Tulloch

A 55-year-old male patient has community-acquired pneumonia. He has no other medical conditions. He might be prescribed all of the following drugs EXCEPT: Levaquin Z-pack Biaxin erythromycin - Levaquin For patients below age 60 with no comorbidity, macrolides are preferred. For those aged 60 and older and younger patients with comorbidity Levaquin may be prescribed as ONE drug therapy. A 56-year-old female patient has burned her arms in a kitchen fire. She is assessed as having a second ...

actions of nurse in working phase of relationship - creating plan of care, implementing a plan of care acute care, primary care, hospice, rehabilitation - acute care - short hospital stay new onset primary - check up referrals hospice - 6 months or less rehab - short stay ambulatory care goals - get pt recovered and out appropriate patient for outpatient care - stable, same day surgery, care for themselves, has support at home A client whose complaints of irregular bowel movements have...

65-year-old patient presents in the Emergency room (ER) with complaints of dizziness, nausea, and increased urinary retention that started in the first hour. The patient's vital signs are 158/82, 92, 22, and 98.5. Which should be the most appropriate action by the nurse? Ask the patient. "Are you experiencing any stressors in your life?" 85 yr. old woman is admitted to the hospital. Clinical indicators of inadequate nutrition - Thin brittle hair - Hemoglobin 10.2 - Pale conjunctiva -...

How is a diagnosis of TTN made? What treatments/nursing interventions would we use? - Chest xray; appears streaky and fluid can sometimes be seen NICU CPAP Nutrition How would we go about managing an inevitable preterm birth? - Administer mag sulfate (prevents neonatal neurologic sequelae) Malpresentation is common Preparation for neonatal resuscitation Preparation for loss Steroids for fetal lung maturity If a neonate is exposed to Gonorrhea, which affects could be seen? - Blindness ...

A pt requiring minimal assistance with ambulation would use which type of device? - a cane An otherwise strong, healthy pt with a lower leg cast is learning to ambulate with crutches. Which gait would he/she use? - 3-point gait Biofeedback is: - making the pt aware of physiologic responses to stress in an attempt to gain control over those responses cane - used for people who need minimal assistance; place cane on strong side -> move cane and strong foot forward at the same time, landin...

5 components of FHR monitoring? - 1. Baseline rate 2. Baseline variability 3. Accelerations 4. Deceleration 5. Changes/trends over time Corrective measures= 02, change maternal position, and increase IV fluids A nulliparous client is in the second stage of labor and the fetal head has been delivered but the provider is having difficulty delivering the shoulders. The provider asks the nurse to provide assistance with the shoulder dystocia. What nursing interventions would the nurse expe...

A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficile infection. Which of the following information should the nurse include in the teaching? A. Assign the client to a room with a negative air-flow system. B. Use alcohol-based hand sanitizer when leaving the client's room. C. Clean contaminated surfaces in the client's room with a phenol solution. D. Have family members wear a gown and gloves when visiting. - D. Have family members w...

4 classic symptoms of Mobility? - 1. Morning stiffness 2.Joint pain 3.Muscle weakness 4.Fatigue 8 warnings signs of cancer? - 1. Changes in bowel or bladder that don't heal patches inside the mouth or on the tongue l bleeding or discharge ening or lump in breast 6. recent changes in warts, moles or skin 7.Nagging cough or hoarseness Allen test should be done for WHAT? - ABG Drawing Antihistamines and antihypertensive? - increase the risk for blurred vision. ARMD? - age-relate...

"i felt a pop near my incision" the wound is in the process of dehiscence. What caused it? - Forceful coughing 87 year old patient that smokes 3 packs per day. The patient is scheduled for upcoming surgery to repair rerebral discs in back. Patient is at risk for post-op complications related to? - Pneumonia A pt. goes to ED with the following symptoms: 3 pound weight gain in 24 hours, dyspnea at rest, anxiety fatigue, four plus edema of the BLE to foot and knee - Increased heart rate, hig...

#Amoxicillin 500 mg every 3 times a day. Only have 250 mg in the store - 500/250 = 2 tabs/dosage x 3 = 6 tab/dose/day 1. Purpose of wet to dry dressing? - To keep the wound bed moist and to provide mechanical debridement A patient with Glaucoma would likely to have which of the following IOP (Intraocular pressure) readings? - 48 mmHg or high than normal range due to high pressure in the eyes (Normal range 10 - 22 mmHg) Absent Bowel sounds - - Constipation - Assess for an obstruction 5 mi...

Acid/base imbalances? - R= Respiratory O=opposite M=Metabolic E=equal Always use what type of technique when doing a wound change? - Sterile technique causes for respiratory alkalosis. - Anxiety, fever, hyperventilation, pregnancy, severe obesity, neuromuscular disorders (MS, MD) Causes of Metabolic acidosis? - Diarrhea, Renal failure, diabetes mellitus, alcohol abuse Causes of Metabolic Alkalosis? - Gastric acid loss, hypomagnesemia, hypocalcemia, diuretics Causes of respiratory acid...

Can effect pulse ox reading - Cold hands Nail polish Cool skin loss of skin turgor flattened neck veins - Hypovolemia COPD Assessment and finding - -Barrel chest - shortness of breath -lung crackling -clubed fingers Dehydration that can be treated with fluids and IV - Hypovolemia Early signs of hypoxia - Restlessness anxiety Tachycardia Tachypnea Focused assessment with oxygen patient - O2 setting Cannula in nostril Pulse of Ventilation

Advair Prevent asthma attacks and treat COPD Albuterol Treat wheezing , shortness of breath caused by breathing problems (asthma) Albuterol and inhalers USED= shortness of bresathe through a Nebulizer Appropriate nursing care for a patient with pneumonia includes which interventions ? ( Select all that apply) 1. Assist the patient to conserve energy 2. Place the patient in a semi- high Fowler position 3. Educate the patient about the importance of hand washing Being hypervolemia (Deh...

Airborne Isolation Examples What do you wear? - N-95 Mask Gloves Place patient in a room with negative airflow EX) TB, measles, varicella As nurses we have to be explorers... explain what this means - We need to ask ourselves, Do we have the info we need or do we still need to gather some more data to form our thoughts bronchial - description: high pitch, loud harsh sounds created by moving air through the trachea location: anteriorly over the trachea, not heard over lung tissue charac...

What does the 2nd S in SPICES stand for? - Skin Breakdown What does the C in SPICES stand for? - Confusion What does the E in SPICES stand for? - Evidence of Falls What does the I in SPICES stand for? - Incontinence What does the P in SPICES stand for? - Problems with Eating or Feeding What does the S in SPICES stand for? - Sleep Disorders What is Reflection-in-Action? - Reflection-in-action refers to the nurse's understanding of patient responses to nursing actions while care is occurri...

(AMA)against medical advice - Important document that must be signed 5 Steps to restraining a person - 1)Document the other options tried before restraining 2) use the least restrictive 3 )notify the MD the family and the supervisor 4) restraint ordered by physician only and only good for 24 hours 5) apply to movable part of the bed no rails bed frame only A reason why a nurse would perform a back rub - To promote sleep ABC - Airway breathing circulation Acid base disorder that usually occ...

Define critical thinking Thinking with purpose 4 aspects of critical thinking 1. Necessary 2. Complex 3. Reprioritization 4. Expected 4 things critical thinkers do 1. Stop 2. Think 3. Ask 4. Assess Critical thinking is driven by Patient, family, and community needs Critical thinking is based on The nursing process, evidence-based thinking, and the scientific method

Assessment Tool - An overall assessment tool of older adults SPICES Can see situations as wholes rather than parts, learns from experience what events are likely to occur, and are able to modify plans in response to different events. Proficient (Stage Four) Caputi clinical judgement framework Getting the information Making meaning of the information Determine actions to take Taking action Evaluating outcomes and your thinking clinical judgement an interpretation or conclusion about a...

Benner's Stage 1: *Novice* - The Novice or beginner has no experience in the situations in which they are expected to perform. The Novice lacks confidence to demonstrate safe practice and requires continual verbal and physical cues. Practice is within a prolonged time period and he/she is unable to use discretionary judgement. Benner's Stage 2: *Advanced Beginner* - Advanced Beginners demonstrate marginally acceptable performance because the nurse has had prior experience in actual situat...

According to the Natioanl Patient Safety Goals: - 1. contact isolation 2. documentation for restraints 3. type used 4. how long restraint was in place 5. frequency it was checked 6. alternatives you attempted first After an IM injection is given, you: - throw the uncapped needle away in a biohazard bag AMA stands for - Against Medical Advice Ampule - A small sealed glass container that holds a single dose of medication, using a filtered needle for admisteration Before you start teach...