Deck 2 Flashcards
When performing a home safety assessment for client with stroke (select all)
No rugs, good lighting, handrails, water heater is set to appropriate temp(use elbow to test water), use pill organizer.
Client/Family teaching of manifestations of primary dementia
Gradual irreversible (sow onset), memory issues/forgetfullness
NGG-(drag &drop) Action of osmatic diuretic (Mannitol)-
Draws fluid from the brain into the blood.(Decreases intracranial pressure in the brain) Reduces swelling & edema.
Mannitol
Helps maintain urine flow and lowers the chance of kidney problems.
Manifestations or signs and symptoms of ICO (select all)
Use cranial nerve 3-severe headache, PERLA-dilated, pinpoint, or non responsive. Aphasia, slurred speech, disoriented (person, place, or time)
Client teaching regarding glucosamine for Osteoarthritis (OA), (select all)
Risk for bleeding (blood thinner), elevated blood sugar, avoid shellfish.
Risk factors for Osteoarthritis (OA)
age, gender, obesity, smoking, & repetitive stress on joints.
Complications or unexpected findings below-knee amputation.
Edema(swelling) above the knee-proximal to the knee.
Nursing intervention/teaching for client in Buck’s traction to promote mobility
Encourage passive range of motion.
Expected finding for client in skeletal traction (select all)
Slight pain, serous drainage, edema
Non-invasive, early intervention for post-op with low 02 levels.
Sit bed up, then provide supplemental oxygen.
NGN-Client teaching regarding patient-controlled analgesia (PCA) pump (select all)
Overdose isn’t likely because it’s at set intervals. The goal is to stay on top of pain. (Patients end up using less pain medication)
Client teaching regarding deep-breathing and coughing
Splinting incision
Risk factors for deep-vein thrombosis(DVT), (select all)
Birth control/oral contraceptives (woman), sedentary/immobile
Teaching use of incentive spirometer (IS)
10 times an hour
