Pain / Comfort
This aspect of pain describes whether it feels sharp, dull, burning, or throbbing.
Answer: What is pain quality?
When using crutches, the top of the crutch should be this far below the axilla.
Answer: What is 2 to 3 finger-widths (or inches) below the axilla?
Sleep apnea commonly causes this daytime symptom due to interrupted sleep.
Answer: What is daytime fatigue?
To begin a 24-hour urine collection, the nurse has the client do this with the first void.
Answer: What is discard it?
Used needles should be discarded in this container immediately after use.
Answer: What is a sharps container?
A post-operative client grimacing is considered this type of pain data?
What is an Objective sign.
During transfer from bed to chair, this device helps promote safety and control.
Answer: What is a gait belt?
A low pulse oximeter reading should be verified first by checking this equipment factor.
Answer: What is probe placement?
This electrolyte imbalance may cause muscle weakness, leg cramps, and dysrhythmias.
Answer: What is hypokalemia?
Contaminated dressings and bloody materials belong in this type of waste container.
Answer: What is a biohazard container/bag?
Guided imagery, repositioning, and relaxation are examples of these pain interventions.
Answer: What are nonpharmacologic pain measures?
When using a walker, the client should move the walker this way before stepping.
Answer: What is a short distance ahead, then step into it?
A client with hypoxia should first be assessed for these two ABC priorities.
Answer: What are airway and breathing?
Excess free water intake can lead to this sodium problem.
Answer: What is dilutional hyponatremia?
This action must be performed after removing gloves, even if the gloves looked intact.
Answer: What is hand hygiene?
Before giving pain medication, the nurse should assess this first because it is the most reliable indicator of pain.
Answer: What is the client’s self-report?
When moving a client, the nurse should bend at these joints instead of the waist.
Answer: What are the knees and hips?
This isolation precaution requires a surgical mask on entry to the room.
Answer: What are droplet precautions?
When assessing orthostatic blood pressure, the nurse checks the client in these three positions.
Answer: What are lying, sitting, and standing?
A UAP says gloves replace handwashing. This statement is this.
Answer: What is incorrect?
A postoperative client is drowsy, grimacing, and has a respiratory rate of 10/min. The nurse should assess these two priorities before giving more opioid medication.
Answer: What are pain level and respiratory status?
This turning technique keeps the head, neck, and spine aligned and is used for clients with spinal precautions.
Answer: What is log rolling?
After repositioning and checking oxygen equipment, a pneumonia client whose oxygen saturation remains low should trigger this next action.
Answer: What is notify the provider?
A coughing client who leaks urine is experiencing this type of urinary problem.
Answer: What is stress incontinence?
For routine wound cleansing, this solution is typically preferred because it is gentle to tissue.
Answer: What is normal saline?