VITAL SIGNS
What is the normal adult range for heart rate?
What is 60-100 bpm?
What does PERRLA stand for in an eye assessment?
What is Pupils are Equal, Round, Reactive to Light, and Accommodation?
What does SOAP stand for in nursing documentation?
What is Subjective, Objective, Assessment, Plan?
What is the term for blue discoloration of the skin due to lack of oxygen?
What is cyanosis?
What is the best way to address a patient that is feeling anxious?
What is use active listening and provide reassurance?
How long should you count when taking an irregular pulse?
What is 60 seconds?
Where should you auscultate for apical heart rate?
What is at the fifth intercostal space, midclavicular line?
What color ink is typically required for paper charting?
What is black ink?
What condition might cause jugular vein distention (JVD)?
What is heart failure?
How should you explain a procedure to a patient with low health literacy?
What is use simple, clear language and visual aids when possible?
What are the two main methods for measuring core body temperature?
What is Rectal and tympanic (ear) methods?
A nurse doing her assessment proceeds to palpate a client's frontal and maxillary sinuses. What should she make sure she checks for?
What is tenderness?
What should you document if a patient refuses medication?
What is the medication refused, the reason for refusal, patient education provided, and notification of the provider?
What does a capillary refill time of greater than 3 seconds indicate?
What is poor perfusion?
What is an open-ended question, and why is it used in patient interviews?
What is a question that requires more than a yes/no answer; it encourages the patient to provide detailed information?
What is the term for a blood pressure greater than 180/120 mmHg?
What is hypertensive crisis?
During a routine assessment at the geriatric care unit, Nurse Dave approaches his elderly client. He gently asks for the client's name, date of birth, whether he knows where he is, and what day of the week it is. Through these questions, Nurse Dave is primarily assessing his client's what?
What is Level of consciousness?
Why is it important to avoid using abbreviations that are not universally accepted in documentation?
What is using unapproved abbreviations can lead to misinterpretation and medical errors?
What might absent bowel sounds indicate in a postoperative patient?
What is ileus or bowel obstruction?
How can you confirm that a patient understands your instructions?
What is use the "teach-back" method, where the patient repeats the instructions in their own words?
What is orthostatic hypotension, and how is it assessed?
What is a drop in blood pressure when moving from lying to standing; assessed by measuring BP and pulse in supine, sitting, and standing positions?
Nurse Mitchell is performing an assessment on a client's vision utilizing either the Snellen chart or the newspaper finger-wiggle test. By conducting this assessment, Nurse Mitchell is primarily evaluating the function of which cranial nerve?
What is the significance of documenting "patient verbalized understanding" in patient education?
What is it shows the patient received and comprehended the information, which is critical for legal and clinical purposes?
What might unequal pupil size indicate in a neurological assessment?
What is Unequal pupil size (anisocoria) can indicate increased intracranial pressure, brain injury, or nerve damage?
How should you communicate with a patient who is hard of hearing?
What is face the patient, speak clearly, reduce background noise, and use visual aids or written instructions if needed?