BPH assessment? - ANS >50
voiding difficulty/urgency
incomplete emptying
straining to void
nocturia
urine retention
Should never have burning with uriantion! this indicates a UTI
Sexual intercourse does not have anything to do with this
PAtient with altered level of consciousness positio...
most reliable indicator of neurological status? - ANS level of consciousness
,Herpes Zoster (Shingles) - ANS VZV virus
amyotrophic lateral sclerosis (ALS) - ANS Survival is 3-5 years
difficulty swallowing and breathing
inability to communicate
constipation
EVERYTHING is down
What should we implement immediately in a burn patient? - ANS ABCs!
Fluids almost always first due to hypovolemia from loss of fluid in tissue
Cushings triad - ANS Appears when a patient has an increased ICP for some time
Brdycardia, ^ systolic BP and wide pulse pressure, irregular respirations.
Assess patient for brain swelling
Ampule medication withdrawal - ANS use filter needle
do not touch filter needle to edge of ampule
,receptive aphasia - ANS inability to understand spoken or written words
Hotspot injection site for Enoxaparin - ANS Right or left side of abdomen 2inch from belly button
Abdominal wound healing - ANS docusate
nausea treatment
pillow to cough
abdominal binder
monitor blood sugar
Isotonic fluids - ANS include NS 0.9% NaCl and LR
used for fluid resuscitation and hypovolemic shock and dehydration
Blind person walking technique - ANS walk slightly ahead and to the side of the client with their hand on
your elbow
How is medication measured for pediatric clients? - ANS oral syringe
How do you dress someone with a stroke? - ANS Affected side first
SLE s/s - ANS elevated ESR
+ANA
Decreased WBC count, thrombocytopenia and anemia are common
, Monitor for kidney damage
Halo device - ANS Clean pin sites with sterile solution
Keep vest liner dry with cool blow dryer
Foam inserts under pressure points
Small pillow under head to reduce pressure
Have wrench available in emergencies
Lithotripsy - ANS increase fluid intake
expect some bruising on flank or back
Analgesics
Minor blood in urine for first 24 hours..after than is a problem
Report infection symptoms
Ambulate immediately after
Sprain treatment - ANS RICE
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