A priority nursing intervention for a patient with acute pulmonary edema from heart failure.
patient in high Fowler’s position
This condition presents with “moon face,” buffalo hump, and weight gain
Cushing’s syndrome?
These are the 5 P’s assessed for neurovascular compromise.
What are pain, pallor, pulselessness, paresthesia, and paralysis
This lung sound is crackling and often heard in fluid overload.
crackles (rales)
This condition involves inflamed outpouchings in the colon.
diverticulitis
his lab value is elevated in heart failure and helps assess severity.
What is BNP (B-type natriuretic peptide)?
This priority intervention is needed for a patient in Addisonian crisis.
IV corticosteroids and fluids
This is the emergency surgical procedure to relieve pressure.
fasciotomy
This lung sound is heard with pleural inflammation and sounds like rubbing
pleural friction rub?
This lab value is elevated in liver damage
What are liver enzymes (AST/ALT)
A patient with HF gains 3 lbs in 2 days—this indicates what complication?
What is fluid overload?
This breathing pattern is seen in DKA.
Kussmaul respirations
This type of fracture breaks through the skin
What is an open (compound) fracture
This finding indicates a life-threatening asthma attack.
What is silent chest
This pediatric condition presents with “currant jelly” stools
intussusception
this rhythm has wide QRS complexes and can quickly become life-threatening.
ventricular tachycardia
This medication is used to treat diabetes insipidus
desmopressin (DDAVP)
This condition is caused by uric acid crystal buildup in joints & This joint is most commonly affected in gout.
gout & big toe
Continuous bubbling in the water seal chamber indicates this
What is an air leak
This condition causes prostate enlargement in older men.
What is BPH: BENIGN PROSTATIC HYPERPLASIA
This rhythm shows a “sawtooth” pattern on ECG
atrial flutter
This tumor secretes excessive catecholamines
What is pheochromocytoma
This diet modification helps prevent gout attacks.
high-purine foods
This medication is used to treat TB
What is isoniazid (INH)
A patient with cirrhosis becomes confused and has elevated ammonia levels. What is the condition and priority treatment?
hepatic encephalopathy and administer lactulose?