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Unit 1 and 2 Flashcards | StudBud
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Unit 1 and 2
Unit 1 and 2
25 terms
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StudBud Administration
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#NUR155
Flashcards
25 cards
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Practice quiz
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Questions
25
Answers
1
The client is on droplet precautions, what is taken off second?
goggles
mask
gown
gloves
2
SBAR communication is used to
communicate with the doctor
give a hand off report to the nurse
communicate with another nurse during a transfer
communicate with the patient
3
Which documentation is complete?
Client walked
Client walked this morning and afternoon
Client walked without assistance
Client walked 10 feet without assistance and tolerated well
4
Sterile can only touch clean objects.
True
False
5
Assessment that is normal should be
Reported
Documented
Called to the doctor
Ignored
6
High risk fall clients may require
wrist restraints
rounding every two hours
rounding every hour
rounding every four hours
7
Deflating the cuff too slowly will cause this to the BP reading
Erroneously low reading
Erroneously high reading
Inconsistent measurements
Erroneously high diastolic reading
8
Clinical causes of tachycardia
Temperature 102.3
blood pressure of 120/78
respirations of 20 bpm
pulse O2 sat of 94%
9
Which activity may be delegated to the PCT?
Assessing the skin under the wrist restraint during bed bath
Teaching client how to change simple dressing
Evaluating bowel training program by charting bowel movement
Feeding client with dysphagia a pureed diet
10
Determining a client who has dry skin, poor skin turgor, dark urine, and sunken eyes as dehydrated is using
trial and error
intuition
deductive reasoning
inductive reasoning
11
Nurse assess an elevated, solid, hard mass about 0.5 to 2cm on the skin, this is a
Macule
Pustule
Plaque
Nodule
12
Demonstrating critical thinking to encourage activity, the nurse would
assess clients at the beginning of the shift
Instruct client to move from bed to wheelchair
instruct client to ambulate in the hall
encourage 6 y/o with broken arm to play with playdough
13
Stethoscope is placed on the 5th intercostal space lateral to the sternum, the breath sound is
Bronchial
Bronchovesicular
Tracheal
Vesicular
14
A problem solving approach that relies on a nurses inner sense is
trial and error
problem solving
research process
intuition
15
To provide safe nursing care, the nurse should
have bed in highest position
have call bell in reach
put side rails down to encourage ambulation
lock the wheelchair only
16
Generalizations formed from a set of facts are
inductive reasoning
intuition
socratic questions
deductive reasoning
17
An age related finding related to blood pressure is
A teenager's blood pressure is higher than older adults
A newborn will have a systolic pressure is about 75mmHg
The older adult's blood pressure will decrease
The average adult is 140/90
18
Clinical manifestations of infection include all except
increased temperature
pulse between 60-100
puss draining from wound
increased white blood cell count
19
Adventitious breath sounds located throughout the lung fields that clear with coughing
Crackles (Rales)
Friction rub
Gurgles (Rhonchi)
Wheezes
20
Normoactive bowel sounds can be heard
Every minute
Every one or two minutes
Every 5 to 20 seconds
Every 3 seconds
21
The client with mycoplasma pneumonia must go to xray, what should the nurse do
Go with client to decrease fear
Have client wear N-95 mask
Have client wear surgical mask
Have order changed to portable xray
22
Before assisting client to bed, the caregiver must
Make sure client is wearing favorite robe
Unlock the wheels of the wheelchair
Lock the wheels of the bed and wheelchair
Ask client if they are ready to rock and roll
23
The client has mumps, what transmission base precaution is used?
Contact precautions
Droplet precautions
Standard precautions
Airborne precautions
24
A well written goal statement for a nursing diagnosis is
client will have no pain
client will void regularly
client will walk 50 feet within 12 hours
client will eat breakfast
25
Stethoscope is located at second intercostal space, right of the sternal border
Pulmonic
Mitral
Aortic
Erbs' point