Final Review Flashcards
3 factors that may contribute to medication errors
Knowledge deficit
interruptions
pre-pouring meds for multiple clients
The normal for vital signs
BP 120/80
P60-100
T36-38
R12-20
Best way to decrease the potential of a client falling who has orthostatic hypotension.
Sit up slowly, dangle for a few minutes before ambulating
A colleague takes a phone order from a doctor, she asks you to write it out. What is your best response?
Thank her for taking order, here is the chart. Please write it on the doctor’s order sheet.
An MRI has been ordered for your client. What should you report to the physician?
That the patient has a pacemaker
Define “auscultation” “palpation” “inspection” and “percussion”
Auscultation - listen here
Palpations - touch
Inspection - see
Percussion - tap
A patient must remain in bed for several weeks. What action could you do to help prevent the development of pressure ulcers?
Frequent repositioning
Keeping immunizations current, maintain a healthy diet and understand that antibiotics are not for all infections. Is a step to reducing occurrence of infections.
True/False
True
3 techniques to prevent and control infection
Hand washing
Aseptic technique and
Universal standard precautions
What is a gastrostomy tube (G-tube)
A tube inserted through a surgical opening into the stomach
Bradycardia
Pulse below 60 BPM
How can immobility affect the respiratory system?
Causing stasis of secretions that can lead to pneumonia
What form of medication is absorbed fastest by the body?
IV
Using the clock face method is best for someone who is visually impaired.
True or False
True
List 6 fall risk factors
Poor lighting and confusion,
Muscle weakness and polypharmacy Inappropriate Footwear and history of seizures
What position would you put someone in who has dyspnea, orthopnea and severe anxiety?
Fowler’s
List 3 factors the LPN should consider when planning and performing a bath
Temperature of room Type of bath Skin condition Transfer equipment available How much the client wants/needs help Assess for pain
What is one of the best methods of preventing pressure ulcer formation?
Repositioning
Movement
ROM
4 common locations where skin breakdown can occur
Back of head shoulder blades elbows wrist coccyx buttocks heels Pinna of ear
4 food items that may be considered appropriate for a person with dysphagia
Custard pudding scrambled eggs mashed potatoes milkshakes cream of wheat yogurt fizzy drinks
Some best measures a nurse can take to prevent musculoskeletal injury are. (3)
- Incorporate good body mechanics while giving care
- Use principles of ergonomics
- Enlist the help of a co-worker
Subjective data is ______
What client says
Objective data is ______
Measurable
Woman reports to the doctor’s office with complaints of urinary frequency and dysuria. What tests would likely be ordered?
MSU for C&S and R&M
While pouring sterile saline into a sterile basin and it splatters onto the cloth backing this is breaking sterile technique.
True/False
True
When doing a dressing change; how would you remove the old dressing?
Remove tape slowly towards wound
When should you document medication administration?
After you see the client swallow
A nurse would assess for ‘epistaxis’ when doing a dressing change.
True or False
False
Normal flora are bacteria that help do _________.
Maintain health
3 characteristics you assesss when measuring a client’s respirations.
Rate
Rhythm
Depth
Why do we do data collection?
To get a Baseline
Palpating pedal pulses, measuring blood pressure and observing capillary refill:what system would you be assessing?
Cardiovascular
Resident is in the bathroom when you go to give him his meds. What do you do?
Put men’s back in med cart and return once back in bed
Another name for pressure ulcer
Decubitus
Where is the apical pulse located?
Left of the sternum
How does a pathogen get from one host to another?
Mode of transmission
You delegate an HCA to take vitals, you are responsible to review and interpret the results.
True or False
True
A client with dysphasia; it is best to offer thickened fluids slowly
True or False
True
The 10 rights to medication administration
Person drug time route frequency reason refusal education evaluation documentation
5 contributing factors besides ‘pressure’ that assist in the development of skin breakdown
Moisture Shearing Malnutrition Age Friction
A nurse notes that a client has bruising on the anterior aspect of the inner thigh while doing a bed bath. In doing so she is
A) using the skill of palpation
B) exercising one of the caring behaviours
C) integrating her holistic assessment while providing care
D) treating the ailment
C
Client has right side hemiplagia; you are transferring him to the w/c. Where should the w/c be placed?
On left side of bed facing head of bed
What type of infection control measures are used in the hospital?
Standard precautions
Adventitious sounds
Crackles and wheezing
