MS1
The time it takes for color to return to an external capillary bed after pressure has been applied
Capillary Refill Time
An example of this type of assessment is when a nurse looks at a surgical incision for redness and asks about any pain (but does not complete a head-to-toe assessment)
Normal Sodium level in an adult
135-145 mEq/L
Normal intraocular pressure
10 to 20 mmHg
Type of glaucoma that causes sudden increase of IOP and patient experiences severe headaches, nausea, vomiting, and halo effects around the eyes
Acute angle closure glaucoma
These are the ABCDE's of Skin cancer
Asymmetry, Border, Color, Diameter, and Evolution
Type of data: A patient states, “My pain is a level 5. I would describe it as a sharp pain, and it is radiating down my arm.”
Subjective Data
A situation in which a drug should NOT be given
Contraindication
9 rights of medication administration
-Right Patient
-Right drug
-Right route
-Right dose
-Right time
-Right reason
-Right documentation
-Right response
-Right to refuse
Maximum volume for intramuscular injections
3 mL
Normal respiration rate for an adult
12-20 Respirations per minute
Components of a "S.M.A.R.T" expected patient outcome
Specific - Measurable - Attainable - Realistic - Time-limited
Heart rate of 130
Tachycardia
The pressure exerted by the circulating volume of blood on the arterial walls
Blood pressure
The phase of the nursing process that measures the extent to which the patient has achieved the goals specified in the plan of care
Evaluation
The fifth vital sign
Pain
5 rights of delegation
-Right person
-Right task
-Right circumstances
-Right supervision
-Right communication
This is the most common cause of injury to the elderly population
Falls
This age group is likely to have an increase of accidental injuries due to decreased visual acuity, muscle strength, and slower neurological responses to stimuli.
The elderly
This is a form of communication that facilitates the formation of a positive nurse-patient relationship
Therapeutic communication
Before doing anything with your patient, you must do these two things
Wash hands and identify patient
Medical term that indicates an action that will need to be repeated as needed
PRN
This is the phase of the nursing process that includes ongoing activities of data collection, prioritization, and performance of nursing intervention and documentation.
Implementation
This nursing intervention is done to assist in the prevention of illness and the promotion of wellness. A common nursing diagnosis is related to this KNOWLEDGE deficit.
Patient teaching
This type of question allows the client to elaborate freely on a subject
Open ended question