Supplemental Bullets #001

• A blood pressure cuff that's too narrow can cause a falsely elevated blood pressure reading.
• Rhonchi are the rumbling sounds heard on lung auscultation. They are more pronounced during expiration that during inspitation.
• Gavage is forced feeding, usually through a gastric tube.
• According to Maslow's Hierarchy of Needs, physiologic have t he highest priority.

• The safest and surest way to verify a patient's identity is to check the identification band on his wrist.
• In therapeutic environment, the patient's safety is the primary concern.
• Fluid oscillation in the tubing of a chest drainage system indicates that the system is working properly.
• The nurse should place a patient who has Sengstaken-Blakemore tube in semi-fowler position.
• For blood transfusion in an adult, the appropriate size is G16 to G20.
• Intractable pain is pain that incapacitates a patient and can't be relieved by drugs.
• In emergency, consent is required for any invasive procedure.
• 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.
• The Z-tract IM injection technique seals the drug deep into the muscle, thereby minimizing skin irritation and staining.
• In the event of fire, the acronym most often used is RACE.
• A registered nurse should assign a licensed vocational nurse or licensed practical nurse to perform bedside care, such as suctioning and drug administration.
• If a patient can's void, the first nursing action should be bladder palpation to assess bladder distention.
• The patient who use a cane should carry it on the unaffected side and advance it at the same time as the affected extremity.
• To fit a supine patient for crutches, the nurse should measure from the axilla to the sole and add 2" (5cm) to that measurement.
• The appropriate needle size for insulin injection is G25.
• Residual urine is urine that remains in the bladder after voiding. The amount of residual urine is normally 50 to 100 ml.
• The five stages of Nursing Process are assessment, planning, implementation and evaluation.
• Assessment is the stage of Nursing Process in which the nurse continuously collects data to identify a patient's actual and potential needs.
• Nursing Diagnosis is the stage of nursing process in which the nurse makes a clinical judgement about individual, family or community responses to actual or potential health problem or processes.