Head, Shoulders, Knees, and Toes
When assessing the abdomen, you should do this before percussing or palpating.
What is Auscultation?
This is how you check placement of an NG tube.
What is inserting air in the tube while auscultating?
Hematuria could be a sign of this.
Answers may vary:
What is a UTI?
What is a bladder/kidney infection?
What is DM?
This is just one way to hold the suction catheter when not suctioning so that it does not get contaminated.
What is wrap it around your hand?
A field is considered sterile to within 1" of the border and this.
What is in front of you and above your waist?
"I have a headache" "I am nauseated" "My pain is a 10/10" are all example of this type of data.
What is subjective data?
Name a cause of needing an NG tube.
Answers may vary:
What is a bowel obstruction?
What is decompressing the stomach?
What is a new colostomy?
This function should be met by the patient after catheter is dc'd, and before he/she goes home.
What is voiding?
When suctioning a patient, the catheter should should be in no longer than this.
What is 10 seconds?
This is a localized infection.
What is an abscess?
When checking movement and flexibility of joints, you are looking at this medical phrase.
What is range of motion?
This is the color of a healthy stoma.
What is pink?beefy red?
This is how often peri-care should be done for a patient with a catheter.
What is at least once per shift?
When placed on continuous oxygen, a patient with COPD should be placed on this many liters/minute.
What is 2-3 liters/min.?
This is a spontaneous opening of an incision.
What is dehiscence?
This apical pulse rate is within normal range.
What is 60-80 bpm?
This is how you measure the length of an NG tube.
What is the from tip of the nose to the tip of the ear, then down to just below the xyphoid process?
Medical terminology for painful urination.
What is dysuria?
This is how often tracheostomy ties should be replaced.
What is every 24 hours or as needed when soiled?
This type of dressing is only applied to uninfected wounds.
What is a hydrocolloid dressing?
If a patient has asthma, this anticipated lung sound could show a need for an intervention.
What is rhonchi/wheezing?
The margins on a colostomy appliance should be this far away from the new stoma.
What is 1/4"?
A patient should have at least this much urine output per hour.
What is 30 mL/hr?
Wall suction is generally set around these numbers when suctioning a patient.
What is 80-120 mm Hg?
This activity prevents the spread and transfer of microorganisms.
What is performing hand hygiene?