NURSING BULLETS_____________ ___________________________________________________

________
FUNDAMENTALS OF NURSING
.A blood pressure cuff that s too narrow can cause a falsely elevated blood ? pr
essure reading.
.When preparing a single injection for a patient who takes regular and neutral
protein Hagedorn insulin, the nurse should
draw the regular insulin into the syringe first so that it does not contaminate
the regular insulin.
.Rhonchi are the rumbling sounds heard on lung auscultation. They are more
pronounced during expiration than during
inspiration.
.The nurse can elicit Trousseau s sign by occluding the brachial or radial arter
y. ? Hand and finger spasms that occur during
.Gavage is forced feeding, usually through a gastric tube (a tube passed into th
e
stomach through the mouth).
.According to Maslow s hierarchy of needs, physiologic needs (air, water, food,
? shelter, sex, activity, and comfort) have the highest priority.
.The safest and surest way to verify a patient s identity is to check the ? iden
tification band on his wrist.
.In the therapeutic environment, the patient s safety is the primary concern.
? .Fluid oscillation in the tubing of a chest drainage system indicates that th
e system is working properly.
.The nurse should place a patient who has a Sengstaken-Blakemore tube in semi-
Fowler position.
occlusion indicate Trousseau s sign and suggest hypocalcemia.
? .For blood transfusion in an adult, the appropriate needle size is 16 to 20G.
.suctioning and drug administration. Intractable pain is pain that incapacitates
a patient and can t be relieved by ? drugs.

n an emergency, consent for treatment can be obtained by fax, telephone, or othe

r telegraphic means. .Decibel is the unit of measurement of sound.
.Informed consent is required for any invasive procedure.
.A patient who can t write his name to give consent for treatment must make an X
in
? the presence of two witnesses, such
as a nurse, priest, or physician.
.The Z-track I.M. injection technique seals the drug deep into the muscle, there
by
minimizing skin irritation and staining.
It requires a needle that s 1" (2.5 cm) or longer. ? .In the event of fire, the
acronym most often used is RACE. (R) Remove the patient. (A) Activate the alarm.
(C) Attempt to contain the fire by closing the door. (E) Extinguish the fire if
 it can be done safely.
.A registered nurse should assign a licensed vocational nurse or licensed practi
cal
nurse to perform bedside care, such as
.If a patient can t void, the first nursing action should be bladder palpation t
o
? assess for bladder distention.
.The patient who uses a cane should carry it on the unaffected side and advance
it
at the same time as the affected
extremity.
.To fit a supine patient for crutches, the nurse should measure from the axilla
to
the sole and add 2" (5 cm) to that
measurement.