Tissue Integrity
This type of pressure ulcer includes partial thickness skin loss. An example is a ruptured blister.
What is a stage 2 pressure ulcer?
A deficit in this electrolyte can cause tetany and is often associated with parathyroid disturbances.
This is the normal range for pH that is drawn for the purposes of obtaining an arterial blood gas.
What is 7.35-7.45?
This sound can often be auscultated in patients with asthma or COPD due to the constricted bronchial airways.
What is wheezing?
This is the first thing a nurse should assess when a patient arrives to a post-anesthesia care unit (PACU)?
What is the airway?
This is a postoperative nursing intervention that must be done immediately in order to reduce blood loss from a sudden wound hemorrhage.
What is applying direct pressure?
Monitoring for this is the nurse's first priority when a patient has hyper- or hypokalemia.
What is cardiac arrhythmias?
This acid-base imbalance can be caused by opioid overuse or severe alcohol intoxication causing respiratory depression.
What is respiratory acidosis?
This oxygen device is ideal for delivering low concentrations of oxygen anywhere from 1 L to 5 L.
What is a nasal cannula?
This is the post-operative regimen for how often a client should use the incentive spirometer.
What is 10 times every hour while awake?
This type of postoperative surgical complication is an emergency and requires immediate application of saline soaked sterile towels.
What is evisceration?
This electrolyte plays a key role in fluid volume and is in food such as: ham, chips, french fries, and pretzels.
What is sodium?
This acid-base imbalance can be caused by severe diarrhea.
What is metabolic acidosis?
The presence of this in the lungs causes a fine or coarse crackles sound.
What is fluid?
This type of anesthesia is commonly used during childbirth to provide pain control for a woman in labor.
What is regional anesthesia?
This healing process includes leaving the wound edges widely separated which allows healing by the formation of granulation tissue. An example is a pressure wound left open to heal.
What is secondary intention?
This medication must be given if someone has hypermagnesemia which has led to significant cardiac changes.
What is calcium gluconate?
This acid-base imbalance can be caused by having an NG tube placed to suction.
What is metabolic alkalosis?
This type of oxygen device is necessary when a client requires an exact amount of FiO2 delivery.
What is a Venturi mask?
This is a post-operative complication can be prevented through the use of sequential compression devices, prophylactic anticoagulant therapy, and early mobilization.
What is deep vein thrombosis (DVT)?
A type of drainage that is caused by infection. It is often green, tan, or yellow with a foul odor.
What is purulent drainage?
This electrolyte imbalance is often associated with headache, confusion, seizures, coma, hypothermia, and anorexia.
What is hyponatremia?
This acid-base imbalance can be addressed through nursing interventions such as slow, pursed-lip breathing or breathing into a paper bag.
What is respiratory alkalosis?
This assessment finding can be seen on the abdomen or chest of a client who is in respiratory distress.
What are retractions?
This genetically-inherited emergent condition is characterized by a rapid-rise in body temperature and has a high mortality rate if left untreated for too long.
What is malignant hyperthermia?