Respiratory/Hygiene/Pain/Skin

Front

When teaching a client how to use a peak flow meter at home, what should be done if the reading falls within the yellow marker of the meter?

Back

Use a fast-acting bronchodilator

Front

To detect early signs/symptoms of inadequate oxygenation the nurse would examine the patient for: apprehension and restlessness, cyanosis and cool clammy skin, increase urine output and diaphoresis.

Back

apprehension and restlessness

Front

A patient suddenly develops right-lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient’s pain?

Back

Acute

Front

How should the nurse classify pain that a patient with lung cancer is experiencing? (Location of pain generalized across chest)

Back

Visceral

Front

The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago. Which assessment finding might indicate that this patient is experiencing pain? Heart Rate of 80 bpm, SPO2 95%, Temperature 100.1F, Blood Pressure 160/86

Back

Blood Pressure 160/86

Front

The type of pressure injury seen here is known as: (muscle is exposed)

Back

Stage 4

Front

All of the following are means to prevent pressure injuries except:
- Position changes every 3-4 hours
- Keeping heels suspended on pillows
- Placing cushion devices behind ears for long term oxygen use
- adequate nutrition and hydration

Back

Position changes every 3-4 hours

Front

A patient has just returned from surgery and has staples to the incision. This wound classification is known as:

Back

Primary

Front

What is important to remember when conducting perineal care for a client?

Back

Drape the client appropriately to protect modesty

Front

Which is the correct order when completing a client full bath? Options: Eyes, Face, Chest/Abdomen, Legs, Back, Perineal, Buttocks, Rectum, Back, Chest, Abdomen, Face, Perineal, Legs, Back, Perineal, Face, Eyes, Eyes, Legs, Chest/Abdomen, Buttocks

Back

Eyes, Face, Chest/Abdomen, Legs, Back, Perineal, Buttocks, Rectum