1. Blood Pressure
2. Temperature
3. Heart Rate (Pulse)
4. Oxygen Saturation
5. Respiration rate
6. Pain
Your patients vitals read:
BP: 160/88; Temp: 99.5F Oral; HR: 45; R: 10
What will you report to the nurse right away?
BP; Pulse; Respirations
Your patient has an NG tube?
What position should their bed be in?
Semi-Fowlers
Medical Term for: A foreign object or fluid in the lung?
Aspiration
Which pulse site is used when checking the blood pressure using the sthethoscope?
How long are you counting the apical pulse?
60 seconds (1 full minute).
Medical Term: Your patients radial pulse is 55 BPM?
Bradycardia
Your putting your patients belongings up in their nightstand. Which drawer are you putting their dentures, toothbrush, and toothpaste?
The top drawer of the nightstand.
Every 2 hours.
You work nights. You enter your patients room to check vitals and while counting respirations your patient breathing paused and resumed. This is called?
Sleep apnea
Increased BP; Increased Pulse; Restlessness; Increased Confusion; Grimacing; Groaning; Difficulty Sleeping; Page 428
To the patients gown.
Medical Term: Your patients respirations are 26 BPM.
Tachypnea
What is the last thing you should clean when giving a complete bath?
The perineal (genital) area.
Your patient is in a coma. You need to clean their oral cavity. What will you use?
A sponged-tip applicator.
How warm should the water be when giving your patient a tub bath?
105 degrees F.
What is the first body part you should clean when giving a partial bath?
The face.
You are performing oral hygiene on an unconscious patient. What position in the bed should they be in?
Medical Term: Systolic Pressure greater than 140; Diastolic Pressure greater than 90
Hypertension
You "zeroed" the scale before taking your patients weight. What number should the scale read?
Zero (0)
You patient just finished their session with physical therapy. How long should you wait before checking their vitals?
10 to 20 minutes.
Which should be reported to the nurse FIRST?
A. Res: 22; Pulse Ox: 92%
B. HR: 54; Pulse Ox: 84%
C. HR: 58; Glucose 100
D. Res: 18; WBC: 20
B. HR: 54; Pulse Ox: 84%
You work on a pediatric unit. To assess if you need to perform CPR, which artery will you check?
Brachial Pulse
What color thermometer is only used for rectal temps?
Red
You patient is 64". How tall are they?
5' 4"
Medical Term: Difficulty swallowing
Dysphagia
Chocking
Coughing
Difficulty breathing during/after meals
Abnormal breathing/ Respiratory sounds
The resident ate a fourth of their food. What percentage are you documenting?
25%
Extremely thick liquid that stays on the spoon is what dysphagia diet?
Pudding-thick
Your patient needs to spit after brushing their teeth at their bedside. What are you placing under their chin for them to spit in?
Kidney/Emesis basin