Hematology/Lymphatics
Priority for a patient in sickle cell crisis
Pain control
Most important assessments following a cardiac catheterization
vital signs and assessing cath site/peripheral pulses
Most important dietary consideration for a patient with COPD
extra protein is required to repair damaged tissues
Assessment finding most indicative of increased ICP
Decreasing LOC
Signs and symptoms of compartment syndrome
Severe, unrelenting pain unrelieved by narcotics
Assess for the six Ps: pain, pallor, paresthesia, pulselessness, paralysis, and poikilothermia (cold to the touch)
Immune response to person's own cells and tissues
Autoimmune Disorder
Dysrhythmia that will definitely result in death without CPR
Ventricular Fibrillation
A patient recently underwent a tonsillectomy and is clearing their throat frequently, what action should the nurse take next
look in patient's mouth and assess for bleeding
Priority for a patient with Myasthenia Gravis
Inability to maintain own airway
Nursing assessments for a patient in traction
Monitor for s/s of infection, ropes should hang freely, monitor circulation/neurovascular status, no weights on bed or floor
Neutropenic precautions include:
Reverse isolation measures; no fresh fruit, vegetables, or flowers; strict hand hygiene; avoid sick contacts; monitor closely for s/s of infection
A client with A fib who is on warfarin should avoid which foods
Most important intervention for a client with status asthmaticus
Place in high fowler position
Before feeding a client admitted for a stroke, the nurse should take which action first
verify client is able to swallow
Signs and symptoms of osteomyelitis
Sudden onset with severe pain and marked tenderness at the site, high fever with chills, swelling of adjacent soft parts, headache, and malaise
Priority nursing diagnosis for a patient with AIDS
Risk for infection
Which enzyme is most specific for diagnosis of an MI
Troponin
notify physician that removal of chest tube is not a nursing procedure
A nurse is concerned a client with a spinal cord injury is experiencing autonomic dysreflexia, what should to nurse do next
assess patient for bladder distention/ need to void, assess bowel status, assess for any wrinkles in bed sheets or tight clothing
Priority during the first 24 hours of a patient with burns to face and upper chest
Monitor for respiratory distress
Nursing interventions appropriate for a patient with SLE who is fatigued and has joint pain
assess pain control measures
assist pt with planned activity with rest periods
have pt avoid sick contacts
educate on important of following medication regimen
taking daily weight measurements
How often should patients with OSA wear their CPAP
Every night when they sleep
What precautions should be put in place for a patient admitted for seizures
pad side rails, set up suction in the room, maintain bed in low position, have rescue equipment at bedside or readily available
Most important question to ask a patient who has sustained an open leg fracture
When was your last tetanus shot