NSG 123 Med Surg

Medical errors are caused by ️ faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them Mistakes can be prevents by ️ designing the health system to make it harder to do something wrong and easier for them to do it right NPSG pertaining to surgery ️ Prevent infection Right surgery, right patient, right site Surgical site marking Pause, time out, before surgery Hand off communication is ️ a process of passing patient information from one...

Fluid Volume Deficit Lab & Vitals ️ Increased BUN & Creatinine Increased Hematocrit & Hemoglobin Increased Urine Specific Gravity Decreased BP Increased Pulse Increased Temp Fluid Volume Excess Lab & Vitals ️ Decreased Hematocrit, Hemoglobin Decreased Urine Specific Gravity Increased BP Increased Respirations Bounding Pulse DMARD Methotrexate Monitor ️ Prior to and during therapy, monitoring the CBC, renal function, and liver function is essential. Liver function tests help gu...

Delirium ️ an acute, confused state that begins with disorientation. Not recognized and treated early can progress to changes in LOC, irreversible brain damage, and sometimes death. Symptoms include impaired memory, inability to focus, disorientation and hallucinations. If a patient is having new onset of confusion, cannot follow instructions, and is hallucinating, you should recognize that as science of delirium. Difference between Delirium and Dementia is that Delirium has an abrupt ...

The nurse recognizes non-modifiable risk factors for atherosclerosis include: SATA A. family hx B. age C. smoking D. diet ️ A, B The nurse knows the most serious complication of carotid artery disease is: ️ Stroke A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following indicates respiratory status is declining? SATA A. O2 95% B. Wheezing C. retraction of sternal muscles D. pink mucous membranes E. tachycardia ️ B, C, E A nurse is car...

Main Cause of Cholelithiasis ️ Cholesterol stones account for most of the remaining 75% of cases of gallbladder disease in the United States. Symptoms of Cholelithias ️ Nausea Vomiting Right upper quadrant abdominal pain or epigastric pain that radiates to the right shoulder especially after meals when the gallbladder is stimulated to release bile. Patient Teaching for Cholelithiasis ️ The diet immediately after an episode is usually low-fat liquids. These can include powdered supp...

Pre-Operative Phase ️ The preoperative phase begins when the decision to proceed with surgical intervention is made and ends with the transfer of the patient onto the operating room (OR) bed. Intra-operative Phase: ️ The intraoperative phase begins when the patient is transferred onto the OR bed and ends with admission to the PACU. Intraoperative nursing responsibilities involve acting as scrub nurse, circulating nurse, or registered nurse first assistant Post-operative Phase: ️ The...