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WorksheetsEnd of Quarantine !!
Total questions: 58
Worksheet time: 29mins
The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the intervention, demonstrates evaluation?
Instructing the client the importance of mobility
Arranging the pillows behind the client's back
Checking the client's respiratory status
Changing the rate of flow for the oxygen delivery system
Which statement is correctly stated as an expected client outcome?
Client will ambulate safely.
Client will be able to safely walk down the hallway.
Nurse will assist the client with ambulation three times daily.
Client will ambulate with assistance to nurse's station on second postoperative day.
The nurse is caring for a one day postoperative client with a new colostomy. What nursing diagnosis would be the primary concern for the nurse?
Activity intolerance
Ineffective Health Maintenance
Impaired bowel elimination
Ineffective coping
The nurse knows which intervention is a dependent intervention?
Obtaining a client's BP
Massaging a client's back
Administering medications to a client
Assessing a client's lung sounds
The nurse is caring for a client recovering from a CVA (cerebrovascular accident). When reviewing orders, the nurse notes that a healthcare provider has written an order for the client to ambulate, while another has written for strict bedrest. What is the most appropriate nursing intervention?
Collaborate with the physical therapist to determine if the client can ambulate
Assess the client to determine the client's ability to ambulate
Instruct the client to clarify with the healthcare provider ambulation orders
Clarify ambulation orders with healthcare providers
One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?
Discuss the frequency of pain medication orders with the client.
Assess the client to determine the cause of the pain
Consult with the healthcare provider for additional pain orders
Assist the client to reposition and splint the incision site
A nurse is caring for for a client who states: "I have to check with my wife and see if I am ready to go home" The Nurse Replies "How do you feel about going home" This nurse is using what technique?
PACING
REFLECTING
PARAPHRASING
RESTATING
Which of the following statements would a nurse use to establish helping relationship with a client?
Make sure the communication is reciprocal between the patient and the client
Encourage the patient to communicate his thoughts and feelings
Give the nurse client communication no time limits
allow communication to occur spontaenously throughout the client relationship.
True or False: When a nurse is communicating with the client the nurse should not take inventory on their own thoughts, feelings,and biases.
True
False
True or False: Does the nurse have a right to refuse an assignment that they feel they are not comfortable with?
True
False
In which city can you visit this Royal Pavilion?
London
Oxford
Brighton
Toronto
Where can you see this building?
New York
Bristol
New Orleans
Cardiff
Where is this?
Wellington
Manchester
San Francisco
Cape Town
Where can you find most Banksy street art?
Philadelphia
York
Bristol
London
In which city can you visit this Tower?
Toronto
Las Vegas
Melbourne
Bath
Which city is famous for this University building?
Cambridge
York
London
Oxford
Where can you listen to the most amazing operas?
Perth
Sydney
Adelaide
Darwin
What is the name of this Scottish city?
Glasgow
Aberdeen
Edinburgh
Dundee
Where can you visit this beautiful cathedral?
Birmingham
Canterbury
London
Chester
In which English city can you go punting?
Cambridge
Liverpool
Wakefield
Preston
Which city can you see in this photo?
Melbourne
Canberra
London
New York
What is the name of this famous bridge?
London Bridge
Millennium Bridge
Westminster Bridge
Tower Bridge
Where is Stonehenge - a massive stone monument dating back to 3100 BC - located?
Berkshire
Wiltshire
Hertfordshire
Herefordshire
What sport is usually played at Lords and The Oval?
Football
Hockey
Rounders
Cricket
Things that are observable through the senses (measurable).
tactile data
Objective data
measurements
subjective data
normal systolic and diastolic range
systolic: 60-80 diastolic: 90-120
systolic: 90-160 diastolic: 50-90
systolic: 90-120 diastolic: 60-80
systolic: 80-150 diastolic: 40-90
Choose all the factors which can decrease bp
decrease heart contraction
constipation
decreased blood volume
dehydration
hemorrhage
Choose all the factors that can increase bp
hemorrhage
pregnancy
exercise
hx of heart attack
arteriosclerosis
Force exerted by the blood against artery walls during ventricle contraction
pulse pressure
systolic pressure
cardiac output
diastolic pressure
what is pulse pressure and what is the normal range of it
deficit between the apical and radial pulse, 20-25
pressure felt on the temporal lobe, 1-10
radial pulse rate, 60-100
difference between the systolic and diastolic pressures, 30-50
Sounds heard during bp reading as you deflate the cuff are known as:
Korotkoff's sounds
pulses
heart beats
cheyne's stokes
First step in measuring bp
inflate cuff to 160 mmHg
Palpate distal pulse to the cuff,inflate to 70, slowly inflate till you can no longer palpate the pulse
place stethoscope over brachial pulse and begin auscultation while inflating the cuff 30mmHg above previously recorded number
slowly unscrew the valve and release air 2-3 mmHg per second while listening for Korotkoff's sounds
Define auscultatory gap
gap between your two front teeth
20-30 mmHg gap that can be heard in the korotkoff sounds
a gap that can be heard in between lub and dub
indention of the nasal cavity
what is orthostatic hypotension(postural)
drop in bp 15-25 mmHg systolic or 10mmHg diastolic with position changes
running out of breath with activity
dizziness with position changes
decrease bp due to weakened bones
Normal temperature range
97.9-100.1 F
90.1-100 F
36 to 38 C
96.8-100.4 F
Production of heat by our body.Product of metabolism
thermoregulation
homeostasis
thermogenesis
thermometer
What is the most accurate non-invasive route of temperature assessment?
rectal
oral
tympanic
temporal
Where do you place the thermometer when assessing an oral temp?
on the tongue
in the mouth
sublingual pocket
in the ear canal
How far do you insert the probe for a rectal temp?
1-1.5 inches
3 inches
1/2 inch
5 inches
contraindications for rectal temp assesment
diarrhea
hemorrhoids
chicken pox
risk of perforation
rectal surgery
signs of fever
diarrhea
flushed face
dry hot skin
glassy/droopy eyes
myalgia
nursing interventions for fever
assess vitals q2h
small frequent meals
limit activity
use minimal covers unless shivering occurs
apply cloth covered ice packs to groin/axillae are and forehead(avoid shivering)
normal pulse rate
50-90 bpm
40-60 bpm
100-160 bpm
60-100 bpm
When the radial pulse is different than the apical pulse.
auscultatory gap
pulse deficit
korotkoff's sound
cardiac output
Which peripheral pulse site is used in CPR and should not be palpated both at the same time?
brachial
temporal
femoral
carotid
What 3 things will you assess during a pulse assessment?
rate,depth,effort
murmur,systolic,diastolic
rate,rhythm, strength
cap refill,turgor,color
If a pulse is not detectable or absent..whats the next step?
palpate for the next proximal pulse in the extremity,proceeding up the limb until a pulse is palpable
use a doppler
call the doctor
suggest amputation
If the lub dub in the apical heart sound is difficult to differentiate, how would you describe/document it?
clear or distinct
blurry
thready
muffled or distant
Normal respiration rate
10-20 per min
12-20 per min
5-10 per min
12-30 per min
resp rate below 12
tachypnea
eupnea
bradypnea
orthostatic hypotension
What is normal respiration rhythm defined as?
inconsistently spaced intervals between respirations
cheyne's stokes
inhalation and exhilation
regularly spaced intervals between respirations
Choose all the possible physical appearance traits of a patient with dyspnea
appears frightened/anxious or worried
wide-eyed startled expression
one-sided droopiness
flushed/red skin
difficulty breathing unless positioned in upright position
exertional dyspnea
orthopnea
dyspnea
oxygenation
normal 02 level range
90%-100% sp02
96%-100 % sp02
80%-90% sp02
85%-95% sp02
What is the only subjective vital sign
temperature
pain assessment
bp
heart rate
When applying the principles of critical thinking in a situation, the student should begin by asking..
What is my opinion about this situation?
What are the facts that I know about this situation?
Do I need to do anything in this situation?
What did I do the last time in a similar situation?
communication is best described as
talking
listening
data entry
the exchange of information
what is an example of nonverbal communication
a patient ringing his call light to ask for pain med
a patient falls during a transfer
a patient slouched over in his chair, grabbing his sides and grimacing
a patient yelling at a student
