NU 136 Lab Day review game

Froggy Jumps

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For Galen college Lab day review game

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nursing game

online learning

fundamentals of nursing

25 veces realizada

Creada por

Loriann Burnett

Estados Unidos

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Froggy Jumps NU 136 Lab Day review gameVersión en línea For Galen college Lab day review game por Loriann Burnett 1 You are assessing the patients temperature. You note the pt has a diagnosis of HTN, Diabetes Type 2, left ear infection and history of falls. You decide to get the temperature via: a Axillary b Temporal c Tympanic 2 Before you check the patients oral temperature you will ask these two questions: a Have you eaten or drank anything hot or cold? Do you smoke? b When was the last time your brushed your teeth? Do you have an ear infection? c Have you been exercising recently? Do you wear dentures? 3 You make sure to prevent infection when checking oral temperature by using this: a b c 4 You are going to perform a Sterile wet to dry dressing on your patient. The first thing you are going to do is: a Go in and remove the old dressing and measure the wound b Review the order and gather the necessary supplies c Grab the supplies and start because you know how to perform wound care 5 What is the MOST important part of performing sterile wound care a Completing the technique quickly so you can do other things b Explaining each step to the patient c Maintaining sterile technique 6 The 1st step of wound care is _____ and is it______ a measuring the wound; clean technique b Removing the old dressing; clean technique c packing the wound; sterile technique 7 When you clean the wound you make sure to clean a in a zig-zag pattern crossing the wound b in a back and forth motion inside the wound c in a circular motion on the exterior of the wound 8 When you assess the pulse you will make sure to assess both: a Tell your patient you are assessing the respirations and count for 30seconds X2 b radial pulse for 30seconds X2 c Listen to the Aortic pulse for 30 seconds X2 9 Two questions you will ask when you assess the pulse are: a When was the last time you smoked? Have you eaten anything recently? b Do you regularly exercise? Do you feel like your heart is racing? c What were you doing right before I came in? Are you anxious about anything? 10 When you assess respirations for Vital signs you will make sure you: a Tell the pt you are listening to their lungs and to breath regularly. Count for 30sec X2 b Listen to each section of the lungs for 30 seconds c Tell the pt you are listening to their heart then count respirations for 30sec X2 11 Two questions you will ask when you assess the Respiratory rate is: a Are you having any trouble breathing? Do you have an infection? b Have you been having any shortness of breath? Any cough or wheezing? c Do you wear oxygen? Do you smoke? 12 When you assess blood pressure you know how much to inflate the balloon by: a Until the patient says it hurts, then 30mmHg more b While you are inflating the cuff go until you can't feel the radial pulse; inflate 30mmHg more c Everyone is 180 because the instructors will program it less than that 13 Before I assess the pulse ox I will note out loud: a The pt's hands are equal color and no wounds are noted b The patient does not have cold fingers or nail polish that might affect the reading c The patient has skin normal for their race and no s/s of fever noted 14 When I assess pain I will make sure to use this scale: a Numerical pain scale b FLACC pain scale c Wong-Bakers face scale 15 When I complete the Wound care I will make sure to assess the wound bed before performing the dressing change. I will assess: a The presence of any drainage as well as exactly how much in mL b The color of the wound bed, any slough or escar and any drainage c How gross the wound is and how I felt as the nurse when I completed wound care 16 When performing wound care bloody drainage is described as a serous b purulent c sanginous 17 When performing wound care pus-like drainage is described as a serous b purulent c sanginous 18 When performing wound care clear drainage is described as a serous b purulent c sanginous 19 Pink tinged drainage is described as a sero-sanginous drainage b slough c Mixed drainage 20 Slough is: a Dark black hard cells that are composed of dead tissue that must be removed for proper healing b soft yellow, white tissue that is made up of dead tissues that must be removed for proper healing c Healthy red/ pink tissue that is healing well 21 Eschar is: a Dark black hard cells that are composed of dead tissue that must be removed for proper healing b soft yellow, white tissue that is made up of dead tissues that must be removed for proper healing c Healthy red/ pink tissue that is healing well 22 Granulation tissue is: a Dark black hard cells that are composed of dead tissue that must be removed for proper healing b soft yellow, white tissue that is made up of dead tissues that must be removed for proper healing c Healthy red/ pink tissue that is healing well 23 When performing a Head-to-toe assessment. I will make sure to assess this for the skin portion: a skin color, temperature, skin turgor, presence of any wounds, oral mucosa and conjunctiva b Assess for tattoos, piercings and pressure ulcers c Assess for wounds to pressure areas and proper movement of muscles 24 When performing a Head-to-toe assessment. I will make sure to assess these for the respiratory portion: a Lung sounds; Heart sounds and how they sleep b Lung sounds, the equality of the chest & noting the anatomical landmarks for lung sounds c Lung sounds, Respiratory rate and pulse Ox measurements 25 When performing a Head-to-toe assessment. I will make sure to assess these for the cardiovascular portion: a Heart sounds, anatomical location of all heart points b Heart sounds; S1, S2 and Heart rate c Capillary refill, presence of edema, apical pulse and the anatomical location & strength of pulses 26 When performing a Head-to-toe assessment. I will make sure to assess these for the gastrointestinal portion: a The abdominal sounds and the presence of gas b The last time they had a BM, the size of the belly button c Inspect abd for symmetry, identify & listen to 4 quads; palpate for tenderness, masses or bulging. 27 When assesssing the pulses. I will amke sure to assess the strength as: a 0, +1, +2 or +3 as well as descriptions like bounding or weak & thready b present or absent c 0, +1, +2, +3, +4, +5 and descriptions like arrythmia or rhythmic 28 When I assess the cardiovascular system I will be sure to assess each of these pulses: a Both Carotid, Abdominal, Sacrum b Apical and Temporal c Carotid, Radial, Brachial, Femoral, Popliteal, Posterior Tibeal and Dorsal 29 When I assess the gastrointestinal system I will be sure to ask about a The date of their last BM: size, color, consistency and amount b Presence of diarrhea or constipation c The number of loose stools they have in an average week 30 When I assess the Head-to-toe and assess the muskular-skeletal I will be sure to assess: a Presence of movement of extermities and the gait of the pt b Any swelling or bruises to the skin and ability of the pt to stay standing for 10mins c The absence of contractures 31 When I assess the Head-to-toe and assess the geniturinary system I will be sure to assess: a The last menstrual cycle the pt had and any tenderness to abdomen b The last time they peed. Any pain with urination c Palpate the bladder for distention and the color, clarity and presence of particulates in urine 32 When I assess the Head-to-toe and assess the neurological system I will be sure to assess: a Pupils- size & reaction to light; assess sensations; ability of pt to follow commands & move limbs b What they think of the current polical scene; the pronouns they want to use c The Glascow Coma scale and being able to spell WORLD backwards 33 When I assess sensation for neurological assessment. I will check a Ability of the patient to assess soft/ hard; orientation to place/ time/ person/ situation b Correct speech and ability to follow sensations c The ability of the person to communicate effectively with other people 34 The heart sounds are 1:_____ 2:_____ 3:_____ a 1: Apical; 2: Mitral; 3: Pulmonic b 1: Aortic; 2: Pulmonic; 3: Mitral c 1: Tricuspid, 2: Aortic; 3: Pulmonic

Froggy Jumps

NU 136 Lab Day review gameVersión en línea

For Galen college Lab day review game

por Loriann Burnett

You are assessing the patients temperature. You note the pt has a diagnosis of HTN, Diabetes Type 2, left ear infection and history of falls. You decide to get the temperature via:

Axillary

Temporal

Tympanic

Before you check the patients oral temperature you will ask these two questions:

Have you eaten or drank anything hot or cold? Do you smoke?

When was the last time your brushed your teeth? Do you have an ear infection?

Have you been exercising recently? Do you wear dentures?

You make sure to prevent infection when checking oral temperature by using this:

You are going to perform a Sterile wet to dry dressing on your patient. The first thing you are going to do is:

Go in and remove the old dressing and measure the wound

Review the order and gather the necessary supplies

Grab the supplies and start because you know how to perform wound care

What is the MOST important part of performing sterile wound care

Completing the technique quickly so you can do other things

Explaining each step to the patient

Maintaining sterile technique

The 1st step of wound care is _ and is it__

measuring the wound; clean technique

Removing the old dressing; clean technique

packing the wound; sterile technique

When you clean the wound you make sure to clean

in a zig-zag pattern crossing the wound

in a back and forth motion inside the wound

in a circular motion on the exterior of the wound

When you assess the pulse you will make sure to assess both:

Tell your patient you are assessing the respirations and count for 30seconds X2

radial pulse for 30seconds X2

Listen to the Aortic pulse for 30 seconds X2

Two questions you will ask when you assess the pulse are:

When was the last time you smoked? Have you eaten anything recently?

Do you regularly exercise? Do you feel like your heart is racing?

What were you doing right before I came in? Are you anxious about anything?

When you assess respirations for Vital signs you will make sure you:

Tell the pt you are listening to their lungs and to breath regularly. Count for 30sec X2

Listen to each section of the lungs for 30 seconds

Tell the pt you are listening to their heart then count respirations for 30sec X2

Two questions you will ask when you assess the Respiratory rate is:

Are you having any trouble breathing? Do you have an infection?

Have you been having any shortness of breath? Any cough or wheezing?

Do you wear oxygen? Do you smoke?

When you assess blood pressure you know how much to inflate the balloon by:

Until the patient says it hurts, then 30mmHg more

While you are inflating the cuff go until you can't feel the radial pulse; inflate 30mmHg more

Everyone is 180 because the instructors will program it less than that

Before I assess the pulse ox I will note out loud:

The pt's hands are equal color and no wounds are noted

The patient does not have cold fingers or nail polish that might affect the reading

The patient has skin normal for their race and no s/s of fever noted

When I assess pain I will make sure to use this scale:

Numerical pain scale

FLACC pain scale

Wong-Bakers face scale

When I complete the Wound care I will make sure to assess the wound bed before performing the dressing change. I will assess:

The presence of any drainage as well as exactly how much in mL

The color of the wound bed, any slough or escar and any drainage

How gross the wound is and how I felt as the nurse when I completed wound care

When performing wound care bloody drainage is described as

serous

purulent

sanginous

When performing wound care pus-like drainage is described as

serous

purulent

sanginous

When performing wound care clear drainage is described as

serous

purulent

sanginous

Pink tinged drainage is described as

sero-sanginous drainage

slough

Mixed drainage

Slough is:

Dark black hard cells that are composed of dead tissue that must be removed for proper healing

soft yellow, white tissue that is made up of dead tissues that must be removed for proper healing

Healthy red/ pink tissue that is healing well

Eschar is:

Dark black hard cells that are composed of dead tissue that must be removed for proper healing

soft yellow, white tissue that is made up of dead tissues that must be removed for proper healing

Healthy red/ pink tissue that is healing well

Granulation tissue is:

Dark black hard cells that are composed of dead tissue that must be removed for proper healing

soft yellow, white tissue that is made up of dead tissues that must be removed for proper healing

Healthy red/ pink tissue that is healing well

When performing a Head-to-toe assessment. I will make sure to assess this for the skin portion:

skin color, temperature, skin turgor, presence of any wounds, oral mucosa and conjunctiva

Assess for tattoos, piercings and pressure ulcers

Assess for wounds to pressure areas and proper movement of muscles

When performing a Head-to-toe assessment. I will make sure to assess these for the respiratory portion:

Lung sounds; Heart sounds and how they sleep

Lung sounds, the equality of the chest & noting the anatomical landmarks for lung sounds

Lung sounds, Respiratory rate and pulse Ox measurements

When performing a Head-to-toe assessment. I will make sure to assess these for the cardiovascular portion:

Heart sounds, anatomical location of all heart points

Heart sounds; S1, S2 and Heart rate

Capillary refill, presence of edema, apical pulse and the anatomical location & strength of pulses

When performing a Head-to-toe assessment. I will make sure to assess these for the gastrointestinal portion:

The abdominal sounds and the presence of gas

The last time they had a BM, the size of the belly button

Inspect abd for symmetry, identify & listen to 4 quads; palpate for tenderness, masses or bulging.

When assesssing the pulses. I will amke sure to assess the strength as:

0, +1, +2 or +3 as well as descriptions like bounding or weak & thready

present or absent

0, +1, +2, +3, +4, +5 and descriptions like arrythmia or rhythmic

When I assess the cardiovascular system I will be sure to assess each of these pulses:

Both Carotid, Abdominal, Sacrum

Apical and Temporal

Carotid, Radial, Brachial, Femoral, Popliteal, Posterior Tibeal and Dorsal

When I assess the gastrointestinal system I will be sure to ask about

The date of their last BM: size, color, consistency and amount

Presence of diarrhea or constipation

The number of loose stools they have in an average week

When I assess the Head-to-toe and assess the muskular-skeletal I will be sure to assess:

Presence of movement of extermities and the gait of the pt

Any swelling or bruises to the skin and ability of the pt to stay standing for 10mins

The absence of contractures

When I assess the Head-to-toe and assess the geniturinary system I will be sure to assess:

The last menstrual cycle the pt had and any tenderness to abdomen

The last time they peed. Any pain with urination

Palpate the bladder for distention and the color, clarity and presence of particulates in urine

When I assess the Head-to-toe and assess the neurological system I will be sure to assess:

Pupils- size & reaction to light; assess sensations; ability of pt to follow commands & move limbs

What they think of the current polical scene; the pronouns they want to use

The Glascow Coma scale and being able to spell WORLD backwards

When I assess sensation for neurological assessment. I will check

Ability of the patient to assess soft/ hard; orientation to place/ time/ person/ situation

Correct speech and ability to follow sensations

The ability of the person to communicate effectively with other people

The heart sounds are 1:___ 2:_ 3:___

1: Apical; 2: Mitral; 3: Pulmonic

1: Aortic; 2: Pulmonic; 3: Mitral

1: Tricuspid, 2: Aortic; 3: Pulmonic

NU 136 Lab Day review game

Froggy Jumps

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