Vital Signs and Hygiene
An abnormally fast pulse; HR > 100 bpm in an adult
What is tachycardia?
The toes are allowed to fall toward the foot of the bed, the proper dorsiflexion of the ankle is lost resulting in permanent plantar flexion of the foot
What is foot drop?
Where cyanosis in dark skinned people can be most easily detected
What is mucous membranes?
Fat-soluble vitamins
What are vitamins A, D, E, and K
If you can pinch an inch, this degree used with a subcutaneous injection
What is 45 degrees?
the longer, lower-pitched sound known as the S1 or “lubb.”
What are the tricuspid and bicuspid valves closing? d
This critical in preventing the spread of infection
What is handwashing?
A decrease in blood pressure that occurs when a patient changes from a reclining or flat position to an upright position, such as sitting or standing
What is orthostatic hypotension?
50-60% found in bones; rest in the cells. Assists with nerve conduction, normal range 1.3-2.1 mEq/L
What is magnesium?
BMI is between 25 and 29.9
What is overweight?
The abdomen is the preferred site of injection for this
What is heaparin?
Actions performed by the nurse to prevent complications of immobility
What is passive range of motion
Hand washing, using PPE patient care & cough etiquette
What are standard precautions?
Communication for continuity of care, to provide a permanent record of patient care, to record of accountability and as a legal record for the patient and provider
What are the purposes of documenation?
The first step of 24-hour urine collection.
What is discard the urine specimen and document the time?
25 - 35 grams recommended daily
What is fiber?
Instruct the patient to inhale deeply as he or she depresses the canister, then hold the breath for 10 seconds.
What is instruction for using a metered-dose inhaler?
The nurse pulls the pinna down and back when giving ear drops
What is a child < three years of age?
The first sound heard when taking a blood pressure
What is systolic?
Admission record, care plan, nurses notes, lab results, history & physical, medication administration record, physician progress notes, and discharge planning
What are source-oriented medical records?
It is the amount of time a patient must voids after removing an indwelling catheter
What is 8 hours?
The number of milliliters in a cup?
What is 240?
Use this size for the average adult; not used for thick & viscous medication
What is 1 to 1 ½ inches (2.5 to 3 cm) in length, with a gauge size between 20 and 22 G (1.1 to 0.7 mm)
Used to determine circulation to the leg, cardiac arrest
What the femoral artery
Surgical asepsis refers to using this type of equipment
What is sterile equipment
A condition that occurs after 4 to 6 days of immobility
What is muscle atrophy?
Labored respirations, presence of crackles in the lungs, weight gain, peripheral edema, coughing, increased blood pressure and heart rate, jugular vein distension (JVD), and bounding pulse
What is fluid volume excess?
Examples of full liquids include milk, pudding, and ice cream.
What is a full liquid diet?
Crushing this will cause the patient to receive all of the drug at one time, leading to severe adverse effects and possible overdose.
What a sustained-release tablet?
Nursing judgment, Caring, Communication, Professionalism and Leadership
What are the concepts upon which the PN program are built?
The normal rate for adults is 12 - 20
What is respiration rate?
Notes written by health-care providers that focus only on abnormal findings; normal findings are not charted, and checklists are used for routine care
Works best with EHR
What is charting by exception?
Hidden or not visible blood in the stool
What is occult blood?
Primary nutritional source of energy; 4 kcal per gram
What are carbohydrates?
A palpable raised and hardened area where the P.P.D. was injected. If blisters are present, they also indicate a positive result.
What is Induration?
The emergence of modern nursing attributed to this lady
Who is Florence Nightingale?