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What vital sign changes indicate the presence of shock?
What is tachycardia, hypotension, tachypnea?
What is the universal donor blood type? What is the universal recipient blood type?
What is O negative and AB positive?
What are manifestations of a wound infection?
What is localized edema, redness (discoloration), leukocytosis?
What are objective measures of a client's pain?
What is increased pulse, increased BP, increased RR, any non verbal cues?
Most accurate assessment of pain is subjective and what the patient states it is.
What medication is given first during an anaphylactic reaction?
What is epinephrine?
Do anticoagulants dissolve clots?
What is- no. They only prevent the formation of new clots.
What are risk factors that increase a clients susceptibility to illness?
What is comorbidities, low BMI/high BMI, medications (steroids/ chemotherapy), age, enviroment?
If a client is placed on seizure precautions what should be kept bedside?
What is oxygen, suction, and elevated/ padded side rails?
What precautions are a patient with HIV on and how is it transmitted?
What are standard precautions and by infected body fluids?
What is the first indicator of shock?
What is tachycardia?
How are PIs prevented?
What is turn and reposition every 2 hours, minimize skins exposure to moisture, proper incontinence care, Elevate heels off the mattress, increase protein in diet, use skin moisturizer on dry skin?
What are manifestations of a UTI in a patient?
What is dysuria, hematuria, urinary frequency, painful/ burning during urination?
Confusion is only a symptom of elderly clients with UTIs.
If a client had thrombocytopenia what are appropriate nursing interventions?
What is use a soft bristle toothbrush, blow nose gently, lubricate lips with water-soluble ointment, cluster lab draws, avoid IM injections, electric razor?
What are patient education points for a patient with HIV or AIDS?
What is- check temperature daily, soak cleaning sponges in bleach, disinfect toothbrushes with the dishwasher, wash genitals/arm pits with antibacterial soap, do not handle animal waste......
What is Naloxone?
What is the antidote used for an opioid overdose?
What are patient education points regarding a PCA?
What is - only the patient may push the button for pain medication, the patient should push the button prior to severe pain, there is a minimal risk of overdose and this allows the patient to have a constant relief of pain (basal dose infusing)?
What are risk factors regarding the development of skin cancer?
What is genetic disposition, fair skinned, chronic skin irritations, over exposure to UV rays, older age?
Provide patient Methotrexate education.
What is- avoid sick people (causes immunosuppression), notify doctor of any unexplained bruising (causes thrombocytopenia), do not drink ETOH (taxes the liver), Drink lots of water, take with folic acid (causes a decrease in RBCs), no breast feeding, do not become pregnant?
This medication is taken weekly and takes several weeks to notice differences.
What does EC mean in reference to medications?
What is enteric coated? These pills may not be crushed and absorb in the small bowel rather than the stomach.
When administering ear drops to an adult what technique must the nurse use?
What is pulling the pinna upward and backward?
What are manifestations of Shingles?
What are priority nursing interventions?
What is monitored by the nurse?
What is a linear cluster of fluid filled blisters on top of red edematous skin? The area will be painful and the patient may feel malaise with a fever.
The nurse should administer an antiviral and analgesic.
The nurse should monitor pain levels- as well as vitals. The nurse should monitor for any complications such as post herpetic neuralgia.
What is an HAI? Give examples.
What is a health care associated infection.
This means the client did not have an infection at the time of treatment but developed one within the facility.
Examples- uti from catheter insertion, surgical wound infection....
What are manifestations of gout?
What is tight edematous, reddened skin? Tophis may be present. Painful!
What is Kaposi's sarcoma?
What is AIDS-related malignant skin and mucous membrane lesions that are usually purplish-brown in color? May be widespread.
If a client has a stroke what referrals are made?
What is Speech therapist- for speech and swallowing?
What is PT for strengthening of affected muscles?
What is OT for ADLS?