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NR-226 Week 1 Flashcards | StudBud
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NR-226 Week 1
NR-226 Week 1
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Questions
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Answers
1
What can cause an inaccurate BP reading?
wearing nail polish
pt holding their breath
cold extremities
pt sitting with legs crossed
2
A pt has active tuberulosis. What PPE should be worn when entering the pt's room?
Gown
surgical mask
Goggles
N95 respirator mask
3
The part of the Nursing Diagnosis Statement that indicates the CAUSE of the problem is called the
Defining Characteristics
Etiology
Care Plan
Symptoms
4
Which of the following is an example of objective assessment data?
BP 122/86
anxiety
pain level 7/10
nausea
5
Which step of the Clinical Judgment Model corresponds to the Assessment stage of the Nursing Process?
Generate Solutions
Recognize Cues
Take Action
Prioritize Hypotheses
6
Dave is administering morning meds to his client. What stage of the nursing process is he in?
Implementation
Assessment
Evaluation
Planning
7
A nursing diagnosis that identifies a problem that could happen if certain measures are not implemented is a
wellness
risk-for diagnosis
collaborative diagnosis
psychosocial diagnosis
8
What will help prevent deep vein thrombosis in the immobile client?
Sequential Compression Devices
Increasing fluid intake
Incentive Spirometer
Turn, cough, & deep breathing exercises
9
A pt's VS are BP176/88, T100, P99, R24, O2 sat 89%. He is dyspneic and has pain 9/10. What should the RN address first?
Breathing
Temperature
Pain
blood pressure
10
A nurse uses a blood pressure cuff that is too small for a client. What would be an expected result?
low O2 saturation
An erroneously high blood pressure
An erroneously low blood pressure
elevated pain level