Facial Grimacing
What is Objective Data
Conduct that falls below a standard of care
What is negligence?
Tested via the sniff test
What is the Olfactory nerve or Cranial Nerve 1?
Type of bath administered to a totally dependent patient in bed
What is a complete bed bath?
pH value
What is 7.35- 7.45?
Respirations labored, shallow
What is Objective data
Written legal document, pt. able to declare treatment wishes they do or don't want when terminally ill or in a vegetative state.
What is a Living Will?
Use a tongue depressor to check gag and swallowing efficiency
What is the Vagus nerve or Cranial nerve X?
Identify the patient with 2 identifiers; Move from cleanest to less clean areas; Test the temperature of water and solutions before using; Use principles of body mechanics and safe patient handling.
What are safety guidelines for nursing skills?
Normal RBC range
What is 4.2 - 6.1 ?
I feel nauseated
What is Subjective data?
Dr. order required, dr. consults adult patient with capacity, requires blue or purple arm band
What is a DNR?
Use a tuning fork, place a ticking watch or whisper test near each ear
What is testing the Acoustic or Vestibularcochlear Cranial Nerve VIII?
Bend at knees, feet feet wide apart; use arms and legs (not back), Avoid twisting motion; Stand close to the object being lifted
What are proper body mechanics?
10 - 20
What is a normal BUN level?
Sharp, stabbing pain
What is Subjective data?
States the facility can't "dump" a patient onto another facility, must stabilize patient to facility capacity before transfer.
What is EMTALA?
Stick out the tongue and move tongue internally from cheek to cheek.
How is testing the Hypoglossal Nerve or Cranial Nerve XII?
Used on strong side (good leg); measured distance between the greater trochanter and the floor; upstairs with good leg, down with the bad leg.
What is using a cane?
White blood cell count
What is 5,000 - 10,000?
Bowel sounds present all 4 quadrants
What is Objective data?
Intentional offensive touching without consent or lawful justification. Act can be harmful cause injury or be offensive to the patient.
What is Battery?
Have the patient smile, raise eyebrows, keep eyes and lips closed while the nurse tries to open them
How is the Facial nerve or Cranial Nerve VII tested?
Consists of bathing only body parts that would cause discomfort if not bathed, e.g. hands, face, axillae, and perineal area; done to areas patient unable to reach
What is a partial bed bath?
136- 145
What is the normal sodium level?