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1. Blood Pressure Assessment should be done when patient is..?: Pt should be at rest
for at least 5 minutes with feet flat on the floor
2. Examples that could affect Blood Pressure: caffeine, smoking, food/drinks
3. circadian rhythm is defined as?: Biological clock
4. Pt is presenting: dizzy, pale, clammy skin, nausea?: orthostatic shock
5. HAI's is what?: Hosptial acquired infections
6. When opening a sterile field, you should?: open the flap away from you first and the flap close
to you, 2nd
7. When should you wash your hands?: before and after pt contact you can use hand sanitizer, if
hands visible soiled wash with soap and water
8. RN's nails should be?: they should be short and well maintained with no false nails
9. why would you not use and tympanic temperature for a PT?: If a patient has a current
ear infection, could give a false reason
10. when should a blood pressure be taken?: upon admission, change in PT condition, shift
change, triage, or for surgical procedures
11. Body's inability to keep pace with excessive heat production?: Pyrexia
12. Example of an antipyretic?: Tylenol
13. PT is found unconscious, in an unheated room for undetermined amount
of time, where should the temperature be taken?: Rectal Temp
14. When providing Perineal Care, you should?: clean front to back, ensure privacy, make sure
skin is dry after, be professional
15. During Oral care you should?: wash hands and wear gloves prior
16. When a nurse is giving a PT a bed bath, what is the correct order to complete
this task?: Face, Trunk (CHEST), upper extremities, lower extremities
17. When rooming PPE, you should remove what last?: Mask
18. Pt has a infection at an incision site, with fever and their heart rate becomes
elevated, what is the medical term for the elevated heart rate?: Tachycardia
19. Pt has moved from a sitting position to a standing position, they get dizzy
and unsteady, this is called what?: Orthostatic Hypotension
20. Pt pulse is bpm, when checking you notice prolonged pauses, irregular and
not steady. What should the nurse when in this situation?: You check the pulse using
the Apical site with a stethoscope, pul.se should be counted for a full minute
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