This is a key action of the body when it initiates an immune response
What is vasodilation?
You may hear these sounds when your client is having an asthma attack
What are expiratory wheezes?
Most effective way to break the chain of infection from one client to another
To avoid infection, the insertion of a urinary catheter is this type of procedure
What is sterile?
This nutritional supplement reduces the risk of birth defects in neonates
What is folic acid?
This is the mechanism the body uses to maintain its core temperature in a cold environment
What is shiver thermogenesis?
Expect this respiratory pattern with Cheyne-Stokes breathing
What is breathing ranging from very deep to very shallow with periods of apnea?
Increasing numbers of these cells when looking at the results of a CBC (complete blood count) usually indicate the presence of infection.
What are WBCs?
In a patient who may be having a reaction to a bee sting, you would expect their blood pressure to do this
What is be low?
List the functions of fats
What is the absorption of fat soluble vitamins, to protect and insulate organs, provide energy, and be a building block for some hormones?
In a bowel incontinent client, establishing a toileting schedule based on their usual bowel pattern will help promote this
What is bowel continence?
Upon hearing fine crackles in the posterior base of the lung, you should instruct the client to do this before you take another listen
What is ask the client to take a deep breath and cough?
Teaching to help the immunocompromised client avoid infection should include these points
What is restricting visitors who are sick, avoiding raw foods, staying away from items that can harbor infectious materials, and wearing a mask when in public?
This is a sign of oxygen toxicity
What is muscle twitching?
This mineral is essential for transporting oxygen in the body
What is iron?
Post operative patients should be coughing and deep breathing this often
What is every 2 hours?
This is an expected finding with moderate to severe hypoxia
What is cyanosis?
Signs of infection in a post operative patient
What are adventitious lung sounds, changes in level of consciousness, redness and warmth at incision site, and elevated temperature
A white coating in the mouth and throat is evidence of this adverse effect of using a steroid DPI
What is thrush?
For patients on restricted diets (ex: low sodium) an effective teaching tool to help them manage the restriction is to teach them to do this with every food
What is teach them how to read the label?
Prior to collecting a sputum sample from a client, the nurse should have the client do this
What is rinse out their mouth?
Instructions for the client experiencing constipation
What is drink more water, eat high fiber foods, go when you have the urge?
One of the most common causes of health care associated infections
What is urinary catheterization?
Instructions for home oxygen should include
What is store tanks upright, attach cylinders to a fixed object, post a no smoking sign in the home, and notify the fire department and electric company that oxygen is used in the home?
A patient with hemorrhoids and the patient with a coagulation disorder should only have their temperature taken using these routes
What are oral, axillary, and tympanic?