Bacterial, Viral, Fungal, and Parasitic infection
organism the uses the host's genetic machinery to reproduce
What is Viruses?
lack of fluid in the body, from insufficient intake or excessive loss
What is dehydration ?
Blood sodium level less than 136 mEq/L.
What is hyponatremia?
Right patient, right med, right route, right dose, right time.
what is the 5 rights of medication administration?
technique required for inserting a foley catheter
What is surgical asepsis?
Candida albicans,Aspergillus
What is fungi?
excess of water and electrolytes
what is hypervolemia?
Causes dysrhythmias( shorted QT & ST intervals) and increases risk for blood clots. Decreases refelxes and bone pain, weakness, lethargy, Decrease LOC, & personalitiy change
What is hypercalcemia
Right task, right circumstance, right person, right direction and communication, right supervison and evaluation
What is the 5 rights of delegation
Do not use cotton balls and other products that shed fibers, if irrigating, use a piston syringe or a sterile straight catheter for deep wounds with small openings. Apply 5-8 psi of pressure. Use normal saline, lactated ringers, or an antibiotic/antimicrobial solution. Hold the tip 1 inch above the wound, repeating the procedure until the irrigant flowing out of the wound is clear.
What is performing dressing change?
A systemic inflammatory response syndrome resulting from the body's response to serious infection, usually bacterial
What is Sepsis?
dry mucous membranes, cool clammy skin, oliguria, hyperthermia, tachycardia, hypotension
What is expected findings of dehydration?
Normal ranges from 1.3-2.1 mEq/L
Magnesium serum levels
Complete a fall risk assessment, leave call light in bed, hourly rounding, place clients near nurses station, bed in lowest patient, and wheels locked on bed,provide non-skid footwear, keep patients personal items close and use of electronic safety monitoring devices.
What is fall prevention?
should not be measured on the same arm as with IV infusion in progress or on the side where the client had a mastectomy or a AV shunt or fistula.
what is blood pressure?
It initially produces chickenpox, after which the virus lies dormant in the dorsal root ganglia of the sensory cranial and spinal nerves. It is then reactivated as shingles later in life.
What is herpes zoster?
can lead to pulmonary edema and heart failure
What is Fluid volume overload?
potentially life-threatening due to the risk of cardiac arrhythmias and cardiac arrest
What is hyperkalemia
Have a second nurse listen to it and repeat it back making sure to include medication's name, dosage, time and route.
What is a telephone prescription?
clears secretions from the airway of clients who cannot mobilize and expectorate them without assistance.
What is suctioning?
MRSA is resistant to most antibiotics except..
What is Vancomycin?
Sodium restriction, measure clients weight daily, monitor for SOB and dyspnea, monitor and document edema
What is nursing care for patient with fluid volume overload?
Vomiting, nasogastric suctioning, diarrhea, excessive laxative uses, excessive diuretic use, diaphoresis, wound losses.
What are causes of hypokalemia
If a nurse tells a coworker that she believes the client has been unfaithful to her spouse.
what is defamation of character?
Perform hand hygiene, put on gloves, remove the pouch from the stoma, inspect the stoma (it should appear moist, shiny, and pink. The peristomal area should be intact, and the skin should appear healthy. Use mild soap and water to cleanse the skin, then dry it gently and completely.
What is ostomy care?