Extra Review Adult Health Flashcards
Top Nursing Diagnoses
Ineffective airway
Confusion
Pain.
Don’t forget your ABCs
Number one way to check for hypoxia?
Quick: O2 saturation, pulse oximeter
Definitive: ABGs
Nurse’s job with genetics
educate, explain, and collect history
What should a nurse do when they are teaching a patient and they aren’t understanding?
We need to question if the patient is ready to learn (motivation), if there are distractions to be eliminated, barriers, the method we are using?
Basically, what needs to be modified
What helps any heart problem
Stop smoking
What do we need to make sure of with a patient with HTN
Need to know if they have a cuff, if they can use it, know what the numbers mean, and if they can keep track of it.
A post op patient is at high risk for what? what should they use after surgery to help prevent this?
Atelectasis.
Incentive Spirometer
Hypersensitivities
Anaphylactic
Cytotoxic
Immune Complex
Delayed
A person with a spinal cord injury is at risk for? What should we do to prevent?
Skin break down
Reposition them every two hours
What is the average urine output? What if the patient’s is less than?
30mL/hr
notify the physician
Signs of progressed HTN
retinal damage, vision changes, organ damage, periorbital edema, systemic edema, stroke
Hemodyalisis
do not take BP in arm with fistula, do not scrub it, dont cover it, let everyone know it its there
ABG values
pH: 7.35-7.45
pCO2: 35-45
bicarb: 22-26
S/S Acute coronary syndrome
chest pain, SOA (dyspnea), tired, low BP, dizzy, sweaty (clammy)
CAD nursing considerations
decrease cholesterol, dietary education, might fel lightheaded, chest pain, rest, take med, if it doesnt go away you need to come into the hospital
Mitral valve regurge
concerned about pulmonary issues
left sided HF
lungs, hear crackles, pulmonary edema
right sided HF
systemic edema
Patient care for PVD or PAD
put compression devices (stockings) on, get them moving, want them in a warm environment, take all extremity pulses
Nursing Diagnosis for Pulmonary embolism
Ineffective breathing
With Addison’s disease, how long with they be taking steroids?
FOREVER
Palliative surgery
remove tumors to provide comfort but will not cure the person
A diet for someone with diabetes
want most of their calories from CARBS.
Braces are for…
stabilization
Greatest risk for esophageal cancer.
GERD, smoking, alcohol, Barretts. You will get an endoscopy (EGD) every 6 months
Acute Pancreatitis Complications
pain, infection, fever, WBC changes (increase), patient would be NPO.
Acute Kidney Injury Assess
hematuria, back pain, patient needs to pee. Problem if they do not pee
Infiltration
swelling, edema and IV site