There is a fire in a hospital. Which is the priority action of the nurse?
Activating the fire alarms
Confining the fire
Extinguishing the fire
Rescuing patients in immediate danger
Rescuing patients in immediate danger
The regular temperature range
What is 96.8-100.4 degrees?
The 5 steps in the nursing process in order.
A triangular device that hangs down from a securely fastened overhead bar that is attached to the bedframe.
What is the trapeze bar?
What is the physiological factor that influences a patient’s activity tolerance?
Age
Pain
Depression
Motivation
Pain
The nurse works in a psychiatric unit and understands that the use of restraints may be useful for ensuring patients’ safety. A patient has been advised bed rest, but the patient often becomes anxious and moves out of bed by removing the intravenous (IV) lines. Which chemical restraint would the nurse anticipate the health care provider to order for this patient?
Protective helmet
A mechanical device
Anxiolytic medicines
Immobilizing equipment
Anxiolytic medicines
The nurse determines the appropriate site for measuring a patient’s temperature. Which nursing process is involved in this step?
Planning
Evaluation
Assessment
Implementation
Assessment
What is the benefit of an accurate nursing diagnosis?
It decreases the side effects of medications.
It reduces the cost of treatment to the patient.
It helps ensure effective and efficient nursing interventions.
It prevents further assessment.
It helps ensure effective and efficient nursing interventions.
How is the body alignment and posture of a patient in a standing position different from the body alignment and posture of a patient in a sitting position?
The head is erect.
The spine is straight.
The arms hang at the sides.
The feet are flat on the floor.
The arms hang at the sides
A parent calls the pediatrician’s office frantic about the bottle of cleaner that her 2-year-old son drank. Which is the most important instruction the nurse should give to this parent?
Give the child milk
Give the child syrup of ipecac
Call the Poison Control Center
Take the child to the emergency department
Call the poison control center
The nurse is assessing the rectal temperature of a patient with an electronic thermometer. Which patient position would promote comfort?
Sims’ position
Sitting position
Supine position
High-Fowler’s position
Sims' position
Before consulting with a physician about a patient’s need for urinary catheterization, the nurse considers the fact that the patient has urinary retention and has been unable to void on her own. The nurse knows that evidence for alternative measures to promote voiding exists, but none has been effective, and that before surgery the patient was voiding normally. This scenario is an example of which implementation skill?
Cognitive
Interpersonal
Psychomotor
Consultative
Cognitive
A position where the patient places the weight on the anterior ilium, humerus, and clavicle; different from normal side laying position.
What is the Sims position?
The nurse is asked to assist an elderly patient with ambulation at 5:00 PM. At 5:00 PM, the nurse finds that the patient is distressed and is not oriented to time, place, or self. What is the most appropriate step that should be taken by the nurse?
Postpone the ambulation to another time.
Assist the patient in walking as scheduled.
Ask for help from another colleague to ambulate the patient.
Remove any obstacles on the floor before the ambulation.
Postpone the ambulation to another time.
At 3 AM the emergency department nurse hears that a tornado hit the east side of town. Which action should the nurse take first?
Prepare for an influx of patients.
Contact the American Red Cross.
Determine how to restore essential services.
Evacuate patients per the disaster plan.
Prepare for an influx of patients
Blood pressure readings: (blank) / (blank)
ex: 120/80 bpm
The nurse finds a written order in the intensive care unit (ICU) that states in case of cardiac arrest, epinephrine is to be given to the patient. What type of order is this?
Protocol
Intervention
Prescription
Standing order
The nurse reviews discharge instructions with a patient who has osteoporosis. Which statement by the patient indicates that the patient understands the instructions?
"I will avoid intake of leafy green vegetables."
"I will avoid exercises, because they may cause bone fracture."
"I will reduce consumption of food containing calcium."
"I will stop smoking as soon as possible."
"I will stop smoking as soon as possible"
All the Assistive Devices for walking.
What are canes, walkers, and crutches.
An 80-year-old patient demonstrates some confusion but no anxiety. The nursing assessment reveals that the patient is a fall risk because the patient continues to get out of bed without help despite frequent reminders. Which nursing intervention should be initiated to prevent falls for this patient?
Place a bed alarm device on the bed.
Place the patient in a belt restraint.
Provide one-on-one observation of the patient.
Apply wrist restraints.
The tool that measures oxygen saturation in a patient.
What is a pulse oximeter?
The nurse is caring for a patient who has undergone nephrectomy. Which interventions performed by the nurse require an order from another healthcare professional? Select all that apply.
1 Getting an x-ray of the chest to rule out pulmonary complications
2 Administering an antibiotic to prevent infection
3 Starting an intravenous infusion of normal saline
4 Instructing the patient to splint the incision when coughing
5 Instructing the patient about the side effects of the medication
1, 2, 3
What is a Gait Belt?
While the nurse is talking to a patient, the patient faints and starts to fall. Arrange the steps the nurse takes in the appropriate order to protect the patient from head injury.
1.Gently lower the patient to the floor, protecting the head.
2.Extend one leg and let the patient slide down against the leg.
3.Assume a wide base of support.
4.Put one foot in front of the other to support the patient’s body weight.
3, 4, 2, 1