Tell The Nurse

Question 1

General observations RTN

Answer 1

Change in patient’s condition
Patient’s response to new treatment
Patient’s complaints of paint/discomfort
Patient’s refusal of treatment
Patient’s request for clergy

Question 2

Body temp changes RTN

Answer 2

Patient’s temp is higher/lower than normal

Have difficult taking/reading temp

Question 3

Pulse problems RTN

Answer 3

Patient’s pulse rate is higher/lower than normal
Patient’s pulse rate is irregular or weak
Have difficulty taking their pulse

Question 4

Respiration problems RTN

Answer 4

More or less than 10-24 breaths/min
Respiratory pattern is irregular
Shallow or very deep breathing
Painful or difficult breathing 
Noisy breathing
Chest does not rise equally on each side

Question 5

Blood pressure problems RTN

Answer 5

BP higher/lower than normal

Difficult measuring BP

Question 6

Cleanliness RTN

Answer 6

1-Equipment or furniture causes injury or isn’t working
2-Patient is storing unwrapped food
3-Complaint of personal item lost
4-If patients items broke bc of me
5-Bathroom area is not cleaned
6-A lingering odor
7-Patient’s independence is obstructed bc of the room

Question 7

Signs of complication of immobility RTN

Answer 7

1-Reddened skin usually at bony areas that does not return to normal color
2-urinate/bowel incontinence

Question 8

Problems with ambulation (walking) RTN

Answer 8

1-Complaints of dizziness, shortness of breath, chest pain, palpitations, head pain
2-Changes in strength, ability, usual grip
3-Cooperative patient refuses to participate

Question 9

Assisting with oral care RTN

Answer 9

• patient has dry red cracked bled lips
• cracked, loose, blackened teeth
• poorly fit, chipped dentures
• bad breath after oral care
• fruity smelling breath (sign of diabetes)
• red, white, swollen tongue

Question 10

Assisting with perineal care RTN

Answer 10

• red, inflamed, rashes in perineal area
• unusual discharge
• bleeding from anus or vag
• abnormal color

Question 11

Pressure ulcers RTN (4)

Answer 11

1-pale or reddened area with no normal color change within 5 min
2-previously reddened area is hot or painful
3-preciously reddened area now pale, white, or shiny
4-pressure ulcer change in size/depth

Question 12

Hand care RTN (7)

Answer 12

1-pale/blue nailbeds
2-bruised nailbeds
3-unusual white/yellow nails
4-usual thick nails
5-broken nails or cut too short
6-torn/red/swollen cuticles
7-rashes

Question 13

Foot care RTN (7)

Answer 13

1-pale or bruised nailbeds
2-yellow/white or thick or broken or cut too short nails
3-cracks or peels in the skin
4-ingrown toenails
5-unusual odors
6-itch or burn patient complaint
7-blister redness tender feet