A sign indicative of a systemic infection resulting from a wound is _____________.
What is fever.
Early manifestations include Tachypnea, Tachycardia, Restlessness, anxiety, pallor, elevated blood pressure, use of accessory muscles, nasal flaring, and adventitious lung sounds
What is Hypoxia
Nursing interventions include encouragement to increase fiber and water consumption, give bulk-forming products before stool softener, stimulants, or suppositories.
Constipation
Determining possible needs a person may have related to behaviors and beliefs that strengthen him or her and provide meaning to life. [source: Fundamentals of Nursing by Yoost & Crawford (2016)]
What is spiritual assessment? (required by AACN "Essentials" as a capability of BSN graduates: conduct spiritual assessment and recognize impact of spirituality on health care)
Expected outcome during a nursing eye exam.
What is PERRLA?
Pressure injury which involves skin and tissue loss with cartilage, bone, fascia, muscle, ligaments, or tendon exposed in the wound or easily palpable. Tunneling and undermining are common.
Stage 4 / Full-thickness skin and tissue loss
Complication of diarrhea, possibly manifested by tachycardia, hypotension, and dry mucous membranes
Dehydration
The form or place in the chart where the nurse documents his or her observations, care given and patient's responses.
What is nursing notes.
Oxygen delivery system that delivers an FiO2 of 80% to 95% at flow rates of 10-15 L/min
Non-rebreather mask
Dairy products, eggs, ripe bananas, or foods low in fiber and easy to digest
Low Residue Diet
According to this Practice Standard you must report a fellow member of the health care team if you have reasonable and probably grounds to believe their continued practice might constitute a danger to the public.
What is Duty to Report
Normal vital signs for an older adult with dehydration are as follows:
A. BP 90/50, P 124, R 52
B. BP 90/50, P 95, R 30
C. BP 110/60, P 75, R 20
D. BP 120/70, P 145, R 46
What is C. BP 110/60, P 75, R 20
This demographic is especially at risk for alterations in health from: substance use disorders, periodontal disease due to poor oral hygiene, unplanned pregnancies, STIs, infertility, work-related injuries, and violent deaths
Young Adults / 20-35 years
"Tell me about the GI problems you are having." This is what type of questioning during an interview.
What is open-ended questions?
his Practice Standard sets out requirements for whether or not an LPN can withdraw care.
What is Duty to Provide Care.
What is most commonly found in dependent lobes: right and left lung bases and is caused by random, sudden reinflation of groups of alveoli; disruptive passage of air through small airways.
What is crackles?
A document that appoints someone to make medical decisions when clients are no longer able to do so on their own behalf.
Durable Power of Attorney for Health Care
Advance Directive/POLST
The large intestine is a site of absorption
What is fluids and electrolytes