Week 2 Flashcards

A 4+ pulse that feels strong and

pounding is called a ___ pulse

What type of restraint is considered to be the least restrictive and may be used to prevent a client experiencing delirium from dislodging their tubes, lines, and an I.V. catheter?

When a nurse is conducting a skin assessment on a client, the assessment __-to- __ systematic

process, and compare bilateral parts to

determine symmetry.

The term used for an assessment that is performed on a specific area or system of the body, known as a ____ assessment.

___ urinary incontinence is the involuntary leakage of urine during activities that increase abdominal pressure, such as coughing or sneezing, due to weakened pelvic floor muscles.

For perineal care of both women and men, always proceed from the _ contaminated area to the __ contaminated area.

For the safety of an older adult client, which is the best action that should be taken to prevent falls and accidents?

The nurse is to perform Oral care for a client. Which action is a priority for the nurse to check?

Which Cranial Nerve is being assessed when the client is asked to shrug their shoulders and turn their head against resistance?

What is the name for the type of question that allows the client to offer a wide range of possible responses?

What step in the nursing process is the nurse using while collecting and organizing client data?

The ___ position is a side lying position in which an unconscious, breathing person can be placed to maintain an open airway and promote proper breathing.

The nurse is providing perineal care for a female client understands the technique is to wipe from ___ to ___

Which is a potential sign of elder abuse?

A forward "stooping" with a loss

of height is called _____

Because their pre-frontal cortex is not fully developed, ____ are more likely than other age groups to engage in risky behavior, which is why guns, vehicle accidents, and toxic substances are the leading cause of injuries for this age group.

A 75-year-old client admitted to the hospital with a diagnosis of pneumonia slips and falls on a wet floor, resulting in a fractured hip. After assessing the client, the nurse notified the health care provider and completed an incident report. The nurse then submits the incident report to the ____ manager.

A device that alerts a caregiver when a client moves and that is often used with dementia clients, is called an ____- alarm.

Based on the principles of emergency triage, the _____ tag indicates that the patient is deceased or has injuries that are incompatible with life.

A client is experiencing delirium tremens and becomes highly aggressive. The psychiatrist ordered for the client to be retrained with hand-padding restraints. The nurse would also need to place padding on the ____ prominences of the arm.

Which client scenario would most likely require the use of mechanical restraint?

The nurse should have a medical ___ present during the teaching process when explaining therapeutic procedures to a client who doesn't speak the same language as the nurse.

You have a morbidly obese client who weighs around 320 Ibs. He has difficulty in moving and standing. What would be the best assistive device for the client?

The examination method a nurse uses to listen to the internal sounds of the body with a stethoscope is called _____

Which nursing intervention would be most effective in preventing the spread of infection related to a client's dentures?

A nurse used her hands to assess the client's skin temperature, turgor, and texture. This method of examination is called

Which examination method is used when the nurse taps on body parts using the fingertips to determine the size, consistency, and borders of body organs, or the presence or absence of fluid in the body cavities?

What is the name of the high-pitched whistling breath sound that can be heard during expiration and is often related to asthma or C.O.P.D.?

A nurse is caring for a postoperative client following a heart bypass operation. Which is a sign of deep vein thrombosis or DVT?

The proper application of cold packs involves placing a _____ between the skin and the cold pack.

A client has been diagnosed with cardiomegaly. The nurse interprets the diagnosis as an ___ heart

A client has a blood pressure reading of 160/100 mmHg as reported by an unlicensed assistive personnel (UAP). What should be the nurse's priority action?

In the ABCDE nursing acronym used to prioritize care, the A stands for ___, B for Breathing, C for ____ D for disability , and E for Exposure

The stage in the nursing process that involves executing a planned intervention is called

The newly licensed nurse is applying wrist restraints to her client. The nurse should secure the restraints to the bed frame with a quick- _____ tie.

A nurse is caring for a client who is anxious about his impending surgery. Which therapeutic communication technique should the nurse use to help the client cope with his anxiety?

What is the first physical assessment technique in the sequence of examining the abdomen of a client?

The term for an abnormal sound heard during auscultation that indicates turbulent blood flow through a narrowed vessel, and is often described as a whooshing or swishing sound is

A 73-year-old male client with shortness of breath who tires easily is unable to provide care for himself. The nurse instructs an unlicensed assistive personnel that this client needs a complete bed bath. Which UAP's action should the nurse intervene on?

____ is a bluish discoloration of the skin or mucous membranes caused by a lack of oxygen in the blood.

What is the name of the test where the nurse places a vibrating tuning fork against the client's mastoid process behind the ear and then in front of the external ear?

The SBAR communication tool is used to improve the accuracy and completeness of communication between healthcare providers. The acronym stands for ____ - Background- ____ Recommendation.

What is the name of a dangerous gas that is clear, colorless, and tasteless, and is a common cause of poisoning from fires, motor vehicle exhaust fumes, and charcoal grills?

Which of the following risks would the nurse include in health teaching of a high school Student?

The RACE acronym helps the nurse remember what to do in the case of a fire in a healthcare facility. In the Acronym, R stands For ___, A stands for ___, C stands for contain, and E stands for extinguish.

Health teachings are being given by a community health nurse to a group of home renovators. Which will be included as a health teaching for carbon monoxide poisoning?

A client with heart failure is indicated to have murmurs in the aortic valve.The best anatomical area to auscultate and evaluate the aortic valve is in the second intercostal space to the ______ of the sternum.

A health care provider evaluated a client who had violent aggressive outbursts that led to the injury of another client. The client is now calm and restraints are cleared to be removed. What would be your next action?

For all children below 5 years old, the ear canal is inverted to the back hence we need to pull the pinna down and ____

A nurse found a client diagnosed with epilepsy having a tonic-clonic seizure. Which action would be best at this moment?

In caring for an immobile 75-year-old client, what would be the next best action after removing the bedpan?

A student nurse asked the registered nurse why would all elderly residents place their dentures in water before sleeping. The registered nurse is correct by answering:

Which assessment checks the Cranial Nerve Ill function?

The pattern of auscultation of the abdomen is as follows: ____ lower quadrant preceding to listen to the ____ upper quadrant, then the left upper quadrant, and finally the left lower quadrant.

You are a nurse in charge of a client that is on bed rest for an extended period of time due to extended COVID symptoms. Which among the following is the best activity to ensure optimal health?

Before beginning the physical examination, make sure you knock on the client's door and identify yourself before entering. Be sure to obtain permission before entering the client's room. This maintains the client's right to ____

In teaching clients to prevent injuries due to physical activity, the nurse understands that ___ principles decrease the impact that work has on the body.

For clients who are immobile, inappropriate hygiene is a factor in developing _____ ulcer.

The school nurse noticed a preschool-aged girl scratching her head all the time. When asked, the little girl said "I have a tickling feeling in my scalp". The school nurse should investigate further for suspected case of ____

The nurse should teach a client that testicular self-examination or T.S.E. should be performed once a ____ and that prior to. the exam, the scrotum should be warm and ____

Strategies for helping prevent falls in assisted-living facilities include installing _ bars in toilet and shower areas, encouraging the use of non-____ footwear, and conducting a regular safety assessment to identify and address potential fall hazards.

The interventions a nurse should prioritize when a client is having a seizure are moving the client into a ____ position, loosening clothing, placing a ____ or rolled blanket under the client's head and guiding the client's movements to prevent injury.