Safety
Post operatively, what order should the nurse always check prior to ambulating the patient?
Weight bearing status
What would cause someones temperature to increase?
name 2
Infection, dehydration, old age
What precautions would someone with influenza A be on?
Droplet
How Many lobes are in the right lung?
3
What is the proper sequence for performing a head to toe assessment?
What do anterior hip precautions consist of? Name 4
No bending past 90 degrees, do not cross legs, avoid low seats and use raised toilet seats, no twisting, do not step backwards with surgical leg, sleep on the surgical side
What is the normal heart rate parameters?
60-100 BPM
What type of precautions will someone with TB be on?
Airborne, negative pressure room
Where is McBurneys Point? And what diagnosis is associated with pain from this area?
right mid to lower quadrant of abdomen- Appendicitis
What is an expected finding when assessing a patients eyes?
PERRLA
What will the nurse educate her patient on if they have orthostatic hypotention?
Change positions slowly to avoid falls/passing out
What diagnosis requires patients to be weighed daily?
Heart failure
Best way to prevent health care aquired infections?
Hand washing
what part of the eye is the sclera?
The white part of the eye
What is the normal capillary refill time?
Less than 2 seconds
A patient had a MVA with a suspected spinal injury. What position do you expect to receive this patient in?
Prone
What is considered hypertensive? stage 1
130/80-89
What do contact precautions consist of?
Gown and gloves
The uphill movement of a substance through a living cell membrane is called?
Active Transport
What are the five heart valves we auscultate?
Aortic, Pulmonic, Erb's point, Tricuspid, Mitral
You are teaching your patient who had a stroke with left sided weakness how to walk up stairs. Which leg should the nurse tell the patient to go up with first?
"good" leg first
What oxygen reading to you expect from a patient with COPD?
88-92%
What are enhanced barrier precautions?
Patient has an externally dwelling line (foley, picc) potential for HAI- staff gowns to protect the patient.
Patient does not have MRSA/VRE/ESBL/CDIFF
What is infection of the bone or marrow called?
osteomyelitis
What are 2 clinical findings that you may see in a patient with a DVT?
1. swollen calf 2. warm to touch 3. redness 4. pain 5. positive homans sign