Unit 1
For a patient in physical restraints, the nurse should release the restraint & provide skin care every blank.
What is 2 hours.
When assessing pain, the "R" in OPQRST stands for this.
What is radiation or region.
What is X-ray.
Refusing to acknowledge thoughts, feelings, or desires is an example of this defense mechanism.
What is denial.
Active listening, establishing trust, & using restatement are examples of this.
Getting a recommended colonoscopy is an example of this level of disease prevention.
What is secondary prevention.
The nurse will follow this transmission-based precaution when caring for a patient with C-diff.
What is contact precautions.
When providing incentive spirometer teaching to a patient, the nurse should instruct the patient to use the device blank times per hour.
What is 10.
Laughing, sneezing, and coughing are potential causes for this type of incontinence.
What is stress incontinence.
This oxygen device delivers the most precise amount of oxygen.
What is venturi mask.
This act governs access, storage, transfer, & discussion of patient information.
What is HIPAA (health insurance portability & accountability act)
Calculate the following intake in mL's: 6 oz. broth, 1 cup soda, 4 oz. ice.
What is 480 mL's.
Carrots, potatoes, & spinach are food sources for this major electrolyte.
What is potassium.
Muscle weakness, fatigue, & dysrhythmias are signs & symptoms of this electrolyte imbalance.
What is hypokalemia.
If the nurse finds 20 mL of urine output in a catheter bag after 2 hours, he/she should implement this priority action.
What is check the tubing for kinks.
The following is an example of this step of the nurse process: "Patient will achieve O2 sat > 95% within 1 hour".
What is planning
This pressure ulcer stage is described as partial thickness tissue loss of the dermis.
What is stage 2.
This is the preferred site to administer a 3mL intramuscular injection.
What is ventrogluteal.
Signs & symptoms of this imbalance include skin tenting, delayed capillary refill & elevated hematocrit.
What is fluid volume deficit.
Washing the body, placing in natural position, & notifying the provider are all steps of this.
What is postmortem care.
Meaningful relationships & receiving affection is this level of Maslow's Hierarchy of needs.
What is love & belonging.
Irritability, anxiety, confusion, & muscle tension are signs of this sensory alteration.
What is sensory overload.
In this stage of sleep, the patient is easily aroused and HR, BP & temperature are slightly decreased.
What is stage II NREM.
What is sodium.
This electrolyte is essential for the formation of blood clots.
What is calcium.