CARE
What is a good bedtime drink and snack to promote sleep for a patient?
A warm cup of milk and cheese and crackers.
Where would a nurse place a trochanter roll?
Along the hip to midthigh
What is the first step in counseling for an older adult
Assess for readiness to learn
What is the proper response to a client that is crying?
You are crying. What is bothering you?
What does TID ac mean?
Before meals
The nurse should speak slowly in a low-pitched voice, facing the client.
Which position most contributes to the development of a pressure decubitus ulcer in the sacral area?
High-fowlers position
What is the best way for a nurse to maintain the safety of a three-year old client admitted to the pediatric unit?
Keep the child under constant supervision.
During Ambulation, a client is lightheaded and starts to fall. What is the first action to take?
Slide the client gently to the floor.
What is the term used for a physician that has pre-printed order to use for the routine care of a client after orthopedic knee surgery?
Standing orders
How often should a nurse remove wrist restraints, massage the area and inspect the skin?
Every two hours.
What would contribute to a client's functional alignment for the side lying position?
Why would a nurse sit a client of the side of the bed for several minutes before transferring the client to the chair?
Allow the body to adapt to a drop in blood pressure.
Which syringe (gauge and needle) would a nurse use to administer Regular insulin 4 units subcutaneously to a client with type 1 diabetes mellitus?
27 gauge, 1/2 needle
Where would a client place a sublingual nitroglycerin tablet?
Under the client's tongue
What is the most commonly cause injury in a hospitalized client?
falls
What should a nurse teach a client with hemiparesis when using a cane?
Hold the cane in the strong hand when walking.
What is the first action for a home care nurse to take to prevent falls for an older adult?
Conduct a comprehensive risk assessment
What is the action called of moving a client's lower extremity toward the midline and beyond during range of motion exercises?
Adduction
What is it called when a patient stops breathing for 1-2 minutes periods several times a day?
Sleep apnea
What is the primary reason for a two-hour turning and positioning program for an immobilized bed-bound client?
Maintain skin integrity
Semi-Fowlers
Lateral Sims
Prone
Supine
Semi-Fowlers - individual lies on their back on a bed, with the head of the bed elevated between 30-45 degrees.
Lateral Sims - individual lying on the left side, left hip and lower extremity straight, and right hip and knee bent.
Prone - individual lying flat on their stomach
Supine - individual lying flat on their back
A client is unsure of a surgical procedure and states that he/she is not sure if he/she should have the surgery. How should a nurse respond?
Tell me what concerns you have about the surgery.
What is the best way to respond to a client whose child has died?
Touch the client's hand and say, I am very sorry.
What is it called when a nurse turns the palm of a client's hand downward when performing range-of-motion exercises?
Pronation