WNL
What are the normal fasting blood glucose levels?
60-100mg/DL
How do you take an adult temperature from the ear?
Gently Pull ear up and back
When assessing any patient upon arrival to your unit, what are the first 3 things you will assess with an across the room assessment?
Airway, Breathing, Circulation
What must the nurse do in regards to client confidentiality and how can the nurse protect it?
The nurse must follow HIPAA regulations and not talk about client or their families in inappropriate places.
What is the principle in ethics that respects the patient's rights to be self-governing?
Autonomy
List the nine abdominal regions.
Right/Left hypochondriac, right/left lumbar, right/left iliac, epigastic, umbilical, hypogastric.
How do you take a child's temperature from the ear?
What are the 5 steps of the Nursing Process
ASSESSMENT
DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATION
What assessments should the nurse do prior to ambulating a client post operatively?
The nurse should evaluate the patients level of consciousness, vital signs, and ability to do range of motion. The nurse should assess for orthostatic hypotension.
What is the principle in ethics that is the commitment to promoting a client's wellbeing?
Beneficence
Which organs would be located in RUQ?
liver, gallbladder, bile duct, transverse and ascending colons
When changing an ostomy bag, you see that there is liquid brown stool, what type of ostomy would you expect this patient has?
Ileostomy
What is expected of you when giving report to oncoming shift or a doctor?
Situation
Background
Assessment
Recommendation/Dispo/What is pending
Name 6 types of restraints
Hard Restraints
Soft Restraints
Chemical Restraints
Vest
Mittens
All 4 siderails
What is the commitment in ethics that we make to avoid harm to clients?
non-maleficence
Which organs would be located in LUQ?
pancreas, stomach, spleen, transverse and descending colons
When withdrawing residual from the NG tube, what should we do with the residual afterwards and why?
We need to give it back to the patients
The patient needs calories and you could cause an electrolyte imbalance.
When assessing pressure ulcers, what should you be documenting?
Size
Location
Appearance
Drainage
Overlapping
Bleeding
Tunneling and how deep
How is it heeling?
Redness/swelling/tenderness
Any dressing changes - date and time
What do you do if someone is stuck with a dirty needle?
Wash needle sticks and cuts with soap and water immediately. It should be reported to an employee health department and should be tested at regular intervals for a year and receive appropriate counseling.
Why does the body need protein?
To help rebuild tissue
It produces enzymes, hormones, and other substances the body uses.
Which is why we give pressure ulcer patients high protein diets
Name your central pulses:
Carotid
Apical
Femoral
What does PQRST mean when assessing pain?
Provocative
Quality
Region/Radiation
Severity
Timing
A 5 year old boy presents to the pediatric clinic for a check up. While assessing the patient, you notice scattered bruising throughout the legs and back with multiple stages of healing. What would be expected of the nurse?
The Nurse is expected to call the police and County Welfare Department/Child Protective Services as a mandated reporter.
After finishing any procedure with a patient, what must you assure is done before leaving the room?
Bed at lowest position, side rails up, hand patient the call light
The surgeon will most likely write orders for a client going into surgery to include what preoperatively?
NPO