Care/Comfort
Pharmacological
Physiologic Adaptation
Reduction of Risk
Safety/Infection Control
100
Diet to prevent acute cholecystitis
What is a Lowfat diet?
100
Nurse's first response to a transfusion reaction
What is stop the blood transfusion immediately and hang new tubing with a new bag of normal saline?
100
This process causes a decrease in hydrogen ion concentration in the blood.
What is hyperventilation?
100
Tachycardia, tachypnea, hypercarbia, & dysrhythmias are signs of this disorder in the intraoperative patient receiving succinylcholine
What is malignant hyperthermia?
100
This practice is not recommended and creates a high negative pressure and may damage lung tissue.
What is stripping or milking a chest tube?
200
Increased Hgb, Hct, BUN with AP 126, BP 82/56, weakness, dry furrowed tongue, nausea/vomiting
What are signs/symptoms of dehydration ?
200
This drug causes vasoconstriction and is used to treat Diabetes Insipidus.
What is Vasopressin?
200
Compliance with this regime will keep CD+4 counts elevated.
What is highly active antiretroviral therapy (HAART)?
200
No p wave, wide QRS complexes six in a row for 60 secs
What is V-tach?
200
Pregnant women who have not had chicken pox, immunocompromised persons, & infants should not be around a client with this infection?
What is Herpes Zoster (Shingles)?
300
Increased complaints of pain in right ankle with pale toes and 1+/4+ dorsalis pedis and posterior tibial
What are sign/symptoms of compartment syndrome ?
300
Neutropenia, mucositis, N/V, & anorexia are common side effects
What are side effects of chemotherapy?
300
Patient is complaining of "tearing" sensation in abdomen, diaphoresis, nausea, vomiting, "feels like fainting"
What are signs/symptoms of an AAA dissection?
300
This complication can be caused by gunshot wounds, stabbing, or MVA's. Muffled heart sounds, increased JVD, and hypotension is called Beck's triad for this disorder.
What is cardiac tamponade?
300
Negative airflow room, cough etiquette, droplet precautions, and N95 respirator are common with this diagnosis.
What is Tuberculosis?
400
Cleanse left outer malleolus with normal saline and apply vaseline or moisture barrier cream to wound bed borders then apply a proteolytic enzyme such as Accuzyme to wound bed and cover daily
What is an intervention or treatment for a Stage III pressure ulcer?
400
Flu-like symptoms, bradycardia, yellow/green halos seen around objects
What are signs/symptoms of Digoxin Toxicity?
400
Initial fluid shift first 24 hours after this injury with increased H/H, decreased Na+, increased K+, elevated WBC and serum glucose, and decreased total protein/albumin levels
What is a burn?
400
Diminished breath sounds, anxiety, and tachypnea can be results of this diagnostic test?
What is a thoracentesis?
400
Genetic predisposition, acute febrile state, head trauma, cerebral edema, infection, hypoglycemia, exposure to toxins, brain tumor, hypoxia, alcohol withdrawal, & fluid/lyte imbalances can cause this disorder
What is a Seizure Disorder?
500
Intake= 1600ml Output=800ml in three hours post TURP with continuous bladder irrigation (CBI)
What is a bladder outlet obstruction from a blood clot?
500
Four units of Aspart per 60gms of carbohydrates
What is the recommended insulin to carbohydrate consumption dose?
500
Using this breathing pattern with this diagnosis lengthens the expiratory phase and promotes exhalation of CO2
What is pursed lip breathing for the COPD patient?
500
BP 180/100, AP 51, complaints of severe headache, flushed face and neck, blurred vision, nasal stuffiness, and diaphoresis might occur post spinal cord injury in patient's with a distended bladder.
What is autonomic dysreflexia?
500
Those who consume too much alcohol, smoke, suffer from malnutrition, take steroids, have diabetes, renal failure, or COPD are at risk for this?
What is a person who is at risk for Infection?
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