pre midterm/Lab
Signs/symptoms of severe respiratory distress in an infant
What is stridor, nasal flaring, head bobbing, tracheal tug, supraclavicular indrawing?
Conditions under the umbrella of acute coronary syndrome
What is unstable angina, nonSTEMI, STEMI
Priority nursing interventions for a person with increased ICP
What is
maintain head midline, neutral position, HOB at 30-45 degrees
prevent straining, coughing, vomiting
maintain normothermia and normal acid base balance?
Most significant modifiable risk factor for a stroke
What is hypertension?
Pathophysiology of Shock
What is inadequate tissue perfusion and oxygenation
This framework helps nurses assess, interpret, and make decisions based on patient data, guiding care planning and evaluation for the best outcomes.
What is the clinical judgment model?
A patient who has undergone a coronary artery bypass graft surgery needs to avoid this for 6 weeks.
What is lifting heavy objects?
Diagnostic test to evaluate for possible skull fracture
What is CT scan of head?
What we do if a person presents with signs and symptoms of an ischemic stroke within 3 hours of coming to the hospital
What is obtain a CT scan?
Tachycardia, hypotension, and cool, clammy skin
Clinical manifestations of hypovolemic shock?
Indications for a central line
What are fluid resuscitation, blood administration, parenteral nutrition, avoid drug incompatibilities?
Blood test most indicative of acute coronary syndrome
What is troponin?
Three components of Cushing's Triad
What is widening pulse pressure, bradycardia, & irregular respiratory pattern?
Early warning signs of Increased ICP
What is change in their level of consciousness?
qSOFA
What is quick sequential organ failure assessment which includes altered mental status, RR > 22 and SBP < 100?
Types of Health Literacy
Operational, autonomy, interactive, cultural, informational, situational
Preventative health promotion strategy for a client that is being discharged following a recent myocardial infarction.
Signs of basal skull fracture
Battle sign, raccoon eyes, and clear fluid from nose and ears?
The most important intervention when caring for a patient who has experienced a stroke
What is maintaining patent airway?
Common source of nosocomial infections that can lead to sepsis
What are urinary tract infections from indwelling catheters?
contraindications for nerve blocks
What is infection at site, allergic to medication, patient refusal?
Priority intervention for a patient who presents with chest pain & dizzyness, ECG shows wide QRS complex at a rate of 150 beats per minute.
What is prepare to administer antiarrhythmic medications?
Cerebral perfusion pressure
What is 60-80 or MAP - ICP?
This is provided to a family member of a client who has experienced a stroke?
What is emotional support and education?
Release of catecholamines to increase heart rate and cause vasoconstriction
What happens in the compensatory stage of shock?