Week 1 Lab
A nurse is obtaining a client's vital signs. The client has a new onset of a temperature of 39° C (102° F). Which of the following other vital signs should the nurse expect?
An elevated pulse rate
A fever increases metabolic rate and peripheral vasodilation, resulting in an increased pulse rate.
A nurse is caring for a client who has a peripheral edema. The nurse should identify that which of the following nutrients regulates extracellular fluid volume?
Sodium
Which term indicates that a medication is given via an injection?
Parenteral
After completing a procedure that required donning personal protective equipment (PPE) consisting of a gown, an N95 respirator, a face shield, and gloves, which of the following should the nurse remove first when removing PPE Separately.
The gloves
When not in nursing school I can be found refinishing furniture Who am I ?
JACKIE!
A nurse is planning to administer a dose of morphine sulfate IV for a client who is postoperative. What additional drug should the nurse make sure in on hand prior to administering an opioid?
Narcan- Have an opioid antagonist available during the administration.
A nurse is caring for a client who has scurvy. Which of the following vitamin deficiencies should the nurse identify as the cause of this disease?
Vitamin C
You have a handwritten medication order that is difficult to read. Which of the following is the most appropriate action to take to avoid an error in medication administration?
Call the medical provider for clarification of the order.
A nurse should identify that which of the following areas of the hands requires special attention during the prescrub wash?
The area under each fingernail
This person is a car thief!
Actually they stole their own car back!
BRYCE!
A nurse is preparing to assess the pain level of a 4-year-old child. Which of the following pain assessment tools should the nurse use?
FACES
A nurse is caring for a client who is at risk for developing atelectasis. Which of the following actions should the nurse take?
Remind the client to use incentive spirometer
You are giving a patient several PO medications to take. The patient tells you that she can only take one pill at a time. It is appropriate to:
remain at the bedside until you are sure the patient has taken all of the medications.
A nurse should identify that which of the following is the goal of surgical asepsis?
To create and maintain a micro-organism-free environment
This persons perfect meal is: crawfish, red beans and rice, oysters, fried fish, and medium rare steak.
Thats our fearless leader!
David Britsch RN, MSN
A nurse is performing a complete, head-to-toe physical examination for a client. Which of the following physical assessment techniques should the nurse perform first
b. inspection
The first action the nurse should take using the nursing process is to assess the client.
A nurse is planning care for a client who is postoperative. In which of the following positions should the nurse place the client to prevent atelectasis?
Fowler's
What is drug tolerance?
A patient requires an increased dose of medication to achieve continued therapeutic benefit.
A nurse is documenting data about a healing wound on a patient's lower leg. The predominant exudate in the wound is watery in consistency and light red in color. The nurse should document this exudate as
serosanguineous
thin, watery-pink to light red in color
This person thinks they are the most "wise" in the class with 5 wisdom teeth.
Stephanie!
A nurse is performing a physical examination of the spine for an older adult client. The nurse should identify which curvature as common with aging?
kyphosis
Kyphosis, a pronounced "hunchback" curvature of the spine,
A nurse is assessing a client's mobility and notes one of the client's feet drags behind them when ambulating. Which of the following conditions should the nurse suspect the client is experiencing?
Foot drop
A nurse is about to irrigate a client's open wound. Besides gloves, which of the following protective equipment should the nurse wear?
A face shield or goggles
A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with no eschar or slough no exposed muscle or bone. The nurse should document that this patient has a pressure ulcer that is
Stage III
This person started their acting career as an upended turtle in front of their entire high school
Sonia!