Yellow drainage - Study guides, Class notes & Summaries

The nurse notices clear nasal drainage in a patient newly admitted with facial trauma, including a nasal fracture. The nurse should: A. test the drainage for the presence of glucose. B. suction the nose to maintain airway clearance. C. document the findings and continue monitoring. D. apply a drip pad and reassure the patient this is normal. - A. test the drainage for the presence of glucose. Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF). The drainage should be tested...

The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base D. The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to 180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end of the finger. ...

tissue integrity - the ability of body tissues to regenerate and/or repair to maintain normal physiological processes interventions to maintain tissue integrity - reposition turning adequate nutrition skin assessments blanching test - A test of the rate of capillary refill; blanching means to cause to become pale by applying digital pressure. Non-blanchable - skins stay very red even with finger pressure; indicates severe skin injury Stage 1 pressure ulcer - intact skin with nonblanc...

PA Final 1. The nurse is caring for a client who was admitted to the medical unit. The nurse notes in the physical exam done by the physician that the client has a positive Romberg. When meeting elimination needs for this client, the nurse would perform which of the following interventions? A. obtain an order for a catheter B. limit fluid intake C. obtain a bedside commode D. allow the client to walk independently 2. The nurse observes drainage from a client’s ears after a head injury, and sus...

NGN 1000: Client is alert and oriented and reports not feeling well for a few days. Client is on continuous ambulatory peritoneal dialysis (CAPD) and reports dialysate appeared cloudy this morning. Reports abdominal pain as 4 on a scale of 0 to 10. Bowel sounds active in all quadrants. Peritoneal dialysis access site red, warm to touch, with a small amount of purulent drainage noted on dressing.1300: Client is lying in bed with the knees flexed, guarding the abdomen. Abdomen is slightly di...

City MD Scribe Latest 2024 Already Graded A Phase 1 n y & vitals 3.Past medical History 4.Chief complaint 5.HIP (history of present illness) 6.ROS (review of systems) Rapid strep Sore throat rapid flu flu like symptoms Urine test Urine complaints, abdominal complaints (if female) Visual acuity eye complaints Past medical history (in order) 1. current medication 2.Medical conditions 3.Allergies 4.Surgical history 5. family history 6. social history HPI (in order) Onset severity nature Perti...

Exam 2: NR302/ NR 302 | 2023/ 2024 Update Health Assessment I Exam Review | Guide with Questions and Verified Answers Chamberlain Q: A thickened dried out exudate on the skin is while compacted flakes of desiccated skin from the shedding of dead excess keratin cells are . Answer: Crust, scale Q: are linear cracks in the skin surface with abrupt edges extend- ing into the dermis? Answer: Fissures Q: Scooped out b...

BSN 225 - HESI FUNDAMENTALS EXAM QUESTIONS WITH COMPLETE SOLUTIONS The nurse is caring for a client on hospice who was started on a 25 mcg/hr Fentanyl patch yesterday at 0800. The nurse completes an assessment today at 2000 and reviews the following assessment data: Yesterday 0800 BP 98/60 HR 110 RR 24 O2SAT 94% PAIN 6/10 INTERVENTIONS Fentanyl patch 25mcg/hr applied Yesterday 2000 100/55 100 20 95% 2/10 Reposition, visiting with family Today 0800 92/40 104 24 92% 4/1...

ati-med-surg-proctored-exam-2023-real-exam-questions-with-well-detailed-and-explaned-answer-key ATI MED SURG Proctored EXAM 2023 REAL EXAM Questions WITH WELL Detailed AND Explaned Answer KEY ATI MED SURG PROCTORED EXAM 2023 REAL EXAM QUESTIONS WITH WELL DETAILED AND EXPLANED ANSWER KEY 1.A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? A. Positive Western blottest Rationale:The client is already identified as HIV positive.The...

NUR 160 Lab Quiz 3 (2023/2024) Already Graded A Normal PT/INR levels 2-3 Glascow Coma Scale (GCS) Neurologic assessment of a patient's best verbal response, eye opening, and motor function. GCS categories and responses Eye: spontaneous - open with blinking at baseline Verbal: Oriented/confused conversation but able to answer Motor: obeys command for movement/withdraws in response to pain primary care for STI's safe sex, condoms Secondary care for STI's screening for STI's Tertiary care...