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What is torsades de pointes
Tachycardia abnormal heart rhythm
What are three risk factors of developing a pressure injury
Obesity, poor nutrition, prior skin ulcers, dehydration, sensory impairment
What steps have to be done to provide adequate care?
ADPIE (assessment, diagnosis, planning, Implementation, and Evaluation)
What is polystyrene sulfonate?
also known as Kayexalate helps potassium exit the body
What does sodium do to the body?
sodium swells the body
what is Trousseaus sign?
twerking the arm when bp cuff is on
(involuntary contraction)
Greatest risk factor for the pressure ulcer development?
Immobility
What is important to consider when doing a nursing diagnosis?
The physical needs always come before psychological needs
The healthcare proivder prescribes intravenous erythromycin 200 mg in 250 ml lactated ringer solution for a client with food poisoning. The drip factor is 15 gtt/mL. What is the gtt/min for this client? Record your answer as a whole number
250 x 15 gtt/min = 3750/60 min= 62.5 ----> 63 gtt/min
What does sodium help maintain in the body?
What is Chvosteks sign?
Cheeky smile when stroking the face (facial muscle twitch)
Purple or maroon localized area of discolored intact skin or blood filled blister due to damage of underlying soft tissue from pressure and or shear
Deep tissue injury
During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved?
Evaluation
The healthcare provider prescribes oxycodone 7.5 mg PO for a client with a cancer diagnosis. The medication on hand is 5 mg of oxycodone per tablet. How many tablets does the nurse administer to the client?
7.5mg/5mg=1.5 tablets
What are signs of Hypernatremia?
Flushed red and rosy skin, edema, increased muscle tone.
what causes hypocalcemia? low calcium
thyroidectomy and hypoparathyroidism
Full thickness skin loss with extensive destruction, tissue, necrosis, or damage involving muscle
Stage 4
Which word best describes the role of the nurse when using the nursing process to meet the needs of the patient holistically?
Advocate
The healthcare provider prescribes methicillin 3 grams intravenously in 150 mL of 0.9% normal saline to infuse over 1 hour for a client with pneumonia. The drip factor is 10 gtt/mL. What is the gtt/min for this client? Round your answer as a whole number
150 x 10= 1500/60=25 gtt/min
What is the treatment for high potassium?
IV calcium gluconate, IV 50% dextrose regular insulin, and Kayexalate
When phosphate is high what electrolyte is low?
calcium
Full thickness tissue loss where the base of the ulcer is covered with slough and or eschar in the wound bed?
unstageable
During which step of the nursing process does determining which actions will be employed to meet the needs of a patient occur?
Planning?
What is IV 50% dextrose regular insulin used for?
to put potassium and sugar into the cell
what is the treatment for low potassium?
heart monitor, 10-20 meq per hour IV PUMP