Nursing Foundation
A client is being seen in the clinic reports having pain. In which phase of illness is this client?
What is seeking help?
First action to help reduce health care-associated infections.
What is hand hygiene/hand washing?
Respiratory rate of 24 breaths/min is called?
What is tachypnea?
Which area should the nurse wash first during a bed bath?
What is the face?
Venous stasis is an example of what type of immobility complication? (Think body system)
What is cardiovascular?
When body cells react with molecules of oxygen, they can sometimes produce unstable molecules called?
What are free radicals?
Grinding of the teeth during sleep is called?
What is bruxism?
After signing a surgery consent, the patient tells the nurse "I've changed my mind". What should the nurse do?
What is notify the surgeon?
Bowel movement and the sneeze of an infected person is an example of what link in the chain of infection.
What is portal of exit?
What is it called when you squeeze a client's nail bed & count the number of seconds until the color returns?
What is capillary refill?
A nurse is about to give a bed bath. Which action is appropriate to maintain privacy?
A. close the door of the room
B. ask family members to leave
C. use a blanket to cover the client
D. close the curtains around the client's bed
What is D. Close the curtains around the client's bed?
What should the nurse use to move a patient up in bed?
What is a draw sheet?
Which options is appropriate for full liquid diet - apple juice, ice cream, finely diced meats, or yogurt?
What is apple juice, ice cream, and yogurt?
A nurse is applying cold therapy, the patient starts ____ which is an indication to discontinue therapy.
What is shivering?
What does it mean to be in remission when someone has a chronic illness?
What is the disease is present but symptoms are not experienced?
Precaution needed for a patient admitted with hypertension
What is standard precaution?
Respirations that are shallow, gradually increase in depth and frequency followed by apnea
What is Cheyne-Stokes?
Patient is being admitted from surgery. Which type of bed should the nurse use to prepare?
What is a surgical bed?
Proper flexion of the ankle is lost with permanent plantar flexion of the foot is called?
What is foot drop?
Gold standard for NG tube placement verification
What is chest x-ray?
You cut your finger with a knife when cooking. The type of pain felt from this injury is best described as?
What cutaneous pain?
A patient refuses treatment and wants to leave the hospital. If the nurse restrains the patient from leaving this is called?
What is false imprisonment?
A patient diagnosed with yeast infection. What type of pathogen is this?
What is fungi?
What is stage II?
Client is lethargic and unable to stand for long periods. What type of bath is appropriate?
What is a bed bath?
A patient on prolonged bed rest has shortening and tightening of the muscles, what is this called?
What is contractures?
Patient had 120 mL water, vomited 180 mL, voided 100 mL, ate 4 oz of gelatin and 4 oz of apple juice. What is the Intake and output?
What intake 360 cc and output 280 cc?
What is the MEDICAL term called when a patient awakens in the morning and discovers he is in the living room and not the bedroom?
What is somnambulism?
A patient with arthritis complains of increased pain and stiffness in cold weather. What term should the nurse use to explain the symptoms?
What is exacerbation?
What stage of infection is most infectious?
What is prodromal stage?
What can happen if a patient confined to bed is moved from sitting to standing position too fast
What is orthostatic/postural hypotension?
Client has an infected wound. What type of bath is appropriate?
What is a therapeutic bath?
What is the purpose of applying antiembolism stockings?
What is improve circulation, keep blood from pooling, or prevent blood clots?
You are inserting an NG tube, the patient begins to gag, what should you do next?
What is slide tube back slightly, have the patient place chin to chest, and swallow?
Why is heat application contraindicated in a patient with suspected appendicitis?
What is the warmth causes vasodilation and increases blood flow to the area and can cause the appendix to rupture?