Gallimaufry
If your client has a low BP and high heart rate after sustaining severe burns, you should recognize they are experiencing this condition.
What is hypovolemic shock?
Urine output, blood pressure readings, and redness at an incision site are all examples of this type of data.
What is objective?
Turning and repositioning the client every two hours is a preventive action to avoid this.
What is a pressure ulcer (or injury)?
This complication of immobility is a reddened area of intact skin over a bony prominence.
What is a stage 1 pressure ulcer?
Because gastric contents are high in electrolytes, this type of intervention puts the client at risk for hypokalemia
What is a nasogastric tube to suction?
Due to this age related change, you may need to speak in a lower tone of voice to your client.
What is decreased ability to hear high frequency sounds?
This is an expected assessment finding in a client with open angle glaucoma
What is gradual loss of peripheral vision with a narrowing of the visual field?
Living in poverty is an example of this kind of stress
What is chronic stress?
When describing the different types of stressors, financial difficulties would be considered this type.
What is psychological?
Due to the swelling of the brain cells in the hyponatremic client, you would expect this neurologic manifestation
What is lethargy (confusion)?
Peripheral neuropathy, hypoperfusion, and immobility put the client at risk for this condition.
What is pressure injury?
Macular degeneration, obstacles on walkways, and throw rugs in the home put the client at a higher risk for this.
What is falling?
Cardiac dysrhythmias are a physiological response to this type of electrolyte disturbance
What is hypokalemia?
In a client with fluid volume excess, you would expect to see serum sodium at this level
What is below normal?
For the client in contact precautions, in addition to wearing gloves and gown, the nurse should do this
What is have dedicated supplies for the client's use?
The purpose of palliative care
What is assisting patients to be comfortable during a complicated illness?
A low hemoglobin and hematocrit puts the client is evidence of this condition and places them at risk for this additional problem
What is anemia and cellular hypoxia?
An interprofessional competency that promotes openness in client care is this
What is clear communication with other team members?
After giving the wrong medication to your client, you contact the provider and fill out an incident report. This aspect of professionalism is known as.
What is accountability?
Using the ISBARR, this information about the client goes under the situation heading
What is the medical condition, client's age, chief complaint, and urgent needs?
Assessment findings such as chest tightness, irregular heart rate, out of range vital signs, sudden onset of moderate to severe pain require the nurse to do this action next
What is follow up or investigate further?
The nurse educates the client to use this medication to stop an ongoing asthma attack.
What is a SABA (albuterol, levalbuterol)?
The nurse wears an N95 mask for patients in this type of isolation. Give an example of a condition that would require this isolation category.
What is airborne? And what is TB?
This is the correct IV solution to correct hyponatremia
What is hypertonic?
A positive Chvostek's sign is evidence of this electrolyte imbalance
What is hypocalcemia?