Podcast
Questions and Answers
Which blood pressure reading is most concerning?
Which blood pressure reading is most concerning?
- 120/80 mmHg
- 140/90 mmHg (correct)
- 110/70 mmHg
- 130/85 mmHg
What is considered a routine admission?
What is considered a routine admission?
- An emergency admission
- An admission for observation only
- A scheduled admission planned in advance (correct)
- An admission for a patient transferred from ICU
Which statement from a new graduate nurse requires intervention from a preceptor?
Which statement from a new graduate nurse requires intervention from a preceptor?
- "Nursing assessments are used to monitor patient progress."
- "Nursing assessments are provided to gather information only." (correct)
- "Nursing assessments guide patient care."
- "Nursing assessments help in creating care plans."
An elderly patient is being admitted. What insurance plan are they most likely to have?
An elderly patient is being admitted. What insurance plan are they most likely to have?
A nurse is assessing a well-conditioned athlete. Which finding is expected?
A nurse is assessing a well-conditioned athlete. Which finding is expected?
In an emergency room assessment, what is the priority?
In an emergency room assessment, what is the priority?
A nurse is caring for a client with an oxygen saturation of 85%. What action is most appropriate?
A nurse is caring for a client with an oxygen saturation of 85%. What action is most appropriate?
A nurse is teaching a newly licensed nurse about hospice care. Which statement indicates understanding?
A nurse is teaching a newly licensed nurse about hospice care. Which statement indicates understanding?
A nurse is assessing a client with pneumonia. What is an expected assessment finding?
A nurse is assessing a client with pneumonia. What is an expected assessment finding?
A nurse is teaching about cultural bias and its impact on therapeutic relationships. Which statement should be included?
A nurse is teaching about cultural bias and its impact on therapeutic relationships. Which statement should be included?
When assessing a patient's radial pulse, the nurse should:
When assessing a patient's radial pulse, the nurse should:
What is the first action a nurse should take when assessing a pulse deficit?
What is the first action a nurse should take when assessing a pulse deficit?
Body heat production is primarily conducted by what mechanism.
Body heat production is primarily conducted by what mechanism.
Which of these findings is best described as a coarse, low-pitched rattling lung sound?
Which of these findings is best described as a coarse, low-pitched rattling lung sound?
A Catholic woman has just delivered a stillborn baby. What intervention is most appropriate?
A Catholic woman has just delivered a stillborn baby. What intervention is most appropriate?
Which of the following represents a belief within Catholicism?
Which of the following represents a belief within Catholicism?
Which artery in the body should you NEVER palpate simultaneously on both sides?
Which artery in the body should you NEVER palpate simultaneously on both sides?
When caring for Hispanic patients, what is an important factor to remember?
When caring for Hispanic patients, what is an important factor to remember?
Deep, slow, and labored breathing is classified as which of the following?
Deep, slow, and labored breathing is classified as which of the following?
A client with a terminal diagnosis states, "I will go to church if I survive." According to Kübler-Ross, which stage of grief is the client in?
A client with a terminal diagnosis states, "I will go to church if I survive." According to Kübler-Ross, which stage of grief is the client in?
A nurse is teaching a class about documentation. What aspect of patient care should be documented?
A nurse is teaching a class about documentation. What aspect of patient care should be documented?
Which term describes a slower than normal heart rate?
Which term describes a slower than normal heart rate?
What healthcare setting is for individuals who need health care for a long period of time?
What healthcare setting is for individuals who need health care for a long period of time?
What is the medical term used to describe difficulty in swallowing?
What is the medical term used to describe difficulty in swallowing?
Which of the following is considered personal protective equipment (PPE)?
Which of the following is considered personal protective equipment (PPE)?
Flashcards
Low Oxygen Saturation
Low Oxygen Saturation
Low oxygen saturation; below 90% signals hypoxemia.
Hospice Care
Hospice Care
Care for terminally ill clients focusing on comfort, not curative treatment.
Tachypnea
Tachypnea
Rapid breathing; often seen in pneumonia due to increased respiratory effort.
Cultural Bias
Cultural Bias
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Palpate Radial Pulse
Palpate Radial Pulse
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Verify Pulse Deficit
Verify Pulse Deficit
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Shivering
Shivering
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Rhonchi Lung Sound
Rhonchi Lung Sound
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Stillbirth: Cultural Sensitivity
Stillbirth: Cultural Sensitivity
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Concerning Blood Pressure Reading
Concerning Blood Pressure Reading
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Routine Admission
Routine Admission
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Incorrect Assessment View
Incorrect Assessment View
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Medicare
Medicare
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Bradycardia (in athletes)
Bradycardia (in athletes)
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Airway Priority
Airway Priority
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Catholicism and Unbaptized Babies
Catholicism and Unbaptized Babies
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Carotid Artery Palpation
Carotid Artery Palpation
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Caring for Hispanic Patients
Caring for Hispanic Patients
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Kussmaul Respirations
Kussmaul Respirations
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Bargaining (Grief Stage)
Bargaining (Grief Stage)
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Importance of Documentation
Importance of Documentation
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Blood Pressure Measurement Site
Blood Pressure Measurement Site
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Health History and Blood Pressure
Health History and Blood Pressure
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Activity Before Measurement
Activity Before Measurement
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Cuff Size and Blood Pressure
Cuff Size and Blood Pressure
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Study Notes
- If a client has an oxygen saturation of 85%, encourage them to take deep breaths.
- Hospice care should include that it is for clients who are terminally ill.
- When assessing a client with pneumonia, expect to find tachypnea (abnormally rapid breathing).
- Cultural bias can impair therapeutic relationships.
- When taking a radial pulse, palpate the radial artery.
- When checking a pulse deficit, the first action a nurse should take is to call another nurse for verification.
- Body heat production is primarily conducted by shivering.
- Rhonchi is best described as a coarse, low-pitched rattling lung sound.
- In Catholicism, unbaptized babies do not go to heaven.
- Never palpate the carotid artery in the body simultaneously on both sides.
- When caring for Hispanic patients, it's important to remember that the spiritual and mental aspects of life are highly valued.
- Deep, slow, and labored breathing is classified as Kussmaul respirations.
- A client with a terminal diagnosis stating "I will go to church if I survive" is in the bargaining stage of grief.
- Documentation should include the site of measurement, the client's response, and interventions taken.
- A blood pressure reading of 140/90 mmHg is the most concerning.
- A routine admission is a scheduled admission planned in advance.
- A new graduate nurse requiring intervention from a preceptor says, "Nursing assessments are provided to gather information only."
- Elderly patients likely have Medicare.
- When assessing an athlete, expect to find Bradycardia (abnormally slow heart action).
- In an emergency room assessment, the priority is Airway.
- For a client with an oral temperature of 39.5°C (103.1°F), remove excess clothing.
- A terminally ill client who wants to update their will is in the acceptance stage, according to Kübler-Ross' stages of grief.
- With a temperature of 102°F, expect an increased heart rate.
- If a patient is having their blood pressure measured and the valve is released so it drops by 10 mmHg per second, this indicates further teaching is needed.
- For a client admitted with a productive cough and thick yellow sputum, if at 10:15 AM the client was encouraged to cough and take deep breaths, and is assessed again at 11 AM, expect temperature worsened, pulse improved, respiratory rate improved, and blood pressure remained unchanged
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Description
A review of key nursing interventions and assessments. Topics include oxygen saturation, hospice care understanding, pneumonia assessment, addressing cultural bias, and checking pulse deficits. Also covers body heat production and respiratory conditions.
