I saw the Sign...
The patient comes to the clinic with complaints of an exacerbation their Psoriasis. What do you expect to see upon your skin assessment?
What are red, scaly plaques with silvery-white scales?
Common initial presenting symptom with fluid volume deficit
What is tachycardia?
The type of pain that causes a patient to be irritable with their nurse
What is chronic pain?
When caring for a patient who has received opioid medications, what is the priority nursing assessment?
Respiratory Depression
This term refers to conditions such as immobility, poor nutrition, moisture, and decreased sensory perception.
What are risk factors for pressure injuries?
Serous fluid-filled, palpable mass, 0.5 cm in diameter.
What is a vesicle?
Common ECG symptom for hypokalemia
What are flat T waves?
Reversal agent for 2 day post-op patient who has received 3 doses of a mu agonist and has poor respiratory effort
What is naloxone?
When using this topical treatment for Pediculosis, patients should apply it to clean, dry hair and scalp, and leave it on for 10 minutes, then rinse thoroughly.
What is Permethrin cream?
Upon assessment, you find a reddened, non-blanchable area of intact skin over the sacrum.
What is Stage 1 Pressure Injury?
Tap on the patient’s face near the ear with a finger, the muscles tense up uncontrollably
What is +Chvostek sign?
Common ECG symptoms for hyperkalemia
What are peak T waves?
Two experiences that can occur with the regular use of opioids
What is physical dependence and tolerance?
Name a classification of medications that can cause a depletion of electrolytes, (Hint IF NEEDED: particularly potassium).
Thiazides or loop diuretics
Full-thickness skin loss, exposing adipose tissue, with possible slough, eschar, or tunneling, but without exposed bone, tendon, or muscle.
What is Stage 3 Pressure Injury?
Upon assessment of the patient with hypermagnesemia, what are 2 Priority assessments that the nurse must assess for?
What are depressed respirations and diminished deep tendon reflexes?
EKG shows sinus tachycardia, HR 145, BP 89/47. Pt has received 2000mL NS bolus for hemorrhage, what would the nurse anticipate the doctor will order next?
What are blood products?
3 Gerontologic considerations for pain management
What are: initiate with low dose, titrate slowly; acetaminophen preferred (if not CI); reduce opioid dose 25-50%; increased risk for sedation and CNS effects; increased risk for NSAID-induced GI toxicity
The nurse is providing education for a patient about the use of non-opioid and opioid medications. Name 2 important pieces of education for EACH of the types of medications.
Non-opioids:
What is...?
1-Discuss use of pain assessment tool.
2-Liver or kidney function/toxicity
Opioids:
1-Respiratory depression
2-Dependence/Tolerance
4 nursing interventions for Pressure Injuries
What are patient repositioning, pressure-relieving devices, adequate nutrition, and preventing continuous moisture?
A child comes into the clinic with classic lesions of impetigo. These manifest as...
What are two vital sign changes seen in hyponatremia?
What is Tachycardia and Hypotension?
A nurse is doing a skin assessment and finds a gray brown, threadlike burrow with a tiny vesicle. What is the patient presenting with?
Scabies
What group is at increased risk of delirium related to fluid volume deficit, integumentary issues related to thinning skin, reduced renal function, and dehydration?
What is the geriatric population?
Your patient presents to the ED with these symptoms: confusion, polydipsia, and increased temperature. Which electrolyte imbalance is this patient experiencing?
Hypernatremia