Vitals Signs
A patient presents in the ER with an abnormally slow breathing pattern and respirations of 8. What is the term for this patients breathing?
the passage of oxygenated blood moving from the heart to the bodys tissues is known as:
Perfusion
List at least two diagnosis that require mandatory reporting.
Tuberculosis, HIV, foodborne illnesses, Influenza, Hep A-C, Chlamydia, Measles
Immunizations are considered what type of prevention?
Primary Prevention (preventing before it occurs)
What are the 5 steps of the nursing process?
Assessment, Diagnosis, Planning, Intervention/Implementation, Evaluation.
A drop in blood pressure that occurs when a client goes from sitting to standing is known as?
Orthostatic Hypotension
What tests are included in a CBC panel?
RBC, WBC, hemoglobin, hematocrit, and platelets.
Scope of nursing practice that defines the ROLE of the nurse.
American Nurse Association
What are the 5 stages of infection>
Incubation period, Prodromal Stage, Acute, Decline period, Covalascene period.
When you are giving a patient a ordered medication what step of the procces is that considered?
Implementation
What are some factors that can cause an INCREASE in a clients temperatue??
-Infection
-Heat Exhaustion
-Sunburn
-Illicit drugs
-Teething (younger clients)
-Autoimmune diseases
Define Hypoxemia and Hypoxia.
Hypoxemia- low oxygen in the blood
Hypoxia- low oxygen in the tissues
List the 7 roles of the nurse
Caregiver, Educator, Researcher, Advocate, Case Manager, Manager, Leader and Change agent
When a client is placed on AIRBORNE precautions what piece of PPE is necessary to keep yourself safe?
A N95 mask
*all other precautions require surgical mask*
The nurse is performing a shift assessment on a patient and is collecting objective and subjective data. The nurse recognizes which of the following as objective data?
1) Patient complains of a headache.
2) Patient holds her head in her hands.
3) Patient complains of feeling flushed.
4) Patient reports anxiety about hospitalization.
2. The patient holds her head in her hands
(something you as the nurse can visibly see)
List the normal ADULT ranges for
Pulse, Oxygen Saturation, and BP
Pulse 60-100 BPM
O2 95-100
Bp 120/80
Prothrombine Time
Who is considered the founder of modern nursing?
Florence Nightingale
What type of precaution is implemeted for a client with Tuberculosis, Measles, or Varicella?
*hint typically requires negative room pressure
Airborne
A patuent presents with a BP of 190/102 and the doctor orders a medication to lower the clients blood pressure. One hour after adminsitering you come back to check the vitals. The BP is now 120/80. What two steps of the ADPIE process did you do during this scenario?
Assess (taking pt vitals again)
Outcome (checking to see if the planned out come was met)
A patients come into the ICU with extreme signs and symptons of HYPOthermia after a hike on MT everest. What are nursing interventions you can apply to help regulate the clients temperature?
Remove wet clothing, provide warm blankets, more clothing a HAT(bundle up), and fluids if neccesary.
Movement of the muscles and thorax while bringing air INTO your lungs is defined as?
INHALATION
State driven regulatory body that serves as a guide to practicing nurses at a state level.
State Nurse Practice Acts
describes the infection preventions practices applied to
all clients, whether or not they are known to
have an infectious agent
Standard Precautions
The patient will have a 96% O2 reading IN 2 hours shift after implementing oxygen via nasal cannula is an example of what kind of goal?
SMART
specific, measurable, acheivable, realistic, time bound.