PRIORITY & SAFETY
A patient has an oxygen saturation of 80%. This is the nurse’s first action.
What is raise the head of the bed/apply oxygen (or increase oxygen as ordered)?
This lung sound improves after coughing.
What is rhonchi?
Subjective data is defined as this.
What is what the patient says?
The 5 P’s assess this system.
What is neurovascular system?
Best response to suicidal statement.
What is “Have you thought about hurting yourself?”?
The most sensitive indicator of neurological change.
What is level of consciousness?
This sound indicates fluid overload in lungs.
What are crackles?
Objective data is this.
What is what you observe or measure?
Facial sensation is controlled by this nerve.
What is the trigeminal nerve?
A patient having a myocardial infarction reports pain in the jaw. This type of pain is called
What is referred pain?
First priority after a femur fracture surgery.
What is assessing perfusion/pulse to the foot?
This heart sound is linked to heart failure.
What is S3?
Best communication technique showing genuine interest.
What is active listening?
Strength against gravity only
What is 3/5?
Loud snoring with frequent awakenings suggests this disorder.
What is sleep apnea?
Priority action in post-op patient with fever and distention
What is assess immediately for possible complication?
Breathing instruction to patient for lung auscultation.
What is deep breaths through the mouth?
Best type of question for patient interviews.
What is an open-ended question?
Cranial nerves III, IV, VI control this.
What is eye movement?
Discharge planning for inpatients begins at this time.
What is upon admission (or diagnosis)?
You hear stridor. Your next move is this.
What is call rapid response / emergency team?
rregular rhythm requires using this pulse site.
What is the apical pulse?
First step when any vital reading is abnormal.
What is repeat/recheck?
Uneven shoulders/hips indicates this condition
What is scoliosis?
Mucus in the drainage bag after ileal conduit surgery is this.
What is expected/normal?