Vital Signs
What is the normal range for adult oral temperature in Fahrenheit?
97.6–99.6°F
What is the first step in a head-to-toe assessment?
Introduce yourself and explain the procedure
What type of isolation is used for tuberculosis?
Airborne
What is the first step in the nursing process?
Assessment
Which pulse site is most commonly used for checking heart rate in adults?
Radial
What does PERRLA stand for in an eye assessment?
Pupils Equal, Round, Reactive to Light and Accommodation
What PPE is required for contact precautions?
Gloves and gown
What step involves setting goals and outcomes?
Planning
What does a systolic blood pressure measure?
Pressure in arteries during heart contraction
What sound is expected when auscultating normal lung fields?
Vesicular breath sounds
What is the minimum time for handwashing?
20 seconds
What is the purpose of the evaluation step?
To determine if goals were met
What is considered a normal respiratory rate for an adult?
12–20 breaths per minute
What does capillary refill assess?
Peripheral circulation
What is the difference between droplet and airborne precautions?
Droplet: larger particles, short distance; Airborne: smaller particles, travel farther
What is subjective data?
Information reported by the patient
Name three factors that can affect blood pressure readings.
Stress, medications, body position
What are the four quadrants of the abdomen used in assessment?
RUQ, LUQ, RLQ, LLQ
Name one disease that requires droplet precautions.
Influenza
Give an example of a nursing diagnosis.
Risk for infection related to surgical incision