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