Show:
Interventions
Pathophysiology
Signs/Symptoms
Teaching
Diagnosis
100
A patient admitted for burns of the head, chest, neck, back, and left arm and hand following an explosion and fire in the garage. The nurse auscultates wheezes throughout the lung fields. What is the priority intervention?
What is anticipate the need for endotracheal intubation?
100
bleeding between the lens and the retina
What is a pt who has a hemorrhage in the posterior cavity of the eye, the nurse knows that blood is accumulating?
100
plaques
What are skin lesions as circumscribed, superficial, elevated, solid, and greater than 0.5cm in diameter.
100
Be careful to avoid touching the tip of the dropper bottle to the ear.
What is how to teach an adult patient how to administer antibiotic ear drops, which actions should be included in the nurse's plan?
100
psoriasis
What are red, sharply defined plaques covered with silvery scales that are mildly itchy on the pt's knees and elbows.
200
applying pyrethrins to the body
What is the treatment for a mother and children who have been diagnosed with pediculosis corporis?
200
fluid and electrolyte shifts that occur during the early emergent stage
What is sequestering of sodium and water in interstitial fluid
200
keloid
What is hypertrophied scarring at the site of a prior injury to the skin?
200
wear protective clothing, apply sunscreen liberally and often, avoid exposure to sun during midday.
What is safe sun practices the nurse would teach for a patient with photosensitivity?
200
Injury least likely to cause a full-thickness burn
What is sunburn?
300
a diagnostic procedure done to remove pleural fluid for analysis
What is thoracentesis?
300
mechanism that stimulates the release of surfactant
What is alveolar stretch from deep breathing?
300
very early signs and symptoms of inadequate oxygenation
What is apprehension and restlessness?
300
preventing strategies when teaching about fire safety
What is encouraging regular home fire exit drills?
300
The type of patient that needs the following teaching would be what? exercise such as walking and breathing exercises, such as pursed-lip breathing
What is COPD?
400
To prevent excessive pressure on tracheal capillaries, pressure in the cuff on a tracheostomy tube should be
What is less than 20 mm Hg or 25 mm H2O?
400
an enlargement of the right ventricle secondary to disease of the lung, thorax, or pulmonary circulation
What is Cor Pulmonale?
400
bronchial breath sounds in the lower lung fields
What is an abnormal assessment finding in respiratory assessment?
400
Avoid vigorous nose blowing and strenuous activity
What is discharge teaching for a patient with epistaxis, which was controlled with anterior nasal packing?
400
A long-term nursing diagnosis related to nutrition for a patient with Chronic bronchitis
What is Altered nutrition, less than body requirements?
500
An appropriate intervention for a patient with pneumonia and thick secretions and fatigue would be
What is teach the patient how to cough and bring up secretions into the mouth?
500
The blockage of pulmonary arteries by a thrombus, fat or air embolus, or tumor tissue. Material gains access to the venous system and then to the pulmonary circulation.
What is pulmonary embolism?
500
Classic symptoms of this disease are: dyspnea on exertion and fatigue, exertional chest pain, dizziness, and exertional syncope. This includes the inability of cardiac output to increase in response to increased oxygen demand.
What is pulmonary hypertension?
500
The most important education for a patient using a brochodilator?
What is tachycardia, jittery, excessive use cause rebound constriction?
500
A patient that receives a chest tube is at risk for what
What is bleeding, ineffective breathing, infection.