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32 Cards in this Set
- Front
- Back
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What are SMART goals? |
Specific Measurable Action-oriented Realistic Timely |
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What law governs privacy between HCP and nurses? |
Privacy amendment 2012 |
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What is the scale called for pressure ulcer prevention? What do the scales mean? |
Waterlow. 10+ = at risk 15 + = high risk 20 + = very high risk |
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What is considered "demographic data" in stage 1 of the CRC? |
Age Sex Ethnicity |
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In stage 1 of the CRC, what is it you're looking to gain? |
Consider the patient situation. Facts, contexts, objects & people involving your patient. 1. Patient profile / demographic data 2. Allergies 3. Past health history 4. Presenting problem 5. Sosical history 6. Medications 7. Family history 8. Communicable diseases |
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When percussing over the liver of a patient,the nurse notices a dull sound. What should they do next? |
reposition the hands and attempt to percuss in this areaagain. |
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The nurse is unable to palpate the radial pulse on a patient. What would be their next step? |
To use a Doppler device to check for pulsations over the area. |
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The nurse is assessing an 80‐year‐old malepatient. Which is one assessment finding that would beconsidered normal? |
The presence of kyphosis and flexion in the kneesand hips. |
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When assessing the quality of a patients pain, thenurse should ask which question? |
How does your pain feel? Open-ended. |
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What does "atelectasis" mean? |
Collapse of lung. Partial or full. |
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If you percuss over an area of atelectasis in the lung, what would you hear? |
Dullness. |
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What is bronchophony? |
is the abnormal transmission of sounds from the lungs or bronchi. |
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What is bronchophony a sign of when auscultated in the lungs? |
Pulmonary consolidation |
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What are adventitious sounds for asthma? |
Wheezing. |
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What would be considered a coarse, crackling sensationover the skin surface, palpated over the lungs? |
Crepitus. Broken ribs, perhaps. |
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What sound represents arterial flow through a Doppler? |
Consistent lub & dub pattern |
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If there are abdominal pulsations between the xiphoid & umbilicus, what would the nurse suspect them of being? |
Normal abdominal aortic pulsations. |
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What are abdominal borborygmi? |
Hyperactive bowel sounds. |
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What is a potential cause of hypoactive bowel sounds? |
Gastroenteritis |
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During an abdominal percussion, what would be a normal sound to hear in the umbilical region? |
A tympanic note |
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If at first you don't hear bowel sounds, what should you do? |
Listen for at least 5 minutes before getting someone. |
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In an older patients, what does it mean when there is a lack of vibrations at the ankle, slow and deliberate gait & slightly impaired tactile sensation? |
A normal sign of aging. |
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In a healthy, young individual, when told to "relax" and during urologic exam, what would you expect when guiding their limbs? |
Mild, even resistance |
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When the nurse asks a 68 year old patientto stand with feet together and arms at his sidewith his eyes closed, he starts to sway andmoves his feet farther apart. The nurse woulddocument this finding as: |
positive Romberg sign |
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What reflexes are right-side weakness (Associated with injury) expected to accompany? |
Hyperactive reflexes (on the right / same side) |
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The nurse knows that determining whether aperson is oriented to his or her surroundings will testthe functioning of which brain structures? |
Cerebrum |
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What type of interpreter is always preferred? |
A trained one - not a member of family of the public (unless an emergency) |
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What is the difference between the apical pulse and the radial pulse called? |
Pulse deficit. |
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Name 3 cancers that meet the WHO populated based screening program? |
1. Bone 2. Breast 3. Brain |
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What does a pulmonary function testmeasure? |
Lung volume & airflow |
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What is the target population for bowel screening? |
50 + |
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What does "ADPIE" stand for? |
Assessment Diagnosis Planning Implementation Evaluation |
