CH 30 Bedside HA and Doc Flashcards
At the beginning of rounds when entering the room, what should the nurse do first?
a. Check the intravenous (IV) infusion site for swelling or redness.
b. Check the infusion pump settings for accuracy.
c. Make eye contact with the patient, and introduce him or herself as the
d. patients nurse. Offer the patient something to drink.
c. Make eye contact with the patient, and introduce him or herself as the
During an assessment, the nurse is unable to palpate pulses in the left lower leg. What should the nurse do next?
a. Document that the pulses are nonpalpable.
b. Reassess the pulses in 1 hour.
c. Ask the patient turn to the side, and then palpate for the pulses again.
d. Use a Doppler device to assess the pulses.
d. Use a Doppler device to assess the pulses.
During a morning assessment, the nurse notices that a patients urine output is below the expected amount. What should the nurse do next?
a. Obtain an order for a Foley catheter.
b. Obtain an order for a straight catheter.
c. Perform a bladder scan test.
d. Refer the patient to an urologist.
c. Perform a bladder scan test.
What should the nurse assess before entering the patients room on morning rounds?
a. Posted conditions, such as isolation precautions
b. Patients input and output chart from the previous shift
c. Patients general appearance
d. Presence of any visitors in the room
a. Posted conditions, such as isolation precautions
The nurse has administered a pain medication to a patient by an IV infusion. The nurse should reassess the patients response to the pain medication within _____ minutes.
a. 5
b. 15
c. 30
d. 60
b. 15
During an assessment of a hospitalized patient, the nurse pinches a fold of skin under the clavicle or on the forearm to test the:
a. Mobility and turgor.
b. Patients response to pain.
c. Percentage of the patients fat-to-muscle ratio.
d. Presence of edema.
a. Mobility and turgor.
During an assessment of a hospitalized patient, the nurse pinches a fold of skin under the clavicle or on the forearm to test the:
a. Mobility and turgor.
b. Patients response to pain.
c. Percentage of the patients fat-to-muscle ratio.
d. Presence of edema.
a. Mobility and turgor.
When assessing the neurologic system of a hospitalized patient during morning rounds, the nurse should include which of these during the assessment?
a. Blood pressure
b. Patients rating of pain on a scale of 1 to 10
c. Patients ability to communicate
d. Patients personal hygiene level
c. Patients ability to communicate
