ISOLATION
This is the PPE used when caring for a patient with MRSA
Contact Isolation - Gown/Gloves
Acute Confusion
Risk for Infection
Complicated Grieving
Acute Confusion
What do CAUTI and CLABSI stand for?
Catheter associated urinary tract infection
Central line associated blood stream infection
Associated with low urine output, typically after experiencing low BP, getting IV contrast, or taking nephrotoxic antibiotics
Acute Kidney Injury
This should be assessed prior to giving a patient pain medication
Respiratory Rate
This is the type of precautions used when caring for a patient with HIV
Standard precautions: Gloves when contacting bodily fluid, hand hygiene
Deficient fluid volume
Impaired Gas Exchange
Chronic Pain
Impaired Gas Exchange
List 5 interventions to help prevent falls
Low bed, locked bed, gripper socks, floor mats, chair alarm, bed alarm, stay with patient, gait belt, etc
Surgery, narcotic use, and decreased mobility can lead to this - characterized by hypoactive bowel sounds, nausea, and abdominal distention.
Post-op illeus
This is the order for assessing the abdomen
This is the isolation used when caring for a patient with the flu
Droplet: Mask, 3ft distance from patient
Readiness for enhanced resilience
Risk for Falls
Constipation
Constipation
List the steps of the nursing process
Assessment, Diagnose, Plan, Intervene, Evaluate
Fruity breath, excessive thirst, kussamaul breathing and confusion are all signs of this
Diabetic Keto Acidosis
This is what you assess if your heart rhythm is irregular
HR @ Erbs/Apex for 1 minute and compare to the radial pulse
This is the difference in isolation/PPE between patients with C-diff and patients with VRE
Impaired mobility
Chronic urinary retention
Fluid Volume deficit
Fluid Volume Deficit
This lung condition is a consequence of decreased mobility after surgery
Atelectasis
This is the system your assessment would focus on after a patient has a lobectomy
Respiratory
This is the type of PPE/Isolation required when caring for a patient with chicken pox
Airborne: negative pressure, N-95
Ineffective airway clearance
deficient fluid volume
Ineffective Breathing Pattern
Ineffective Airway Clearance
Specific, Measurable, Attainable, Realistic, Timely
Associated with shortness of breath, edema in the legs, sleeping propped up on multiple pillows, and crackles in the lungs
Heart Failure
This is the system your assessment should focus on after your patient has a CABG
Cardiac