Bluish gray color
What is Cyanosis
Pulmonary Edema, or Chest Congestion
Left sided CHF
Your nurse asks you to leave a resident in bed with the HOB in semi-fowlers position, what is being asked?
Head of bed is elevated at a 45-degree angle
You are following nursing measures to decrease the likelihood of constipation, what are actions are you taking?
Increased fluids, fiber, regular exercise, providing privacy, following toileting care plans
ROM
What is Range of Motion
What is right sided CHF
Your nurse asks you if there are any signs of hyperglycemia, what might you expect?
glucosuria (glucose in the urine), polyphagia (excessive hunger), weight loss, fatigue, excessive thirst (polydipsia), large amounts of urine (polyuria)
How often will you empty the urinary catheter bag?
As needed, at least once a shift
Difficulty Swallowing
What is Dysphagia
dysuria, hematuria, lower back pain, fever, confusion in the elderly, frequent urination
What is a UTI
Your nurse asks if you have noticed any signs of hypoglycemia, what symptoms would you expect?
What is Trembling, shakiness, sweating, dizziness, faintness, irritability, anxiety, rapid shallow breathing, rapid pulse
Blood in Urine
What is Hematuria
breakdown of bone density
What is Osteoporosis
Your nurse asks you to comment on a residents urine, what will you report?
Any dysuria, volume, color, odor, clarity
Towards the front of the body
What is Anterior
These two body systems are closely related to CHF
Respiratory and Cardiovascular
Your nurse asks you about a residents breathing, what 3 aspects will you report?
What is rate, rhythm, depth, characteristics (labored, apnea…)