PERFUSION & BLOOD FLOW
This physiologic term describes the flow of blood through arteries and capillaries delivering nutrients and oxygen to cells.
What is Perfusion?
This common bone disease involves a loss of bone mass and density, making bones porous and prone to fracture.
What is Osteoporosis?
This term refers to the state of structurally intact and physiologically functioning skin and mucous membranes.
What is Tissue Integrity?
This acute bacterial infection affects the deep dermis and subcutaneous tissue, presenting with spreading redness, warmth, and edema.
What is Cellulitis?
Before administering a cardiac medication, the nurse checks the patient's apical pulse and blood pressure to determine if it is safe to proceed. This action corresponds to this first step of the Nursing Process.
What is Assessment (or Data Collection)? (Source: Nursing Concept Overview and Exemplars, Slide 43)
This "silent killer" disease is characterized by sustained elevated systemic vascular resistance, forcing the heart to work harder to pump blood.
What is Hypertension?
This term describes the grating, crunching, or popping sound heard or felt when a joint is moved, often associated with arthritis.
What is Crepitus?
This type of wound drainage (exudate) is thick, opaque, yellow or green, and often has a foul odor, indicating infection.
What is Purulent drainage?
This "High Alert" medication class, which includes Heparin and Warfarin, requires careful monitoring of bleeding labs (PT/INR, PTT) to prevent fatal hemorrhage.
What are Anticoagulants?
A nurse enters a room and finds a patient complaining of pain (rated 8/10) and difficulty breathing (SpO2 88%). The nurse chooses to address the breathing issue before the pain because breathing represents this level of Maslow’s Hierarchy of Needs.
What is Physiological (or Basic/Survival Needs)? (Source: Nursing Concept Overview and Exemplars, Slide 12)
In a patient with Right-Sided Heart Failure, fluid backs up into the body, causing this visible swelling in the neck veins.
What is Jugular Venous Distention (JVD)?
A patient with a cast or fracture complaining of intense pain, pallor, paresthesia, pulselessness, and paralysis is likely experiencing this medical emergency.
What is Compartment Syndrome?
A pressure injury presenting as non-blanchable erythema (redness that does not turn white when pressed) on intact skin is classified as this stage.
What is Stage 1?
According to the "PPMP" model for fall safety, these are the four steps which are?
What is Predict, Prevent, Manage, and Promot
Thirty minutes after administering an oral analgesic, the nurse returns to the patient’s bedside to ask them to rate their pain again. This action allows the nurse to determine if the goal was met, representing this final phase of the Nursing Process.
What is Evaluation?
This type of stroke occurs when a blood clot blocks a cerebral artery, depriving the brain of oxygen.
What is an Ischemic Stroke?
When assessing muscle strength, a grade of 3 out of 5 indicates the patient can perform this type of movement.
What is Active movement against gravity (but not against resistance)?
This surgical emergency occurs when a wound incision separates and internal organs (viscera) protrude through the opening.
What is Evisceration?
To prevent catheter-associated urinary tract infections (CAUTI), the nurse must keep the drainage bag in this position relative to the bladder.
What is Below the level of the bladder? (General Nursing/Safety Standard implied in source regarding infection prevention techniques).
A nurse chooses not to delegate obtaining vital signs to a UAP because the patient is 1-hour post-operative and hemodynamically unstable. By considering the patient's instability, the nurse is applying this specific "Right" of Delegation.
What is Right Circumstance (or Right Situation)?
Ideally administered within 4.5 hours of symptom onset, this "clot-busting" medication is the priority treatment for an acute ischemic stroke (after a CT rules out bleeding).
What is tPA (Alteplase)
This serious complication of long-bone fractures presents with a change in Level of Consciousness (LOC), respiratory distress, and petechiae.
What is a Fat Embolism?
This specific type of wound healing occurs when a wound is left open to heal from the bottom up (granulation) rather than being sutured closed immediately.
What is Secondary Intention?
In a patient with Cellulitis, the nurse marks the border of the redness with a pen to monitor for this sign of worsening infection.
What is Expansion/Spreading of erythema?
A nurse is caring for four patients. The nurse decides to see the patient with a Potassium level of 6.5 mEq/L before the patient requesting a bedpan. The nurse made this decision because "Life-Threatening Lab Values" fall into this specific Priority Level alongside Airway, Breathing, and Circulation.
What is Priority One (or First-Level Priority)?