FINAL EXAM JEOPARDY REVIEW Flashcards
Equipment that the nurse will use to monitor a patient experiencing pyrexia.
thermometer
Best route to assess the temperature of a client who is diaphoretic and unresponsive.
tympanic
Pulse that the nurse will assess on an adult found to be unresponsive and not breathing.
carotid
Physiological response of smoking and caffeine consumption causing an increase in blood pressure.
vasoconstriction
Nurse’s best response when an order says not to give a medication if BP is less than 100 mm Hg systolic and
client’s systolic BP is less than 100.
hold the medication
The next step a nurse should take after finding signs of infection in the wound of a stable client.
notify HCP
Maximum number of side rails on a client’s hospital bed that can be raised legally, without a provider’s order.
3
The nurse’s concern upon observing cyanosis in the foot of a client with ankle restraints.
blood flow/ circulation
Risk for a client with indwelling urinary catheter if the drainage bag is allowed to touch the floor.
infection (urinary tract)
Hand-washing method that must be performed to prevent the spread of C. diff.
soap and water
Technique the nurse will implement to reduce effects of orthostatic hypotension before ambulating a client who has been in bed for several days.
dangling on the bedside
Tool the nurse can use to assess a client’s risk for impaired skin integrity.
braden scale
Technique used to keep a client’s spine stable while repositioning.
log rolling
Tool the nurse can use to assess a client’s risk for falling.
morse scale
Method for cleaning a contaminated body area to prevent spreading infection.
least to most contaminated
Condition for which impaired sensory perception, impaired mobility, shear, friction, and moisture are risk factors.
pressure ulcer development/impaired skin integrity
Abnormal elimination that places a client at risk for skin breakdown.
incontenence
Stage of a shallow open reddish, pink ulcer without slough on the right ear of a client.
stage II
Type of healing required for a Stage IV pressure ulcer.
secondary intention
Type of wound drainage that indicates infection.
purulent
Critical-thinking skill utilized when the nurse reviews the effectiveness of nursing actions.
evaluation
Step of the Nursing Process necessary to develop a plan of care
assessment
Question the nurse should ask when a client reports a medication allergy.
Ask the patient to describe the type of reaction
Type of Nursing Diagnosis that indicates a potential patient response or reaction.
“risk for”
Step of the Nursing Process in which the nurse provides wound care for a client
implement
The best way to assess a client’s fluid-volume status.
daily weights
0.9% sodium chloride (Normal Saline) is this type of intravenous fluid.
isotonic
Condition that causes urinary leakage during coughing or sneezing.
stress UI
Part of the colon affected by fecal impaction.
rectum
Assessment finding the nurse will expect when auscultating the abdomen of a client who has not had a bowel
movement in 3 days.
hypoactive
Least restrictive method of oxygenation therapy.
nasal canula
Type of breathing exercise performed using an Incentive Spirometer.
deep breating exercise
Occurs when muscles or structures of the oral cavity or throat relax during sleep, upper airway is blocked,
diminishing or stopping airflow for up to 30 seconds
obstructive sleep apnea
Chronic difficulty falling asleep, frequent awakenings from sleep, and/or short sleep or nonrestorative sleep.
insomnia
Type of assessment needed to determine effectiveness of a client’s sleep routine.
subjective
Assessment required for a client experiencing pain.
subjective
The reason unlicensed assistive personnel cannot ask a client to rate their severity of pain.
assessment
Impaired hearing due to the aging process
presbycussis
Condition in which the client has difficulty understanding the written and spoken word.
receptive aphasia
The inability to name common objects or express simple ideas in words or writing.
expressive aphasia
Intervention to best assist in educating clients with limited English proficiency about their disease process
trained medical interpreter
Providing nursing care for the whole patient, considering the body, mind, and spirit.
holistic nursing care
Having more roles or responsibilities within a role than are manageable
role over load
How a person thinks about oneself.
self concept
Erikson’s developmental stage at 12 to 20 years, that focuses on finding a sense of self
identity vs role confusion
Recognizes the natural healing abilities of the body; incorporates complementary and alternative interventions.
holistic health model
Involves minimizing the effects of long-term disease or disability through interventions directed at preventing
complications and deterioration.
tertiary prevention
The only type of true prevention in patient care.
primary prevention
The best way to evaluate if client teaching has been effective.
teach back/ return demonstration
Type of learner who learns best with a hands-on approach
kinesthetic
Primary goal is to help patients and families achieve the best quality of life.
palliative care
Type of losses that occur as part of normal life transitions across the life span.
maturational losses
Kübler-Ross stage of dying in which the client would present as withdrawing from others.
depression
Type of grief that involves a relationship that is not socially sanctioned.
disenfranchized
Program that provides care for those expected to live less than 6 months.
hospice
Angle at which the nurse will administer a tuberculin test.
5-15 degrees
How insulin is measured
units
Purpose for having the client rinse their mouth with water after a corticosteroid inhaler treatment.
risk for fungal infection
Fastest route for medication administration.
IV
Number of times a nurse should read medication labels before administering to avoid med errors.
3
Teaching that the nurse will provide to a post-surgical client to best minimize the risk of future infection
hand washing/ hygiene
