NP235 EXam 2 Deb's review
always wear shoes
check your feet everyday
check for any discoloration,
sores
buy shoes that fit properly
dry betwen the toes
no alcohol on the feet - ANS-teaching a pt with diabetes regarding foot care?
he should still take it.
but you should encourage a snack
give as ordered. - ANS-diabetic has an order for NPH 35units to be given in the am
he has an upset stomach. should he still take the insulin
do your gums easily bleed.
Ask "if their gums easily bleed) ( assess for other signs of bleeding/ internal bleeding, looking at
platelet count) - ANS-assessig new pt. complains of new symptoms of tiredness and has
echemosis/bruising.
nutritional support
routine eye care to not dry out the eyes
cool enviroment
prevention of diarrhea
tremors, temp elevation, restlessness - ANS-pt with hyper thyroidism and expophthalmos what
would the plan of care include
acute pain realted to bleeding into closed spaces
hemoarthrosis - ANS-person with hemophelia has tender swollen joints, what is the nursing
diagnosis
stop the trans.
run the line open and save the blood.(do not discontinue the line you have to save it)
notify the charge nurse immediatly
get vitals
document - ANS-pt is getting transfusion. they begin to wheeze and have back pain.
hispanic
african american
, american indian - ANS-What different types of ethnicities are risk factors or high risk for
developing diabetes?
non-surgical technique to open up blocked coronary arteries - ANS-person has stenosis in her
coronary artery and is scheduled for PTCA
peak - ANS-what is the period of time where the insulin has the strongest effect.
restrict fluids
sodium by iv/hypertonic sodium chloride
diuretics - ANS-SIADH Syndrome of inappropriate antidiuretic hormone secretion/how do you
treat
MI - ANS-severe pain in the chest not releived by nitro, has dyspnea, pallor and professed
sweating. what do they have.
Hold it, call provider tp hold it for 3 days after wards metformin has contrast with kidney function
- ANS-Have a patient who just had a heart catherization (angioplasty) and is npo but has
metformin due what do you do?
orthstaic hypotension
teach to get up slowly
s/s of inadequate steroid levels, meds
keep away from infection
no stress - ANS-Addison disease making a discharge plan, has a risk for injury
it increases blood flow to the heart muscle.
side effects, headache, hypotension - ANS-pt with stable coronary artery disease. prescribed .
nitro what does nitro do.
tell the charge nurse and surgery team. - ANS-pt has cardiac cath. is going to have heart cath.
with dye and has a shellfish allergy. what are your going to do.
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