Integument
GI
Musculoskeletal
F/E, IV
Respiratory
100
scaling and peeling of the epidermis
What is desquamation?
100
removal of head of pancreas and portions of the stomach and duodenum
What is a Whipple procedure?
100
gently support extremity from underneath
What is a nursing intervention in the application of a plaster cast?
100
decreased serum sodium level
What needs to carefully monitored on a patient with SIADH? (Remember, this causes water retention)
100
large amount of blood in collection chamber
What is a concerning assessment on a patient with a chest tube? (large volumes of blood may indicate pt in danger of developing hypovolemic shock... 400ml is large)
200
Buccal membranes
What is the best location to asess for pallor in a dark skinned person?
200
three vaccines over 6 months
What is the interval for hepatitis B vaccines?
200
decreases threat of thrombus
What is rationale behind use of heparin therapy after open reduction of fractured femur?
200
restrict water intake
What is a nursing action when taking care of a patient with hyponatremia?
200
peripheral edema
What is an assessment finding on a patient with cor pulmonale? (remember what else you may see on that picture)
300
Always use sunscreen
What is the best way to prevent skin cancer?
300
check for cap refill
What is the first thing a nurse should do when a casted client complains cannot feel fingers?
300
lung sounds
What is the most important assessment when a clinet is receiving hypertonic solutions to correct hyponatremia? (remember, these cause water retention..monitor for signs of fluid excess)
300
nonporous dressing taped on three sides
What is the first action a nurse will take for a open stab would to the chest? (why?? taping three sides allows air to escape during expiration, but not allow air to move into pleural space during inspiration)
400
Behind the ears
What is a common location to inspec for head lice?
400
squamous cell carcinoma
What is the leading cause of malignant oral cancer?
400
During preadolescent growth
When does idiopathic scoliosis beceome most noticeable?
400
Digoxin
What is a medication that should not be taken when a patient is hypokalemic? (hypokalemia increases risk of digoxin toxicity.. can lead to serious dysrhythmias)
400
Short half life
What is the reason a patient on Flolan needs to restart infusion immediately if patient pulls out line? (to prevent rapid clinical deterioration)
500
acetaminophen and aspirin
What are medications a client with Hepatitis B should be taught to avoid?
500
NSAIDS
What is the first medication usually tried for a patient with JRA?
500
tingling feeling around the mouth
What is a sympton of possible hypocalcemia? What are other signs? (chvosteks?)
500
Assess breath sounds
What is the priority nursing action first 24 hours after radical neck dissection?
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