Reduction of Risk

is an internal catheter defibrillator a concern if a patient needs an MRI

YES; it's metal!!!

The parents of a child hospitalized with cystic fibrosis have been given discharge instructions. The nurse knows that teaching has been successful when the parents make what statement?

"We need to prepare high calorie, high fat meals."

angina vs MI

"pain stopped after I sat down" = angina

INR

0.8-1.2 warfarin

After determining that a client diagnosed with a stroke has adequate swallowing ability, the nurse develops interventions to safely provide oral feedings to the client. What interventions should the nurse include in this plan of care?

1. Provide mouth care prior to feeding. 2. Flex head forward for eating. 4. Use crushed ice as a stimulant for swallowing. 5. Offer thickened liquids to drink. 6. remain in HIGH fowlers after eating

PT

11-13.5 seconds warfarin

hgb

12-15.5 13.5-17.5

PTT

30-40 seconds *1.5-2.5x longer on therapy heparin

dexamethasone

= glucocorticoid insomnia increased appetite/wt gain stomach upset headache dizziness fatigue

Non stress test Increases 8 beats per minute for 10 seconds with fetal movement.

A non-reactive test is when the FHR accelerates less than 15 beats per minute above baseline. This may indicate fetal compromise.

A client with a diagnosis of endocarditis and a new peripherally inserted cential catheter (PICC) line has been discharged home to receive daily intravenous antibiotics for six more weeks. The home health nurse is making an assessment visit today. What instruction by the nurse is most important initially?

Brush and floss teeth at least twice daily.

A full term infant is being assessed 12 hours after birth. The infant's respiratory rate is 50 and shallow, with periods of apnea. What action by the nurse takes priority?

Continue monitoring every 15 minutes. Normal respirations in the healthy neonate are generally shallow and expected to be between 30 and 50 times per minute with short periods of apnea up to 5 seconds. This infant is displaying a normal respiratory status for the newborn. The nurse should continue to monitor the infant.

cystic fibrosis

Cystic fibrosis is an inherited disorder in which abnormally viscous secretions affect the respiratory and digestive systems. Because the client is unable to absorb nutrients, several dietary adaptations are crucial, including frequent small meals along with digestive enzymes to help the client process food. The meals should be high calorie, high fat with increased amounts of sodium to help stabilize fluids.

secondary prevention

DETECTION

primary prevention

EDUCATION BEFORE OCCURS

Which finding in fetal heart rate during a non-stress test would indicate to the nurse that a potential problem for the fetus may exist?

Increases 8 beats per minute for 10 seconds with fetal movement.

Tertiary prevention

LIMIT COMPLICATIONS

Which client should the nurse recognize as being at greatest risk for the development of cancer?

Older individual with acquired immunodeficiency syndrome

A term primipara is admitted in active labor and with rupture of membranes. Her last vaginal exam one hour ago revealed that she was dilated to 6 centimeters, 100% effaced, and at -1 station. The client calls out "My belly really hurts. I feel like I have to have a bowel movement!" Which action should the nurse perform first?

Perform a sterile vaginal exam.

highest risks for cancer development

age immunodeficiency

upper GI series

barium swallow test contrast drunk while x-rays taken!!!!

what to not do to a wound when healing

dry it!!

immunizations for grade school kids dx with HIV

flu DTap

highest priority post cardiac cath

keep extremity immobilized for 6 horus

help with sundowning

limit naps blinds open during day calm environment maintain a routine

how to prevent renal calculi

minimal calcium 2 L of water + daily diuretics

fat embolism s/sx

petechiae on chest severe shortness of breath * common in big bone fractures !!!

PLT

platelets

puffy hands and face can indicate what in a 36 week pregant person

pre-ecclampsia

LPN can...

teach! Complete tasks upon stable clients