What does stage 1 pressure ulcer look like? what to do to help in that area? - answer
stage 1 localized area of skin , typically bony prominence, that is intact with non-
blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure
on the trochanteric region
stage II - answer presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk
for? - answer Pneumonia-ask the patient to cough, deep breathe, reposition at least
every 2 hours
What causes constipation in patients who have pressure injuries? - answer-I never
constipated i take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should
the nurse include? - answer contract the muscle for several seconds, then relax the
muscle for a few second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - answer Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with
dementia exhibit? - answer Forgets things relatively quickly and is unable to learn new
things
Mother of a child asks if their child can get chickenpox more than once. What kind of
immunity would be most accurate? - answer Active acquired immunity
What should you administer after a pt experience anaphylaxis? - answer oxygen
Best way to prevent communicable diseases? - answer Hand Washing
What do we call different animals that carry germs? - answer Vector
What is the nursing priority for a patient who is immunocompromised? - answer Protect
them from infection or illness
, What illnesses would require you to take airborne precautions? – answer TB, measles,
Varicella,
What does the impetigo look like? - answer a honey-colored crust over a thin-walled
vesicle
You are giving blood to a patient and they start to have terrible chills. What should be
the first course of action? - answer Stop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to
increase fluid intake? - answer Flavored popsicles to suck
What position do we need to have the patient in to perform thoracentesis? - answer
Sitting on the side of the bed bent over the bedside table
What to do when your patient O2 sat is 85%. What action are you going to take? -
answer Semi Fowlers position
What kind of medication is Propranolol?
What is common side effect of the medication? - answer Beta Blocker
Orthostatic Hypotension
Hypotension, Bradycardia, Dizzy, lightheaded, tired
how to educate a patient who is on propranolol for HTN? - answer Ask the patient to sit
down on the side of the bed before getting up. If the patient feels dizzy have them lay
down because of HTN
what an adverse effect from the prescription of Captopril is? - answer Neutropenia,
Hyperkalemia, Nephrotoxicity(hypotension)
what is tinnitus? - answer Ringing in the ears caused by Aspirin toxicity
The primary reason for instructing patient to avoid over used decongestants? - answer
Hypertension
A patient at sports camp is complaining of itchy and watery eyes, coughing, and
sneezing when outdoors. The patients chart states that he has an allergy to grasses.
Which medication will the nurse administer? - answer Antihistamine
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