Vitals Signs
The pulse used to take a blood pressure
What is the brachial?
Name two adventitious breath sounds
What are wheezing, rales and rhonchi?
What is the process of placing like assessment findings/data together?
What is clustering?
Who is the center of everything that we do on a daily basis?
Who is the patient/client?
What is an important step when prioritizing patient care?
What is assessment?
A nurse needs to assess posterior lung sounds in a client. In which position would it be most appropriate to place this client
High Fowler's
How long do you listen for bowel sounds if you don't hear them during your assessment ?
What is 5 minutes?
What is the process by which we "trust our gut"?
What is intuition?
What is the first step of the nursing process?
What is assessment?
Name one intervention that has time constraints?
What is med administration? pain medications before PT? or pre-surgery bathing? on call to OR tasks?
The nurse is caring for a client who arrives at the emergency department after falling down multiple times. Upon initial assessment, the client states, “I am so dizzy I can’t stay standing up.” What is the nurse’s first priority?
What is the first step in assessing your patients?
What is inspection? or What is general survey?
What is the process nurses use to analyze and evaluate, select the best action, meet desired goals?
What is clinical decision making?
How must goals be written?
What is SMART? Specific, measurable, achievable, relevant and time focused?
Which should not be delegated? a.routine vital signs, b. 11 am blood glucose
c. getting the client’s first time out of bed after
surgery.
d. straight cath after being properly trained?
What is the 6th vital sign?
What is pain?
What are two assessment types you will complete daily?
What is head to toe and focused?
What is the process by which the nurse recognizes the need to adapt and respond differently to meet the patient's specific needs?
What is critical thinking?
What must accompany every intervention?
What is a rationale?
A patient arrives in the emergency department with complaints of shortness of breath and chest pain, he is one of 4 patients who arrive at the same time. what prioritization model are we using when determining which patient is seen first?
What is ABC?
When taking the patients pulse you note irregularity, what is your next step
Take the pulse for 1 full minute.
What are we looking for when we assess "two" of anything?
What is the highly complex cognitive process where nurses solve problems?
What is clinical judgement?
What is the last step in the nursing process? And explain why this step is important.
What is evaluation?
This level of Maslow's hierarchy includes air, water food and shelter-the most basic requirements for human survival
What is physiological needs.