vitals
A drop in the clients blood pressure when standing indicates
what is orthostatic BP
The nurse should draw a single line through the documentation error and place her initials next to the change.
The nurse uses this type of communication when interviewing the patient about his health history during the admission assessment
Interpersonal communication
Which skin assessment finding would cause the nurse to suspect dehydration
what is tenting
A patient refuses a dose of medication. How should the nurse document the event?
Patient refuses the 0900 dose of digoxin.
Heart rate increases about ____beats per minute for each degree of temperature to meet increased metabolic needs and compensate for peripheral dilation.
what is 10
The nurse should never use
cover-up liquid white out or correction tape.
conscious internal dialogue
Intrapersonal communication
the nurse notes clubbing of the fingers. This finding is a sign of:
what is hypoxia
Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
Interpersonal
constant, remittent, and intermittent are classifications of ?
what is pain
track problems and identify areas for quality improvement.
occurence report
The nurse should use touch especially cautiously when communicating with which patient population?
what is mental impaired , dementia, confusion
the nurse should briefly press the tip of the nail with firm, steady pressure, then release, and observe for changes in skin color
what is cap refill
A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain. Which nursing diagnosis is preferred for this patient?
what is Impaired Communication
the most appropriate position for a rectal temp
what is lateral
note will contain documentation about the time the medication was administered and the patients response to the medicine.
what is a narrative note
when the person expresses beliefs or feelings without infringing on another's rights.
what is assertive communication
High-pitched breath sounds produced by airway narrowing are known as:
what is wheezing
The nurse can establish a trusting nurse-patient relationship
what is greeting by name, listening actively, responding honestly to the patients concerns, providing explanations for care interventions, and providing care competently and consistently.
the 5th vital sign
what is pain
Reduces the amount of time that nurses must spend documenting
what is CBE
When the nurse states, Im leaving for the day. Is there anything I can do for you before I leave? the nurse-patient relationship is entering what
The termination phase
benefits of bathing are
what is opportunity to perform a variety of assessments. Bathing also dilates blood vessels near the skins surface, increasing circulation. Moreover, bathing stimulates the depth of respirations and provides sensory input.
When using the SBAR model to communicate with a physician, what information does the nurse offer first?
SBAR is an acronym for Situation, Background, Assessment, and Recommendation. The nurses name, and so forth, are part of the Situation.