Unit 1
The nurse taking care of a patient changes the pain care plan after she notes the patient does not experience pain relief after medication is given.... what is occurring with the patient?
patient pain threshold is lowered
How a microorganism enters the body
portal of entry
What is the most frequent cause of death after a stroke and what intervention can you do to prevent it (must answer both to get full credit)
PNE - encourage forceful coughing to stimulate deep breathing.
nursing intervention to maintain adequate nutritional status for a COPD patient
small frequent meals
intervention to assist with arterial insufficiency
frequently allow the legs to dangle dependently
POP QUIZ HOT SHOT....
if you suspect a medication is not dosed properly or could be dangerous for the patient... who do you report to first?
RN
POP QUIZ HOT SHOTS...
what do you do when your patient's IV infiltrates?
stop infusion, leave cannula in
assess patient
cold compress
start another IV
Why is rehabilitation necessary for a SCI patient?
focuses on adjustments necessary to reenter society and the workplace
nursing assessment that notes respiratory distress is imminent
absence of wheeze
Lovenox is an example of this
LMWH
proficient amount of urine excreted by the kidneys per kg
0.5mL/kg/hr
one celled organism
what are bacteria
best determination of a patient's neurological status
LOC
50 yo c/o of loss of sense of smell is not right, and her nose is drier (with an occasional nosebleed).. what is occurring?
normal age related changes
Zocor is given to help manage cholesterol; what is the desire lab values
HDL above 40
LSL below 100
What do you do if a patient develops an air embolus from an IV site?
Turn the patient to the left side and lower the head of the bed
most abundant element intracellularly
potassium
S/S of TIA - in medical terms
Dysphagia
Ptosis
Tinnitus
Dysarthria - all will subside w/in 24 hours
What causes the breath sound wheeze?
air passing through narrowed airways
Age related changes within the heart (at least 3)
decrease in contractility
thickened valves
stiffened valves
decreased SA node cells
What events will cause a nurse not to educate a patient to TC and DB?
After cataract surgery, hernia repair, and brain surgery
What you do in the event of a needle stick
incident report filled out
drawing blood from both patient and nurse to determine if infection may occur
administer prophylactic ABT to the nurse
bonus (100points) if mention repeat blood draw 4-6 weeks later or getting a return to work note
what should a nurse ensure as a priority for a patient immediately after a CVA?
airway maintenance
patient is dyspneic and cyanotic.... what do you do?
apply O2 to preserve hypoxic drive
nursing diagnosis to represent a cap refill less than 3 seconds
altered tissue perfusion