Holygrams

A nurse coworker is called into work from home to help care for an influx of clients being admitted after a bus accident. While assisting the coworker prepare for incoming clients, the nurse becomes concerned that the coworker may be under the influence of an impairing substance. Which action by the nurse is best? 1. Ask another coworker to observe the individual to confirm the suspicion 2. Confront the coworker about the concern and offer emotional support 3. Speak with the nursing sup...

Hemophilia A hereditary disease where blood does not coagulate to stop bleeding Primarily seen in males and is due to clotting factors Symptoms include spontaneous bleeding (HEMARTHROSIS) into the joints, especially the knees, ankle, or elbow. Treatment: replace missing clotting factor VIII - Desmopressin (DDAVP) stimulates its release. Sickle Cell Disease A group of disorders that cause red blood cells to become misshapen and break down.

The nurse finds a client on the floor in the client's room. Based on the documentation shown in the exhibit, the nurse made an incorrect entry in the client's medical record at what time? 1 Found client lying on floor next to bed. Client states, "I fell out of bed while reaching for my eyeglasses and hit my head on the bedside table." Client is alert and oriented to time, place, person, and situation. Denies pain, dizziness, or nausea. No visible injuries. Assisted back to bed. ...

A nurse coworker is called into work from home to help care for an influx of clients being admitted after a bus accident. While assisting the coworker prepare for incoming clients, the nurse becomes concerned that the coworker may be under the influence of an impairing substance. Which action by the nurse is best? 1. Ask another coworker to observe the individual to confirm the suspicion

A nurse coworker is called into work from home to help care for an influx of clients being admitted after a bus accident. While assisting the coworker prepare for incoming clients, the nurse becomes concerned that the coworker may be under the influence of an impairing substance. Which action by the nurse is best? 1. Ask another coworker to observe the individual to confirm the suspicion 2. Confront the coworker about the concern and offer emotional support

pericarditis Hallmark Sign? inflammation of the pericardium, from an infection, Hallmark sign is *friction rub* Sit up and lean forward for pain. No coughing or laying down. Cardiac Tamponade What are the 3 signs? - Acute compression of the heart caused by fluid accumulation in the pericardial cavity. - Life threatening as it depletes cardiac output

Drugs that cause nephrotoxicity VancomYCIN and other amnioglycosides (ending in MYCIN),nosteroidal anti-inflammatory, What is addisons disease and what is the drug of choice; what does it cause, short and long term Adrenal insufficiency. Drug of choice are corticosteroids which can cause immunosuppression, as well as tacchycardia, moonface, weight gain Afig- what is priority- drugs of choice Get heart rate below 100 so pt does. Not experience a decrease in perfusion. Drugs: diltiazam/verap...

A nurse in the intensive care unit is caring for a client in the immediate postoperative period following abdominal surgery. The nurse receives several prescriptions. Which prescription should the nurse initiate first? Click on the exhibit button for additional information. Normal saline 2 L via rapid IV bolus. A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond? Refer employee to the employee health provider. The scho...

Nephrotoxic Meds -mycin antibiotics (aminoglycides) -keterolac (Toradol) -NSAIDs -digoxin Hepatotoxic Meds -tylenol -NSAIDs Naloxone (Narcan) -weans in 1-2 hours -IV or nasal spray -if unresponsive d/t anesthesia or opioids: administer oxygen, assess respiratory rate, notify HCP, prepare second dose Narcan, no need to call rapid response/code team

What medications are used once adverse effects occur with ACE inhibitor use? ARBs (sartans) What are the adverse effects of ACE inhibitors? symptomatic hypotension intractable cough hyperkalemia angioedema temporary increase in creatinine What is dextromethorphan used for? cough suppressant what causes phenylketonuria in newborns? genetic problem lacking phenylalanine hydroxylase