Appropriate site for blood pressure - Answers brachial artery
Identify what is going on physiologically with the client during systole and diastole - Answers systole,
the client's heart muscle contracts, ejecting blood from the ventricles into the arteries. diastole, the
heart muscle relaxes, allowing the chambers to fill with blood
Identify nursing interventions to take regarding vital signs prior to applying a warming device on the
client - Answers temperature, blood pressure, respirations, pulse, and overall appearance
Identify signs and symptoms of a client with orthostatic hypotension - Answers dizziness, blurred
vision, fainting, nausea
Identify descriptors of pulse strength (Grading system) - Answers 0: absent
1+: weak or thready
2+: normal/strong
3+: increased
4+: bounding
Recognize vital sign normal ranges - Answers Pulse: 60-100bpm
Respirations: 12-20 per minute
Blood Pressure: 90/60 to 120/80
Temperature: 97.8-100.4
Describe factors that affect vital sign collection methods - Answers age, gender, patient's condition,
medications
Identify appropriate measures to take when assisting a client with hygiene who is taking
anticoagulants - Answers electric razor, caution with nail care, assess blood in urine/stool, soft
toothbrush/gentle flossing
Identify the proper technique when performing perineal care for a male client - Answers wash from
tip of the penis towards stomach, retract foreskin and clean, cleanse shaft from tip to base, wash
scrotum, new cloths
Describe nursing care practices when assisting clients with antiembolism stockings and sequential
compression devices - Answers measure leg for sizing, no wrinkles, put on with elevated legs,
monitor skin and circulation
Identify outcomes that occur when regular oral care measures are not performed on a client -
Answers bad breath (halitosis), dental disease, plaque buildup, infection
Describe techniques used when performing foot care on a patient with diabetes/neuropathy -
Answers inspect skin, wash with lukewarm water, moisturise feet, no razors, podiatrist cuts nails
straight across no corners
Describe nursing care practices when assisting immobile clients with hygiene. - Answers
complete/partial bed baths, regular oral care, skin breakdown assessment, encourage independence,
proper body mechanics, and equipment
Identify concepts that are common to all theories of nursing (nursing metaparadigm) - Answers
Person: focuses on patient
Environment: influencing surroundings
Health: physical, mental, social, spiritual
Nursing: nurse to patient relationship
Discuss the different roles of the nurse and be able to identify a specific role given a scenario -
Answers caregiver, advocate, researcher, educator, communicator, leader
Identify how early nursing theorists contributed to the field of nursing - Answers florence nightingale:
emphasized hygeine, health, teaching nursing
Recognize who a nurse can delegate to and what tasks are appropriate to delegate to
(CNAs/PCTs/LPNs/RNs) - Answers CNA/PCT/AP: bathing, grooming, dressing, toileting, ambulating,
feeding, positioning
LPN/RN: administering meds, client teaching, trache care, catheter placement
Identify 5 rights of delegation - Answers a. Right task
b. Right circumstances
c. Right person