The left leg is shorter than the right leg and is externally rotated - Hip fracture
Furth education when patient states there is a RAISED rash on the palms of the
hands - Lyme's disease
Therapeutic communication, Nurse states "You seem upset." - Bell's Palsy
Further education if patient states ...
Kaplan Medical Surgical Comprehensive Exam A & B The left leg is shorter than the right leg and is externally rotated - Hip fracture Furth education when patient states the re is a RAISED rash on the palms of the hands - Lyme's disease Therapeutic communication, Nurse states "You seem upset." - Bell's Palsy Further education if patient states they will restrict their fluid intake - Sickle Cell Anemia Concerned if there is blanching of the coccyx - Pressure ulcers Most concerned if there is clear, watery fluid draining from ears - Head injury Heparin evaluated with PTT - Thrombophlebitis Patient should flex/extend the leg Q2H - Thrombophlebitis2 Ask the patient to show the nurse where it hurts - Abdominal pain Patient correct when stating, "I will not be able to eat for several hours after the procedure" - TEE Patient in the prone position - Bone marrow biopsy Used to reduce muscle spasms - Buck's traction Potassium is 6.2, monitor heart rate and rhythm - Acute kidney injury Intervene if patient states their toes are tingling - Cast care Mild, lower abdominal pain with diarrhea - Ulcerative colitis Difficulty starting urine stream - BPH Priority to ask the patient to speak -assessing for hoarseness - Thyroidectomy SATA - No BP taken in arm with AV fistula, No carrying heavy objects with affected arm - Hemodialysis Best indicator of pain is to ask the patient their pain level - Pain managemen t Intervene if there is continuous bubbling in chamber; bubbling corresponding with patient's respirations is normal - Chest tube Patient with gun shot wound should pick Turkey, potatoes, oranges, ice cream - Wound healing diet Unilateral eye pain - Migraine headache Elevate the head when eating at night using pillows - GERD Intervene if the LPN exits the room and leaves the door open - Brachytherapy Ask the patient the location of pain -assessing for perforation - Colonoscopy Procedure via left femoral artery, priority to intervene if the left leg is cooler - Cardiac catheterization Apply pressure to the puncture site for 3 -5 minutes - ABG puncture Protein in the urine - Glomerulonephritis Patient's temperature is 101.2 F - Meningitis Patient in A. Fib, need to assess LOC - Cardiac dysrhythmias Patient feels fatigue and forgetfulness - Multiple sclerosis 48 hours after, sit patient up 15 -30 degre es - Stroke (CVA) Left sided CVA, patient has impaired speech - Stroke (CVA)2 Patient has c.diff, wear gown and gloves - Contact precautions Frequent UTI's, drink 2,000mL/day to help prevent - UTI
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