Do you see what I see?
Post-operative patients are at risk for this complication characterized by absent lung sounds in the lower lobes.
What is atelectasis?
Kinks and twists in catheter tubing can cause this complication in a patient with an indwelling urinary catheter.
What is infection?
You are a nurse in a long-term care facility. In the dining room at lunchtime, you observe a resident grasping their throat and they are not making any sounds. Your next action is to perform this life-saving maneuver:
What is the Heimlich?
First-aid treatment for injuries such as strains and sprains includes this "I" in the "R-I-C-E" acronym.
What is ice?
Manifestations of illness or disease are commonly referred to these.
What are symptoms/signs?
You observe a COPD patient sitting at the edge of the bed with their hands on their thighs. You recognize this position as a sign that they may be having trouble breathing.
What is Tripod position/tripoding?
Patients with moderate to high flow rates of oxygen should receive this for comfort.
The nurse should request orders for this type of diet for a patient at risk for skin-breakdown.
What is high-protein?
Your patient had abdominal surgery on Friday. Today is Monday and upon assessment you note that the patient has a BP of 113/67, HR 77, RR 19, straw colored urine in the Foley catheter bag, yellow colored drainage from the surgical incision site, and has eaten 60% of their breakfast. This finding prompts you to call the physician right away.
What is yellow colored drainage from the surgical incision site?
Poultry, Fish, and Eggs are optimal sources of this nutrient which helps promote wound healing.
What is protein?
A nurses observes that a patient is wearing this oxygen delivery device which provides a constant rate of a specific concentration of oxygen.
What is a Venturi mask?
This is the best way to ensure understanding of patient teaching.
What is return demonstration?
Small, frequent meals can help a patient who is suffering from this symptom of many illnesses and even some medication side-effects.
What is nausea?
The highest priority patient listed here is the patient that is crying loudly, has new lab orders from the physician, needs endotracheal suctioning, or has an infiltrated peripheral IV.
What is "needs endotracheal suctioning"?
Sutured or stapled wounds will heal by this intention.
What is primary/first?
Patients with open perineal wounds, urinary retention, or who need post-void residual measurement may have one of these in place.
What is a urinary catheter?
Increased fluid intake can help pneumonia patients by doing this.
What is thin respiratory secretions.
****Daily Double****
When performing endotracheal suctioning, the suction should be set between _______and________mmHG.
What is 80 and 120?
A post-op patient returns from surgery and is laying bed. Upon assessment, you note that the pulse-ox is 85%. The most immediate action the nurse can perform is to raise this.
What is the head of the bed?
A nurse teaches the patient to do this kind of breathing by instructing them to place their hands palm-side down at the border of the rib cage, inhale slowly through the nose, hold their breath for 2-3 seconds, and then exhale gently through the mouth.
What is diaphragmatic breathing?
When assessing a pressure ulcer, partial-thickness skin loss is documented as this stage.
What is II?
A patient has just had an indwelling urinary catheter removed. The patient may experience this common, temporary outcome following catheter removal.
What is urinary retention?
A patient with COPD and on oxygen at 2 lpm/nc complains of increased respiratory secretions. The nurse can perform this action without a physicians order to help the patient try and clear the respiratory secretions.
What is have the client cough?
The nurse notes that a stroke patient has severe dysphagia. The nurse recognizes that the patient should not receive food, liquids, or medications by this route.
What is PO/mouth/oral?
*****Daily Double*****
The process of exchanging gasses through the alveolar capillary membrane is known as this.
What is diffusion?