COPD
WHAT IS CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Falls
Affects the bronchi, found in patients with COPD or asthma
What are Wheezes
The communication tool used to give report and summarize a patient condition
What is SBAR
In what format do we develop our goals?
CVA
WHAT IS CEREBRAL VASCULAR ACCIDENT
Skin Breakdown
What is a Braden Score
Iindicates fluid in the lungs. Hint: normally seen with pneumonia or congestive heart failure (CHF)
What are Crackles
Normal HR range
60-100
What is the most important step following any nursing intervention?
What is Evaluation
How to assess pain
What is OPQRST (O= onset, P = precipitating factors, Q=quality of pain, R=region or radiation of pain, S=subjective descriptions of pain, and T= time of pain occurrence.
Hx of CVA and having dysphagia
What is risk of aspiration
Found in the upper airway, indicates possible obstruction.
What is Stridor
The medical term for low BP.
What is Hypotension?
Your patient is semi-fowlers while eating breakfast, and is a high aspiration risk following a CVA. How might the nurse correct this situation?
What is Assist the patient into high-fowlers and complete safety teaching with the patient.
UTI
WHAT IS URINARY TRACT INFECTION
Elderly, immunocompromised, or very young
What is a risk of infection
Sounds like bubbles popping when auscultating lung sounds.
What are Coarse crackles
What type of precautions would we expect for a patient with Influenza?
What is Droplet Precautions
Your patient has a Dx of UTI and a HR of 120, their face is flushed, and their skin is hot to the touch. What could be the cause?
What is Febrile. T-38.5
WHAT IS ADPIE
A blowing, swooshing sound heard through the stethoscope over an area of abnormal blood flow through a narrowed artery
What is a bruit
List the order for removing soiled PPE
What is 1) Gloves, (2) Gown, (3) Face shield or goggles, (4) Mask. Perform hand hygiene after PPE removal, preferably after each step.
Your patient is bed-bound and frail with a Braden score of 8, and pre-existing pressure injury. what would our priority nursing intervention be?
What is frequent turning q1-2hours.