Name the nutrient that thickens blood.
Vitamin K
As the nurse enters the room, the client's oxygen level is 85%. What is the nurses FIRST action?
Check oxygen sensor placement
"Granny, do you even know what Tik Tok is?" This is an example of:
Ageism
What muscle's should the nurse when lifting a very heavy box?
legs
When having a conversation with someone who speaks a different language, the nurse should:
Get an interpreter
What does SBAR stand for?
Situation
Background
Assessment
Recommendation
The client is currently on 2 liters per nasal cannula and has a history of COPD. The current oxygen level is 90%. The nurse can conclude:
This is an expected oxygen level.
Name 3 expected assessment findings for an 80 yo.
increased nail thickening
decreased nail growth
increased hair loss
decreased muscle mass
decreased moistrue
decreased skin elasticity
150
The nurse is caring for a patient who is Jehovah's Witness and has a very low blood count. The nurse understands:
They will need to assess whether the client will accept blood transfusions or not.
The patient asks the nurse, "How are you baby?" This is an example of:
denotation
Name 3 ways the nurse would "break" sterile field.
Turning back on field
Touching non-sterile with sterile items
Spilling water on sterile field
Leaving the room and returning
Dropping supplies
Reaching over the table
The nurse understands a patient may become ______
after being in the ICU without sleep.
confused
Order: 2 mg/kg/day
Available: 10 mg/mL
Client weight: 50 kg
How many ml's will the nurse administer? Round to tenth.
4.5 mL
The nurse understands the BMI indicating a health risk is lower for Asian ethnicities. True or False
True
The nurse asks the client, "How do you feel about going home today?" What communication techniques does this demonstrate?
Reflecting
The clients blood glucose level is currently 50. They remain alert and oriented. What should the nurse do NEXT?
A patient complains of shoulder pain after an abdominal procedure. What kind of pain would this be?
Referred
Order: Administer insulin 1 units/kg/day- Administer BID
Available: 1 unit/ 1 mL
Client weight: 185 pounds
How many units will the nurse give per dose? Round to whole number.
42 units
A spanish speaking patient is grimacing and crying when the nurse enters the room for assessment. The nurse is waiting for an interpreter but would like to treat the pain. What could the nurse do?
Use Wong Baker scale to assess pain
What kind of meals will the nurse offer a client with slowed gastric emptying?
small meals, high in nutrients
Name 3 factors that will increase susceptibility for infection.
not sleeping
chronic illnesses
infancy
daycare and preschool teachers
those on chemotherapy
A patient requests pain medication and states their pain is a 7 out of 10. When the nurse returns to the room, the patient is laying calmly with their eyes closed. What should the nurse do next?
Softly speak to the client and administer the medication as requested.
The nurse understands the best exercise for the elderly to increase muscle mass is to:
Use resistance bands
The nurse understands a patient observing Ramadan will ______________ during sunlight hours.
Fast