Nur 155 Exam 1 (Galen)
Study online at https://quizlet.com/_dh5ze3
1. Who is able to access an EMR? (electronic medical record): people with appropriate
need for access with a login username and password
2. Why should medications be documented immediately after they are given?: To
avoid confusion and double dosing.
3. If a mistake is made while paper documenting how should you proceed?: Draw
a line through and write error above or after the entry along with the nurses initials followed by the correct entry
4. SBAR: Situation
Background
Assessment
Recommendation
5. Orientation or introductory phase: • Making introductions, establishing professional role bound-
aries (formally or informally) and expectations, and clarifying the role of the nurse
• Observing, interviewing, and assessing the patient, followed by validation of perceptions
• Identifying the needs and resources of the patient
6. working phase: development of a contract or plan of care
enhancing trust
collaborating among nurse and patient
7. Termination phase: Alerting pt of impending closure of relationship
evaluating the outcome achieved
concluding the relationship and transitioning patient care to another caregiver
8. What should you do before obtaining a health history from the patient?: Make
sure they are alert and oriented
9. order of abdomen assessment: Inspect, Auscultate, Percuss, Palpate
10. normal order of assessment: Inspect, Palpate, Percuss, Auscultate
11. How often should orders for restraints be renewed: every 24 hours
12. Macule/patch: Small, flat, non-palpable skin color change
Ex: flat mole
13. Papule/plaque: Solid, elevated lesion
Example: wart or psoriasis
14. Nodule: solid, raised lesion
Example: lipomas, squamous cell cancers
1/5
, Nur 155 Exam 1 (Galen)
Study online at https://quizlet.com/_dh5ze3
15. Tumor: Solid mass that extends through subcutaneous tissues
Example: larger lipomas, cancerous lesions
16. Vesicle/bulla: Circumscribed, raised lesions that contain clear fluid
Examples; chickenpox, poison ivy, blisters
17. Pustule: contain pus instead of clear fluid
examples; impetigo, acne
18. Wheal: irregularly shaped, slightly elevated area; small, localized area of edema on the surface of the skin
example: hives, insect bites
19. Burrow: linear or circular in appearance caused by tunneling of parasitic organisms
Example; scabies mites, ringworm
20. Cyst: encapsulated fluid-filled cavity in dermis or subcutaneous layer
example: sebaceous cyst
21. Normal fingernail angle: 160 degrees smooth and rounded
22. Clubbing or oxygen deficit finger nail angle: 180 degrees
23. Brisk capillary refill: Capillary refill less than 2 seconds
24. sluggish capillary refill: Longer than 2 seconds
25. Normal breath sounds: tracheal, bronchial, bronchovesicular, vesicular
26. adventicious breath sounds: -anything abnormal
-wheezing, rales, crackles, rhonchi, stridor (acute distress), friction rub
27. SMART goal: Specific, Measurable, Attainable, Realistic, Timely
28. ADPIE: Assessment
Diagnosis
Planning
Implementation
Evaluation
29. Restraints are removed every ____ hours to check for toileting, ROM, and
eating.: 2
30. How often do you check circulation when wearing restraints: every 15 mins for the
first hour and then every 30 mins
31. Airborne precautions examples: measles, varicella, TB
32. Droplet precautions: MMR
Flu
2/5
Study online at https://quizlet.com/_dh5ze3
1. Who is able to access an EMR? (electronic medical record): people with appropriate
need for access with a login username and password
2. Why should medications be documented immediately after they are given?: To
avoid confusion and double dosing.
3. If a mistake is made while paper documenting how should you proceed?: Draw
a line through and write error above or after the entry along with the nurses initials followed by the correct entry
4. SBAR: Situation
Background
Assessment
Recommendation
5. Orientation or introductory phase: • Making introductions, establishing professional role bound-
aries (formally or informally) and expectations, and clarifying the role of the nurse
• Observing, interviewing, and assessing the patient, followed by validation of perceptions
• Identifying the needs and resources of the patient
6. working phase: development of a contract or plan of care
enhancing trust
collaborating among nurse and patient
7. Termination phase: Alerting pt of impending closure of relationship
evaluating the outcome achieved
concluding the relationship and transitioning patient care to another caregiver
8. What should you do before obtaining a health history from the patient?: Make
sure they are alert and oriented
9. order of abdomen assessment: Inspect, Auscultate, Percuss, Palpate
10. normal order of assessment: Inspect, Palpate, Percuss, Auscultate
11. How often should orders for restraints be renewed: every 24 hours
12. Macule/patch: Small, flat, non-palpable skin color change
Ex: flat mole
13. Papule/plaque: Solid, elevated lesion
Example: wart or psoriasis
14. Nodule: solid, raised lesion
Example: lipomas, squamous cell cancers
1/5
, Nur 155 Exam 1 (Galen)
Study online at https://quizlet.com/_dh5ze3
15. Tumor: Solid mass that extends through subcutaneous tissues
Example: larger lipomas, cancerous lesions
16. Vesicle/bulla: Circumscribed, raised lesions that contain clear fluid
Examples; chickenpox, poison ivy, blisters
17. Pustule: contain pus instead of clear fluid
examples; impetigo, acne
18. Wheal: irregularly shaped, slightly elevated area; small, localized area of edema on the surface of the skin
example: hives, insect bites
19. Burrow: linear or circular in appearance caused by tunneling of parasitic organisms
Example; scabies mites, ringworm
20. Cyst: encapsulated fluid-filled cavity in dermis or subcutaneous layer
example: sebaceous cyst
21. Normal fingernail angle: 160 degrees smooth and rounded
22. Clubbing or oxygen deficit finger nail angle: 180 degrees
23. Brisk capillary refill: Capillary refill less than 2 seconds
24. sluggish capillary refill: Longer than 2 seconds
25. Normal breath sounds: tracheal, bronchial, bronchovesicular, vesicular
26. adventicious breath sounds: -anything abnormal
-wheezing, rales, crackles, rhonchi, stridor (acute distress), friction rub
27. SMART goal: Specific, Measurable, Attainable, Realistic, Timely
28. ADPIE: Assessment
Diagnosis
Planning
Implementation
Evaluation
29. Restraints are removed every ____ hours to check for toileting, ROM, and
eating.: 2
30. How often do you check circulation when wearing restraints: every 15 mins for the
first hour and then every 30 mins
31. Airborne precautions examples: measles, varicella, TB
32. Droplet precautions: MMR
Flu
2/5
