HESI RN Fundamentals Notes

HESI RN Fundamentals Notes What can a blood pressure cuff that's too narrow cause? - ANS-falsely elevated BP reading this insulin should be drawn up into the syringe first so it doesn't contaminate the other type of insulin - ANS-regular rumbling sounds heard on lung auscultation - ANS-rhonchi this type of adventitious lung sounds can be more pronounced during expiration than during inspiration - ANS-rhonchi forced feeding, usually through a gastric tube - ANS-gavage a tube passed into the stomach through the mouth - ANS-gastric tube What portion of Maslow's hierarchy of needs has the highest priority? - ANS-physiologic needs (air, water, food, shelter, activity, comfort) this is the safest and surest way to verify a patient's identity - ANS-check the ID band on wrist What is the primary concern in the therapeutic environment? - ANS-patient safety What does fluid oscillation in the tubing of a chest drainage system indicate? - ANS-system is working properly What position should a nurse place a patient who has a Sengstaken-Blakemore tube? - ANS-semi-Fowlers How can a nurse elicit Trousseau's sign? - ANS-occluding the brachial or radial artery What indicates Trousseau's sign? - ANS-hand and finger spasms during occlusion What does Trousseau's sign suggest? - ANS-hypocalcemia What is the appropriate needle size for adult blood transfusions? - ANS-16 to 20G this type of pain is incapacitating and can't be relieved by drugs - ANS-intractable pain How can a consent for treatment be obtained in an emergency? - ANS-fax, telephone (or other telegraphic means) the unit of measurement of sound - ANS-decibel this is required for any invasive procedure - ANS-informed consent CONTINUES...