Activity and Musculoskeletal
What is the grading score that a nurse would give to a patient who has full range of motion with gravity eliminated?
What is a score of 2
What acronym would a nurse apply to a patient experiencing stroke symptoms?
FAST acronym which stands for face drooping, arm weakness, speech difficulty and time to call emergency medical services.
What would the nurse document non-blanchable redness as?
What is a stage 1 pressure ulcer.
What are the 5 rights of medication administration?
What is right person, right medication, right time, right route and right dose.
A client's report of chest pain would be classified as what kind of data.
What is subjective data.
What types of ROM can the knee complete?
What is flexion and extension
What cranial nerve is responsible for visual acuity?
What is CNII.
What stage would a nurse document for a pressure ulcer that went down to the bone?
What is Stage 4.
What would the nurse instruct the patient to do first when using a metered dose inhaler?
What is inhale deeply and then exhale completely.
What is the best way to prevent the spread of illness?
What is handwashing.
What non-inflammatory condition leads to pain in joint with movement?
What is osteoarthritis.
What objective assessment is used to assess a patient's level of consciousness?
What scale would the nurse use to assess a patient's risk for pressure ulcers?
What is a Braden Scale.
What is the minimum amount of nurse the nurse would expect the adult client to void per hour?
What is 30 ml/hr
A patient with MRSA would be started on what type of precautions?
What is contact precautions.
What degrees would the nurse elevate the bed for low or semi-fowlers?
What is 30 degrees.
What is meant by 20/70 vision?
What is a client can read at 20 feet what a client with normal vision can read to 70 feet.
What macronutrient is most important to wound healing.
What is protein.
What position would the nurse want to use when providing oral care to the unconscious patient?
What is the side lying position.
The nurse would document fluid in the lungs as what type of adventitious breath sound?
What are crackles.
What is the first action the nurse should take when a patient they are ambulating begins to fall?
What is lower the patient to the floor.
What size pupil would the nurse expect upon assessing the client's pupillary response?
What is 3-5mm.
What would bloody drainage from a wound be documented as?
Sanguineous
A client's laboratory data would be classified as what kind of information?
What is objective information.
Where is the pulmonic area located on the chest wall?
What is the left second intercostal space.