This type of orders are those that are already created by a health care provider for his/her patients who are admitted to a particular unit
What are standing orders
100
This temperature is 1 degree F higher than oral temperature
What is rectal temperature
100
This is the single most important and basic preventive technique that health care workers can use to interrupt the infectious process
What is hand hygiene
100
Lightly place tips of the first and second fingers in groove formed along the radial side of forearm, lateral to flexor tendon of wrist
What is radial pulse
100
The needle is inserted at a 10-15 degree angle and is inserted into the dermis layer of the skin. This route is usually used for allergy and disease screening or for local anesthetic. It is prepared in a TB or 1 ml syringe, using a 25-27 gauge, 3/8-5/8 inch needle
What is intradermal (ID) route
200
This type of order should be carried out immediately
What is STAT order
200
This temperature is 1 degree F lower than oral and is considered the least accurate method
What is axillary temperature
200
This precautions promote hand hygiene and the use of gloves, mask, eye protection, and gowns when appropriate for patient contact
What is standard precautions
200
The nurse is obtaining the pedal pulse (dorsalis pulse) and notes that the pulse is difficult to feel, not palpable when only slight pressure applied. The nurse should document this as what type of pulse type:
What is thready pulse, 1+
200
This injection if delivered to the deepest layer of the skin, inserted at a 45 or 90 degree angle, and is aspirated before injected (unless using heparin)
What is subcutaneous route
300
This organ has a risk of drug accumulation and toxicity in older adults
What is the kidneys
300
abnormal pattern of respiration characterized by alternating periods of apnea and deep rapid breathing and the periods of apnea increase as time goes on.
What is cheyne-stokes respiration's
300
A 45-year-old man is admitted to the hospital with cellulitis of the right foot. Three days later, he develops bacterial pneumonia. This type of infection is classified as:
What is health care-associated infection (HAI).
The infections develops at least 48 hrs after hospitalization or contact with another type of health care facility
300
The nurse instructs the client to lie supine and slighty flex knee with foot resting on the table or bed. Which pulse site is the nurse assessing:
What is popliteal pulse
300
Needle is inserted in a dart-like movement at a 90 degree angle and aspirate before injecting the medication
What is intramuscular route
400
This six rights of medications must be followed each and every time the nurse administers medications
What is the right medication, dose, patient, time, route, and documentation
400
this pressure is the higher number and represents the ventricles contracting, forcing blood into the aorta and pulmonary arteries
What is systolic pressure
400
The nurse is preparing to transport a client with TB (caused by mycobacterium tuberculosis) and instructs the client to put on a mask.
What is Droplet Precautions
400
This pulse represents the actual beating of the heart and is located at the 5th intercostal space to left of the midclavicular line
What is apical pulse
400
This site is used in well-developed teens and adults for volumes of medications not to exceed 1 ml
What is deltoid site
500
There are 3 types of routes of administration and name the forms of each routes
What is enteral, percutaneous, parenteral
500
Inflate the cuff around the patient's arm to compress the artery, which occludes blood flow; then, slowly deflate it, which allows blood flow to resume. While doing this, listen at the brachial artery with the stethoscope to hear pulsating sounds
What are korotkoff sounds
500
In addition to standard precautions, the nurse must put on gloves, and a gown upon entry into the clients room.
What is Contact precautions
500
These are the names of pulse sites. Name them all and demonstrate the location of the pulse sites.
What is the radial, ulnar, temporal, carotid, brachial, femoral, popliteal, posterior tibial, and dorsalis pedis,
500
There are 4 different IM injection sites, name them all and name the 1 that is no longer used (and why)
What is vastus lateralis, ventrogluteal, deltoid, dorsogluteal.