Highs and Lows
This lab value with symptoms like polyuria indicates diabetes and requires follow-up
What is a random glucose of 210 mg/dL with symptoms?
- what kind of symptoms?
This type of hearing loss occurs with aging and is sensorineural
What is presbycusis?
Redness and warmth at a surgical incision on day 1 indicates this phase of healing
What is the inflammatory phase (normal healing)?
This WBC range above ______ is considered to be above normal
What is 11,000+ cells
This condition is the priority concern in a patient with glucose 342 mg/dL, ketones, and confusion.
What is hyperglycemic crisis?
This is the priority nursing action when a patient has dizziness and palpitations after not eating.
What is check blood glucose?
Patients with this type of hearing loss hear better in noisy environments.
What is conductive hearing loss?
This lab finding indicates a bacterial infection with a “shift to the left.”
What is increased band neutrophils?
This symptom may be the earliest sign of infection in immunosuppressed patients.
What is malaise or “not feeling well”?
This is the correct first step in hypoglycemia management
What is assess level of consciousness?
This finding is most consistent with hyperglycemia
What is dry skin and blurred vision?
This instruction helps control vertigo in Meniere’s disease
What is avoid sudden head movements?
This is the first action when infection is suspected in a wound with elevated WBCs.
What is obtain wound cultures?
Chills in infection indicate this physiologic change is occurring.
What is rising body temperature?
This intervention follows giving fast-acting carbohydrates in hypoglycemia.
What is recheck blood glucose?
This pattern describes Somogyi effect.
What is high morning glucose after nocturnal hypoglycemia?
This triad defines Meniere’s disease.
What are vertigo, tinnitus, and low-frequency sensorineural hearing loss?
This type of wound healing occurs in large, open wounds with tissue loss
This is the priority intervention for a patient experiencing chills.
What is provide a light blanket?
This finding requires immediate intervention in a diabetic patient.
What is positive ketones in urine?
In a hyperglycemic crisis, this intervention is performed first before insulin therapy.
What is initiate IV fluids?
- with NS (normal saline)
These medications can cause sensorineural hearing loss (name at least two).
What are antibiotics, chemotherapy drugs, loop diuretics, or NSAIDs?
The nurse is prioritizing care assignments. Which patient should be assessed first due to the highest risk for infection complications?
A. A patient with a stage IV pressure ulcer with a foul odor
B. A patient with multiple necrotic foot wounds complaining of 8/10 pain
C. A patient receiving chemotherapy with a temperature of 102°F (38.9°C)
D. A patient actively seizing and drooling for the past 2 minutes
What is C - a patient receiving chemotherapy with a temperature of 102°F?
This assessment is priority when a compression dressing is applied.
What is assess distal circulation?
Place these actions in order for hyperglycemic crisis: fluids, insulin, monitoring, assessment.
What is assess → fluids → insulin → monitor?