Respiratory
A client's SaO2 has dropped to 92% on ra. What initial assessment finding with this change in the SaO2 would the nurse expect to find
What is restlessness and/or confusion
A client is post PTCA (angioplasty) and now have weak pedal pulse in the right extremity. What findings would the nurse find?
What is the extremity cool to the touch and pale
A client has pulmonary hypertension and rumbling sound is heard while listening to a client's heart. What does this finding indicate?
What is mitral stenosis
What does RICE stand for
What is rest, ice, compression and elevation
The nurse would monitor this in a client taking warfarin
What is PT/INR
A client is prescribed a nasal spray. The nurse would educate the client about these possible side effects
What are nasal irritation and nose bleeds
The nurse prepares teaching about the DASH diet. What condition would a client be on the DASH diet?
What is HTN
What lab may indicate a current myocardial infarction?
What is troponin
The initial intervention for a suspected fracture
What is immobilization
The nurse would monitor this on a client taking dantrolene
What are liver enzymes
These precautions should be implemented in a client with active TB
What are airborne precautions and negative pressure rooms
A client develops a fever and chills during a blood transfusion. What does this indicate?
A blood transfusion reaction
This nursing intervention is initially implemented in a client with SVT
What is bearing down or valsalva manuever
A client with a pelvic fracture is at risk for these complications
What is shock and fat embolism
A client in SVT has performed the valsalva manuever but still experiences their heart having a fluttering sensation. What is the next intervention?
What is to administer adenosine IVP
This is an ominous sign in a client experiencing an acute asthma attack
What is a silent chest
The nurse instructs a client with Peripheral Artery Disease this helps facilitate blood flow in the extremities
What is position the extremity in a downward position
A client has a BP of 192/104 on dynomap. What would be the nurse's next action
What is to take a manual BP and administer a hypertensive medication if one is ordered and call the provider.
What are the s/s of compartment syndrome
What are pain, pallor, pulselessness, paresthesia and paralysis
A client with HTN should avoid this type of OTC medications?
What are NSAIDS
A barrel chest is hallmark of this condition
What is COPD
A client has disseminated intravascular coagulation. What findings would be expected?
What are excessive clotting and bleeding
How often can a patient take nitroglycerin sl tablets?
What is every 5 min for 15 min at the onset of chest pain
This food helps increase vitamin d
what is egg yolks, vitamin d enriched milk, and cheeses
A client is administered furosemide. What should the nurse monitor?
What is urinary output and/or serum potassium