Virtual ATI Fundamentals Flash Card questions with correct answers

Gwen Aspiration Pneumonia S/S N.Interventions/Goals Correct Answer - S/S: Lethargy, Temp 99.1, HR 92, WBC 13 N. Interventions/Goals: HOB 30*, Apply O2 4L NC Humidified, Keep O2 at 92% Dorthy - Pressure Ulcers Pathophysiology/Causes S/S N. Interventions/Goals LABS Correct Answer - Patho/Causes: sensory decline r/t spinal cord injury, anemia S/S: Stage I - non-blanching, Stage II - craters and blisters, Stage III - Full skin thickness loss/craters, Stage IV - Severe Full skin loss w/muscle & bone showing. N. Interventions/Goals: Reposition QHS in chair, HOB at 30* or below. H2O intake of 2L - 3L/day Assess skin & complete a Braden Scale LABS: CBC w/diff, ESR 20 sec (HIGH), AST (HIGH), Albumin 3.2 (Indicates poor wound healing), Total Protein (LOW), Fasting BS (HIGH)