You measure a client's vital signs: oral temperature 101.2 degrees Fahrenheit. Blood
pressure 116/72. Right radial pulse is 122 bpm and feels weak. Respiratory rate is 18
breaths/min. Oxygen saturation is 99% on Room Air. What is important to note about
the patient's vital signs?
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, The patient has a fever, blood pressure is within normal ranges, heart rate is
elevated, weak pulse may suggest dehydration, shock or cardiac issues, the
respiratory rate is within normal limits, and the oxygen saturation is normal
What are some non-pharmacological nursing inventions?
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- positioning
- cutaneous stimulation
- cognitive strategies
- therapeutic touch
describe a clean-contaminated wound
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classification of operative wounds, entered under controlled conditions but
with no contamination encountered
describe a contaminated wound
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a wound with bacteria present resulting from trauma, a break in sterile
technique during surgery or spillage of bowl contents or other bacteria-
laden material during surgery
, What education should be provided to the patient when the nurse is applying heat or
cold as a nursing intervention?
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discuss the purpose, method, frequency, duration, safety, comfort, when to
seek help, and alternative
Define evisceration
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total separation of tissue allowing protrusion of visceral
organs
Venous Ulcer wound
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- leg ulcers caused by problems with blood flow
(circulation) in your leg veins
- occur on the skin around your ankles or on your legs
- the open sores have a shallow and flat wound bed, which
can be moist and covered in a yellow or white film
pressure 116/72. Right radial pulse is 122 bpm and feels weak. Respiratory rate is 18
breaths/min. Oxygen saturation is 99% on Room Air. What is important to note about
the patient's vital signs?
Give this one a try later!
, The patient has a fever, blood pressure is within normal ranges, heart rate is
elevated, weak pulse may suggest dehydration, shock or cardiac issues, the
respiratory rate is within normal limits, and the oxygen saturation is normal
What are some non-pharmacological nursing inventions?
Give this one a try later!
- positioning
- cutaneous stimulation
- cognitive strategies
- therapeutic touch
describe a clean-contaminated wound
Give this one a try later!
classification of operative wounds, entered under controlled conditions but
with no contamination encountered
describe a contaminated wound
Give this one a try later!
a wound with bacteria present resulting from trauma, a break in sterile
technique during surgery or spillage of bowl contents or other bacteria-
laden material during surgery
, What education should be provided to the patient when the nurse is applying heat or
cold as a nursing intervention?
Give this one a try later!
discuss the purpose, method, frequency, duration, safety, comfort, when to
seek help, and alternative
Define evisceration
Give this one a try later!
total separation of tissue allowing protrusion of visceral
organs
Venous Ulcer wound
Give this one a try later!
- leg ulcers caused by problems with blood flow
(circulation) in your leg veins
- occur on the skin around your ankles or on your legs
- the open sores have a shallow and flat wound bed, which
can be moist and covered in a yellow or white film
