Nutrition
Immunity/ Infection/ Inflammation
Perfusion
Gas Exchange
Drugs
100

This protein marker has a half-life of ~20 days, reflecting LONG-TERM protein status — but is falsely low in liver disease, kidney disease, and inflammation.

What is albumin?

100

This white blood cell is the FIRST responder and predominates in acute inflammation.

What is the neutrophil?

100

This electrolyte imbalance — also seen with ACE inhibitors and K⁺-sparing diuretics — requires close monitoring.

What is hyperkalemia?

100

This position — semi-Fowler's to high-Fowler's — optimizes lung expansion and improves gas exchange.

What is elevating the head of the bed?

100

This suffix identifies beta blockers such as metoprolol, atenolol, and propranolol.

What is "-olol"?

200

 This protein marker has a half-life of only 2–3 days, making it the best indicator of RECENT nutritional changes and response to nutrition therapy.

What is prealbumin

200

This thick, yellow-green exudate contains dead WBCs, bacteria, and cellular debris.

What is purulent exudate (pus)?

200

The most common cause of atelectasis — this material plugs a bronchus, and trapped air is absorbed.

What is a mucus plug (obstructive atelectasis)?

200

This breathing technique — inhale through the nose, exhale slowly through pursed lips — prolongs expiration and prevents airway collapse in COPD.

What is pursed-lip breathing?

200

This nursing action is required when a patient's HR drops below 60 before a scheduled beta blocker dose.

What is hold the dose and notify the provider?

300

Offering favorite foods, enhancing flavor, and eating with the patient targets this common cause of poor appetite in older adults.

What is decreased taste sensation / social isolation (loneliness)?

300

Redness, Heat, Swelling, Pain, Loss of function

what is the cardinal sign of acute inflammation

300

The collapse or incomplete expansion of alveoli — the most common post-operative pulmonary complication.

What is atelectasis?

300

This noninvasive device measures oxygen saturation — normal range 95–100%.

What is pulse oximetry (SpO₂)?

300

This suffix identifies dihydropyridine CCBs such as amlodipine and nifedipine.

What is "-dipine"?

400

This nursing action — done BEFORE any meal plan or diet change — best promotes adequate nutrition in an older adult because it identifies the root cause of poor intake.  

What is assessing the older adult's nutritional status and barriers to eating (dysphagia, dentures, depression, finances, isolation)?

400

This is the #1 risk factor for C. diff infection — especially broad-spectrum drugs like clindamycin, cephalosporins, and fluoroquinolones.

What is recent antibiotic use?

400

This MOST POTENT class of diuretics — including furosemide — acts on the loop of Henle.

What are loop diuretics?

400

This is the EARLIEST sign of hypoxia — often appearing as restlessness, anxiety, and confusion before any physical color change.

What is a change in mental status?

400

This dry, persistent, hacking side effect of ACE inhibitors — caused by bradykinin accumulation — often leads to switching to an ARB.

What is a dry cough?

500

This vitamin deficiency causes pernicious anemia and is common in elderly due to decreased gastric acid.

What is vitamin B12?

500

This common hand hygiene agent is ineffective against C. diff spores — the CDC recommends this alternative instead.

What is alcohol-based hand sanitizer — use soap and water instead?

500

This electrolyte imbalance — the most common side effect of loop and thiazide diuretics — is managed with bananas, oranges, and potatoes.

What is hypokalemia?

500

This auscultation finding — along with decreased breath sounds and low-grade fever — is classic in post-op atelectasis.

What are crackles (rales)?

500

This life-threatening adverse effect — swelling of the face, lips, tongue, and throat — requires immediate emergency treatment.

What is angioedema?

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