You
These precautions should be used for every patient, every time.
Standard
Best prevention in the spread of infection
Hand washing/hygiene
Antibiotics only treat this type of infections.
Bacterial
These pulses should never be palpated bilaterally
Carotid pulses
Anesthesia may cause _______ bowel sounds.
Hypoactive
This would lead to decreased falls.
Prompt answering of call lights
Best position to facilitate respiratory expansion
Head of bed 45 degrees or higher
Obese patients are at higher risk for an elevation in this vital sign.
Blood pressure
Deep somatic
This is a normal hourly urine output.
30 mL/hr
This can be delegated to a CNA when caring for patient with wrist restraints in place.
Checks and releases of the restraints.
Happens when proper flexion of the ankle is lost and permanent plantar flexion of the foot develops
Footdrop
Respirations that are increased in rate and depth with long blowing exhalations.
Kussmaul respirations
Which stage of sleep would cause a person to be difficult to arouse?
Stage IV
Appearance of stools for a patient with ulcerative colitis
Containing pus, mucus, and blood
First step in the PASS acronym
Pull the pin
This temperature measurement route typically reads lower than other routes.
Axillary
Massage releases _______, which are thought to block the transmission of pain.
Endorphins
Loss of both fluid and electrolytes indicates this.
Hypovolemia
Normal appearance of a colostomy
Red, shiny, moist, and beefy
Skin that is softened due to continuous exposure to moisture.
Maceration
A patient with a bacterial infection would result in an increase of this laboratory value.
Neutrophils
A patient with low magnesium and high calcium may also have this electrolyte abnormality.
Low phosphate
This type of healing may be used for a patient with a surgical drain in place.
Delayed primary closure healing
This is a potential problem for a patient with surgical removal of the duodenum.
Decreased ability to absorb nutrients