Exam 1 Flashcards
What is a type of health difference that is closely linked to social, economic, and or environment?
Health Disparity
What means the capacity to obtain, process and understand basic health information and make health decision?
Health Literacy
What is the nurse achieving when providing a medical licensed interpreter for a client who does not speak English?
Linguistic Competency (always provide an interpreter for someone who does not speak English)
Your client’s verbal description of their health problems is collected as objective data. True or False?
False
What is objective data?
Data that you can see, touch, and smell (ex. getting vital signs)
What is subjective data?
What someone tells you (ex. someone is having abdominal pain)
What is the nurse performing when asking the client what they preferred to be called?
Courtesy (always ask someone what they want to be called)
An open-ended question is used to seek specific information about a problem. True or False?
False (a closed ended question can be more than yes or no)
What mode of transmission is characterized by germs being carried less than 6 feet?
Droplet
What white blood cell count is expected for a client with an acute infection?
15000 mm3
In which isolation precaution must an N95 be worn?
Airborne precautions
What will the nurse DON after their gown when donning full PPE?
Mask
What is the order of Donning?
Gown, mask, goggles, gloves
What is the order of doffing?
gloves, goggles, gown, mask
What is fowlers position?
60 degree angle
What is supine position?
0 degrees on your back
What is prone position?
laying 0 degrees on your stomach
What physical assessment technique uses touch to gather information?
Palpation
What is Percussion?
Tapping
What is Auscultation?
listening with a stethoscope
What is inspection?
to see
What is the assessment of appearance and behavior?
General Survey
What is an error prone abbreviation?
HS
What does HS mean?
bedtime/half strength
What does PO mean?
By mouth
What does BID mean?
Twice daily
What does PRN mean?
As needed
What temp alteration occurs when pyrogens trigger the immune system causing the hypothalamus to raise temp?
Pyrexia
What task can be delegated related to taking vital signs?
Measuring on a stable client
What assessment finding should the nurse expect fora client with a fever?
Tachypnea
What is Bradycardia?
Slow heart ate
What is hypothermia?
drop in body temp
What is hypotension?
low blood pressure
What is Tachypnea?
abnormal, rapid breathing
What method for taking a temp is the least invasive and most accurate?
Tympanic membrane
What is a risk factor for impaired skin integrity?
Excessive moisture
A client with acute vasoconstriction may have which skin color change?
Pallor
What is cyanosis?
blue skin tone (de oxygenated)
What is Pallor?
Unhealthy pale appearance (less oxygenated)
What is Erythema?
skin redness
What is jaundice?
yellow skin appearance
A client’s skin turgor test reveals tenting for 4 seconds. What does this indicate?
Deficient fluid volume
What is another word for good turgor?
Brisk
What is good turgor?
When the skin returns normal within 3 seconds
What finding is expected in an older adult client?
Decreased skin turgor
What is blanching?
Is when the nail bed turns pale and returns to normal within 3 seconds (pinch the nail bed)
What finding is expected using the ABCDE lesion assessment tool?
Symmetrical
What lesion is solid, deep, elevated, and <1 cm?
Nodule
What is a macule?
<1cm, a freckle
What is a Papule?
<1cm, mole or wart
What is a tumor?
> 1 cm, mass/meleona
What is a Nodule?
<1cm, rheumatoid nodules
What indicates good capillary perfusion?
Brisk capillary refil
What should the nurse do when giving a bath for someone with DVT?
Use light strokes for a client with DVT’s (Deep vein thrombosis)
What is the proper way to wash?
Distal to proximal (clean to dirty)
What action follows nursing guidelines for bathing?
Use a bath blanket
Diabetic toenails should be cut?
Straight across (don’t cut close to the nail bed, file them down)
What does it mean to provide patient centered care?
Try to see a client’s worldview
The nurse provides a bed bath and then asks the client how they feel. Which step in ADPIE is this?
Evaluation
What does A mean? (ADPIE)
Assessment
What does D mean? (ADPIE)
Diagnosis
What does P mean? (ADPIE)
Planning
What does I mean? (ADPIE)
Implementation
What does E mean? (ADPIE)
Evaluation
What role is the nurse performing when assisting the client in getting an advance directive?
Advocacy
A culturally competent assessment includes the clients view of their illness. True or false?
True
What should the nurse do to be culturally competent?
Examine one’s own beliefs
A certified medical interpreter should be used to explain health care information for someone who does not speak English. True or False?
True
What is an example of a question that allows the client to tell their story?
“What brings you here today?”
What type of PPE must be worn when organisms can be spread > 6 feet via sneezing?
N95
What type of heat loss occurs from the transfer of heat from one object to another?
Conduction
A client with hypoxia may have which skin color change?
Cyanosis
What is a risk factor for impaired skin integrity?
Impaired mobility
What attitude is the new nurse demonstrating when looking up hospital policy for infection prevention measures?
Responsibility
What should the nurse do to build a therapeutic relationship with the client?
Use open ended questions
What is the client describing when they state, “My chest feels really tight.”
Quality
How many lbs are in 1kg?
1kg= 2.2 lbs
How many cm are in 1 in?
1 in= 2.54cm
What tool will the nurse use to assess for pedicures captious(lice)?
Comb
A client’s skin turgor test reveals tenting for 1 second. What does this indicate?
Good Turgor
Which is the analysis of the assessment data to determine the actual or potential problem?
Diagnosis
What is the critical thinking model for nurses?
Nursing process
What are the 5 steps in the nursing process?
1.) Assessment, 2.) Nursing Diagnosis, 3.) Planning, 4.) Implementing, 5.) Evaluating
What is a standard of professional performance?
Education
What standard requires inclusiveness?
Equitable practice
What is a QSEN competency?
Evidence-based practice
What is QSEN?
Quality and Safety Education for Nurses
What describes the client as the full partner in compassionate and coordinated care?
Patient Centered Care
An epic worldview is a intercultural encounter from an insider perspective. True or False?
True
An implicit bias is when we are aware of a bias that is present. True or False?
True
What is the process of conducting a self-examination of one’s own biases toward other cultures?
Cultural awareness
What intellectual standard describes communicating what is factual?
Accurate
The most critical source of knowledge a nurse applies to critical thinking is only from the medical record. True or False?
False
What are critical thinking attitudes?
Confidence, thinking independently, fairness, responsibility an authority, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility
Responsibility, discipline, creativity, and curiosity are key components of the attitudes of critical thinking. True or False?
True
What clinical judgement skill causes the nurse to collect, categorize, and clarify data?
Interpretation
What describes the conclusion about a clients needs that leads to taking action?
Clinical Judgement
What strategies should the nurse take to improve critical thinking?
Use a journal to write about the outcomes of clinical judgement, review articles about evidence based practice, find a mentor
What action will the nurse take to perform culturally competent care for a client?
Value the clients life patterns and their meanings
What action will the nurse take when planning care for a client?
Work with the client to set realistic goals
What attitude should the nurse display when practicing patient centered care?
Value seeing health care situations, “through the client’s eyes”
What role is the nurse performing when they call the primary care provider to report a change in a client’s status?
Collaboration
What step in the nursing process is the nurse taking when asking a client for their pain level 20 minutes after administering pain medication?
Evaluation
What QSEN competency is being demonstrated when the staff nurses research and implement new safety guidelines?
Quality improvement
What QSEN competency is being performed when the nurse assesses a client’s need for spiritual support?
Patient Centered Care
After receiving pain medication, a client report’s their pain as not relived. Based on this evaluation, what action should the nurse take, according to the nursing process?
Reassess the client
What role is the nurse taking when discussing the wishes of a critically ill client to the family?
Advocate
While interviewing a client, the nurse will implement patient centered care by?
Sitting face to face and making eye contact with the client
The nurse is documenting client data. What should the nurse identify as subjective data?
Dizziness
The nurse will perform what action when correctly following standard precaution recommendations?
Wear gloves when changing a wound dressing on a client
The nurse is admitting a client diagnosed with Mycobacterium tuberculosis. Which type of isolation will the nurse assign for this client?
Airborne Isolation
The nurse is assessing a group of clients for health disparities. What client is at risk for health disparities?
The client without health insurance
What abbreviation will a nurse question?
U
What nursing action will the nurse perform during a physical exam?
Perform painful procedures toward the end of the assessment
What might the nurse note as an unexpected finding while performing a general survey on a client?
The clients hands are trembling bilaterally, The client is grimacing, the clients speech is rapid
what nursing action will the nurse perform when giving a client a bed bath?
Put the opposite side’s bed rails up when the bed is raised
What temperature measurement site will the nurse use to take the most accurate temperature of a client who is short of breath and diaphoretic?
tympanic membrane
What factor causes an increased risk for decreased circulation to extremities, tissue breakdown, and infection?
vascular insufficiency
What characteristics of a skin lesion will the nurse associate with a carcinoma?
Border irregularity, changing over time, asymmetry, size of 8mm
A client with dark skin who is experiencing a reduced amount of oxyhemoglobin may appear to have a yellow-brown or ashen grey skin tone. True or false?
True
How will the nurse document the client’s single elevated nevus, 0.5cm in size, on the right shoulder of a client?
Macule
The nurse is assessing the integumentary system of an adult client for signs of decreased systemic fluid volume. What intervention will the nurse correctly perform?
Pinch up the clients skin over the mid clavicle or sternum
what will the nurse do while measuring a client’s vital signs?
Assess the equipment to ensure that is working correctly
What will the nurse teach to the client with diabetes mellitus about foot care?
“Trim your toenails straight across”
What scalp problem will the nurses assess for with a tongue depressor or special comb?
Pediculosis Capitis(lice)
