Nursing Process
Triage
Safe Care
Head to Toe
Electrolytes Acid-Base
100
Assessment data is used to form this.
What is a nursing diagnosis?
100
The patient you see first is the patient with blood in their stool, the patient with a low O2 sat or the patient with a fever of 103 degrees F.
What is the patient with low O2 sat?
100
The nurse would orient a patient that is blind to their surroundings and the placement of the furniture in their room to avoid this.
What is orienting patient to surroundings to avoid a fall.
100
When a light is shined in the eyes this is what happens.
What is the pupils should constrict?
100
We know that diarrhea places the patient at risk for this condition.
What is metabolic acidosis?
200
The health care team, the patient and the patient's family collaborate during this stage.
What is the planning stage?
200
The highest priority of these nursing diagnosis is ineffective airway clearance or imbalanced nutrition.
What is ineffective airway clearance?
200
A new nurse working for an agency should review this before performing procedures.
What is review the agency's procedure manual?
200
This is the best position to assess the abdomen.
What is supine position?
200
When the intracellular and extracellular fluid has the same concentration.
What is isotonic?
300
The nurse performs an exam to check for constipation is performing this stage.
What is an assessment?
300
Sit down, lean forward and pinch your nose shut are the instructions given for this.
What is the treatment for epistaxis?
300
This is the first action you would do when identifying a pressure ulcer.
What is position the patient on their side?
300
Two terms for what you will hear with the stethoscope when placed at the fifth intercostal space, left midclavicular line are these.
What is the PMI or apical pulse?
300
Patients that have COPD retain CO2 and are at risk for this condition.
What is respiratory acidosis?
400
The organized approach we use for nursing care is remembered with these 5 letters.
What is ADPIE?
400
Performing first aid at a motor vehicle accident site the nurse is covered by this legal act.
What is the Good Samaritan Act?
400
A quick focused assessment should be performed on every patient at this time when a nurse is working.
What is the beginning of shift?
400
Do not take a blood pressure on the scarred side of a patient with a history of this surgery.
What is a mastectomy with lymph node removal?
400
Extracellular fluid is approximately 1/3 of total body fluid and is found in these 3 spaces.
What is intravascular, interstitial and transcellular fluid?
500
The stage when you change a patient's dressing is this.
What is a nursing intervention?
500
A patient with severe allergies will be encouraged to have this with them.
What is an emergency treatment kit?
500
These patients are at an increased risk of dehydration because they have a larger body surface area compared to their weight.
What is an infant?
500
The heart sounds "lub" and "dub" are known as this.
What is S1 and S2?
500
Inadequate intake of this electrolyte may result in abdominal pain, cardiac arrhythmias, paralytic ileus, urinary retention and confusion which is called this. The normal range is this.
What is hypokalemia? 3.5-5.0 mEq/L
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