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19 Cards in this Set
- Front
- Back
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Assessment for pt post stroke regarding toiletting.
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Place pt on a bowel and urinary training program to promote independence.
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What should the nurse do when she reaches resistance during ROM exercises?
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Stop, do not go past this point.
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What beverages should be increased when a pt is at risk for UTI?
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Cranberry juice (50ml), apple cider vinegar (2tbs), at least 2-3 L of fluid.
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Timespan for giving synthroid, digoxin, & metamucil?
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take syntroid, wait an hour and take digoxin with breakfast, wait 2 hours and take metamucil
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Assesment of skin turgor
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When an elderly pt shows a lack of skin turgor in an extremity, should reassess on forehead or sternum.
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Dietary selections for a low Na diet?
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chicken... not cheeses or processed meats.
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Purpose of rapid response team.
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Provide care to patients before respiratory or cardiac arrest occurs.
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fluid or electrolyte balance in an older adult.
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ALOC
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Who is at an incresed risk for dehydration?
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Older adults due to meds, decreased body water, decreased thirst, and lack of movement.
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Causative factors for isotonic dehydration.
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diarrhea, loss of fluid
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O2 therapy for the dehydrated pt
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Use a humidifier to sooth dry mucus membranes... ?
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S & S of hypokalemia
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difficulty breathing d/t muscle weakness Pulse is thready and weak, disrhythmias, orthostatic hypotension, altered mental status, & decreased intestinal motility.
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S& S of hyponatremia
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ALOC, confusion, muscle weakness, increased intestinal motility, and changes in cardiac output.
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Pt education with mild hypernatremia
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make changes to diet
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S & S for pt not synthesizing T-suppressor lymphocites
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"over-reactions" of the immune system. Autoimmune diseases.
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wound assessment
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stage 1= non blanching reddened area.
stage 2= patrial thickness skin loss, ulcer may be a boil blister or crater. stage 3= full thickness skin loss. sub q may be nectrotic. stage 4= exposed muscle tendon or bone. undermining/ tunneling. |
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benefits of motrin v. tylenol
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Motrin is anti-inflammatory. Less hepatotoxic.
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If a pt presents with abdominal pain & rash, what lab value should be elevated?
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eosenophils
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S & S of sleep apnea
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Loud snoring, sleepiness, confusion.
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