Cardiac
when a patient comes into the ER with chest pain, the priority action is
what is EKG
in status asthmaticus, this assessment finding is a sign of respiratory failure
what are absent or diminished breath sounds
in a bowel obstruction, this is used to decompress GI tract and relieve vomiting/distention
what is NG tube
a patient describes a curtain coming across their vision. this is an ocular emergency suggestive of this diagnosis
what is retinal detachment
for elective amputations, what is the key factor that determines where the amputation is made
what is the presence of adequate blood flow
after a percutaneous coronary intervention (PCI) via the femoral artery, the nurse's priority assessment focuses on what possible complications
what are bleeding and loss of perfusion
a COPD patient's optimal O2 range
what is 88-92%
sliding hernia is associated with reflux and heartburn, while this type of hiatal hernia causes fullness and breathlessness and no reflux
what is rolling hiatal hernia
eye pain, photophobia, and tearing are hallmark symptoms of this condition commonly caused by contact lenses
what is a corneal abrasion
constant localized bone pain with fever, swelling, and elevated WBCs suggest this disorder
what is osteomyelitis
symptoms of infective endocarditis
what are janeway lesions, olsers nodes, and splinter hemorrhages
sudden onset of intense dyspnea, pleuritic chest pain, and tachypnea in a post-op patient
what is pulmonary embolism
chronic constipation with crampy LLQ abdominal pain, bloating, and distention are classic manifestations of this colonic disorder
what is diverticulitis
a patient has a penetrating object in the eye. this is the correct action
what is stabilize the object, position the patient 30-45 degrees, and do not remove it
the intervention for compartment syndrome
call the provider to perform a fasciotomy. nurse can loosen bandage/cast, but cannot completely take off
a patient has sharp, pleuritic chest pain that worsens when lying flat. these are hallmark signs of
what is acute pericarditis
a patient with carbon monoxide poisoning requires this intervention
100% oxygen on nonrebreather
bluish discoloration and bruising around the umbilicus. what is the sign and what it is a sign of
a patient with diagnosed meningitis should be put on these isolation precautions and what is the nurse's priority action
what are droplet precautions and immediately isolate the patient
5 Ps of compartment syndrome
pain (out of proportion), paresthesia, pallor, paralysis, and pulselessness
hypotension, JVD, and muffled heart sounds together indicate this life-threatening complication of pericarditis
what is cardiac tamponade
a patient is admitted with suspected TB after presenting with a persistent cough, night sweats, and weight loss. this immediate nursing intervention must be implemented first
patient's receiving TPN require this blood test every 4 hours
what is blood glucose monitoring
a patient with a suspected basilar skull fracture presents with clear drainage from the nose. this is a __ leak and what are priority interventions
what is csf leak and place pt on bed rest with HOB elevated
the nurse's priority in a traumatic amputation patient
stop the bleed