What is a white blood cell and a red blood cell called?
Leukocyte-white blood cell
Erythrocyte-red blood cell
When the nurse is teaching the patient to walk with a cane how should they instruct them to hold the cane?
Cane should be held on the side of non-affected (good) side
purple
Poor skin turgor is a sign of?
dehydration/decrease in elasticity
A pulse ox indicated what?
The oxygen saturation of circulating blood (RBC)
What is a choleycystitis COMPARED TO A choleycysectomy
inflammation of the gall bladder COMPARED TO the removal of the gall bladder
When measuring a patient for an N/G tube how would the nurse go about this AND how does one measure ouput of that N/G tube per shift?
measure nose to ear and then ear to half-way between sternum and umbilicus
There should be a line marked from the last shift -use that number as your start marker - then mark a line that you got on your shift -and then subtract those numbers for your shift output
What does the nurse click on to turn the nurses typed in information from temporary to permanent?
When the nurse asks the patient to do "pedal pushes and pulls" ...what exact flexion are they assessing (in medical terms) and in what system does this belong to?
pedal push is plantar flexion
pedal pulls is dorsi flexion
The nurse is assessing calf muscle strength (soleus & gastroc)
Why: assessing the neuro/muscular status
Name eight items of what a patient may say to describe pain?
sharp, dull, radiating, achy, throbbing, pulsating, stabbing, tight, toothache, grasping, etc
MORE ALLOWED/may vary
Where does one find the calcaneous?
1) down the middle
2) farthest side away from you
3) closest to you
*clean 4x4 each time
What does the R in iSBAR represent?
Recommend
Where is the exact location the nurse assess the apical pulse (point of maximum excursion) AND what valve does this represent?
5th intercostal space, mid-clavicular line / Mitral valve
What is a typical normal respiration rate of a infant compared to an adult?
infant 30-60 breaths per minute compared to an adult of 12-16 breaths per minute
This organ has a tail and body and is both an exocrine and endocrine gland?
pancreas
How does the nurse cleans the female genitals when performing a catheterization AND why?
Clean front to back
1) side away from you
2) side closest to you
3) last-straight down the middle
In this area of iSBAR include the HPI and PMH
B background
In what order does the nurse assess the abdominal/GI system and why?
look-listen-feel
inspect-auscultate-palpate
Inspect before touch and stir "things" up to hear and palpate
A temperature of 98.6 AND 100.4 degrees Celsius is what in Fahrenheit?
98.6 F -37 C
100.4 F - 38 C
Where is the Soleus (all go) and Gastrocnemius (all show) muscles found?
posterior calf
When providing the patient with oxygen how many liters is maximum via nasal cannula AND what also should be added to the oxygen for patient comfort?
6 Liters - humidity of sterile water (moisten mucous membrane)
Items like refusal of a bath, how much percentage a patient ate a meal, and application of SCD should be charted in Cerner in what area?
Care Interventions (nursing)
What is the difference between eye accommodation in PERRLA and consensual light reflex?
Accommodation in PERRLA. Accommodation reflexes are the reflex action of the eye to focus on distant objects and near objects. This movement consists of coordinated pupil size, lens shape, and vergence changes. This movement depends on the cranial nerve II, the cranial nerve III, and the superior center. Bring the penlight back and forth.
Consensual light reflex. Ophthalmology The ability of both pupils to react to light which is tested by shining a beam of light in one eye, and assessing the response of the other eye, which normally constricts. Shine the light in one eye and the other eye reaction.
What are the differences between vital signs of someone who is in pain compared to someone who is fighting an infection compared to someone in sepsis/shock?
(use only pulse, blood pressure, and temp as needed)
pain-increase pulse & increased blood pressure
infection-increased pulse & increased temp
sepsis/shock-increased pulse & decreased blood pressure