Safety
A pressure-sensitive device that generates an alarm when the patient's weight is no longer sensed.
Chair or bed monitor
The process of the inner lumen of blood vessels becoming smaller is called?
Vasoconstriction
Jaundice
A method of killing pathogens on sutures, some plastics, and biological material that cannot be boiled or autoclaved is known as....
Ionizing radiation, pg. 410
When performing the assessment steps of setting up a sterile field, after the nurse has found a clean, dry, waist-high area to use for setting up the sterile field, what else should the nurse assess?
Assess the patient for any needs before the procedure, such as toileting or pain medication, to prevent interruptions during the sterile procedure. pg. 415
Less restrictive ways to help patients remember not to get up or to alert the nursing staff if a patient is attempting to do so
Restraint Alternatives; room closest to nurse's station, group activities, bed/chair monitors etc.
_____ is the term used to describe irregular blotches of pallor and bluish-purple discoloration of the skin, a sign indicating that a cold application is too cold.
Mottling pg 343
A nurse is providing care for a patient who was admitted due to stroke. The patient becomes frustrated because of an inability to respond verbally to the nurse's questions. Which terminology should the nurse use to document this complication?
Aphasic, pg 387 (Dysphasia, expressive aphasia, receptive aphasia)
________ refers to the potential presence of pathogens on a sterile field or sterile object resulting from contact with an unsterile surface.
Contamination
When performing an assessment, the nurse inspects the abdomen for______ and ______
Shape and size pg. 404
The______ is the organization responsible for evaluating and accrediting health-care organizations and programs in the United States.
The Joint Commission
Having excessive intracellular and intravascular fluid is referred to as....
Edema
During assessment of your patient, you notice that the patient has numbness of the left side of her face. You would use the medical term_______ to document this finding.
Paresthesia pg 395
Being aware of potential or certain contamination of the sterile field or sterile objects and taking appropriate steps to correct the contamination is referred to as developing a________
Surgical Conscience, pg. 411
When performing a visual screening, which type of chart would the nurse utilize for a client who is non-reading?
Snellen E. Chart. pg. 399 and 407
A form/scale that gives a numerical rating for each patients risk for falls is called a....
Fall assessment rating scale, i.e. Morse Fall Scale
How long does it take a local heat application to achieve maximum vessel dilation?
20-30 minutes pg.338
At what location can you best hear the sound of the aortic valve?
Just to the right of the sternum in the 2nd intercostal space.
A _______ is an area that is free from all microorganisms where additional sterile items can be placed until they are ready for use.
Sterile field, pg. 411
When obtaining a temperature using the tympanic route on an adult patient how would the nurse position the patients ear?
While pulling the pinna (external surface of ear) upward and back in an adult.
Downward and back in a small child.
It is extremely important to apply restraints correctly and to tie them with a _________ to prevent patient injury or even possible death.
A quick-release knot.
How often should the nurse reassess the patient's temperature when giving a tepid (cool but not cold) bath?
Every 15 minutes to determine the effectiveness of the intervention. Stop the tepid bath when the body temperature is slightly above normal because the temperature will continue to decrease slightly after completion of the bath. Safety: Avoid chilling the patient to the point of shivering, which raises body temperature. pg 343
The information that the patient tells you provides you with subjective data that require validation. What are these pieces of subjective date called?
Symptoms pg. 378
Surgical instruments are often double-wrapped in a surgical towel and an outside wrapper and then sterilized in an autoclave. A piece of indicator tape is placed. The person who autoclaves the pack writes their initials and the date and the expiration date on the tape. Evidence that the wrapper has been wet appears as a discolored line at the level reached by the fluids. This is referred to as.....
"Strike-through" pg. 410
When administering perineal care the nurse should assess the skin for ______ and _______.
Excoriation and/or maceration. pg. 259