What is "P" component of the mnemonic "PQRST?"
Provocation
Which of the following routes has the fastest rate of absorption?
IV
stage 1 pressure injury. Which of the following findings should the nurse expect?
Intact skin with localized erythema
What actions should the nurse take for airborne precautions?
wear an N95 respirator mask, negative-pressure airflow
The client’s urine is dark amber, cloudy, and has an unpleasant odor what is this a finding of?
urinary tract infection
abbreviation HIPAA stands for
Health Insurance Portability and Accountability Act
This cranial nerve is responsible for smell
I
When palpating this RUQ region, what might the nurse be assessing?
Liver
When administering a powdered medication, what should the nurse do first?
Check the client for allergies
first phase of wound healing
Inflammation
situations that the nurse should wear gloves?
Emptying urine, Providing oral care,Changing an ostomy pouch
Every time I sneeze, I wet my pants." What is this type of involuntary escape of urine called?
Stress incontinence
What is an intentional tort?
Battery,physical harm to clients
symmetry of facial movements is cranial nerve
VII
What is the scale used to know the conscience level of the client
Glasgow Coma Scale
What are the 5 rights of medication?
the right patient, the right drug, the right dose, the right route, and the right time
How is BMI calculated
Height and Weight
What are the precautions for a patient with C-Diff?
Contact
What is a normal urine output for 24 hours?
30mL per hour or 720 in 24 hours
This ensures truth telling by the nurse
Veracity
Hearing
Identify where the nurse should place the stethoscope to auscultate the client's apical pulse
What should the nurse do when administering metered dose inhaler (MDI) medication
nurse should shake the MDI briskly 5-6 times to aerosolize the medication particles
what things would be included in B of ISBAR report
Code status, Male or Female, age
What are 3 airborne diseases?
Measles, varicella, TB
function of the large intestine
It absorbs liquid to form stool
This ethical principle that means to do good
Beneficence
Cranial Nerve XI
Controls neck and shoulder muscles
What are the steps to take if the IV is infiltrated?
The nurse should first stop the infusion. Next, the nurse should remove the IV catheter and apply a sterile dressing to the insertion site. The nurse should elevate the extremity and apply warm or cold compresses according to agency policy.
maximum amount of medication that can be given for intradermal injections?
0.1 mL
How many calories are in 1 gram of protein?
4kcal
Clients who have dysphagia are at risk for
aspiration pneumonia
what are signs of dehydration
Dark-colored urine, increased breathing and heartrate, dizziness,
characteristic of central sleep apnea
brain fails to send the proper signals to the respiratory muscle
Cranial Nerve XII
Controls tongue movement