6 months hx of recurring somatic pain - ANS-cause: DEPRESSION
Acute osteomyelitis - ANS-Extremity should be kept immobile to decrease risk of spreading
the infection.
Assessment teaching for phenytoin - ANS-anticonvulsant meds
Cautions:
hepatic impairment
can cause:
insomnia
rashes
dyskinesia
Before changing central line site - ANS-must have sterile gloves on
Best room for child with RSV - ANS-the same room as another child has RSV (same dx
same room)
Bipolar pt who is in manic state - ANS-Put in QUIET ROOM (to decrease stimuli)
bluish black discoloration at lumbosacral area - ANS-Mongolian spot (normal)
--> DO NOT THING, monitor.
Braden risk score is a ANS-measure of the patient's risk of developing a pressure sore.
Impacted by pt ability to communicate, skin moisture and alteration in mobility and nutrition
bronchial breath sounds - ANS-those heard over the larynx and trachea are high-pitched,
harsh "blowing" sounds,
Bronchialvesicular - ANS-posterior chest between the scapulae AND in the center part of
the anterior chest.
Can LPN Take care of dysphagia pt? - ANS-YES LPN can take care of them
Coarctation of the aorta - ANS-Narrowing of the aorta (pulses different brachial and femoral)
+ these infant is at high risk for developing INCREASE pressure in the LEFT VENTRICLE
==> Watch for Left HF development. Confabulation - ANS-the creation of false memories in
the absence of intentions of deception
to decrease anxiety
dementia - ANS-altered thought process (nursing dx)
ANS - emergency psychiatric commitment - can be held for 48 to 72 hours before a hearing
(not 90 days). Compression stockings should be worn by PVD patients with venous stasis
BEFORE ambulation. Half strength solution - ANS-means that solution was mixed with water
For example: half strength solution is 50 ml ==> full strength solution will be 25 ml (because
half strength was mixed with 25ml of water)
high pressure alarm on ventilator - ANS-decreased lung compliance, pneumothorax,
increased secretions.
Suspect with HIV develops AIDS, ANS, and recurrent pneumonia. if CD4 T cell less than
200 --> AIDS
If current infections agent is resist to current antibiotic - ANS-review WBC, this is because to
see if the bacteria is affecting the body and cause infection.
Is PPE required to take Vital sign for HIV pt - ANS-NO
Lansoprazole - ANS-PPI med