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II. Classify the following: If it will give a Low Result or False Low Result of the indicated vital sign, write low. If it will give a High Result or False High Result, write high. If no changes will happen write, normal. A. Blood Pressure 1. Too tight cuff 2. Too wide bladder 3. Above heart level 4. Below heart level 5. Too loose cuff C. Temperature 1. Exercise 2. Diurnal variation at 8pm to 12mn 3. Diurnal variation at 4am to 6am 4. Fertile 5. Infection B. Respiration Rate 1. exercise 2. stress 3. sleep 4. high altitude places 5. low altitude places D. Pulse Rate 1. newborn 2. stress 3. hemorrhage 4. exercise 5. fertile
III. Multiple choice (2 points each) Encircle the letter of the correct answer. Situation: You, a practical nurse, was assigned to Mr. Juan, a 72 years old bed ridden patient. 1. Upon assessing the vital signs of Mr. Juan, you noted that his blood pressure is 140/90mmHg. You must: A. Re-asses again the blood pressure of Mr. Juan since its in the above borderline of normal range of BP. B. Proceed to your next task since it is normal for Mr. Juan. C. Report it to the physician. D. Ask the patient if he went out for a walk or jogging. If he did, wait for 30m minutes then recheck again the vital signs. 2. In getting the blood pressure of the patient, it is important to deflate the cuff properly because: A. Deflating the cuff too quickly will cause false low systolic and false high diastolic B. Deflating the cuff too slowly will cause false low systolic and false low diastolic C. Deflating the cuff too quickly will cause false high systolic and false high diastolic D. Deflating the cuff too slowly will cause false low systolic and false high diastolic Situation: You are caring for 60 year old patient named Norania. She was diagnosed with breast cancer (right) stage III. Upon checking her vital signs you noted the following: temp (axillary) 37.7 C, PR - 70bpm, RR 22bpm. She is complaining of pain assessed at level 5. 3. Based on the above situation, you know that Norania is having: a. Hyperthermia, tachycardia, tachypnea and mild pain b. Normal temperature, tachycardia, eupnea, and severe pain c. Normal temperature, normal PR, tachypnea and moderate pain d. Hyperthermia, normal PR, eupnea, and moderate pain Giving medication: 4. When giving otic medication to an adult client, you must: a. pull the pinna upward then backward b. pull the pinna downward then backward c. pull the pinna backward then upward d. pull the pinna backward then downward 5. When giving otic medication to a pediatric client, you must: a. pull the pinna upward then backward b. pull the pinna downward then backward
c. pull the pinna backward then upward d. pull the pinna backward then downward 6. When doing medical hand washing, it is important to remember that: a. hands are considered the cleanest and should be kept lower than the elbow b. hands are considered the cleanest and should be kept lower than the elbow c. elbows are considered the cleanest and should be kept lower than the hands d. elbows are considered the cleanest and should be kept lower than the hands 7. How will you dress the patient with a left arm injury? a. undress the patient by removing the sleeves on the right arm first then on the left arm; dress the patient by putting sleeves on the right arm first then on the left arm. b. undress the patient by removing the sleeves on the right arm first then on the left arm; dress the patient by putting sleeves on the left arm first then on the right arm. c. undress the patient by removing the sleeves on the left arm first then on the right arm; dress the patient by putting sleeves on the right arm first then on the left arm. d. undress the patient by removing the sleeves on the left arm first then on the right arm; dress the patient by putting sleeves on the left arm first then on the right arm. IV. Identify the meaning of the following abbreviation: 1. DAT 2. TID 3. BID 4. OD 5. ANST 6. PRN 7. q16h 8. stat 9. ac 10.ou 11.IVP 12.IVF 13.NPO 14.ID 15.IM
IV. Enumeration 1-4 process of heat loss 5-8 patterns of fever 9-11 factors to be assessed in getting pulse 12-14 types of sphygmomanometer 15-17 purpose of glovings 18-20 reason why warm water is used in handwashing 21-23 scale used in assessing pain 24-26 rationale of using bath mitt 27-33 types of diet