Nursing Process
What are the steps of the nursing process?
ADPIE A=assessment D=diagnosis P=planning I=implementation E=evaluation
1 cup =? mL
240mL
The process of becoming unclean is called:
Contamination
Normal Heart Rate
60-100 bpm for teens and adults
asepsis means
clean technique
Collaborative Interventions are therapies that require:
Multiple health care professionals
1 TBS =? mL
15
Portal of exit for infectious bacteria are:
Blood, body fluids, secretions and excretions
As cardiac output goes up, then BP goes...?
up
Interrelated roles of nurses
communicator, teacher, counselor, leader, researcher, advocate, collaborator
The following statements appear on the nursing care plan for a client after a mastectomy? Incision site approximated; absence of damage or prolonged erythema at incision site; and client remains afebrile. These statements are examples of:
Expected Outcomes
1 TSP =? mL
5
And infection involving the whole body is:
Systemic infection
What part of the brain regulates temp?
Hypothalamus
5 vital signs
respirations, pulse rate, blood pressure, temperature, and pain
A patient tells the nurse, "I have had this dull ache in my side now for 4 days; it really hurts when I bend over." The nurse responds, "All right, go on." The nurse's response is an example of:
A. inference.
B. a cue.
C. back-channeling.
D. open-ended question.
C. back-channeling
quart= mL
960mL
What is not a portal of exit?
Intact skin
Why is the BP cuff size important?
Cuff too small = falsely high BP
Cuff too big = falsely low BP
nonmaleficence
avoid causing harm
A patient has a pressure ulcer resulting from urine incontinence and sustained pressure over her coccyx. The nursing plan of care includes a goal of "Pressure ulcer heals in 3 weeks." Which of the following is an evaluative measure for this goal?
A. Turn patient every 90 minutes.
B. Measure the diameter of the ulcer.
C. Measure the color of patient's urine.
D. Determine patient's report of discomfort during
turning.
B. measure the diameter of the ulcer.
1 kg = lbs.
2.2
When following Droplet Precautions, you need to wear:
A mask when working within 3 feet of the person
Definition: Orthostatic Hypotension
Orthostatic hypotension refers to a drop in systolic pressure of ≥20 mm Hg or diastolic pressure ≥10 mm Hg after changing to a standing position.
beneficence
benefit the patient; balance benefits against risks and harms