Unit 4
What are considered health risks for adolescents? (name 4)
Substance abuse, STIs, eating disorders, and pregnancy
The order is for 40 mg of Prednisone PO daily. Available is Prednisone 10 mg/tablet. The nurse would administer how many tablets?
4 Tablets
In what order should an abdominal assessment be performed?
1. Inspection
2. Auscultation
3. Palpation
4. Percussion
What is the cranial nerve associated with motor movement of the tongue?
Hypoglossal (10)
What are the three levels of preventative care?
Primary
Secondary
Tertiary
Who developed the psychosocial theory of development that is comprised of 8 stages?
Erikson
4.25 grams = _____ mcg
4,250,000
What is the most important thing for a nurse to assess before administering oral medications?
Swallowing abilities/gag reflex
Which cranial nerve is responsible for vision?
The optic nerve (2)
What are the 5 rights of medication administration?
1. Right time
2. Right dose
3. Right route
4. Right patient
5. Right drug
What are the 3 stages of gestation?
1. Pre embryonic stage
2. Embryonic stage
3. Fetal stage
A patient weighs 56.2 kgs. How would this be expressed in lbs?
123.64
What are the 3 most common sites of pressure ulcer formation?
Sacrum
Back of heel
Back of elbow
How should you test a patient's cranial nerve 11?
Having them raise their shoulders up and down
What is the order of auscultation of heart sounds?
Aortic
Pulmonic
Tricuspid
Mitral
A culturally competent nurse exhibits what 5 cultural components?
1. Awareness
2. Knowledge
3. Skill
4. Desire
5. Encounters
During a nurse's shift a patient consumes 8 oz of a popsicle, 12 oz of water, and 6 oz of soup from 0700 to 1900. They also voided 6 oz of urine. What is the patient's total input during the shift?
22 oz. (the question asks for input, output is not factored in)
Sharp pain felt along the costovertebral angle is generally a sign of _____ inflammation?
Kidney
A patient does not pass the Romberg test. Which cranial nerve is not intact?
Cranial nerve 8 (vestibulocochlear)
What does PERRLA stand for?
Pupils are Equal Round Reactive to Light and Accommodating
The 5 elements of the critical thinking model in nursing are?
1. Competence
2. Knowledge
3. Experience
4. Attitudes
5. Standards
A patient comes in with a DVT and is ordered to be started on a Heparin drip @ 25 units/kg/hr per the doctor's order. His weight is 72 kg. The heparin infusion comes in a 500 mL bag with 20,000 units. What should the starting rate of infusion be? (mL/hr)
45 mL/hr
1. Shear force
2. Altered consciousness
3. Impaired sensory perception
4. Friction
5. Moisture
6. Impaired mobility
A nurse notices that the patients eyes do not follow the pen light as she brings it close to the patients nose. Which cranial nerve is not intact?
6 (Abducens)
What is the only population that tends to present with a fever when infected with a common cold?
Children