Lines & Perioperative
Interventions
Imbalances
General Nursing
Miscellaneous
100

This is a vein used as the insertion site for a Peripherally Inserted Central Catheter (PICC). 

basilic, cephalic, or brachial

100

This medication is given first to a patient experiencing anaphylactic shock.

Epinephrine

100

Pallor, hypotension, tachypnea, tachycardia, anxiety, lethargy, cold sweats, dizziness, fainting, & decreased urine output are s/s of this imbalance and is a life-threatening medical emergency. 

Hypovolemic Shock

100

This continuous, high-pitched squeaking sound is the breath sound often heard when auscultating lungs of an asthma patient. 

Wheezes

100

This is the hallmark sign of Systemic Lupus Erythematosus (SLE). 

butterfly-shaped facial rash

200

A PICC line can remain in place for this amount of time if properly maintained and cared for. 

several weeks to months

200

A patient who has a history of gastric ulcers should not take this common OTC medication due to the risk of gastric bleeding. 

aspirin

200

This life-threatening medical emergency occurs when intravascular volume is decreased, resulting in poor cardiac output. This might be a result of blood loss or extracellular fluid loss and can include slow, steady blood or volume loss (post-op). 


Hypovolemic shock

200

When doing this common nursing task, it is important to use factual, accurate, complete, timely, and organized information. 

documentation

200

A patient with this diagnosis is at higher risk of acquiring Opportunistic Infections such as candidiasis due to a compromised immune system. 

HIV

300

This assessment finding in the water seal chamber of the chest tube drainage system may indicate the patient's lung has re-expanded. 

absence of tidaling

300

This intervention, once fully awake, is encouraged for a patient recovering from a laparoscopic cholecystectomy to minimize discomfort from residual COin the abdomen from the procedure. 

 

Ambulation

300

Thrombocytopenia causes an elevated concern for this risk. 

bleeding

300

These three organs are crucial in supporting immunity.

thymus, spleen, and lymph nodes

300

This disease is characterized by rigid, C-shaped RBCs that stick together easily. The abnormal RBCs have a shorter lifespan than healthy RBCs causing fewer circulating RBCs. 

Sickle Cell Anemia

400

For a post-op orthopedic patient, this is one of the circulatory complications the nurse should be concerned about. 

deep-vein thrombosis (DVT)  

400

After placement, this intervention will be implemented before initial use of a NG tube to prevent aspiration. 

Verify tube placement with x-ray

400

This is the normal range for Platelets. Below normal levels (thrombocytopenia) increase the risk of bleeding. 

150,000 to 400,000/mm3

400

This cell type is monitored closely in HIV patients due to how the virus affects these cells. 

CD4

400

A positive reaction to a tuberculin skin test is an induration (a hardened area) that is greater than or equal to this number.  



10 mm or greater in diameter induration

500

Local anesthetic toxicity will manifest as this breathing pattern. 

Tachypnea

500

When administering an enema, this is the desired temperature of the enema solution. 

room temperature

500

This essential nutrient is necessary to promote wound healing. 

protein

500

This is the first step in the inflammatory response process which will then trigger inflammatory pathways. 

cell surfaces recognize harmful stimuli by pattern receptors (virus, bacteria, burn, injury, etc)

500

For full efficacy, a three-dose series of injections are given to complete this vaccination. 

Hepatitis B