Basic Care Flashcards

For a 24-hour urine collection, which instruction is most important?

Answer: Discard the first morning void then collect all urine for 24 hours

Discarding the first void establishes the start time; all urine for the next 24 hours is then collected.

Which action when applying antiembolic stockings (TEDs) requires correction?

Answer: Applying stockings over a wound dressing

TEDs must not be applied over wound dressings as this disrupts dressing integrity and may impair wound perfusion.

In the SBAR communication tool, what does the B stand for?

Answer: Background

B = Background: relevant clinical history and context for the current situation.

A client rates pain 8/10 before scheduled medication is due. What is the most appropriate intervention?

Answer: Assess pain fully and notify the physician to review the pain management plan

Severe breakthrough pain requires thorough assessment and physician notification to review the pain plan.

Which observation in a catheterized client requires immediate reporting?

Answer: Urine output 20 mL/hour over the past 3 hours

Urine output under 30 mL/hour for 3 hours indicates oliguria and may signal renal insufficiency, dehydration, or obstruction.

Which technique is correct when performing shoulder ROM exercises?

Answer: Support the joint above and below and move within the pain-free range

Supporting above and below the joint while staying within the pain-free range prevents injury during ROM.