Week 1
This is defined as a patient leaving a facility without being discharged by the doctor.
What is Leaving Against Medical Advice (AMA)?
This should always be done after the application of a splint, dressing, or cast.
What is assess the neurovascular status of the extremity below the device?
This is an early indiciator of infection.
What is fever?
This is the primary test for tuberculosis.
What is a tuberculin skin test?
This lab result is expected in a patient with chronic kidney disease.
What is an elevated creatinine?
Irritability and impatience are typical signs of this .
What is mild anxiety?
The answer to life, the universe, and everything according to Douglas Adams.
What is 42?
This is a possible sign of strabismus which could lead to vision loss if not treated.
What is squinting?
A patient with diarrhea may be at risk for this condition due to fluid loss.
This method of breathing slows expiration, prevents alveolar collapse, and helps the patient control rate and depth of respirations in an emphysema patient.
What is pursed-lip breathing?
Bronchospasm from an asthma exacerbation is one of the causes for this abnormal breath sound as air moves through narrowed passageways.
What are expiratory wheezes?
Reducing blue screen time prior to bed is one intervention to improve this.
What is sleep?
This therapeutic response is an open-ended question that encourages the patient to talk.
What is an empathetic statement?
The name of my dog.
What is Aramis?
This is a non-invasive intervention that a patient with HIV should do daily.
What is take their temperature?
Loop diuretics such as furosemide carry the risk of this electrolyte imbalance.
What is hypokalemia?
The nurse should educate the patient with constipation to add this to their diet.
What are fluid and fiber?
What is drink 8 glasses of water/day?
This intervention for a patient with dementia may help to reduce episodes of incontinence.
What is a toileting schedule?
A reddened area over the sacrum of an immobile patient is what type of pressure injury.
What is a stage 1 pressure ulcer?
Major popcorn company located in Indiana.
What is Orville Redenbacher?
Patients with cystic fibrosis are at an increased risk for this.
What is infection?
Hyperglycemia, hypotension, acetone breath, and kussmaul respirations are all expected findings in a patient experiencing this.
What is ketoacidosis?
A patient self-administering enoxaparin will inject subcutaneously at this site.
What is the abdomen?
A patient with COPD should be encouraged to eat most of their calories at this meal.
What is breakfast?
In addition to providing pain relief, opioid analgesics can also provide this form of emotional relief.
What is reduce anxiety?
This is an important intervention to prevent skin breakdown in a patient with a splint, cast, traction, or or other hard object against their skin.
What is pad the device?
The number of presidents with ties to Indiana.
Who are William Henry Harrison, Abraham Lincoln, and Benjamin Harrison? Although Benjamin Harrison is the only one who actually lived here for any period of time.
Objective observations about a patient's condition with no speculation, judgmental statements, or conclusions are what you would find in this documentation.
What is a nurse's note?
This is the first step in the nursing process.
What is assessment?
This is the priority action of the nurse using the compressions, airway, breathing approach on a client in respiratory arrest with heart failure.
What is check a carotid pulse?
Genetic predisposition is not a sign of this type of risk factor.
What is a modifiable risk factor?
Chronic pain and illness can be contributing factors to this rest impairment in older adults.
What is interrupted sleep?
This supplement is essential to wound healing because it promotes new capillary formation and synthesis or new tissue and collagen development.
What is Vitamin C?
The number of children I have.
What is two?
History of dermatitis, COPD, and GERD are not contraindications for this replacement therapy.
What is hormone replacement therapy?
An insulin-dependent diabetic drinks an occasional glass of wine with a meal. This may help to reduce the risk of this.
What is nighttime hypoglycemia?
Placing a patient with an NG tube in this position reduces pressure on the diaphragm and promotes NG function.
What is Fowler's postion?
This is a typical finding in a patient with right sided heart failure.
What is peripheral edema?
Using Maslow's hierarchy, this concern would take precedence over safety and security, love and belonging, and role responsibility needs.
What are physiological needs such as pain?
Purulent drainage, swelling, warmth, tenderness, and failure to heal are indications of this.
What is a wound infection?
Determining if the patient has a plan is an important assessment in a patient with this.
What is suicidal ideation?
A patient with slow shallow respirations could be suspected of having this acid-base imbalance.
What is respiratory acidosis?
Hyperglycemia can lead to this process caused by decreased blood supply to tissue.
What is poor wound healing?
Dyspnea, clubbed fingers, barrel chest, and shallow respirations are signs of this condition.
What is emphysema?
Orthopnea while lying is a symptom of this.
What is left-sided heart failure?
A small translucent nodule on the nose could be an indicator of this form of melanoma.
What is basal cell carcinoma?
This describes thick yellow green or brown drainage from a wound.
What is purulent drainage?
This is how long an SSRI may take to experience a therapeutic effect.
What is 1 - 3 weeks?
This medication blocks the effects of opioids on the central nervous system.
What is naloxone?
Blurry vision, diaphoresis, and tachycardia, are manifestations of this blood glucose reading.
What is hypoglycemia?
A patient with peptic ulcer disease typically feels relief from pain after taking this action.
What is eating?
ACE inhibitors are known for this one particular side effect.
What is a dry non-productive cough?
Abduction of the arm is restricted in a patient who has had a mastectomy. This means that the patient cannot perform this ADL.
What is combing their hair?
This coping mechanism occurs when a patient fills in memory gaps by creating untrue information.
What is confabulation?
A patient makes a statement that everyone will be happy when they are gone. The nurse should take this step first.
What is ask the patient about a plan and method of suicide?
What is hyperventilation?
Elevating the patient's legs, restraining the patient, and inserting a tongue blade are things you would not do for a patient experiencing this medical condition.
What is a seizure?
Fluid and electrolyte imbalances in a patient with an acute exacerbation of ulcerative colitis can occur due to this related condition.
What is hypovolemia?
Patients with COPD, atelectasis, pneumonia, or CNS depression are at risk for this acid-base imbalance due to increased PCO2 from hypoventilation.
What is respiratory acidosis?
Persistent hoarseness is an early manifestation of this because tumor presence can impede the action of the vocal cords in speech.
What is laryngeal cancer?
Forgetfulness typically gradually progresses to disorientation in a patient with this condition.
What is dementia?
This is the priority intervention for a patient experiencing an acute manic episode.
What is protect the patient and others from impulsive harmful behavior?
This action is done for a dialysis patient before and after dialysis.
What is weigh the patient?
This would be an expected finding in the vital signs of a patient experiencing hypovolemia due to diabetes insipidus.
What is hypotension?
Swollen bleeding gums in a patient exhibiting malnutrition is an indicator of this deficiency.
What is a Vitamin C deficiency?
Skin rash, angioedema, and difficulty breathing are signs of this potentially emergency reaction.
What is an allergic reaction?
This hallucination poses the greatest safety risk to the patient and others.
What are command hallucinations?
This intervention by the nurse may help to prevent wandering behavior at night.
What is a toileting schedule?
Irritability, decreased energy, and isolation are warning signs of this condition.
What is depression?
Dysuria, urinary frequency, and hematuria are common findings in this condition.
What is a urinary tract infection?
An NG tube set to suction creates a risk for this electrolyte imbalance.
What is hypokalemia?
Extremity contractures, crackles in the lungs, and pressure ulcers are all complications of this.
What is immobility?
The length of time a patient with a seizure disorder will be taking their anti-seizure medication.
What is for life?
This acute organic mental disorder is characterized by an abrupt onset of symptoms over hours to days.
What is delirium?
A patient with Alzheimer's can exhibit wandering behavior when they have an unmet need. The nurse would attempt to determine this in a wandering Alzheimer's patient.
This manifests as an inflated self-regard in a patient with bipolar disorder.
What is grandiosity?
Patient's with kidney stones should be encouraged to do this.
What is increase hydration to at least 3L/day?
A patient with gastroenteritis may experience severe hypokalemia. This is a priority because of this.
What is hypokalemia can cause cardiac and respiratory manifestations?
A priority assessment in a post-operative patient who is at risk for fat emoblism.
What is LOC?
Some patients with seizure disorder experience a sensory sensation that a seizure is imminent. This phenomenon is known as.
What is an aura?
Visual hallucinations, paranoid delusions, and tremors are all signs of this form of delirium.
What is alcohol withdrawal delirium?
Encouraging the patient to focus on reality-based topics is an appropriate intervention for a patient with this condition.
What is schizophrenia?
Behaviors such as expressing feelings of worthlessness, talking about their own death, and giving away possessions should alert the nurse of this.
What is suicidal ideation?