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?
Anti-platelet medication that comes in chewable form
What is aspirin (ASA)?
NPO
What is nothing by mouth?
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 ?
While studying the antihypertensive drugs, the nursing students learn that the pressure in the cardiovascular system is regulated by various elements. What are they?
Heart rate
Stroke volume
Total peripheral resistance
This lab measures immunity and defense
What are white blood cells (WBC)?
Movement away from the midline
What is abduction?
What is skin?
Hgb
What is hemoglobin?
After reading the doctor’s progress reports, the nurse plans to monitor the client, which states that the patient has “insensible fluid loss of approximately 800 mL daily.” The nurse is aware that one way insensible fluid loss happens is through which form of excretion?
B. Insensible fluid losses are fluid losses that are not easily measured and include fluids from the respiratory system, skin, and water in the excreted stool
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?
Patient outcomes developed during this stage of the Nursing Process
What is the planning stage?
HIPPA
What is the Human Insurance Portability and Accountability Act?
The nurse is caring for a client who has been prescribed an antiarrhythmic agent. What nursing assessment should the nurse prioritize?
Apical heart rate and blood pressure
Item that stores and dispenses medication
What is a Pxyis?
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
Keeps fluid from leaking out of blood vessels, nourishes tissues, and transports hormones, vitamins, medications, and substances throughout the body
What is albumin?
NKDA
What is no known drug allergies?
A client with peptic ulcer disease is experiencing fewer symptoms because of suppression of hydrochloric acid secretion into the lumen of the stomach. What category of medication is this client most likely receiving?
Proton pump inhibitor