Unit 2
Unit 4
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NCLEX
100
Focuses on a patient problem or nursing diagnosis and typically uses the SOAP (subjective, objective, assessment, plan) format as shown here.
What is The POMR
100
The main cause of noise is
What is people
100
Local and federal laws prohibit the use of physical and chemical restraints except those
What is authorized by a physician.
100
To collect a midstream specimen (instructions):
What is he external genitalia are cleansed, a small amount of urine is passed, and then a midportion of the voiding is collected in a sterile container and used for a culture.
100
The client has a PRN prescription for ondansetron (Zofran). For which condition should this medication be administered?
What is Nausea and vomiting
200
Enables staff to see notation of changes in a patient’s condition at a glance
What is Charting by exception
200
One safety measure to ensure when getting a patient out of bed.
What is locking the wheels on the bed, having assistance as needed.
200
2 ways to prevent skin decubti
What is Changing position, prompt changing of briefs
200
For abdominal ultrasonography, the patient is asked to drink a liter of water before the procedure WHY?
What is This helps change the echo-reflection pattern from the bladder, helping to better distinguish the bladder from the female reproductive organs that lie nearby.
200
A nurse is preparing to perform a abdominal examination. This initial step would be:
What is inspection
300
Should be performed at the beginning of the shift and promptly documented. It will determine the plan and priorities.
What is An initial assessment
300
The most common factors predisposing a person to falls are (what 3 things)?
What is impaired physical mobility, altered mental status, and unavailability of assistance.
300
What is an important nursing assessment for a patient wearing a wrist restraint.
What is checks that circulation is not impaired by evaluating color, warmth, and pulses distal to the device.
300
Nursing care before an MRI involves: (2 IMPORTANT THINGS):
What is obtaining consent and ensuring that all metal is removed from the patient’s body, because the machine emits a strong magnetic field.
300
A nurse provides instructions to a client after a liver biopsy. The nurse tells the client to:
What is lie on the right side for 2 hours
400
Are a time saver but do not eliminate narrative charting. They are used to document information that is routine and that would be “lost” in a narrative note.
What is Flow sheets
400
“RACE” represents
What is Rescuing the patient from immediate danger, Activating the fire alarm system, Containing the fire by closing doors and windows, and Extinguishing the flames with an appropriate extinguisher.
400
Restraint ties should be secured to
What is an immovable part of the bed frame
400
A patient who has undergone endoscopy is fully awake and asks the nurse for something to drink. After confirming that liquids are allowed on the physician order sheet, the nurse should:
What is check for the return of gag and swallow reflexes.
400
A client with ascites is scheduled for a paracentesis. The nurse is assisting the health care provider in performing the procedure. Which position will the nurse assist the client in?
What is upright
500
Is a 1-page summary of the patient’s diagnosis and current orders, treatments, and care needs
What is A nursing Kardex
500
If someone has ingested poison, what is the first thing that should be done?
What is call poison control
500
International normalized ratio is used for patients taking what medication? (both names).
What is warfarin (Coumadin)
500
Why should a patient be assessed for shellfish allergy before undergo endoscopic retrograde cholangiopancreatography (ERCP)?
What is because an iodine-based contrast medium is used during the test. Shellfish hold and store iodine.
500
The nurse is monitoring for stoma prolapse in a client with a colostomy? The nurse will observe for what apperance in the stoma if prolapse occurred
What is dark and bluish
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