Reduction of Risk Potential Flashcards
ammonia is a [. . .]
waste product of proteins
The normal serum albumin level is [. . .]
4 to 6 g/dL
A client with bipolar disorder, manic phase, shows little interest in eating the best nursing intervention is [. . .]
giving the client finger foods high in protein and calories that he can eat while he paces or walks
[. . .] typically begins with periumbilical pain followed by anorexia, nausea, and vomiting
Appendicitis
To relieve pain prior to surgery (appendicitis), the nurse assists the client to a comfortable position with the [. . .] and the head of the bed slightly elevated
knees drawn to the chest
[. . .] absorption diminishes with reduced physical activity because of decreased bone stimulation
Calcium
When a client with a NG tube exhibits abdominal distention, the nurse should first check [. . .]
the suction machine
Urine testing is not an effective measure of glucose level because glucose levels must be greater than [. . .] before glucose appears in the urine
220 mg/dl
for blood glucose testing, cleanse the site with [. . .] , and allow it to dry.
warm water and soap or an antiseptic swab (not alcohol)
A creatinine clearance test is a [. . .] that measures the degree of protein breakdown in the body
24-hour urine test
Usually, a blood glucose level less than [. . .] indicates hypoglycemia
70 mg/dL
Treatments for glaucoma include medicated eye drops that help drain fluid in the eye, thereby [. . .] pressure.
decreasing the intraocular
[. . .] presents with increased intraocular pressure that can damage the optic nerve, leading to visual disturbances.
Glaucoma
in the repair of hypospadias in a child with a stent what its recommended [. . .]
Avoid tub baths until the stent is removed
[. . .] teaching helps reduce the risk of postoperative complications by telling the client what to expect and providing a chance for the client to practice any required postoperative activities
Preoperative
The child with celiac disease should not eat foods containing [. . .]
barley, rye, oats, and wheat
A woman with an external monitor should lie in the position that is most comfortable to her, but the [. . .] position should be discouraged.
supine
[. . .] and a computerized tomography scan are indicated in children with suspected increased ICP
Magnetic resonance imaging
A late, ominous sign of increased intracranial pressure (ICP) [. . .]
Setting sun sign
A cardinal sign of meningitis, associated with increased intracranial pressure (ICP), a medical emergency [. . .]
Bulging Fontanel
Linear, threadlike burrows are typical in a child with [. . .]
scabies
Circular lesions that clear centrally characterize [. . .]
tinea corporis
If a [. . .] is dislodged and does not come all the way out, the health care provider needs to be notified after the line is secured.
PICC line
in clients with Cushing’s disease a primary dietary intervention is to restrict [. . .] , thereby reducing fluid retention
sodium
Watch for complaints of tingling in the hands and around the mouth. If these symptoms don’t subside quickly, they may be prodromal signs of [. . .]
tetany
[. . .] causes signs and symptoms of hypermetabolism, such as heat intolerance, diaphoresis, excessive thirst and appetite, and weight loss
Graves’ disease
After cystoscopy with biopsy, the nurse would assess for [. . .] , which might indicate hemorrhage caused by the biopsy
excessive hematuria
The amount of weight used in skin traction is determined by the health care provider and is [. . .]
not changed each shift
Light stroking of the skin [. . .]
effleurage
A client with a suspected slow gastrointestinal bleed should be observed for [. . .]
tarry (black) stool
Continuing with vital signs, voiding, stooling, and eating every 4 hours is the standard of care for a [. . .] , but a respiratory rate greater than 60, grunting, and occasional flaring are not normal
normal newborn
During the first few weeks after a cholecystectomy, the client should follow a diet that includes a limited intake of [. . .]
fat
what is anuria [. . .]
urine output less than 50 ml/24 hr
Atorvastatin has serious adverse reactions of hepatotoxicity and acute renal failure, so it is recommended that [. . .] and liver function tests be performed at baseline as a monitoring parameter
creatinine level
CRP is an indicator of [. . .]
inflammation
Abnormal vital signs include [. . .]
fever, hypertension, bradycardia, and tachypnea
Trough levels are drawn when the dose is at its [. . .] , right before the next scheduled drug administration.
lowest
Peak levels are drawn when the dose is at its [. . .]
highest (30 minutes after infusion)
possible signs of neurological complications from electroconvulsive therapy include [. . .]
foot drop, numbness, and tingling
[. . .] is commonly seen with malignant disease and metastases
Hypercalcemia
The dorsalis pedis is one of the most peripheral pulses, its [. . .] along with coolness indicates compromised arterial flow
absence
edema and coolness is more an indication of [. . .] impairment
venous
Failure to suck and swallow in an infant may indicate [. . .]
neurologic deterioration
According to the Rule of Nines, the posterior trunk, anterior trunk, and legs each make up [. . .]
18% of the total body surface
The head, neck, and arms each make up [. . .] of total body surface, and the perineum makes up 1%.
9%
