All clients or patients are placed on this type of precaution
What is standard precaution
100
An admission assessment must be completed within this amount of time
What is 8 hours
100
A client develops a red macule at the site of a deer tick bite, a rash with round rings around the site, headache, neck stiffness and pain. What might the nurse suspect
What is Lyme disease
100
The branch of medicine that deals with the prevention or correction of disorders and diseases of the musculoskeletal system
What is orthopedics
100
These resemble a cluster of grapes
What is alveolar ducts or alveoli
200
This personal protective equipment should be worn while giving a patient their eye drops (if the patient is on standard precautions)
What are gloves
200
A client complains of dizziness when moving from a reclining position to standing position. What would be the most pertinent assessment for the nurse
What is orthostatic (positional) blood pressure
200
Confusion, disorientation and decreased level of consciousness may occur in severely burned clients related to what
What is airway compromise or fluid/electrolyte imbalances
200
The major disadvantage of an open reduction internal fixations (ORIF) is this
What is introducing infection into the bone
200
This is the primary site of gas exchange
What is alveoli
300
To prevent cross contamination between patients or cross contamination from one site to another, this is necessary
What is hand hygiene
300
Height and weight measurements are essential at every healthcare visit for because of this
What is signal possible onset of alterations the may indicate illness
300
What would be a less than desirable urine output for a severely burned patient
What is hourly urine output below 30ml
300
A client develops a severe muscle strain with a complete rupture. What is the treatment approach that will likely be taken
What is surgical repair
300
This is the purpose of alveolar macrophages
What is to remove foreign particles
400
This isolation is designed to prevent infection in a client who is severely compromised and highly susceptible to infection
What is reverse isolation
400
You would place a client in this position in preparation for a rectal exam for the examination of inflamed hemorrhoids
What is Sims'
400
This is the most important concept for the nurse to use throughout the physical assessment of a patient
What is provide/maintain privacy
400
Compartment syndrome is treated by removal of the cast or dressing and this
What is fasciotomy
400
When administering oxygen to a client with conditions such as emphysema, it is important for the nurse to remember this
What is that the drive to breathe may be dependent on low levels of oxygen in the blood
500
This type of isolation is used for skin infections such as herpes simplex, impetigo, major abscesses, pediculosis, scabies, varicella (herpes zoster)
What is contact isolation
500
In addition to demographic information, client and family medical history, and client health history, what other information would be important
What is the reason for seeking healthcare and the perception of health status
500
A patient with prolonged osteoporosis may experience this as a result of compression fractures
What is loss of height
500
Treatment of a client who has a fat embolism as the result of a fracture would include these
What is bed rest, oxygen and IV fluids
500
This is the hallmark sign of pulmonary edema
What is cough producing copious, frothy, blood-tinged sputum (often appears pinkish)