latex allergies pt who have an allergy to bananas, apricots, cherries, grapes, kiwi, passion
fruit, avocado, chestnut, tomato, peaches may also have latex allergy
order of assessment inspection, palpation, percussion, auscultation
-expect with abdomen its "IAPP" -- inspect, auscultate, percuss, palpate
cane walking COAL
-cane; opposite; affected; leg
-the cane goes on the unaffected side
crutch walking -up stairs: good leg then crutch and affected leg
-down stairs: affected leg and crutch then good leg
3 point gait used in pt on crutches that are non-weight bearing
-put crutches out first and then good leg with affected leg off ground
delegation RNs DO NOT delegate what they can EAT--evaluate, assess, teach
, NCLEX Questions And Answers
AP delegation bathing, ROM, VS (if stable), feeding (if not on aspiration precaution), bed
making, obtaining specimen, enemas, glucose monitoring
Labs in fluid volume deficit increased hct, osmolality, specific gravity, sodium, BUN
Labs in fluid volume excess decreased hct, serum and urine osmolality, specific gravity,
sodium, BUN
Metabolic acidosis DKA, kidney failure
-key s/s kussmaul respirations
Metabolic alkalosis antacid overdose, GI loss (vomiting, NG suction)
Total hip arthroplasty avoid flexion of hip >90 degrees, do not cross legs, avoid internal
rotation of toes, avoid placing pillow under knees when lying down
, NCLEX Questions And Answers
Amputation do not elevate stump for the first 24hr, place pt prone for 20-30min several
times a day
Compartment syndrome 5 P's
-pallor, paresthesia, pulses decreased or absent, pain, pressure increased (also edema)
Osteoporosis risk factors sedentary lifestyle, estrogen deficiency
Cervical cancer postcoital bleeding, back pain
-pap smear recommended every 3 yr starting at 21y/o
Ovarian cancer abdominal bloating, increased abdominal girth, pelvic or abdominal pain,
early satiety, urinary urgency/frequency
Mammogram test for breast cancer, recommended annually starting at 40 years of age
-instruct pt to avoid putting deodorant, powders and lotions in axillary region prior to exam
Leukemia s/s anemia, decreased hgb, neutropenia, thrombocytopenia