Bone/Joint/Muscles
What you administer for a client with a bone tumor
What are pain meds?
A post open hiatal hernia client is at risk for developing this because pain in the upper chest prohibits taking deep breaths or using the Incentive Spirometer
What is pneumonia?
A client with diabetes insipidus has been taking vasopressin medication and thus become at risk for water toxicity. Doing this DAILY is a primary intervention
What is measuring weight and reporting weight gain?
After learning that a chronic diabetes mellitus client has peripheral neuropathy in their feet, the nurse should assess for this
What are undetected signs of injury to the feet?
This is what EGD abbreviates
What is esophagogastroduodenoscopy?
A client who is post total hip arthroplasty (uncemented) need to have assistance of at least two with a gait belt when transferring because they have this restriction
What is non-weightbearing?
This service should be consulted for a client experiencing dumping syndrome
What is dietary/nutrition?
A client who reports feeling tired all the time, even after sleeping over 12 hours at a time, should be evaluated for this condition
What is hypothyroidism?
This is the primary intervention for a diabetic in DKA with Kussmaul respirations
What is administering IV insulin?
Two things you should not try to do if your client has a foreign body in their eye
What are testing visual acuity and removing the foreign body?
Because an older client may have a slightly low calcium level related to their age, they are at risk of developing this condition
What are osteopenia/osteoporosis?
This person should be consulted for a client with a new colostomy
Who is the wound care/ostomy nurse?
A female client with hirsutism should be encouraged to discuss her feelings about this issue
What is body image?
A client in DKA has a low potassium level. Administering IVF is primary, then this is secondary
What is SAFELY administering replacement potassium?
Teaching about cataracts in an outpatient ophthalmology clinic should include the administration of this type of medication both before and after the cataract surgery
What are eye drops?
What are muscle enzymes? (CK,LDH, AST, ALD)
This is the best intervention for your client with gastric pain who has a normal BP when lying down, but has hypotension when standing
What is a rapid NS fluid bolus with a large bore needle?
What is checking for muscle twitching (sign of hypocalcemia)?
A hyper parathyroid client has reabsorbed calcium from their bones, causing them to weaken. When repositioning them, the staff should use these
What are lift sheets?
Restrictions post this type of surgery include: No flying, no showering, and no use of straws (for a week)
What is a myringotomy (small incision in the eardrum to drain fluid)?
Even though a client is elderly and has osteoarthritis, they can not exceed this maximal dosage of acetaminophen per day
What is 3,000 mg?
This is the primary assessment focus for a client with severe diarrhea and low potassium and magnesium
What is cardiac monitoring?
A client with SIADH has a VERY low sodium level. This is the next primary intervention
What is starting a SEVERE fluid restriction (500-600 ml/24 hours)?
When performing a 24 hour urine collection, the time of initial voiding should be recorded and this happens to the initial voiding
What is discarding?
To decrease the risk of impaired clotting, the client who recently had a thromboembolism should do this while traveling
What is get up and walk at least every 2 hours?