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Nursing Bullets: Fundamentals of Nursing Reviewer Part I
The ultimate review for Fundamentals of Nursing! It contains 220 bits of information to review you about the concepts of Fundamentals of Nursing. Perfect for those who will be taking the board exams! Relax your mind, get it ready for information, now are you ready…? Go! 1. A blood pressure cuff that’s too narrow can cause a falsely elevated blood pressure reading. 2. 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. 3. Rhonchi are the rumbling sounds heard on lung auscultation. They are more pronounced during expiration than during inspiration. 4. Gavage is forced feeding, usually through a gastric tube (a tube passed into the stomach through the mouth). 5. According to Maslow’s hierarchy of needs, physiologic needs (air, water, food, shelter, sex, activity, and comfort) have the highest priority. 6. The safest and surest way to verify a patient’s identity is to check the identification band on his wrist. 7. In the therapeutic environment, the patient’s safety is the primary concern. 8. Fluid oscillation in the tubing of a chest drainage system indicates that the system is working properly. 9. The nurse should place a patient who has a Sengstaken-Blakemore tube in semi-Fowler position. 10. The nurse can elicit Trousseau’s sign by occluding the brachial or radial artery. Hand and finger spasms that occur during occlusion indicate Trousseau’s sign and suggest hypocalcemia. 11. For blood transfusion in an adult, the appropriate needle size is 16 to 20G. 12. Intractable pain is pain that incapacitates a patient and can’t be relieved by drugs. 13. In an emergency, consent for treatment can be obtained by fax, telephone, or other telegraphic means. 14. Decibel is the unit of measurement of sound. 15. Informed consent is required for any invasive procedure. 16. 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. 17. The Z-track I.M. injection technique seals the drug deep into the muscle, thereby minimizing skin irritation and staining. It requires a needle that’s 1″ (2.5 cm) or longer. 18. 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. 19. A registered nurse should assign a licensed vocational nurse or licensed practical nurse to perform bedside care, such as suctioning and drug administration. 20. If a patient can’t void, the first nursing action should be bladder palpation to assess for bladder
To test visual acuity. Normal room humidity is 30% to 60%. the nurse should measure from the axilla to the sole and add 2″ (5 cm) to that measurement. 40. Implementation is the stage of the nursing process in which the nurse puts the nursing care plan into action. 39. 26. Metabolism occurs in two phases: anabolism (the constructive phase) and catabolism (the destructive phase). 34. 42. A milliequivalent is the number of milligrams per 100 milliliters of a solution. Assessment is the stage of the nursing process in which the nurse continuously collects data to identify a patient’s actual and potential health needs. Jehovah’s Witnesses believe that they shouldn’t receive blood components donated by other people. delegates specific nursing interventions to members of the nursing team. as appropriate. When providing oral care for an unconscious patient. Evaluation is the stage of the nursing process in which the nurse compares objective and subjective data with the outcome criteria and. Planning is the stage of the nursing process in which the nurse assigns priorities to nursing diagnoses. 22. 43.4° C). if needed. the ideal room temperature is 66° to 76° F (18. The nurse obtains assessment data through the health history. planning. the patient should stand 20′ (6. Before administering any “as needed” pain medication. Nursing diagnosis is the stage of the nursing process in which the nurse makes a clinical judgment about individual. 23. family. defines short-term and long-term goals and expected outcomes. Hand washing is the single best method of limiting the spread of microorganisms. 36. Assessment begins with the nurse’s first encounter with the patient and continues throughout the patient’s stay.8° to 24. and evaluation. During assessment of distance vision. nursing diagnosis. Once gloves are removed after routine contact with a patient. the nurse should place a woman in the dorsal recumbent position. 28. 25. 33. 24. the nurse should position the patient on the side. 32. and establishes the nursing care plan. and review of diagnostic studies. physical examination. For a geriatric patient or one who is extremely ill. 38. 35. 30. The patient who uses a cane should carry it on the unaffected side and advance it at the same time as the affected extremity. Electrolytes in a solution are measured in milliequivalents per liter (mEq/L). To fit a supine patient for crutches.1 m) from the chart. . 29. the nurse should ask the patient to cover each eye separately and to read the eye chart with glasses and without. implementation. 31. To perform catheterization. the nurse should ask the patient to indicate the location of the pain. or community responses to actual or potential health problems or life processes. The amount of residual urine is normally 50 to 100 ml. 37. The five stages of the nursing process are assessment. 27. to minimize the risk of aspiration.distention. 41. modifies the nursing care plan. 21. A positive Homan’s sign may indicate thrombophlebitis. and charts patient responses to nursing interventions. Residual urine is urine that remains in the bladder after voiding. hands should be washed for 10 to 15 seconds. The appropriate needle size for insulin injection is 25G and 5/8″ long.
54. the water-soluble vitamins that are essential for metabolism. 62. the nurse should leave the old ties in place until the new ones are applied. round. When recording pulse amplitude and rhythm. gait. Most needle sticks result from missed needle recapping. 51. supplies bulk. 66. The nurse shouldn’t take an adult’s temperature rectally if the patient has a cardiac disorder. The basal metabolic rate is the amount of energy needed to maintain essential body functions. tubing. the nurse should follow standard precautions for handling blood and body fluids. Petechiae are tiny. the patient first moves the right crutch followed by the left foot and then the left crutch followed by the right foot. 63. The nurse administers a drug by I. hasn’t eaten for 14 to 18 hours. Before taking an adult’s temperature orally.V. 47. riboflavin (B2). Alcohol is metabolized primarily in the liver. 65. 59. In the three-point gait. or bleeding hemorrhoids or has recently undergone rectal surgery. The basal metabolic rate is expressed in calories consumed per hour per kilogram of body weight. Dietary fiber (roughage). Smaller amounts are metabolized by the kidneys and lungs. Potassium (K+) is the most abundant cation in intracellular fluid. The vitamin B complex. push by using a needle and syringe to deliver the dose directly into a vein. In the four-point. warm environment. normal pulse (easily palpable). bounding pulse (readily palpable and forceful). the nurse should ensure that the patient hasn’t smoked or consumed hot or cold substances in the previous 15 minutes. 67. an adult patient should be lightly dressed and shoeless. the patient moves two crutches and the affected leg simultaneously and then moves the unaffected leg. +1. pyridoxine (B6). 52. 53. 64. thready or weak pulse (difficult to detect). It’s measured when the patient is awake and resting. maintains intestinal motility. A nurse should have assistance when changing the ties on a tracheostomy tube. A four-point (quad) cane is indicated when a patient needs more stability than a regular cane can provide. and helps to establish regular bowel habits.V. 50. “What made you seek medical help?” 57. When caring for any patient. 46. A filter is always used for blood transfusions. or a catheter. include thiamine (B1). or alternating. which is derived from cellulose. and is in a comfortable. When being weighed. niacin (B3). measuring temperature rectally may stimulate a vagal response and lead to vasodilation and decreased cardiac output. 56. anal lesions. A good way to begin a patient interview is to ask. the nurse shouldn’t recap needles after use. In a patient who has a cardiac disorder. +2. In the two-point gait. and 0. 48. 58. 55. 49. When changing the ties on a tracheostomy tube. 61. I. . absent pulse (not detectable).44. purplish red spots that appear on the skin and mucous membranes as a result of intradermal or submucosal hemorrhage. 60. the patient moves the right leg and the left crutch simultaneously and then moves the left leg and the right crutch simultaneously. Purpura is a purple discoloration of the skin that’s caused by blood extravasation. and cyanocobalamin (B12). the nurse should use these descriptive measures: +3. 45. According to the standard precautions recommended by the Centers for Disease Control and Prevention.
and providing a restful environment. 74. The mist in a mist tent should never become so dense that it obscures clear visualization of the patient’s respiratory pattern. In descending order. the nurse should ensure that the informed consent form has been signed.68. orthostatic hypotension. lethargy. the nurse should follow these steps: Move the patient’s head and shoulders toward the edge of the bed. 77. that the patient hasn’t taken anything by mouth since midnight. the nurse should follow these steps: Clean. The diaphragm of the stethoscope is used to hear high-pitched sounds. the reading will be falsely elevated. the patient should take a liquid iron preparation through a straw. stupor. A slight difference in blood pressure (5 to 10 mm Hg) between the right and the left arms is normal. 72. The intraoperative period begins when a patient is transferred to the operating room bed and ends when the patient is admitted to the postanesthesia care unit. On the morning of surgery. To perform venipuncture with the least injury to the vessel. A tilt table is useful for a patient with a spinal cord injury. 87. and chemical name. injection of iron dextran (Imferon). 83. extends the patient’s legs and inserts a pillow between them. When instilling ophthalmic ointments. Comfort measures. but don’t rub. When being measured for crutches. such as breath sounds. rectum. which is used in official publications. 78. Artificial limbs and other prostheses are usually removed.M. To avoid staining the teeth. 69. If a blood pressure cuff is applied too loosely. The nurse should use a leg cuff to measure blood pressure in an obese patient. a patient should wear shoes. which is selected by the drug company. light coma. and that vital signs have been taken and recorded. name (such as Tylenol). 73. may decrease the patient’s need for analgesics or may enhance their effectiveness. or brain damage because it can move the patient gradually from a horizontal to a vertical (upright) position. 80. 76. 89. 85. which describes the drug’s chemical composition. not to the mattress or side rails. has had mouth care (without swallowing the water). To turn a patient by logrolling. places a draw sheet under the patient. Move the patient’s feet and legs to the edge of the bed (crescent position). 79. such as positioning the patient. has taken a shower with antimicrobial soap. A drug has three names: generic name. mouth. 88. An organism may enter the body through the nose. 90. 71. 81. 84. The nurse should attach a restraint to the part of the bed frame that moves with the head. the site with alcohol. or skin. and straighten the back while moving the patient toward the edge of the bed. Ptosis is drooping of the eyelid. the nurse should turn the bevel upward when the vessel’s lumen is larger than the needle and turn it downward when the lumen is only slightly larger than the needle. urinary or reproductive tract. Hold the shaft of the needle in a dart . 82. and has received preoperative medication as prescribed.5 cm) above the antecubital fossa. The nurse should place the blood pressure cuff 1″ (2. The nurse should use the Z-track method to administer an I. or brand. if needed. the nurse should waste the first bead of ointment and then apply the ointment from the inner canthus to the outer canthus. Stretch the skin taut or pick up a well-defined skin fold. the levels of consciousness are alertness. 86. and turns the patient by slowly and gently pulling on the draw sheet. To administer heparin subcutaneously. 75. has removed common jewelry. rubbing the patient’s back. 70. trade. To move a patient to the edge of the bed for transfer. Place both arms well under the patient’s hips. the nurse folds the patient’s arms across the chest. and deep coma.
reducing the risk of thrombus formation. Insert the needle into the skin at a right (90-degree) angle. During lumbar puncture. the nurse should include the size. the nurse must note the initial intracranial pressure and the color of the cerebrospinal fluid. For a sigmoidoscopy. When assessing a patient for bladder distention.position. . To elicit Babinski’s reflex. rest. Hertz (Hz) is the unit of measurement of sound frequency. self-esteem and recognition. the nurse strokes the sole of the patient’s foot with a moderately sharp object. 95. 109. When caring for a patient who has a nasogastric tube. the nurse should check the contour of the lower abdomen for a rounded mass above the symphysis pubis. a clotting factor. Apply pressure to the injection site with an alcohol pad. the nurse should note this on the laboratory request. 96. 103. a nasogastric tube is inserted. but don’t aspirate. 97. sex. 94. People with type AB blood are considered universal recipients. Two to three hours before beginning a tube feeding. safety and security. 104. 91. color. love and belonging. 100. Antiembolism stockings decompress the superficial blood vessels. Hearing protection is required when the sound intensity exceeds 84 dB. and consistency of the drainage (for example. is produced in the liver. Prothrombin. and selfactualization. Double hearing protection is required if it exceeds 104 dB. In documenting drainage on a surgical dressing. 111. is the most effective means of traction. 101. 106. and comfort). 113. the nurse should place the patient in the knee-chest position or Sims’ position. depending on the physician’s preference. the nurse should aspirate the patient’s stomach contents to verify that gastric emptying is adequate. 98. 110. Leave the needle in place for 10 seconds. Withdraw the needle gently at the angle of insertion. In adults. 108. Maslow’s hierarchy of needs must be met in the following order: physiologic (oxygen. food. the nurse should remove her gloves before her mask because fewer pathogens are on the mask. When leaving an isolation room. If a patient can’t cough to provide a sputum sample for culture. Skeletal traction. The best way to prevent pressure ulcers is to reposition the bedridden patient at least every 2 hours. the eyedrops should be instilled first. water. 92. People with type O blood are considered universal donors. such as a thumbnail. Firmly depress the plunger. A positive Babinski’s reflex is shown by dorsiflexion of the great toe and fanning out of the other toes. the most convenient veins for venipuncture are the basilic and median cubital veins in the antecubital space. 93. 107. 102. If eye ointment and eyedrops must be instilled in the same eye. which is applied to a bone with wire pins or tongs. 105. and ingested substances are removed through the tube. “10 mm of brown mucoid drainage noted on dressing”). 112. a heated aerosol treatment can be used to help to obtain a sample. If a patient is menstruating when a urine sample is collected. 99. During gastric lavage. the nurse should apply a water-soluble lubricant to the nostril to prevent soreness. the stomach is flushed.
The nurse should grade hyperactive biceps and triceps reflexes as +4. Delivery of a chilled solution can cause pain. the nurse should primarily use the upper leg muscles. Wax or a foreign body in the ear should be flushed out gently by irrigation with warm saline solution. 139. arms. 116. While an occupied bed is being changed. and venous constriction. Anticipatory grief is mourning that occurs for an extended time when the patient realizes that death is inevitable. 123. An EEG identifies normal and abnormal brain waves. 118. 136. 134. rice. 115. 124. spinach (green). and pasta. hands. The fight-or-flight response is a sympathetic nervous system response. the nurse should apply intermittent suction for no more than 15 seconds and use a slight twisting motion. Drugs aren’t routinely injected intramuscularly into edematous tissue because they may not be absorbed. 120. 130. the patient should be covered with a bath blanket to promote warmth and prevent exposure. Wheezing is an abnormal. 129. 132. 131. licorice (black). perineum. back. venous spasm. When caring for a comatose patient. 121. forcing fluids helps prevent constipation.” the nurse should check the switch first to see if it’s turned on and then check the batteries. A patient should void within 8 hours after surgery. legs. 122. 133. the patient should remove all jewelry and dentures. When preparing for a skull X-ray. high-pitched breath sound that’s accentuated on expiration. abdomen. the nurse should explain each action to the patient in a normal voice. A patient’s bed bath should proceed in this order: face. To prevent injury when lifting and moving a patient. 137.114. . When providing tracheostomy care. If two eye medications are prescribed for twice-daily instillation. Samples of feces for ova and parasite tests should be delivered to the laboratory without delay and without refrigeration. 135. If a patient complains that his hearing aid is “not working. The total parenteral nutrition solution should be stored in a refrigerator and removed 30 to 60 minutes before use. they should be administered 5 minutes apart. neck. cocoa (dark red or brown). The autonomic nervous system regulates the cardiovascular and respiratory systems. The following foods can alter the color of the feces: beets (red). When withdrawing the catheter. and meat protein (dark brown). 127. the nurse should insert the catheter gently into the tracheostomy tube. 128. In a postoperative patient. Bronchovesicular breath sounds in peripheral lung fields are abnormal and suggest pneumonia. hypothermia. A low-residue diet includes such foods as roasted chicken. chest. 138. 126. A rectal tube shouldn’t be inserted for longer than 20 minutes because it can irritate the rectal mucosa and cause loss of sphincter control. 117. Patient preparation for cholecystography includes ingestion of a contrast medium and a low-fat evening meal. 119. Dentures should be cleaned in a sink that’s lined with a washcloth. 125.
state regulations. Quality assurance is a method of determining whether nursing actions and practices meet established standards. Outside of the hospital setting. putting the nursing plan into action. . 152. transport. 155. 150. The nurse should flush a peripheral heparin lock every 8 hours (if it wasn’t used during the previous 8 hours) and as needed with normal saline solution to maintain patency. 160. the nurse should record the current illness chronologically. right dose. 151. 158. 159. the nurse should record information as soon as it’s gathered. When assessing a patient’s health history. 149. The kilocalorie (kcal) is a unit of energy measurement that represents the amount of heat needed to raise the temperature of 1 kilogram of water 1° C. When assessing a patient’s health history. they undergo ingestion. For example. regardless of serum concentration. An inspiration and an expiration count as one respiration. and facility policy. beginning with the onset of the problem and continuing to the present. The Patient’s Bill of Rights offers patients guidance and protection by stating the responsibilities of the hospital and its staff toward patients and their families during hospitalization. digestion. right drug. In an alcoholic beverage. If a chest drainage system line is broken or interrupted. 163.140. 142. 141. 145. delegating specific nursing interventions. When obtaining a health history from an acutely ill or agitated patient. A nurse may clarify a physician’s explanation about an operation or a procedure to a patient. a patient isn’t competent to sign an informed consent form. These decisions are based on the patient’s wishes and views on quality of life. The body metabolizes alcohol at a fixed rate. The five rights of medication administration are the right patient. 154. A living will is a witnessed document that states a patient’s desire for certain types of care and treatment. 153. 161. After receiving preoperative medication. and coordinating the patient’s activities. absorption. and excretion. and right time. A nurse shouldn’t give false assurance to a patient. a 100proof beverage contains 50% alcohol. The nurse shouldn’t use her thumb to take a patient’s pulse rate because the thumb has a pulse that may be confused with the patient’s pulse. 147. proof reflects the percentage of alcohol multiplied by 2. beginning with the onset of the problem and continuing to the present. The evaluation phase of the nursing process is to determine whether nursing interventions have enabled the patient to meet the desired goals. right route of administration. When lifting a patient. 148. To minimize omission and distortion of facts. cell metabolism. 162. 156. 146. As nutrients move through the body. the nurse should clamp the tube immediately. a nurse uses the weight of her body instead of the strength in her arms. 157. A nurse must provide care in accordance with standards of care established by the American Nurses Association. the nurse should record the current illness chronologically. but must refer questions about informed consent to the physician. The implementation phase of the nursing process involves recording the patient’s response to the nursing plan. only the sublingual and translingual forms of nitroglycerin should be used to relieve acute anginal attacks. the nurse should limit questions to those that provide necessary information. 143. 144.
as heard over the liver or other solid organ). Inspection is the most frequently used assessment technique. green leafy vegetables. intercostal muscle retraction. 170. During blood pressure measurement. smell. 188. The autonomic nervous system controls the smooth muscles. and whole grains. It occurs in ventricular enlargement because the stroke volume varies with each heartbeat. toileting. and flatness (soft. as heard over a gastric air bubble or puffed out cheek). During cold application. A secondary disability is caused by inactivity. then heat is applied. The nurse should follow standard precautions in the routine care of all patients. dullness (medium intensity. 168. such as organ meats. The phases of mitosis are prophase. A correctly written patient goal expresses the desired patient behavior. The optic disk is yellowish pink and circular. 172. Pulsus alternans is a regular pulse rhythm with alternating weak and strong beats. 184. race. as heard over an emphysematous lung). with a distinct border. Activities of daily living include eating. 180. resonance (loud. 174. hyperresonance (very loud. anaphase. and telophase. . kidney. It’s developed in collaboration with the patient. nuts. and mastication. The nurse can assess a patient’s general knowledge by asking questions such as “Who is the president of the United States?” 179. time frame for achievement. legumes. criteria for measurement. soybeans. 186. and age. and the swing phase. a favorite chair. 165. The upper respiratory tract warms and humidifies inspired air and plays a role in taste. and knickknacks) to the person’s room to provide a comfortable atmosphere. as heard over the thigh). dried fruit. the pack is applied for 20 minutes and then removed for 10 to 15 minutes to prevent reflex dilation (rebound phenomenon) and frostbite injury. Using muscle strength to hold up the arm may raise the blood pressure. 173. 177. the patient should rest the arm against a surface. Nurses are commonly held liable for failing to keep an accurate count of sponges and other devices during surgery. 187. dressing. unalterable risk factors for coronary artery disease include heredity. corn. 166. The best dietary sources of vitamin B6 are liver. The nurse should use the bell of the stethoscope to listen for venous hums and cardiac murmurs. in which the patient’s foot rests on the ground. 175. and whole-grain cereals. in which the patient’s foot moves forward. grooming.164. 176. Major. eggs. and interacting socially. their palms should bear the brunt of the weight. Iron-rich foods. Signs of accessory muscle use include shoulder elevation. 171. Eupnea is normal respiration. Cold packs are applied for the first 20 to 48 hours after an injury. 185. 183. 181. 178. Normal gait has two phases: the stance phase. as heard over a normal lung). bathing. and conditions under which the behavior will occur. and scalene and sternocleidomastoid muscle use during respiration. 167. pork. sex. metaphase. Family members of an elderly person in a long-term care facility should transfer some personal items (such as photographs. 182. Percussion causes five basic notes: tympany (loud intensity. When patients use axillary crutches. A primary disability is caused by a pathologic process. 169. The pons is located above the medulla and consists of white matter (sensory and motor tracts) and gray matter (reflex centers). commonly have a low water content.
The most accessible and commonly used artery for measuring a patient’s pulse rate is the radial artery. Bradycardia is a heart rate of fewer than 60 beats/minute.S. and density of underlying organs and tissues. percussion. 196. the nurse depresses the lower lid. 193. physical examination.189. is the left eye. A nursing diagnosis is a statement of a patient’s actual or potential health problem that can be resolved. and household system. The physical examination includes objective data obtained by inspection. In a resting adult. especially in a patient who has peripheral vascular disease or neuropathy. The patient should also have a general idea of the time required from surgery to recovery. 207. the nurse should write legibly. intraoperative. 199. This procedure is done to determine the size. 200. 210. The measurement systems most commonly used in clinical practice are the metric system. O. . phase of menstrual cycle. palpation. Bruits commonly indicate life. 203. When documenting patient care. 191. the patient should know whether other treatment options are available and should understand what will occur during the preoperative. 195. elicit tenderness. Collaboration is joint communication and decision making between nurses and physicians. 204. 198. and sign each entry. information that’s supplied by the patient. or assess reflexes. Factors that affect body temperature include time of day. and pregnancy.or limb-threatening vascular disease. It’s used to treat poisoning or drug overdose. It’s designed to meet patients’ needs by integrating the care regimens of both professions into one comprehensive approach. 190. he should have an opportunity to ask questions. In addition. the artery is compressed against the radius. the nurse assesses the patient’s response to therapy. and auscultation. During the evaluation step of the nursing process. The nurse should never destroy or attempt to obliterate documentation or leave vacant lines. and O. During percussion. the nurse collects and analyzes three types of data: health history. The patient’s health history consists primarily of subjective data. apothecaries’ system. 201. To take the pulse rate. Gastric lavage is flushing of the stomach and removal of ingested substances through a nasogastric tube. sharp tapping of the fingers or hands against body surfaces to produce sounds. O. 197. shape. 205. 202. and laboratory and diagnostic test data. diminished. age. and the possible complications. 208. 192. The nurse should use a warm saline solution to clean an artificial eye. repetitive bouncing of tissues against the hand and feeling their rebound. Before signing an informed consent form. 194. Laboratory test results are an objective form of assessment data. A patient must sign a separate informed consent form for each procedure. Ballottement is a form of light palpation involving gentle. is the right eye. use only standard abbreviations. A foot cradle keeps bed linen off the patient’s feet to prevent skin irritation and breakdown. 209. the normal pulse rate is 60 to 100 beats/minute. During the assessment phase of the nursing process. The rate is slightly faster in women than in men and much faster in children than in adults. and postoperative phases. position. 211. or otherwise changed by nursing interventions.D.U. physical activity. To remove a patient’s artificial eye. 206. the risks involved. means each eye. the nurse uses quick.
and clarity of the urine and the presence of clots or sediment. Pabustan . 215. Axillary temperature is usually 1° F lower than oral temperature. amount. 217. 216. After bladder irrigation. 214.c.212. 213. An adult normally has 32 permanent teeth. the nurse should document the amount. Laws regarding patient self-determination vary from state to state. the nurse must be familiar with the laws of the state in which she works. the nurse should document the amount. 218. Therefore. and clarity of the urine and the presence of clots or sediment. 219. After bladder irrigation. the nurse must document the color. the abbreviation p. the larger the diameter. After suctioning a tracheostomy tube. 220. color. On a drug prescription. Gauge is the inside diameter of a needle: the smaller the gauge. color. consistency. means that the drug should be administered after meals. A thready pulse is very fine and scarcely perceptible. Whew! That was a lot of information…did you learn something? credits to Mervilyn C. and odor of secretions.
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