Deck 1 Flashcards
Type of stroke associated with seizures
Hemorrhagic
Expected findings assessing a client with Parkinson’s Disease
Bradykinesia (slow movement)
Nursing actions or care for client needing a “fitting” post-op amputation
Preparing amputees stump through using a figure 8 wrap.
Nursing assessment post-op (select all)
Check for perfusion, circulatory, clotting. *Pallor (color), temperature (warm or cool), are they feeling any sensation-(skin, temp, sensation)
Role/scope of nurse:informed consent
“Are they mentally able to consent”
Pre-op nursing responsibilities (multiple questions)
Explain the procedure, answer questions.
Abdominal surgical site complications nursing interventions post op 1 day
Evisceration, cover w/gauze that is wet with saline.
How post-op identify return of peristalsis
Assess bowel sounds, passing gas.
Recognize signs and symptoms of post-op client that had excess blood loss during surgery
Fatigue, low blood pressure, low urinary output, high heart rate, high respiratory rate, slow cap refill.
Post-op teaching for hip arthroplasty
Don’t cross your legs
NGN- Nursing actions/interventions for client with post-op hip arthroplasty precautions
Turning, coughing, breathing. If feeling nauseous give antiemetic, (Zofran), and give antibiotics.
Expected finding for a client with hip fracture
Muscle spasms, “what’s their pain”. (Give antispasmics)
Complications of a femoral head fracture
Fat Embolus
Complications requiring immediate intervention s/p application LE cast.
Wiggle your toes (“any pain, or tenderness”)
Risk factors for stroke (non-modifiable)
Non-modifiable risk factors-genetics-(family history)
Expected manifestations of hemorrhagic stroke (what might the client c/o?)
Sudden severe headache, nausea &vomiting, change in level of consciousness.
(Add to) NGN-presented charted information, 3 findings that require immediate f/u.
(Things you’ll need immediate follow up on)
Monitoring clients for common complications post stroke
Dysphasia, because of aspiration.
Expected early signs and symptoms of increased inter cranial pressure (ICP).
Irritability-restlessness
Expected early signs and symptoms of meningitis
Headache, fever, aches, nausea
CN assessment on a client with Meningococcal meningitis
Positive Kernig sign, positive brudzinski sign, red macular rash
Caring for a client with seizure (select all)
Turn patient on side, do not put anything in the patient’s mouth
