11-20 Flashcards
You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has kyphosis. This is:
The outward curve of the spin, upper back.
The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?
Full active and painless ROM, no crepitus
You are caring for Mr. Smith who has been admitted following a mechanical fall. You are reviewing his nursing care plan. Which component of the care plan indicates that the patient’s problems have been appropriately described?
Nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule:
LITE assessment - 2 people etc
Correct clothing - footwear etc
No breaks on
The older person’s tendency to take smaller steps with feet too close together will most likely result in:
Falls/fractures
A person with a normal gait should demonstrate all of the below actions, except:
Coordinated movements
Maintains balance
Posture and body alignment during moving
To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right:
Medication Patient Dose Time Reason Route Documentation
What is the term given to an unexpected effect of a medication?
Adverse effects
A nurse administers medication to a patient. Who has the ultimate responsibility for the medication to be administered correctly?
The nurse
While the nurse is administering medication, the patient states, “This pill looks different to what I usually take.” What is the correct practice in this situation?
Identification of patient
Check correct medication
7 medication rights