Vitals
Name the 5 primary vital signs.
Temperature, blood pressure, heart rate, respiratory rate, and SpO2
What is the antidote for opioid overdose?
Naloxone (Narcan)
What does ADL stand for?
Activities of Daily Living
What is the largest organ of the body?
Skin
A nurse is about to give insulin but the patient’s blood glucose is 68 mg/dL. What is the nurse’s priority action?
Hold the insulin and/or treat hypoglycemia
What is a normal adult resting HR?
60-100 bpm
Patients taking warfarin should have which lab monitored regularly?
INR
How often should an immobile patient be rotated?
Every 2 hours
This structure carries oxygenated blood away from the heart to the body.
Aorta/Arteries
A patient has an oxygen saturation of 88%. What is the nurse’s priority intervention?
Assess the patient’s ABCs, then initiate interventions like repositioning and/or applying O2
What does SpO2 stand for? What does it measure?
Peripheral Oxygen Saturation; estimate of amount of O2 in the blood
What class of medication ends in “-pril” and is used to treat hypertension?
ACE inhibitors
What position is best for patients with breathing difficulty?
Fowler’s position
What part of the brain controls balance?
Cerebellum
A patient has full-thickness skin loss with rolled wound edges and undermining. What stage is this pressure injury?
Stage 3
What BP is considered hypotension?
Below 90/60
What is the priority assessment before administering digoxin?
Heart rate
What is the normal adult urine output per hour?
At least 30-100 mL/hr
What electrolyte is most important for cardiac function?
Potassium
A patient involved in a motor vehicle accident presents with chest trauma and severe pain. Upon assessment, the nurse notes paradoxical chest movement. What condition should the nurse suspect?
Flail chest
A patient’s BP reads 152/92 on a machine, but 114/72 manually later. Why?
The cuff may have been too small
A patient receiving IV vancomycin develops flushing, rash, and hypotension. What is this adverse reaction called?
Red Man Syndrome
What are the 5 steps of the nursing process?
Assessment, Nursing Diagnosis, Planning, Implementing, and Evaluation
This system is responsible for producing hormones that regulate body functions.
Endocrine system
A patient with cirrhosis becomes confused and has asterixis (flapping tremor). What complication is suspected?
Hepatic encephalopathy