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Exam 1 NUR 155 Unit 1 and 2 Flashcards | StudBud
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Exam 1 NUR 155 Unit 1 and 2
Exam 1 NUR 155 Unit 1 and 2
20 terms
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#NUR155
Flashcards
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Questions
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Answers
1
Clinical manifestations of infection include all except
puss draining from wound
increased temperature
pulse between 60-100
increased white blood cell count
2
Sterile can only touch clean objects.
False
True
3
High risk fall clients may require
rounding every hour
rounding every four hours
rounding every two hours
wrist restraints
4
Assessment that is normal should be
Documented
Called to the doctor
Ignored
Reported
5
Deflating the cuff too slowly will cause this to the BP reading
Erroneously high diastolic reading
Inconsistent measurements
Erroneously low reading
Erroneously high reading
6
The client with mycoplasma pneumonia must have a chest CT, what should the nurse do
Have client wear surgical mask and appropriate PPE
Have order changed to portable CT
Go with client to decrease fear
Have client wear N-95 mask
7
Stethoscope is located at second intercostal space, right of the sternal border
Aortic
Mitral
Erbs' point
Pulmonic
8
To provide safe nursing care, the nurse should
have bed in highest position
have call bell in reach
lock the wheelchair only
put side rails down to encourage ambulation
9
Nurse assess an elevated, solid, hard mass about 0.5 to 2cm on the skin, this is a
Nodule
Pustule
Macule
Plaque
10
ISBAR communication is used to all of the following except
give a hand off report to the nurse
communicate with the doctor
communicate with the patient
communicate with another nurse during a transfer
11
The client is on droplet precautions, what is taken off second?
gown
mask
gloves
goggles
12
A well written goal statement for a nursing diagnosis is
client will eat breakfast
client will void regularly
client will have no pain
client will walk 50 feet within 12 hours
13
Adventitious breath sounds located throughout the lung fields that clear with coughing
Wheezes
Rhonchi
Crackles
Friction rub
14
Normoactive bowel sounds can be heard
Every one or two minutes
Every 5 to 20 seconds
Every 3 seconds
Every minute
15
Which documentation is complete?
Client walked
Client walked 10 feet without assistance and tolerated well
Client walked this morning and afternoon
Client walked without assistance
16
The client has mumps, what transmission base precaution is used?
Standard precautions
Droplet precautions
Contact precautions
Airborne precautions
17
Stethoscope is placed on the 5th intercostal space lateral to the sternum, the breath sound is
Bronchovesicular
Vesicular
Bronchial
Tracheal
18
Before assisting client to bed, the caregiver must
Unlock the wheels of the wheelchair
Make sure client is wearing favorite robe
Lock the wheels of the bed and wheelchair
Ask client if they are ready to rock and roll
19
Clinical causes of tachycardia
respirations of 20 bpm
pulse O2 sat of 94%
blood pressure of 120/78
Temperature 102.3
20
An age related finding related to blood pressure is
The older adult's blood pressure will increase
The average adult is 140/90
A teenager's blood pressure is higher than older adults
A newborn will have a systolic pressure is about 95mmHg