Cardiovascular
This system is activated when renal blood flow is decreased, such as with hypotensive states.
what is RAAS?
This primary prevention mechanism can be used to avoid the occurrence of shingles, a viral condition that causes pain, itching, and a red-silvery vesicular rash.
what is vaccination?
This term describes the blood pH being greater than 7.45.
what is alkalosis?
The priority intervention for this electrolyte imbalance is obtaining an EKG.
what is hyper/hypo - kalemia?
This type of heart failure causes blood to backup into the peripheral circulation, causing edema, weight gain, and JVD.
what is right-sided heart failure?
The nurse should give patients with pruritis this education to prevent secondary bacterial infections.
what is - avoid scratching the area?
This term describes blood pH being less than 7.35.
what is acidosis?
It is essential to assess the neurological status of patients with disturbances of this electrolyte.
what is hyper/hyponatremia (sodium imbalance)?
- can cause: seizures, confusion, lethargy, AMS, weakness, coma, etc.
This vascular disease process is often treated by removing underlying causes such as: smoking cessation, dietary sodium limitations, weight management, stress management, increasing activity levels, etc.
what is hypertension?
Using the rule of 9's, identify the percentage of TBSA (total body surface areas) of the patient who was found in a house fire:
- burn of the anterior right leg, anterior trunk, and entire right arm
what is 36%?
This respiratory acid-base imbalance may occur with a patient who has had a opioid overdose due to the decreased rate and depth of their respirations.
what is respiratory acidosis? (this occur due to build up of CO2)
Trousseau's and Chvostek's signs are seen with this electrolyte imbalance.
what is hypocalcemia?
This condition is characterized by decreased cardiac output, where the blood backs up to pulmonary circulation, causing pulmonary congestion (crackles), dyspnea, and activity intolerance.
what is left-sided heart failure?
Stage this pressure injury:
- bone visible
what is a stage IV (4) pressure injury?
These changes may occur within the respiratory system as a compensatory mechanism for acid-base imbalances.
what are changes in rate and depth?
This type of fluid has the same tonicity as blood, so it increases the volume in the intravascular space. It may be given as a fluid replacement as with hypovolemia.
what is isotonic?
During the head-to-toe assessment the nurse notes that it is difficult to auscultate the patient's heart sounds, their jugular vein seems distended and the morning vitals recorded a b.p. JVD, and low b.p., so they may be experiences this cardiovascular disease process.
what is cardiac tamponade?
Your patient has a mole that they state, "is starting to look different than it use to." Upon inspection, you note a blue color, and abnormal borders. This condition may be suspected.
what is skin cancer?
Prior to the final examination, the nursing student experiences an acute anxiety attack that presents with sweating, tachycardia, headache, and hyperventilation. This acid-base imbalance may occur as a result of the hyperventilation due to the loss of CO2.
what is respiratory alkalosis
Identify FVO or FVD:
- weak, thready pulse
- dry mucous membranes + thirsty
- tachycardia
- decreased skin turgor
what is fluid volume deficit?