3 D's
Acute onset of confusion and disorientation
What is delirium?
Halo vest device
What is traction for a cervical or thoracic injury?
Genetic disorder resulting in swallowing problems, writhing body movements and trouble with keeping balance
What is Huntington Disease?
Foot care teaching strategies for a client with DM
What is inspect feet every day, keep feet dry, apply coat of lotion over the top and bottom of feet, and never walk barefoot?
Use of heat and ice with OA
Treatment to reduce discomfort
An evidence-based instrument to assess delirium
What is Confusion Assessment Method
Key actions by the nurse for a client experiencing a seizure.
What is protect client from injury, observe and record the sequence & duration, and provide privacy?
A common sign and symptom of Multiple Sclerosis
What is muscle spasticity?
Signs of myxedema in a client with hypothyroidism
What is lethargy, bradycardia, and hypothermia?
Necessary actions for care of External traction for fracture
What is inspect for redness, drainage, and swelling every 4 hours; clean site with CHG, notify HCP of loosened bolts.
Apathy, sense of hopelessness, & feelings of Worthlessness
What is clinical manifestations of depression
First action when a spinal injury is suspected.
What is immobilize the spine with a backboard with head and neck in a neutral position?
Shuffling gait, tremor at rest, forward tilt to posture
What is Parkinson disease?
High fever, tachycardia, and exaggerated symptoms of hyperthyroidism
What is thyroid storm?
Primary cause of death for clients with RA
What is cardiovascular disease?
Providing a regular routine and quiet environment.
What is strategy for supporting cognitive function in Alzheimer disease?
Client presenting with a high cervical spinal injury with shallow respirations
What is give priority for oxygen and intubation?
Symmetrical ascending paralysis following an antecedent event such as virus
What is GB?
Normal glucose at bedtime, early morning hypoglycemia, and subsequent increased blood glucose caused by the production of counter-regulatory hormones
What is Somogyi effect?
Signs of osteoporosis
What is loss of height, kyphosis, and fractures?
Asking the client the date, to name a common object, and read and perform a task (Close Your eyes)
What is the mini mental status exam?
A client with a T 5 injury exhibits a sudden severe headache, hypertensive crises, and bradycardia
What is autonomic dysreflexia?
Teaching point for Sinemet
What is take the drug exactly as prescribed and swallow without chewing?
Numbness, tingling, and positive Chvostek sign in a client post op thyroidectomy
What is hypcalcemia?
Actions to avoid hip dislocation following arthroplasty
What is avoid extreme flexion of the hip and adduction?
Nutritional problem commonly seen in clients with moderate to severe AD
What is swallowing problems?
Phenytoin teaching points
What is use soft toothbrush, need for periodic lab draws to check levels, and periodic dental exams?
Treatment of bladder dysfunction in clients with MS
What is self-catheterization using clean technique?
Motor disturbances and mental status changes in a client with cirrhosis of the liver.
What is hepatic encephalopathy?
Assessment features found in Fat Embolism syndrome
What is confusion, respiratory distress, and petechiae on chest wall?