Wound Care
This phase of wound healing is characterized by redness, warmth, swelling, and increased drainage.
What is the inflammatory phase?
This autoimmune disorder commonly causes butterfly rash and multisystem inflammation.
What is systemic lupus erythematosus (SLE)?
Pain in the legs during walking that improves with rest is called this.
What is intermittent claudication?
This laboratory value is considered the best indicator of kidney filtration function.
What is creatinine?
Crackles, dyspnea, and orthopnea are classic findings of this cardiac disorder.
What is left-sided heart failure?
A patient with a stage 3 pressure injury requires wound packing. This action primarily prevents this complication.
What is premature closure and abscess formation?
A patient with rheumatoid arthritis reports morning stiffness lasting more than one hour. This finding suggests this process.
What is active inflammatory disease?
Cool extremities, diminished pulses, and shiny skin are classic findings of this vascular disorder.
What is peripheral arterial disease (PAD)?
A patient with acute kidney injury develops peaked T waves. The nurse suspects this electrolyte imbalance.
What is hyperkalemia?
This medication class decreases mortality in heart failure by reducing cardiac remodeling.
What are ACE inhibitors?
(Also acceptable: ARBs)
A nurse notes black, leathery tissue in a wound bed. This tissue is called this and often requires debridement.
What is eschar?
The nurse should monitor for this life-threatening complication in a patient experiencing myasthenia gravis crisis.
What is respiratory failure?
A patient with chronic venous insufficiency would most likely have this type of edema and skin change.
What is brown discoloration with dependent edema?
The priority nursing assessment for a patient receiving furosemide is monitoring for this complication.
What is hypokalemia?
A patient with chest pain receives nitroglycerin. The medication works primarily through this mechanism.
What is vasodilation that decreases myocardial oxygen demand?
A diabetic patient’s foot ulcer suddenly develops foul odor, increased drainage, and surrounding erythema. The nurse should suspect this complication.
What is wound infection?
A patient taking long-term corticosteroids for autoimmune disease is at increased risk for these two complications.
What are infection and hyperglycemia?
(Also acceptable: osteoporosis)
The nurse should avoid this intervention in a patient with severe arterial insufficiency.
What is elevating the legs above the heart?
A patient with chronic kidney disease becomes confused and develops pericardial friction rub. The nurse suspects this complication.
What is uremia?
Chest pain occurring at rest and not relieved predictably with activity reduction is most concerning for this condition.
What is unstable angina?
A nurse caring for a patient with severe hypoalbuminemia understands this nutrient is most important for wound healing.
What is protein?
A patient with scleroderma reports difficulty swallowing. This occurs because of this pathophysiologic change.
What is fibrosis and decreased esophageal motility?
A sudden loss of pulse, pallor, pain, and paralysis in an extremity indicates this emergency.
What is acute arterial occlusion?
This acid-base imbalance is commonly seen in advanced renal failure due to inability to excrete hydrogen ions.
What is metabolic acidosis?
A patient with heart failure suddenly develops pink frothy sputum and severe dyspnea. The nurse should suspect this emergency.
What is pulmonary edema?