Exam 1 Material
The site best for measuring core temperature
What is the rectal site?
The pacemaker of the heart
What is the sinoatrial node?
Sequence of the abdominal assessment
What is inspect, auscultate, percuss, and palpate?
Order: Azithromycin (Zithromax) 20 mg/kg/day po in 2 divided doses
Patient weighs: 115 lbs
Available as: Zithromax 250 mg capsules
The nurse is going to administer this many capsules per dose.
What is 2 capsules?
What is pull the ear up and out?
This error will occur if the blood pressure cuff is too large on a patient who is very frail and thin
What is reading will be lower than the actual blood pressure?
During the nursing assessment, a patient tells the nurse that his feet are always very cold and painful. This information raises concerns about the patient's peripheral circulation. Now the nurse will do the following.
What is assess the pedal pulses
rationale: This would help determine the quality of blood flow to the lower extremities.
Initial and subsequent verification of NG Tube placement
What is x-ray and ph or CO2 ?
A patient is to receive gentamicin 2.5 mg/kg IV every 8 hours. The client weighs 60 kg and the pharmacy sends 80 mg/2 mL vials. I want you to tell me the amount of mLs the nurse will administer.
What is 3.75 mL ?
The only place that a blood thinner can be injected and the type of injection it is
What is the abdomen and a subcutaneous injection?
The nurse enters a client's room to find the client diaphoretic (sweat-covered) and shivering and suspects the client has a fever. Tell me the nurses best follow up for this cue and inference.
What is measure the clients temperature ?
A patient has warmth and redness over their calf.
What is an indication of DVT
Provide the definition and an example of the following: isotonic, isometric, and isokinetic exercises
isotonic : involves muscle length change with constant tension (lifting weights)
isometric: involves constant muscle length with no joint movement (plank)
isokinetic: contraction at a constant speed using specialized equipment (like a Biodex machine)
A patient on a medical-surgical unit has a new case of the flu. The MD orders Ibuprofen 600 mg po q6h PRN fever. The medication is available as Ibuprofen 200 mg/mL. The maximum daily dose is 3.2 g. I want to know the number of mLs to administer per dose (round to the nearest whole number), the amount of milligrams per day will the patient receive if this medication is taken as prescribed(round to the nearest whole number), and if the dose is safe.
What is 3 mL, 2400 mg, and yes
The anatomic sites for auscultating heart sounds in order and of them, the site to assess the point of maximal impulse
What are the Aortic area, Pulmonic area, Erbs Point, Tricuspid area, and Mitral ares and the mitral area for apical pulse
I am assessing 4 patients and I want you to tell me who is more likely to have a heart rate of 55 bpm. Patient A is a 70-year-old telephone salesman who is dehydrated. Patient B is a 20-year-old runner who had surgery 4 days ago for a fractured leg. Patient C is a 67-year-old who presented with an exacerbation of his COPD and Patient D is a An infant who has a temperature of 101°F. nurse is assessing a patient with a heart rate of 55.
A nurse in the emergency department is assessing a patient who reports the following symptoms: mild shortness of breath, a severe headache, chest pain rated 7 out of 10, and nausea. The nurse is going to prioritize this assessment
What is assess the severity and characteristics of the chest pain
rationale: Chest pain could indicate a life-threatening condition, making it a priority for assessment
Flow rates and concentration (FiO2) for each O2 delivery device: Nasal cannula, Simple Face Mask, Venturi Mask, High Flow Nasal Cannula, Non-rebreather
Nasal cannula: 1-6 L/min ; 24-44%
Simple Face Mask: 5-10 L/min ; 40-60%
Venturi Mask: 4-8 L/min ; 24-50%
High Flow Nasal Cannula: 30- 60 L/min ; 21-100%
Non-rebreather: 10-15 L/min ; ~65-100%
A nurse is preparing to administer acetaminophen to a 4-year-old who weighs 40 pounds and has a fever of 102.4°F. The provider orders 10 mg/kg every 6 hours PRN. The liquid suspension is labeled 160 mg/5 mL. I want to know the amount in mLs the nurse should administer per dose rounded to the nearest tenth.
What is 5.7 mL?
A patient presents with petechiae on the lower extremities. The nurse understands this is caused by
What is capillary bleeding ?
Two nurses collaborate in assessing an apical-radial pulse on a patient. They discovered a pulse deficit of 18 beats/min. They know that this indicated...
What is not all of the heartbeats are reaching the periphery.
The nurse is completing a cardiac assessment on a client with a history of a murmur. Tell me the position that would be most appropriate in order to best auscultate the murmur
What is left side lying?
rationale: This position allows better auscultation of murmurs due to improved heart sound transmission.
An 65-year-old male w/ COPD is admitted with ARDS. SPO2 is 85% on r/a. The MD orders O2 therapy to maintain sats between 88-92%. The oxygen delivery that is most appropriate would be...
What is a venturi mask ?
rationale: Precision oxygen delivery. Prevents hypercapnia.
Order: Vancomycin 600 mg IV daily
Available as: Vancomycin 250 mg/mL.
I am going to administer this number of mL to my patient.
What is 2.4 mL ?
A bruit indicates
What is turbulent b blood flow d/t narrowing?