Neuro
during a tonic-clonic seizure, these two priority nursing actions must be done to maintain safety
what is place the patient on their side and protect the airway while not restraining movement
a patient with pyelonephritis presents with fever, flank pain, and urinary frequency. this diagnostic test confirms
what is urinalysis, bacteriuria, and WBC casts
in diabetes insipidus, this med is given to increase ADH
what is desmopressin
what is airway patency and respiratory rate
a hallmark lab finding of leukemia is this dramatic cell abnormality
what is elevated immature blasts
a pt with a traumatic brain injury suddenly develops a widened pulse pressure, bradycardia, and irregular respirations. this indicates what emergent condition
what is cushing's triad from increased icp
what is elevated BUN/creatinine with hyperkalemia and metabolic acidosis
SIADH causes this major electrolyte imbalance that leads to confusion and seizures
what is hyponatremia
a postop patient becomes tachycardic and restless with BP dropping. these are early signs of this complication
what is hypovolemic shock
during a bone marrow biopsy, this is the priority immediate postop intervention
what is apply direct pressure for 5-10 mins
a patient with suspected bacterial meningitis becomes increasingly confused. this change indicates what life-threatening complication, requiring immediate provider notification
what is increased intracranial pressure
in PKD, this symptom appears first due to cyst expansion
what is hypertension
a patient presents with severe headache, diaphoresis, and high BP. this endocrine emergency requires immediate alpha-blocker therapy before beta-blockers
what is pheochromocytoma
a postop patient develops a rigid abdomen and severe pain unrelieved by opioids. the nurse must suspect this life-threatening complication
what is bowel perforation or peritonitis
a patient with neutropenia ANC<500 must avoid these items in their room
what are fresh flowers and unwashed fruits/vegetables
status epilepticus lasting more than 5 minutes requires this first line medication
what is ativan
a patient with AKI is in the diuretic phase. what is the most important nursing intervention?
what is monitor for dehydration and severe electrolyte loss
severe hypothyroidism pt becomes extremely drowsy, hypothermic, and bradycardic. what immediate treatment
what is iv levothyroxine and management for myxedema coma
malignant hyperthermia treatment
dantrolene
a patient receiving a blood transfusion suddenly develops fever and chills. these steps must be taken immediately
what is stop the transfusion, do not flush, and notify the provider
a patient with MS reports diplopia. the nurse should provide this intervention to improve visual stability and reduce strain
what is alternating an eye patch daily to help with diplopia
AKI is being evaluated for dialysis. dialysis must be initiated immediately when this lab abnormality is present
what is severe hyperkalemia with EKG changes
hypopituitarism hormones affected
acth, gh, tsh, aldosterone, cortisol
reduce DVT with
compression devices
HIT causes paradoxical clotting. this med must never be given in early HIT
what is warfarin