Take Your Position
The name for a patient lying flat on their back?
Supine
Normal range for adult heart rate (pulse)
60-100 bpm
Your client consumed:
4 oz of Jello
9 oz of Apple Juice
16 oz of Diet Mountain Dew
3 Red Bull drinks of 200 mL each
How many mL did they consume in total?
What 2 Vital Signs are you going to check next?
1470 mL
Their pulse and BP
Round 376.436 to the nearest hundredth
376.44
The order in which a nurse should assess a client's lower abdomen?
Look for any unusual lumps or bulges.
Auscultate bowel sounds in 4 quadrants
Palpate the abdomen in 9 regions
The position many women with epidurals give birth in?
Lithotomy
What is the "6th" Vital Sign & how do you measure it?
Pain
0-10 scale
Your client had 1200 mL of pale yellow urine in their foley catheter that you just discontinued. Then they voided in a toilet hat 400 mL 2 hours later. They then vomited 75 mL after drinking some juice. What is the total output in mL?
1675 mL
Convert 3 tsp into mL
3 tsp x 5 mL = 15 mL
Your patient weighs 140 lb. How much do they weigh in kg? Round to the whole number if necessary.
kg = 63.636
= 64 kg
The position when the head is lower than the feet?
Trendelenburg
What is SPO2?
Oxygen saturation
Your client vomited 300 mL, then tolerated 500 mL of water & 8 oz of juice. What is the client's current fluid balance in mL?
- 300 mL + 500 mL + 240 mL
= 440 mL
Order is Lasix 40 mg PO
Pharmacy sent Lasix 80 mg tablets
How many tablets will you give?
Round to the tenth if necessary
tabs = tab/80 mg x 40 mg
= 0.5 tabs
Name 5 anatomical regions to palpate a pulse.
Carotid
Radial
Brachial
Femoral
Popliteal
Dorsalis Pedis
Posterior Tibial
The position when a client is sitting very upright in bed?
High Fowlers
What is the term for an adult respiratory rate that is less than 12?
Bradypnea
Calculate your client's intake in mL.
0.5 L of water
12 oz of orange juice
4 oz of jello
140 mL of soda
0.5 L = 500 mL
500 mL + 360 mL + 120 mL + 140 mL
= 1120 mL
Order is 1000mg of Tylenol TID
Safe Dose Range is 20 - 30 mg/kg/dose
The patient weighs 50 kg
What is the calculated Safe Dose Range?
Is the dose Safe or Unsafe?
mg=20mg/kg x 50kg/1
= 1000
mg=30mg/kg x 50kg/1
= 1500
Safe
What is the anatomical landmark of an Adult Apical Pulse?
Mid-Clavicular 5th Intercostal space
A degree of 45 means the client is likely in what position?
Low Fowlers
Your patient has an irregular pulse when you palpate their Radial Artery. What should you do next?
Take Apical Pulse (heart rate) for 1 minute with a stethoscope
What is your client's output during this 12 hour shift?
Lost 30 mL of Blood from nose bleed
Voided 400 mL
Vomited 120 mL
550 mL
The is an order for Morphine 5 mg PO TID. How many mg would the patient get in 2 days?
mg=5mg/8hrs x 48hrs/1
=30 mg
mg=5mg/dose x 3 doses/day x 2 days
= 30 mg
Stethoscopes have 2 sides you can use to auscultate different sounds. What are the 2 names, and what type of sounds do you use them for?
Diaphragm - all sounds like S1 S2 sounds (normal), bowel & lungs
Bell - picks up lower pitch sounds like S3 S4 Murmurs in the heart