Hospital bed making 1 What is the first thing that you need to do when making a patient's bed? A.

Lower side rails(Your Answer)

B. Determine if the patient has been incontinent or if drainage is on the linen C. remove solid linen

2 When entering a patients room to change the bed, what seven items do you need to have in hand before entering the patients room? answers: linen bag, fitted sheet, draw sheet, pads, top sheet, blanket, pillow case. 3. When is an Unoccupied bed used? answers: When the patient is able to get out of bed.

4. 4 When is an Postoperative or surgical bed used? answers: area. When a patient have left for the operating room or procedural

5 When is an Occupied bed used? answers: When a patient is not allowed out of bed.

6 To avoid unneccessary trips to the linen supply area, what do you need to do? answers: Make sure that everything that you will need is carried in the room with you before you start. 7 Explain how you would make an patients bed from beginning to end? Answer: Put on a pair of gloves. Determine if the patient has been incontinent or if excess drainage is on linen. Lower side rails. Raise bed to comforable working position. Remove solid linen, and place in laundry bag. Wipe down any moisture using a washcloth moistened in antiseptic solution, dry throughly. Apply all bottom linen on one side of bed before moving to opposite side. Make sure fitted sheet is smoothly on mattress. Place a draw sheet which should be centered in the middle of the bed. Place one or two pads down. Put a top sheet down. Place a blanket down. Put a pillow case on the pillow and place at top of bed. Place call light within patients reach. Discard supplies. 8 When should the side rails be raised or lowered on a patients bed?

answers: The side rails should be raised on the bed of a patient who is a fall risk, and lowered for a patient who is independent. 9 What linen is used on a patients bed who has an air mattress? answers: two sheets and a blue lifter pad.

Physical assessment: Q.1) A. subjective data B. objective data Q.2) A. objective data B. subjective data Q.3) Health History + Physical Assessment = ? What kind of data makes up a physical assessment? What kind of data makes up the health history

Nursing Admission Assessment Q.4) The purpose of health history and physical assessment is .....(choose all that apply) A. gather baseline data B. develop nursing diagnosis C. develop care plan D. evaluate nursing care

Q.5) What techniques are used during a physical assessment? (check all that apply) A. auscultation B. inspection C. palpation D. precussion E. olfaction Q.6) this body part is best used to assess pulsation, texture, shape, size & consistency A. pads of fingertips B. back of hand C. palm of hand Q.7) A. pads of fingertips B. back of hand C. palm of hand this part of the body is good for measuring temperature

Q.8) A.

this part of the body is more sensative to vibrations

pads of fingertips B. back of hand C. palm of hand Q.9) A. flatness B. tympany C. hyperresonance D. resonance E. dullness Q.10) this is the sound of a normal lung A. hyperresonance B. flatness C. dullness This sound is heard when you percuss your puffed out checks

D. resonance E. tympany Q.11) the is whta is heard when you percuss the lung of a patient with emphysema A. resonance B. flatness C. hyperresonance D. tympany E. dullness Q.12) This is what is heard when you percuss the liver A. hyperresonance B. resonance C. dullness D. flatness E. tympany

Q.13) this is what is heard when you percuss the thigh A. flatness B. dullness C. hyperresonance D. resonance E. tympany Q.14) A. jaundice B. hypothermia C. low blood pressure D. recent dye injection E. edema Q.15) this color can result from blood loss, lack of circulation, anemia, anexity or fear, cold, cigarette smoking A. cyanosis B. Check all that can affect a pulse ox reading

pallor C. jaundice D. erythema Q.16) this is a yellow color to the skin, indication of liver disease or obstruction of bile flow, results from rising amounts of billirubin in blood white- see in sclera of eye 1st dark skinned- oral cavity and palms of hands and soles of feet A. pallor B. cyanosis C. jaundice D. erythema Q.17) the is when you skin is a blue color and indicates that the skin has an increase concentration of deoxygenated blood A. erythema B. jaundice C. pallor D. cyanosis Q.18) this is when the skin is red in color and indicates a fever or local inflammation

A. jaundice B. pallor C. erythema D. cyanosis Q.19) What does PERRLA stand for? answers: pupils equal, round, reactive to light and accommodation

Q.20) Normal breating is known as A. orthopnea B. tachypnea C. eupnea D. bradypnea E. apnea Q.21) slow breathing less than 12 respir per min A. eupnea B.

apnea C. tachypnea D. bradypnea E. orthopnea Q.22) fast breathing greater than 20 respir per minute A. eupnea B. orthopnea C. apnea D. bradypnea E. tachypnea Q.23) no breathing at all A. orthopnea B. bradypnea C. tachypnea D.

eupnea E. apnea Q.24) must sit up tp breath A. apnea B. orthopnea C. eupnea D. tachypnea E. bradypnea Q.25) this is what you should hear when you percuss a chest hollow sounding A. resonance B. hyperresonance C. dull or flat Q.26) In a patient with COPD on collapsed lung the sound is loud and hollow A. resonance B.

hyperresonance C. dull or flat Q.27) what you hear in a patient with pneumonia solid tissue or fluid A. dull or flat B. hyperresonance C. resonace Q.28) high pitched and loud heard best over the trachea A. bronchovesicular B. vesicular C. bronchial Q.29) medium in pitch and loudness heard over middle chest over mainstream bronchi A. vesicular B. bronchial C. bronchovesicular Q.30) low pitched heard over perphial lung fields soft and breezy A.

vesicular B. bronchovesicular C. bronchial Q.31) crackling sound due to air moving through airways that contain fluid A. RALES B. gurgules or rhonchi C. wheezes D. friction rub Q.32) heard more on expiration loud coarse "junky sound" A. wheezes B. rales C. gurgles or rhonchi D. friction rub Q.33) squeaky musical sound air flowing through narrowed airway A.

gurgles or rhochi B. wheezes C. friction rub D. rales Q.34) grating sound made when inflamed pleural surfaces move during respiration A. rales B. gurgles or rhochi C. friction rub D. wheezes