Assess this!
The patient knows his name, where he is but is unsure of what year it is or who the president is. The nurse knows to document this as AOx__.
What is 2?
This lab is elevated in infection.
What are WBC's?
The patient has yellow socks and a yellow wrist band on. The nurse knows this means that the patient is a. risk for ____.
The patient develops a dry cough. The nurse knows that this is related to this ace intibitor.
The acronym PERRLA stands for this.
What is "pupils equal, round, and reactive to light with accommodation"?
What is hemoglobin and hematocrit?
The nurse notices that a patient laying in bed with the HOB flat is having a hard time breathing. The patient is not on any positioning restrictions. What should the nurse do?
What is sit the patient up (semi/high fowlers)?
The patient is receiving furosemide. The nurse knows to watch for this electrolyte imbalance?
What is hypokalemia?
A patient sways slightly when walking. The nurse knows to document this finding as unsteady ____.
What is gait?
The patient is a chronic dialysis patient. The nurse knows these labs that indicate renal function, will be elevated!
What are BUN and creatinine?
The nurse sees that the patient is DNR status. The nurse knows this stands for____ ____ _____.
What is do not resuscitate?
The patient has hypothyroidism. The nurse knows to anticipate this medication.
What is synthroid or levothyroxine?
The patients heart sounds are normal. The nurse knows to document this as ___ and ___ present.
What is S1, S2?
The patient is on lasix. The nurse knows to anticipate that this lab value may drop.
What is potassium?
What is tachycardia and hypertension?
The nurse is giving spirinolactone. The nurse knows that this is a ______-sparing diuretic.
What is potassium-sparing?
A patient presents with yellow discoloration. The nurse knows to document this finding as ______.
What is jaundice?
The nurse suspects a UTI. They know the doctor will want this diagnostic lab done.
What is a urine culture?
The patient is on a blood thinner drip. The nurse knows that this is a possible nursing diagnosis for the patient.
What is risk for bleed?
The patient is a 78 year old male with a history of BPH. The nurse knows to anticipate this medication.
What is tamsulosin?