Clinical Assessment & Patient Care Flashcards

A patient's chart shows "DNR" status. What does this mean?

Answer: Do not attempt cardiopulmonary resuscitation if the heart or breathing stops

A DNR order means CPR will not be performed in the event of cardiac or respiratory arrest; other treatments may continue.

How is an apical pulse obtained?

Answer: Listening with a stethoscope over the apex of the heart for one full minute

The apical pulse is auscultated at the heart's apex, typically counted for a full 60 seconds.

What does an order for "strict I&O" require?

Answer: Accurately measuring and recording all fluid intake and output

Strict I&O requires exact measurement of every source of fluid in and out of the patient.

Pain is often called the "fifth vital sign." What scale is most commonly used for alert adults?

Answer: 0-10 numeric rating scale

The 0-10 numeric scale lets patients self-report pain intensity.

An order for "orthostatic vital signs" requires measuring BP and pulse how?

Answer: With the patient lying, sitting, and standing

Orthostatic vitals detect drops in blood pressure or rises in pulse with position changes.

Protective (neutropenic or reverse) isolation is intended to protect whom?

Answer: The immunocompromised patient from outside pathogens

Protective isolation shields patients with low white blood cell counts from infection.

What is the main purpose of an order for SCDs?

Answer: To prevent deep vein thrombosis

Sequential compression devices inflate around the legs to promote venous return and prevent DVT.