Skin integrity
Incontinence, Impaired mobility, Increased age, Bony prominence, malnutrition
What are risk factors for pressure ulcers?
CBC with Auto Differential, C-reactive protein, Temperature, purulent drainage, Foul smell
What are indicators of infection?
Lowering surgical leg below heart, Compare color and temperature of both legs, Assess cap refill of effected leg, Assess pulse in leg, notify provider
What are things an RN does for post cardiac angiography?
Decreased heart rate, decreased blood pressure, decreased cardiac output, Increased ventricular filling time
What are expected effects a Beta-blocker does to our body?
24-hour collection of urine for secreted hormone
What is the best way to measure the amount of hormone lost through excretion?
Hyperpigmented patches, Flat, 2 cm in size
What are ways to document skin patches?
Multiple antibiotic types, Long treatment with antibiotics, Dry cough, fever fatigue, standard precautions
What are identifiers of anthrax?
Pap smear test at age 21
What is the test and recommended age for a female to get her initial HPV testing?
INH, Rifampin, DOT therapy, Prohylactic treatment of roommates, 6-8 months therapy
What are treatments for diagnosed TB?
Bear down to start urination
What is the first education to help someone with overflow incontinence?
A reddened or swelled area of abdominal skin in a diabetic patient
What are the results of not rotating insulin injection sites?
Chills, fever, and elevated WBC in a patient with PID
What are signs of infection?
Numbness+Tingling around the mouth, Tetany, Seizure, Chvostek's sign, Trousseau's sign
What are signs and symptoms of hypocalcemia?
What is a food-drug interaction with statins?
Infection, obesity, axillary disease, radiation therapy, blood pressure checks in affected arm
What are risk factors for developing lymphedema?
Turn cough and deep breath Q2, Keep HOB elevated 30-45 degrees, perform tracheal suctioning even with increased ICP, Keep quiet dark environment, Perform neurological exams
What are things in the plan of care for a patient with encephalitis?
Decrease in immune function, cough and gag reflex, acidity of gastric secretion, thickness of skin, respiratory muscle strength
What are risk factors that put the older adult at risk for infection?
Continue to get annual prostate examinations, take prescribed hormones, speak with psychologist, work with speech therapy
What are things we educate patients on who have gender reassignment?
This medication inhibits the formation of thrombin and fibrin promoting healthy bloodflow
What is clopidegrel (Plavix)?
Increased pulse, Bounding pulse, Distended neck veins, Hypertension, Pale + cool skin, and Muscle weakness, SOB
What are signs and symptoms of fluid overload?
Strengthening exercises, taking vitamin D/calcium, Walk for 30 minutes/week, Don't smoke, Limit drinking
What are lifestyle changes used to help prevent osteoporosis?
Systemic Lupus Erythematosus (SLE), Post-op CABG, Bacterial infection of the respiratory tract
What are risk factors for acute pericarditis?
Hard, non-tender, immobile, lesion in upper outer quadrant of breast
What are characteristics of a malignant breast tumor?
Unique facility identifier, Lot number related to the donor, ABO and Rh type of donor, Product code
What components should be readable on the blood label from the originating facility?
SOB, Fatigue, Fluid gain, Abdominal bloating, New-onset bradycardia, Hypotension, Atrial fibrillation/flutter, Decreased activity and EF
What are signs and symptoms of acute heart transplant rejection?