Give me the Skinny
This skin sign is related to dehydration
What is poor skin turgor?
Take a very deep breath and hold the air for 5 seconds. Slowly breathe out. Take another deep breath and cough hard until some sputum comes up into your mouth
How do you educate a patient to provide a sputum sample
A male Pt has prostate cancer, this lab will be monitored to to determine if the cancer is growing and how is should be treated
What is PSA (prostate-specific antigen)?
This is proper patient education regarding fluids after a barium enema
What is increase fluids?
These are the three factors that determine blood pressure
What are heart rate, stroke volume and peripheral vascular resistance?
A child pruritus and honey-colored crusts on the lower lip and chin would be diagnosed with this
What is impetigo?
This is the purpose of the incentive spirometer after surgery
What is prevent atelectasis/pneumonia?
A female's chances of getting breast can does this with age.
What is increases?
This moves water from a hypotonic to a hypertonic fluid space
What is osmosis?
The nurse notices the heart rate is weak and irregular she does this to get the most accurate pulse
What is count the apical pulse for a full 60 seconds?
The nurse would access for cyanosis in a client with dark skin here
What is lips/mucus membranes?
This is the earliest clinical sign of acute respiratory distress syndrome (ARDS)
What is increased respiratory rate?
This is the most common sign/symptom of bladder cancer
What is painless hematuria (blood in urine)?
In addition to normal slaine 0.9% this is the most common isotonic fluid given by nurses for IV hydration
What is lactated ringers (Ringer's Lactate)
A blockage in this type of artery causes a myocardial infarction
What is a coronary artery?
This has likely happened if you check the IV site and it is cool to the touch, swollen and the infusion rate is slower than prescribed
What is the IV has infiltrated?
This is the maximum time a nurse should suctioning fluids from a client's tracheostomy tube.
What is ten seconds?
A Pt is told his cancer is T1N0M0 and asks the nurse explains that the letters stand for this
What is tumor size, node involvement and metastasis?
This sign of fluid volume deficit indicates the patient may be going into hypovolemic shock and must be reported tot he providers
What is hypotension (low blood pressure)?
This is the desired INR for the client with a mechanical heart valve replacement
What is 3.0-3.5?
Tinea capitis, tinea corporis, and tinea pedis are examples of:
What are fungal infections?
This maneuver is expected for a patient when the chest tube is removed
What is the Valsalva maneuver (take a deep breath, exhale, and bear down)? The client is asked to perform the Valsalva maneuver. The tube is quickly withdrawn, and an airtight dressing is taped in place
While younger women should perform their breast exam 5-7 days after their period, post-menopausal should perform the BSE at this time
What is the same day every month?
An expected finding for a patient newly diagnosed with Cushing's disease would be this fluid volume
What is fluid volume excess?
This is the most common complication post myocardial infarction
What is an arrhythmia?