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NU110finalreview
RN Nursing
| Question | Answer |
|---|---|
| What is the rational for using a bag bath? | To reduce the risk of infection |
| What is the frequency of oral hygiene for an unconscious patient? | Every 2 hours |
| How to prevent aspiration? | HAve the patient sit up for 30 minutes after eating |
| What fruit causes decreased absorption of many drugs? | Grapefruit |
| What is the best way to ascertain NG tube placement? | With an X-ray |
| What does the nurse do when the feeding tube residual is above 200 ml? | Stop feeding when the residual is ever 200 ml + |
| What does a nurse do before administering a bolus feeding tube? | Aspirate & check pH |
| What is indicated when the pH of the fluid in the NG tube aspirate is 7? | The tube is not in the stomach |
| Does the nurse indicate that an incident report was completed in the nurse's notes in the patients files? | No an incident report should never be put in the nurses notes |
| How should documentation be done? | Objectivly and Specificly |
| What should a nurse do when teaching a patient who is complaining of severe pain? | Postpone teaching untill the patient is no longer in severe pain |
| What would a nurse do when taking blood pressure of a patient with hypertension? | Inflate the cuff 30 mmHg higher then where the brachial pluse can no longer be palpated |
| What is slight opacity? | Assessment of pupils revels round shape, light opacity, brisk response to light with bilateral constriction And this finding is abnormal |
| What breathing sounds are fine, medium, and coarse? | Crackles |
| What breathing sounds are high pitched, musical sounds like a squeak, heard continuously during inspiration and expiration? | Wheezes |
| What normal breath sounds are loud,high pitched hollow and heard only over the trachea? | Bronchial sounds |
| What normal breath sounds are soft, breezy low pitched with longer inspiration? | Vesicular |
| What are Kussmaul's respiration? | Abnormally deep, regular respirations, usually at a rapid rate |
| What is an indicater of vascular problems? | BP in right arm is 20 mm lower than BP in left arm |
| What temperature and color are indicative of arterial insufficiency? | Cool & pale |
| What are petechiae? | Pinpoint sized red dots on the skin |
| The diastolic pressure is the same in both the leg & brachial artery. How much higer is the systolic pressure in the leg to the brachial artery? | 10-40 mmHg |
| What is a indication of an arterial insufficiency? | BP in right arm is 20 mm lower than BP in left arm |
| The AP ratio for a patient with COPD would be the same as a childs which is? | 1 to 1 |
| A normal adult AP ratio would be? | 2 to 1 |
| Nitrogen Balance is an indicator of what? | Nutritional status |
| When a nursing is assessing for pallor in a dark skinned patient the nurse should check | the buccal mucosa |
| What is the most appropriate type of bath to give a patient that is exhibiting dementia? | Bag bath |
| When a nurse is assessing for juandice in a dark skinned patient the nurse should check? | The sclera of the eye |
| When a nurse is assisting a patient and the patient begins to fall what should the nurse do? | Help the patient slide to the floor down your leg |
| What does in mean when a patients activity is ad lib. | The patient may ambulate independently |
| What is the proper way to apply elastic stockings? | Inside out from the toes |
| When a patient is using a walker the patient should use what leg to 1st step with | The weaker leg |
| When a patient is using a walker the patient should use what leg to 1st step with | The weaker leg |
| 1 kg = ___ g | 1,000 g |
| 1 g = ____ mg | 1,000 mg |
| 1 mg = ____ mcg | 1,000 mcg |
| 1 L = ____ mL | 1,000 mL |
| 1 mL = ____ L | 0.001 L |
| In the metric system which way does the decimal move when converting lager units to smaller units (example gram to milligram) | Right |
| In the metric system which way does the decimal move when converting smaller units to larger units (example gram to kilogram) | Left |
| 1 teaspoon (t) = ____ mL | 5 mL |
| 1 tablespoon (T) = ____ mL | 15 mL |
| 1 cup = ___ oz | 8 oz |
| 1 gtt = ___ drop | 1 drop |
| 1 ounce (oz) = ___ mL | 30 mL |
| 1 T = ___ mL | 15 mL |
| 2 T = ___ oz | 1 oz |
| 1 t = __ mL | 5 mL |
| 1 cup = ___ mL (___ oz) | 240 mL ( 8 oz) |
| 1 pint = ___ mL ( ___ oz) | 500 mL ( 16 oz) |
| 1 qt = ___ mL (___oz) | 1,000 mL ( 32 oz) |
| 15 grains = __ mg ___ g | 1,000 mg 1 g |
| 1 grain = __ mg | 60 mg |
| 1 Lb = __ oz | 16 oz |
| 1 in = __ cm | 2.5 cm |
| 1 cm = __ mm | 10 mm |
| 1 kg = ___ Lb | 2.2 LB |
| Pallor in a brown skinned patient | yellow-brown color |
| Pallor in a dark skinned patient | ashen-gray |
| Normal pupil reaction | PERRLA P-pupil E-equal R-round R-reactive to L-light and A-accommodation |
| Order of assessment | 1. Inspection 2. Auscultation 3. Percussion 4. Palpation |
| Why is auscultation done before percussion and palpation? | For accuracy of bowel sounds |
| Opioid intoxication | Pinpoint pupils |
| What assessments can be done while a patient is sitting? | Sitting upright provides full expansion of lungs and provides better visualization of symmetry of upper body parts |
| What assessment can be done while laying flat? | Relaxed position, easy access to pulse sites |
| How to assess roles and power structures? | ask "Who makes the most houldhold decisions?" |
| Which nutrient helps with tissue repair? | protien |
| Things to include in a shift change report | SBAR S-situation B-background A-assessment R-recommendation |
| Erikson Trust vs Mistrust | birth-1year |
| Erikson Autonomy vs Sense of shame and doubt | 1-3 years |
| Erikson Initiative vs Guilt | 3 - 6 years |
| Erikson Industry vs Inferiority | 6 - 11 years |
| Erikson Identity vs Confusion | Puberty |
| Erikson Intimacy vs Isolation | young adult |
| Erikson Generativity vs Self-absorption and stagnation | Middle age |
| Erikson Integrity vs Despair | Old age |
| Normal Heart rate (beats per minute)for an infant | 120 - 160 |
| Normal Heart rate (beats per mintue) for a toddler | 90 - 140 |
| Normal Heart rate (beats per mintue) for a preschooler | 80 - 110 |
| Normal Heart rate (beats per mintue) for a school age child | 75 - 100 |
| Normal Heart rate (beats per mintue) for a adolescent | 60-90 |
| Normal Heart rate (beats per mintue) for an adult | 60-100 |
| Breath rates per mintue for a newborn | 30-60 |
| Breath rates per mintue for an infant (6months) | 30-50 |
| Breath rates per mintue for a toddler (2years) | 25-32 |
| Breath rates per mintue for a child | 20-30 |
| Breath rates per mintue for a adolescent | 16-19 |
| Breath rates per mintue for an adult | 12-20 |
| BP infant (1 months) | 85/54 |
| BP 1 year | 95/65 |
| BP 6 years | 105/65 |
| BP 10-13 years | 110/65 |
| BP 14-17 years | 120/75 |
| BP >18 years | 120/80 |
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100001488033671
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