HEIGHT
Bobby is taking the height of a patient. The patient proceeds to face towards the wall and stand on their tippy toes. How should Bobby re-direct the patient?
Back towards the wall, facing forward and heels against the wall.
Gru needs to obtain a patient's weight to ensure screening eligibility. What should he do before the patient steps on the scale?
Make sure equipment is calibrated and zeroed.
What is the normal body temperature range in Celsius?
Celsius: 36.1C - 37.2C
Jeff needs to take his patient's blood pressure, what is the correct position the patient should be in for this measurement?
Feet flat on the floor, back supported, arm rested at chest height, no talking
What does %SpO2 stand for?
blood oxygen saturation or blood oxygen level
Todd's next patients is an older adult with falls risk. What should he do for the patient to ensure he gets their height safely?
Off the patient his arm or something that can not move to hold onto while stepping on the scale.
Bobby is with a falls risk patient. How should he help this patient while measuring their weight?
Assist patient on and off the scale.
Which temperature taking method is the least accurate?
Axillary
Billy was measuring his patient's blood pressure and noticed that it was below normal range. What should he do?
Ask the patient if that BP reading is normal for them, or what is their normal BP.
Are they symptomatic: light headed and dizzy?
Record and notify CRC before patient leaves.
Poppy's healthy patient's oxygen saturation was 87%. What should she do?
Assess patient (do they look SOB), assess device (how is the waveform), contact provider and notify clinical staff, report to CRC/PI and follow protocol
Poppy's patient is much shorter than her. To get the most accurate height measurement, how should she read the height?
At eye level
When using a scale to obtain a patient's weight, what is the correct position for the patient?
Centered on the scale.
Manny's patient has been sweating profusely. Which temperature device would encounter a contraindication with the patient's current state?
Temporal
What are 2/3 instances where you would NOT measure a blood pressure on a specific arm.
If the patient has had a mastectomy or AV Fistula (for dialysis) in their arm or wound.
What are 3/5 common causes for false readings?
Dark/thick nail polish
Cold Fingers
Poor circulation
Shaking/Tremors
Low Blood Pressure
It's Joes first time taking a patient's height. What's the first thing he should do to ensure an accurate measurement?
Calibrate scale and move calibration rod well above the patient's head.
Joe did not check to calibrate and zero out the scale for his next patient (shame on Joe!). What are the risks of the potentially inaccurate weight measurement?
Inaccurate medication prescription
Inaccurate fluid balance assessment
Inaccurate nutritional assessment
What are four influencing factors of body temperature change?
Age, Circadian rhythm
Hormone- usually woman more with progesterone
Exercise, Stress
Environment Illness
Little John's patient had a blood pressure reading of 180/120, what should he do?
Recheck the BP in opposite arm, ask if that's normal for the patient, did the patient take all their medicine.
Notify the CRC/PI
What is the shape of a normal pleth wave?
Saw tooth appearance with evenly spaced and equally wide waves of equal amplitude
What should the patient remove prior to measuring their height?
Shoes and Hat (or any head wear)
*math problem*
Petunia is measuring a patient's weight, and the scale shows 64.4 kg. Her protocol wants weight to be measured in pounds (lbs). What should Petunia write on the CRF?
141.7 lbs (depending on the protocol, this could also be recorded as 142lbs, 141.7 lbs, etc.)
Nurse Judy needs the most accurate temperature measurement for her patient, which site should she use?
Core: that could be via ETT, foley catheter, or rectal.
Three common causes for sudden spikes in blood pressure
Caffeine, stress, smoking, pain, dehydration, and medications
Debra has a healthy patient and a COPD patient, what is the expected oxygen saturation range for each?
Healthy: 95-100%
COPD: 88-92%