Hypertension: Perfusion
How does PAD affect clients?
What are:
decreased perfusion,
increased risk for wounds,
increased risk for necrotic digits,
intermittent claudication,
thickened toe nails,
decreased cap refill.
Which signs and symptoms would you expect to see in a client with a sodium of 122?
What are: Anorexia, lethargy, confusion, tachycardia, hypotension, seizures, headache.
A client week two, post bariatric surgery has called the office with complaints of diaphoresis and abdominal cramping and epigastric fullness? What does the nurse suspect?
What is dumping syndrome
The nurse is preparing to administer vaccinations to a 0-2 month old infant. Which vaccines would be appropriate for this age group? Select all that apply.
a. Hep B
b. MMR
c. Hep A
d. DTaP
e. Tdap
f. RV
What are:
a. Hep B
d. DTap
f. RV
Rationale: Hep A, and MMR would not be administered until 12-18 months. Tdap would be administered to age groups 11 and older.
19-24.9?
What is a normal BMI.
List the signs and symptoms of peripheral venous disease.
What are:
Thick brownish skin
Edema
Wounds over the malleolus
Warm
Normal cap refill
Spironolactone would be contraindicated for which patient?
a. Potassium level 3.5
b. Sodium level 148
c. Potassium level 5.8
d. Sodium level of 132
What is C.
Spironolactone is a potassium sparing diuretic and would cause an elevated potassium level to increase.
What are the risk factors that place a client at risk for pneumonia?
What are:
Smoking
Advanced age
Lung disease
Alcohol use
Malnutrition
Immunocompromised
The nurse is planning to educate clients at a community health center. Which clients would nurse identify as benefiting most from the flu vaccination?
Who are:
the elderly
immunocompromised
infants
What education can be provided to prevent pneumonia?
What are:
Avoid crowded areas during flu season
Educate on vaccines
Teach deep breathing techniques
Quit smoking
Get adequate rest
Which assessments might you perform prior to administering a vaccine?
What are:
•Explain the procedure in age-appropriate language
•Assessment, intervention, and monitoring
Review the child’s immunization record
•Determine vaccine to be administered; cautions or contraindications to receiving the vaccine
•Select the correct needle length and injection site
What one intervention aids in preventing the spread of pneumonia?
What is handwashing.
The nurse is preparing to educate a patient on vaccinations, which should be included in the education?
What are:
•Purpose of vaccine: to help prevent infection and disease
•Review symptoms and complications of each disease
•Expected reactions. For rare severe allergic reactions: call emergency services immediately for itchy rash, swelling of the face or throat, or difficulty breathing
What interventions would the nurse anticipate for a patient with impaired gas exchange related to pneumonia?
What are:
Maintaining hydration
Elevate the head of the bed
Encourage deep breathing techniques/use of incentive spirometer
What is the purpose of preventative health care?
What is:
Identify early states of disease to prevent progression.