Week 4 Lab
week 5
Week 6
Week 7
Mixed Weeks
100

Signs include, redness around the wound, purulent drainage, bad smell (malodorous) and increased pain or fever for patient indicate this.

What is an infected wound or infection?

100

These are the two categories of functional ability.

What are ADL's and IADL's?

100

The nurse recommends which of the following as PRIMARY prevention tools for her 45 year old patient. SATA

A. Healthy diet found on MYPLATE.org

B. A body mass index of 17

C. Getting a yearly flu shot

D. Getting a yearly mammogram

A and C

B is too low healthy BMI is 18.5-24.9

D is a good suggestion but it is secondary screening (even though insurance considers  it prevention)

100

Three of the medication rights.

What are right patient, right medication, right route, right time, right dose, and right to refuse?

100

You should educate your patient to do this when you give them an enema.

What is try to hold it in for up to ten minutes?

200

This scale includes categories including sensory perception, moisture, mobility and friction and shear.

What is the Braden Scale?

200

The patient is given a regular diet tray even though they have been prescribed a mechanical soft diet with thickened liquids for swallowing difficulties. The nurse is concerned about THIS occurring.

What is the patient aspirating or What is aspiration?

200

In report the nurse is told the patient has called our for pain medication. The nurse handing the patient off(ending shift) states, She looks comfortable I think her pain is about a 3. The nurse assuming care knows this is the most reliable indicator of pain. 

What is the patient's report? Or What is what the patient says?

200

Your patient refuses his medication for hypertension. You should take these steps.

What is assess, educate and document?

Assess why he is refusing, educate benefits of taking and risks of not taking, document your education and his refusal

200

This is how often you reposition a dependent patient in a wheel chair to prevent skin injuries.

What is every hour?

300

A nurse is checking a patient who yesterday had a stage III pressure injury on his tailbone. Today she sees their is eschar tissue covering the bottom of the wound so she will stage it as this.

What is unstageable?

300

Your patient may have this problem if you notice they are pocketing food, repeatedly attempting to swallow, coughing when eating or drinking, and decreased oxygen when eating or drinking. (the medical word)

What is dysphagia?


300

In preparing to perform a routine head to toe assessment, the nurse realizes this system will be assessed first.

What is the neurological system? or What is neuro?

(Walking in room, asking patient name and DOB)

300

When considering a patient with pain and stress, the nurse knows lack of this essential is likely to make both of these worse.

What is sleep?

300

When administering eye ointment to a patient you begin here on the eye.

Where is the inner canthus?

400

When a red spot, on intact skin, does not change color when pressure is applied it is called non-blanchable and is this stage Pressure Injury. 

What is stage 1 pressure injury?

400

You are assessing your patient for ability to  feed , bathe and transfer independently using this scale.

What is the Katz Scale?

400

When admitting a new stable patient, it is critical to assess these two things as soon as possible.

What is assess skin and fall risk?

400

Substance use, violence and denial are examples of this type of coping.

What is maladaptive or poor coping?(Ineffective)

400

This is the order of assessing the abdomen in head to toe assessment.

What is inspect, auscultate, palpate?

500

A nursing student reports a patient has an area of redness on his heal that does not blanch and she has applied heel boots, massaged the heel, measured and documented the area and notified the provider. Of these the action that requires further education.

What is massaging the area?

500

Of the following, the one that increases a patient's risk of cognitive impairment

a. patient eating a healthy diet

b. patient taking vitamin supplements

C . febrile patient with a UTI

d. Patient who wears a helmet bicycling

What is C?

Febrile-fever and infection (UTI)

500

Your patient states his pain is 8/10 sharp in his left wrist after falling. His heart rate is 115 and he states he is nauseated. The objective sign of pain is this.

What is the Heart rate of 115?

500

Your patient has an NG tube and are ordered the following. This one requires clarification with the provider.

A. Lisinopril 5 mg NG daily

B, Aspirin 325 mg EC via NG daily

C. Amoxicillin 500mg suspension via NG daily

What is B? We do not crush Enteric coated or extended release.

500

Your patient states their pain is currently 8 out of 10 and they can tolerate a 4/10. The tolerable level is an example of which OPQRSTUV.

What is V?  Value is the patients level of tolerating and any other symptoms.

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