History of Nursing and Vital Signs
This nurse is known as the founder of modern nursing.
Who is Florence Nightingale?
This diet is most appropriate for a patient after bowel surgery.
What is a clear liquid diet?
This federal program provides health coverage to adults over age 65.
What is Medicare?
Which patient requires immediate nursing action?
A. Temp 100.4°F postop day 1
B. HR 110 after ambulation
C. RR 8 with shallow respirations
D. BP 148/92 with headache
What is C?
This admission priority (an acronym) addresses immediate threats to life. (think key assessment points)
Nightingale believed this factor was most critical to patient recovery.
What is a clean environment (sanitation)?
A nurse must notify the provider when a patient consistently eats less than this percentage of meals.
What is 50%?
This act expanded access to healthcare and insurance coverage.
What is the Affordable Care Act?
This assessment finding indicates poor peripheral perfusion.
What is delayed capillary refill?
This nursing action helps prevent infection during bathing.
A blood pressure of 88/56 mmHg would be documented as this condition.
What is hypotension?
Which diet order is most appropriate for a patient with a history of aspiration pneumonia?
What is pureed diet with thickened liquids?
This government agency regulates medications and medical devices.
What is the FDA?
Lung sounds heard in pneumonia may be described as this.
What are crackles?
Bathing provides this benefit beyond hygiene.
What is circulation stimulation/skin assessment?
An adult client with sepsis has BP 86/52, HR 118, RR 28, SpO₂ 94%. Which vital sign best indicates impaired tissue perfusion?
What is BP 86/52?
Which nursing action is most important for a patient receiving enteral tube feedings?
What is verify correct tube placement?
This program assists low-income individuals and families.
What is Medicaid?
This patient is highest priority: stable diabetic, COPD with SpO₂ 86%, postop day 2, or hypertension follow-up.
What is COPD with spo2 of 86%?
This pain description is commonly associated with nerve damage.
What is shooting or burning pain?
A patient with a temperature of 101.8°F (38.8°C) after surgery should prompt the nurse to assess for which complication first?
What is infection or atelectasis?
A nurse suspects refeeding syndrome in a severely malnourished client. Which electrolyte is the priority to monitor?
What is phosphorus?
A nurse explains that hospital-acquired pressure injuries are no longer reimbursed by Medicare because of which policy focus?
What is quality based reimbursements/ value based purchasing?
Physical therapy after a stroke is this type of prevention.
What is tertiary?
Pain is considered this vital sign.
What is the fifth vital sign?