Week 1
What is the precaution used in the care of all clients regardless of diagnosis and past medical history?
What is Standard Precautions
What pulse is on the Left 5th Intercostal Space Mid-clavicular?
Apical Pulse
What lab would be elevated in an infected pressure ulcer?
What is WBC.
Normal Range for Sodium
136 - 145
When a client is on 3 L NC how much oxygen are they getting?
32%
What is the classification used for CAUTI, HAPI, SSI, VAP, CLABSI?
What is Healthcare-Associated Infections
What scale do you use to determine if a client is at risk for falls or not?
Morse Fall Scale
If a client complains of their IV hurting, what is the nurses priority action?
What is to remove the IV.
What is the only IV fluid that is compatible with blood?
0.9% Sodium Chloride
Tell me three things about the Non-rebreather mask.
1. 2 hours max
2. For emergencies and transportation
3. Good seal
4. Bag needs to inflate
5. 10 - 15 L
What does the acronym PQRST stand for?
What is....
Precipitating factors
Quality
Region/radiation
Scale
Time
A client is complaining that he cannot sleep well at night, what would be a recommended bedtime snack?
What is peanut butter on toast
An RN notes bright red drainage, how should this be documented?
What is Sanguineous.
How long should a nurse stay with the client when initiating a Blood Transfusion?
What is the worst lung sound?
Absent
What makes a client positive for Orthostatic Hypotension?
What is a drop in 20 mmHg systolic or a drop of 10 mmHg diastolic.
Give 2 examples of when you would complete an Incident Report.
What is.....
1. Medication Error
2. Falls
3. A medical device malfunctions
What classifies a pressure ulcer as a Stage 3?
What is subcutaneous fat/adipose tissue.
What is a sign and symptom that a client is fluid overloaded while getting a blood transfusion?
What is dyspnea.
The RN hears a continuous high-pitched squeaking sound, how should she document this lung sound?
What is Wheezes
What does the FLACC pain scale stand for?
What is Face, Legs, Activity, Cry, Consolability
What is happening to the body during the 3rd stage of sleep?
What is during this stage, immune system strengthens, and the muscles, tissues, and bones repair and regenerate.
A nurse is planning care for a client who is receiving enteral feedings through an NG tube. Which of the following actions should the nurse plan to take first?
What is aspirate the clients stomach contents/check residual.
What patient would you give 0.45% Sodium Chloride?
Hypernatremia
Ph: 7.30
CO2: 38
HCO3: 18