because there is no cure
🗑
|
||||
| Hearing Loss | show 🗑
|
||||
| show | Loss of sound conduction from the external and middle ear to the inner ear
🗑
|
||||
| show | Hearing loss related to impaired function of the inner ear, primarily the cochlea and CN VIII
🗑
|
||||
| show | Bone conduction to test for lateralization of sound.
Conductive loss will lateralize to the affected ear
Sensorineural loss will lateralize to the better ear
🗑
|
||||
| show | Bone and air conduction timing test
Usually air conducts longer and louder than bone
Conductive loss BC ≥ AC
Sensorineural loss AC > BC
🗑
|
||||
| Skin layers | show 🗑
|
||||
| show | strong direct lighting, small centimeter ruler, penlight, gloves, special procedures: wood's light and magnifying glass
🗑
|
||||
| show | anemia
🗑
|
||||
| Paronychia | show 🗑
|
||||
| show | related to trauma
🗑
|
||||
| Clubbing | show 🗑
|
||||
| show | Asymmetry, border, color, diameter, elevation
🗑
|
||||
| Macule | show 🗑
|
||||
| show | raised <.5cm
🗑
|
||||
| show | cirrhosis
🗑
|
||||
| show | little bumps that feel hard
🗑
|
||||
| urticaria | show 🗑
|
||||
| show | <.5cm, small pox or chicken pox. raised and fluid filled
🗑
|
||||
| bulla | show 🗑
|
||||
| show | raised lesion with puss in it
🗑
|
||||
| crust | show 🗑
|
||||
| show | cirrhosis
🗑
|
||||
| fissure | show 🗑
|
||||
| show | pressure ulcers
🗑
|
||||
| show | stages 1-3 and unstagable
🗑
|
||||
| show | children and older people who do not have their diaper changed
🗑
|
||||
| show | macule, papule, patch, plaque, nodule, wheal, tumor, uticaria, vesicle, cyst, bulla, pustule
🗑
|
||||
| Secondary lesions | show 🗑
|
||||
| Open Comedones | show 🗑
|
||||
| show | Petechiae, purpura, ecchymoses
Child appears ill, hypotensive, and tachycardic
🗑
|
||||
| show | Maculopapular to petechial. Rash appears on the thenar eminence and flexor surfaces of the wrist and ankles. Palms and soles are usually affected
HA, myalgia
🗑
|
||||
| Stevens-Johnson Syndrome (SJS) | show 🗑
|
||||
| show | use ABCDE rules of examination
🗑
|
||||
| Beau’s line | show 🗑
|
||||
| show | Depression down middle of nail or multiple horizontal ridges. Due to continuous picking of cuticle by another finger of same hand, which causes injury to nail base and nail matrix.
🗑
|
||||
| show | an alteration in skin integrity resulting in tissue loss or injury caused by heat, chemical, electrical or radiation
🗑
|
||||
| Dry heat | show 🗑
|
||||
| show | hot water
🗑
|
||||
| chemical burn | show 🗑
|
||||
| show | a/c and d/c
🗑
|
||||
| show | gamma, beta
🗑
|
||||
| First-degree burn | show 🗑
|
||||
| show | dermal partial thickness, involves epidermal and dermal layers, pink moist and painful, gets blisters
🗑
|
||||
| Hand burns | show 🗑
|
||||
| Third-degree burn | show 🗑
|
||||
| First-degree burn presentation | show 🗑
|
||||
| show | very painful, ooxing, erythema, shiny, wet
🗑
|
||||
| Third-degree burn presentation | show 🗑
|
||||
| show | Resuscitative stage lasts from the onset of injury through the successful fluid resuscitation – Stabilization. Determination whether to transport patient to a burn center - family travel is not considered
🗑
|
||||
| Estimation of Burn Size | show 🗑
|
||||
| Rule of Nines | show 🗑
|
||||
| show | 2-4 mL x kg of body weight x % TBSA burned. Half is given in the first 8 hours then the next half given over 16 hours.
🗑
|
||||
| show | begins 48-72 hours after a burn injury. continue to reassess respiratory and CV status, F&E, and nutritional status. Pharmacological therapy and wound management
🗑
|
||||
| show | most costly and longest phase. Must be interdisiplinary.
🗑
|
||||
| show | Increased K, Decreased Na, total protein, and decreased albumin
🗑
|
||||
| show | Increased HGB and HCT, decreased fibinogen, platelets, and WBCs
🗑
|
||||
| Burns Assessment | show 🗑
|
||||
| show | do not apply creams, family travel is not considered, and a physician must call the burn center and speak to the physician to get the patient transferred
🗑
|
||||
| show | make sure paperwork is complete and goes with pt, and give the nurse receiving the pt a complete report.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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