Your response to your client's preop labs that include a potassium of 2.9
What is notifying the surgical team?
These are the three categories clients are assigned during triage in the ED
What are emergent, urgent, and nonurgent?
The primary focus of care at end-of-life is to treat this symptom
What is pain?
This drug is metabolized in the liver and can cause liver damage, thus it is contraindicated for clients with alcohol abuse
What is acetaminophen?
This scale scores a client based on eye opening, motor response, and verbal response
What is the Glasgow Scale?
The priority assessment focus for a new client admitted for exacerbation of heart failure
What is respiratory status?
This is the person the client needs to talk with to get preop questions answered, before signing the consent form
Who is the surgeon?
What you should do first when you encounter a drowning victim who has a pulse but only agonal breathing.
What is give rescue breaths?
Just after a client has died, it is important for the nurse to allow the family to do this
What is spend time alone with the client?
Because this drug can cause renal damage, it is given in limited doses and the client must have good renal function and be adequately hydrated before it is given
What is ketorolac (Toradol)?
After a spinal injury, a decrease in heartrate, urinary output, and level of consciousness all indicate this condition is likely
What is neurogenic shock?
The expected response after giving a betablocker to a client
What is a decrease in the heartrate?
Allowing a client to ask questions before signing a consent form shows respect for this
What is autonomy?
A sudden increase in HR and BP in a post-op client is like from this cause and should be the nurse's next primary assessment focus
What is pain?
This complementary therapy allows the family to bring in recordings of the client's favorite songs to relax the client at end-of-life
What is music therapy?
Post op pain medication should be ordered this way
What is around the clock and PRN?
Meningococcal meningitis requires this type of precautions
What is droplet (mask and gloves)?
Because a left-sided heart catheterization carries the risk of causing a stroke, the nurse should be alert to any changes in this assessment area
What are neurological changes?
Who you should call if your postop client's BP has dropped by 50 mm Hg over the past hour
What is a Rapid Response Team?
The most accurate noninvasive indicator of fluid status
What is weight?
This symptom is most indicative of impending death
What are Cheyne-Stokes respirations with periods of apnea?
These medications are often given by PCA pump and can cause respiratory depression and extreme sedation
What are opioids?
This disease is transmitted easily among populations that are highly dense, such as prisons, dorms, barracks
What is bacterial memingitis?
Immediate intervention should follow when a client suddenly has an increased heartrate accompanied by this symptom
What is midsternal chest pain?
The 2 top priority assessment concerns for a client in the post operative care unit
What are airway and breathing?
While assessing a PICC line that is infusing IVF, the nurse notices edema in the upper extremity. The next action for the nurse needs to be this
What is stop the infusion?
A client receiving analgesia through an epidural line reports a headache and stiff neck. This is the next intervention by the nurse
What is stopping the infusion and notifying the physician?
Even though a client is asymptomatic with their bradycardia, they should be taught to avoid this
What is straining to have a bowel movement?