Deck 10: Patient Activity, patient Positioning, and Nursing Observation Orders

Question 1

An order is written to record the patient's pedal pulse.The pedal pulse would be obtained at the:

A)apex of the heart.
B)top of the foot.
C)wrist.
D)groin area.

Answer 1

top of the foot.

Question 2

Which of the following is considered a vital sign?

A)blood pressure (BP)
B)continuous passive motion (CPM)
C)complete blood count (CBC)
D)head of bed (HOB)

Answer 2

blood pressure (BP)

Question 3

When transcribing an order,"Observe for SOB and notify physician if compromised," the HUC:

A)may need to notify security.
B)would notify the patient's nurse,who would closely observe the patient's breathing.
C)would notify the patient's nurse,who would check to see whether the patient was depressed and weepy.
D)would notify the patient that the doctor wants him or her to observe the strict bed rest order and does not want him or her staying out of bed.

Answer 3

would notify the patient's nurse,who would closely observe the patient's breathing.

Question 4

If a catheter is inserted through the patient's right or left subclavian vein and up to the right atrium of the heart,one would expect to see which order?

A)Pulse oximetry q4h
B)Tympanic membrane temp q4h
C)Check CMS fingers right hand
D)CVP q2h

Question 5

Checking the pupils of the eyes and the appropriateness of verbal responses would be done during:

A)neurologic vital signs.
B)apical rate.
C)intake and output.
D)tympanic vital signs.

Question 6

A patient who is febrile is said to:

A)be acting immaturely.
B)have an elevated temperature.
C)have a normal body temperature.
D)be unable to control urinary function.

Question 7

Axillary temperature is the temperature reading obtained:

A)under the arm.
B)rectally.
C)in the ear.
D)under the tongue.

Question 8

A pulse oximeter measures:

A)invasively the O₂ saturation of arterial blood.
B)noninvasively the O₂ saturation of arterial blood.
C)noninvasively the O₂ saturation of venous blood.
D)the pressure of blood against the walls of blood vessels.

Question 9

A patient who is said to be afebrile has:

A)a fever.
B)low oxygen saturation.
C)deficient hemoglobin.
D)no fever.

Question 10

When the doctor uses an abbreviation to indicate that the patient may use the bathroom for the elimination of urine and stool but otherwise must remain in bed,you will see which of the following in the order?

A)BR BRP
B)BSC
C)BRP when A&O
D)OOB bid

Question 11

A bedside commode is a:

A)chair or wheelchair at the bedside with an open seat designed to collect urine and stool.
B)device that is kept at the bedside and is designed to aid in ambulation.
C)mechanical device that assists the patient in proper positioning.
D)unit kept at the bedside that records the electrical activity of the heart.

Question 12

A semi-sitting position also may be referred to as _____ position.

A)Fowler's
B)anatomical
C)Trendelenburg
D)dorsal recumbent

Question 13

A doctor's order for orthostatic vital signs would require the nurse to take and record the patient's

A)temperature orally.
B)vital signs using a machine that creates static.
C)blood pressure and pulse rate while the patient is supine (lying)and again while erect (sitting and/or standing).
D)temperature rectally,ancillary,aurally,and orally.

Question 14

I&O refers to:

A)activity of the patient such as into and out of bed.
B)measurement of the patient's fluid intake and output.
C)the patient's breathing status;specifically,inhalation and lung output.
D)the patient's level of cognition as relates to his or her verbal input and output.

Question 15

An order for CMS would require that the nurse check the patient's:

A)circles,movement,and sensation of the noted extremity.
B)cardiovascular,muscular,and sensory organs.
C)central motion sensation.
D)circulation,motion,and sensation.

Question 16

A pulse deficit is defined as the:

A)patient not having a pulse.
B)discrepancy between the patient's ventricular rate detected at the apex of the heart and the arterial rate of the radial pulse.
C)discrepancy between the patient's blood pressure and the pulse rate.
D)discrepancy between the patient's pulse rates when sitting and standing.

Question 17

The amount of walking and sitting that a patient may do within a given period during the hospital stay is referred to as:

A)patient activity.
B)vital sign order.
C)positioning order.
D)intake and output.

Question 18

A cast was applied to the patient's left arm after surgery.One may expect to see which order?

A)CVP q2h
B)Check CMS fingers left hand
C)Wt daily
D)Pulse oximetry q4h

Question 19

Doctors' orders including such abbreviations as CBR,may use BSC,and up ad lib are examples of _____ orders.

A)activity
B)vital signs
C)nursing observation
D)Fowler's position

Question 20

The doctor has written an order for tympanic temp q4h.The patient's temperature would be taken using a(n)_____ thermometer.

A)oral
B)rectal
C)aural
D)glass

Question 21

Which of the following abbreviations may be used when information is entered into a patient's paper record or electronic medical record (EMR)?

A)qd
B)bid
C)qod
D)IU

Question 22

A patient who is A&O would be:

A)awake and out of bed.
B)alert and oriented.
C)awake and oriented.
D)aroused and obnoxious.

Question 23

A patient placed in the Trendelenburg position would be in a position in which the:

A)head and the feet are elevated.
B)head is elevated and the knees are bent.
C)head is low and the body and legs are on an inclined plane.
D)body is completely flat.

Question 24

Blood glucose monitoring would likely be ordered for a patient diagnosed with:

A)arthritis
B)diabetes
C)chronic obstructive pulmonary disease (COPD)
D)tuberculosis (TB)

Question 25

Which of the following abbreviations is on The Joint Commission (TJC)Do Not Use list?

A)U
B)prn
C)bid
D)ax

Question 26

A cardiac monitor technician (CMT)would work on the following nursing unit:

A)psychiatric
B)pediatric
C)telemetry
D)neurology

Question 27

Point-of-care testing (POCT)for blood glucose would be a test performed:

A)by the patient.
B)by a laboratory technician.
C)by the patient's doctor.
D)at or near the site of patient care.

Question 28

A patient with orthostatic hypotension has _____ blood pressure when suddenly _____.

A)high;sitting down
B)low;lying down
C)low;standing up
D)high;standing up

Question 29

A doctor would order I&O for a patient to:

A)maintain a record of daily calories.
B)determine why the patient is gaining weight.
C)determine why the patient is losing weight.
D)monitor the patient's fluid balance.

Question 30

A patient who has blood in his emesis would have blood in his:

A)vomit.
B)urine.
C)stool.
D)wound drainage.