Misc.
Keeping the legs dangling would be for PVD or PAD
PAD-gravity helps make blood flow comes to the legs
This laboratory value is monitored to evaluate the therapeutic effect of a heparin infusion.
What is the aPTT?
This assessment finding occurs when the client suddenly stops inhaling because palpation beneath the right costal margin causes pain.
What is a positive Murphy's sign?
This personality disorder is characterized by an exaggerated sense of self-importance, a need for admiration, and expectations of special treatment.
What is narcissistic personality disorder?
A painful erection lasting more than four hours requires this immediate nursing action.
What is notifying the healthcare provider immediately?
TO help with PVD how do you put on compressions?
YOU keep legs elevated to put on the stockings
This anticoagulant works immediately and is commonly used as a bridge until warfarin becomes therapeutic.
What is heparin?
Instead of reducing stomach acid, this medication forms a protective barrier over ulcers.
What is sucralfate?
This is considered one of the strongest risk factors for developing major depressive disorder.
What is a family history of depression?
This is the primary reason a temporary urinary catheter is inserted in a client with BPH.
What is to facilitate complete emptying of the bladder?
Common causes of Pancreatitis
Gallstones and Alcohol intake
Clients with arterial insufficiency often find relief by keeping their legs in this position.
What is dependent (down)?
Pantoprazole, omeprazole, and esomeprazole belong to this class of medications.
What are proton pump inhibitors (PPIs)?
This is the nurse's highest priority when caring for a client experiencing delirium.
What is maintaining the client's safety?
This client statement indicates the need for additional teaching about dietary management.
What is "I will eat more high-protein foods to replace the protein I'm losing in my urine"?
Why would lisinopril be held?
If the Blood pressure was low 80/50...
Before administering this medication, the nurse should assess this vital sign for one full minute.
What is the apical pulse?
Famotidine, cimetidine, and ranitidine belong to this class of medications used to decrease gastric acid production.
What are H2-receptor antagonists?
This therapeutic communication technique is appropriate when a suicidal client states they plan to try again after discharge.
What is asking the client, "What exactly do you plan to do?"
Nausea, drowsiness, and muscle aches in a client taking lithium require this nursing action.
What is withholding the next dose and notifying the healthcare provider?
What is a toxic digoxin level?
Level of 3 ng/mL
This potentially life-threatening complication can occur if a deep vein thrombosis dislodges and travels to the lungs.
What is a pulmonary embolism?
Along with alcohol abuse, this is the most common cause of acute pancreatitis.
What are gallstones?
his is the most therapeutic nursing response to a client expressing a paranoid delusion.
What is "Do you feel afraid that people are trying to hurt you?"
This medication should be held if a client develops severe hypotension or angioedema.
What is lisinopril?