Are you an Assesspert?
Vital sign symptoms that pain is poorly controlled.
What are increased heart rate and blood pressure?
How often we reposition patients in bed to prevent pressure injury.
What is every two hours?
The milliliters needed when administering 8 mg of ondansetron (Zofran) from a 2 mg/mL vial.
What is 4 mLs?
The acronym for fire safety.
What is R (Remove/Rescue), A (Alarm/Alert), C (Confine), and E (Extinguish/Evacuate).
This priority problem includes factors that increase the likelihood of infection but does not include the symptoms of infection.
What is risk for infection?
Assessing whether the client is awake, alert, and responds appropriately to questions.
What is level of consciousness?
Education provided to the patient to help alleviate thick mucous secretions.
What is drink plenty of fluids (1.5-2.5 L/day) ?
The priority assessment when a patient is receiving an opioid.
What is assessing respiratory rate?
The type of precautions used to protect oneself from a gastrointestinal bug.
What is contact precautions?
Kubler-Ross's five stages of grief.
What are denial, anger, bargaining, depression, and acceptance?
First assessment technique.
What is inspection?
The side a cane should always go on.
What is the unaffected side?
An expected genitourinary assessment finding after administering a diuretic.
What is increased urine output?
A client can eat or drink gelatin, broth, pulp-less juices and sodas.
What is a clear liquid diet?
Moves the arms away from the center of the body.
What is abduction?
This assessment technique is used to evaluate edema and pulses.
What is palpation?
To prevent this complication the nurse can assist with range-of-motion (ROM) exercises, including active ankle and leg exercises.
What is a Deep Vein Thrombosis (DVT)?
Important dietary change for a patient receiving an opioid.
What is increasing fiber intake?
After bathing the client in bed the nurse should do this before leaving the bedside.
What is lower the bed?
Blood pressure reading if the BP cuff was too small or applied too tightly or the BP was taken within 30 minutes after a client has smoked or exercised.
What is a falsely high blood pressure?
Poor wound healing can be an indication of this deficiency.
What is a protein deficiency?
Priority intervention when a client is suddenly short of breath, has crackles, and is receiving IV fluids.
What is hold the IV fluids?
Evaluation of teaching regarding client's self administration of an injectable medication.
What is return demonstration?
The securement location of the restraint on the bed.
What is on the bed frame?
Loss of muscle mass after prolonged bedrest.
What is atrophy?