Auscultation Equipment
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Stethoscope on skin
The practical nurse (PN) is planning to teach a client about a prescribed medication.
Which factor is most important in assuring the client will safely self administer the
,medication?
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Health literacy.
Assessment of PMI
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The point of maximal impulse (PMI) is a term used to describe the area
where the apical pulsation can be seen or palpated. In most adults, this
impulse can commonly be found at the intersection of the 5th ICS mitral
area and the left MCL in the mitral area.
Which characteristics should be included in goals the practical nurse (PN) reinforces
with a client?
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-Realistic.
-Measurable.
-Patient-centered.
-Time frame.
Clubbing Oxygen Saturation
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, Clubbing of the nails indicates chronic hypoxia. Clubbing is identified
when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
The practical nurse (PN) is teaching a pre-op client in preparation for care following
surgery. Which methods should the PN teach about pulmonary toileting?
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-To use an incentive spirometer at least four times an hour.
-To breathe deeply through the nose and exhale through the mouth.
Respiratory Splinting
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Respiratory splinting is defined as reduced inspiratory effort as a result of
sharp pain upon inspiration (severe pleuritic chest pain). This can result in
atelectasis post-operatively
Two Point Discrimination
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, Two-Point Discrimination. This test is done only if other findings are
abnormal. With the patient eyes open, demonstrate what the cotton swabs
feel like. Then ask the patient to close the eyes. Hold the blunt end of two
cotton swabs approximately 5 cm (2 in.) apart and move them together
until the patient feels them as one point (the ends of an opened paperclip
may also be used)
APGAR
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1 min & 5 min
7-10 indicates vigorous newborn adapting well
If the 5-minute score is less than 7, continue to score every 5 minutes up to
20 minutes until the score is above 7, the newborn is intubated, or the
newborn is transferred to the nursery.
A score of 4-6 indicates the newborn is moderately depressed, and 0-3
indicates severe respiratory depression and requires observation and care
in a NICU.
Carotene Rich Foods
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The richest sources of beta-carotene are yellow, orange, and green leafy
fruits and vegetables (such as carrots, spinach, lettuce, tomatoes, sweet
potatoes, broccoli, cantaloupe, and winter squash). In general, the more
intense the color of the fruit or vegetable, the more beta-carotene it has
Give this one a try later!
Stethoscope on skin
The practical nurse (PN) is planning to teach a client about a prescribed medication.
Which factor is most important in assuring the client will safely self administer the
,medication?
Give this one a try later!
Health literacy.
Assessment of PMI
Give this one a try later!
The point of maximal impulse (PMI) is a term used to describe the area
where the apical pulsation can be seen or palpated. In most adults, this
impulse can commonly be found at the intersection of the 5th ICS mitral
area and the left MCL in the mitral area.
Which characteristics should be included in goals the practical nurse (PN) reinforces
with a client?
Give this one a try later!
-Realistic.
-Measurable.
-Patient-centered.
-Time frame.
Clubbing Oxygen Saturation
Give this one a try later!
, Clubbing of the nails indicates chronic hypoxia. Clubbing is identified
when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
The practical nurse (PN) is teaching a pre-op client in preparation for care following
surgery. Which methods should the PN teach about pulmonary toileting?
Give this one a try later!
-To use an incentive spirometer at least four times an hour.
-To breathe deeply through the nose and exhale through the mouth.
Respiratory Splinting
Give this one a try later!
Respiratory splinting is defined as reduced inspiratory effort as a result of
sharp pain upon inspiration (severe pleuritic chest pain). This can result in
atelectasis post-operatively
Two Point Discrimination
Give this one a try later!
, Two-Point Discrimination. This test is done only if other findings are
abnormal. With the patient eyes open, demonstrate what the cotton swabs
feel like. Then ask the patient to close the eyes. Hold the blunt end of two
cotton swabs approximately 5 cm (2 in.) apart and move them together
until the patient feels them as one point (the ends of an opened paperclip
may also be used)
APGAR
Give this one a try later!
1 min & 5 min
7-10 indicates vigorous newborn adapting well
If the 5-minute score is less than 7, continue to score every 5 minutes up to
20 minutes until the score is above 7, the newborn is intubated, or the
newborn is transferred to the nursery.
A score of 4-6 indicates the newborn is moderately depressed, and 0-3
indicates severe respiratory depression and requires observation and care
in a NICU.
Carotene Rich Foods
Give this one a try later!
The richest sources of beta-carotene are yellow, orange, and green leafy
fruits and vegetables (such as carrots, spinach, lettuce, tomatoes, sweet
potatoes, broccoli, cantaloupe, and winter squash). In general, the more
intense the color of the fruit or vegetable, the more beta-carotene it has
