Fundamentals
Measures oxygen saturation
What is a pulse oximeter?
The assessment tool is used to show a visual of pain level
What is the Wong-Baker Faces pain scale?
For this medication, the apical pulse must be assessed for 1 full minute, And if the diastolic pressure is below 60 the Provider must be notified?
What is Digoxin.
When placing an NG tube what is the expected pH range to confirm proper placement?
What is a pH less than 5?
Founder of nursing
Who is Florence Nightengale
Practice based on research or clinical experience
What is evidence-based practice?
A full-thickness tissue loss in which the base of the ulcer is covered by slough and/or eschar in the wound bed.
What is an unstageable pressure ulcer?
Which client is at risk for fluid volume excess?
A. The client with intermittent gastrointestinal suctioning
B. The client who is on diuretics and has skin tenting
C. The client with an ileostomy from a recent abdominal surgery
D. The client with kidney disease developed as a complication of diabetes mellitus
D- Reduced renal function is one of the leading causes of excess fluid volume. Diabetes mellitus is complicated by renal disease, which affects the body’s ability to eliminate fluid and causes the patient to retain fluid.
PERRLA
What are pupils equal, round, and reactive to light and accommodation ?
How long should you wait with a patient after administering a blood transfusion?
Trousseaus Sign and Chvostek's are manifestations of what electrolyte imbalance?
Hypocalcemia
Movement away from the midline
What is abduction?
An herbal supplement that is used for memory
Ginko biloba
patient has polydipsia, feels tired, polyphagia , dry mouth, blurred vision, polyuria, what condition is this characteristic of?
Over how long should you transfuse the blood transfusion.
What is 4 hours?
Normal range is 60-100
What is heart rate?
Breath sounds are caused by narrowed passageways in the trachea-bronchial tree by secretions, inflammation, obstruction, or a foreign body
What are wheezes?
the sound you hear when there is fluid in the lungs
What are crackles
When giving an injection, what method do we use to protect the tissues?
What is the Z track method?
When is it appropriate to push potassium in an IV?
what is NEVER? like never, don't ever do this. You will lose your license! Patient will not be ok, they will expire. (Die).
what are the 6 medication rights ?
What is right patient?
What is right dose?
What is right time?
What is right route?
What is right documentation?
What is right drug?
*Bonus* What is right to refuse?
What is the difference between a "head-to-toe" assessment and a "focused assessment"
Head-to-toe is completed when the patient is admitted
Focused concentrates on a particular part of a body
ABG results: pH 7.30, PaCO2 56 HCO3 26
What condition am I?
Respiratory Acidosis
NKDA
What is no known drug allergies?
After abdominal surgery your patient has shallow breathing, diminished lung sounds, shortness of breath, coughing, and a low grade fever. These are all clinical manifestations of what possible condition?
Atelectasis