Air embolus interventions - Study guides, Class notes & Summaries

+ A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client: - CORRECT ANSWER-Hangs the irrigation bag on the door clothes hook during fluid insertion Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? - CORRECT ANSWER-Assess the client's ability t...

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. ...

1.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...

PCCN Exam 200 Questions with Verified Answers Coronary artery perfusion is dependent upon: A. diastolic pressure B. systolic pressure C. afterload D. systemic vascular resistance (SVR) - CORRECT ANSWER A. diastolic pressure Diastolic pressure in the aortic root is higher than left ventricular end-diastolic pressure (LVEDP), the pressure exerted on the ventricular muscle at the end of diastole when the ventricle is full. This enables blood to flow from a higher pressure through open arter...

Nursing Process ADPIE Assessment Diagnosis Plan Implimentation Evaluation Assessment 1. Subjective data 2. Objective data Diagnosis 1. Data analysis 2. Problem Identification 3. Nursing diagnosis Planning 1. Priorities 2. Nursing care plan - outcomes - interventions Implementation 1. Nurse-initiated 2. Physician-initiated 3. Collaborative Evaluation 1. Outcomes met? 2. If not, reevaluate: - data - diagnosis - etiologies - outcomes - interventions SBAR Situation Ba...

Nutrition NCLEX Questions and Answers 100% Verified and Updated | Graded A+ Which statement made by an adult patient demonstrates an understanding of healthy nutrition teaching? A. I need to stop eating red meat. B. I will increase the servings of fruit juice to four a day. C. I will make sure that I eat a balanced diet and exercise regularly. D. I will not eat so many dark green vegetables and eat more yellow vegetables. - Answer️️ -C. I will make sure that I eat a balanced diet and...

Orthopedic Nursing Exam 87 Questions with Verified Answers 5 Steps in Bone Healing - CORRECT ANSWER 1. Hematoma 2. Fibrocartilaginous Callus Formation 3. Bony Callus Formation 4. Remodeling Hematoma - CORRECT ANSWER -inflammatory process -cell migration to area Fibrocartilaginous Callus Formation - CORRECT ANSWER -starts within 48 hours -granulation replaces hematoma -osteoblasts build a web of collagen fibers (3 weeks) Bony Callus Formation - CORRECT ANSWER -starts in 3-4 week...

What is the first level of triage and how long should they wait for care? - Answer-Immediate, done immediately What is the second level of triage and how long should they wait for care? - Answer-Emergent, 1-14 minutes What is the third level of triage and how long should they wait for care? - Answer-Urgent, 15-60 minutes What is the fourth level of triage and how long should they wait for care? - Answer-Semi-urgent, 1-2 hours What is the fifth level of triage and how long should they wai...

NUR 185 EXAM 2 STUDY QUESTIONS AND ANSWERS STAGES OF BURNS - CORRECT ANSWER-stage 1 emergent stage 2 acute stage 3 rehab stage 1 emergent phase - CORRECT ANSWER--onset first 12- 48 hrs -hypovolemic shock -hyperkalemia, oliguric -cardiac dysrhythmia -acute renal failure stage 2 acute phase - CORRECT ANSWER--first 48-72 hrs -circulatory overload -hypokalemia -polyuria -chf stage 3 rehab phase - CORRECT ANSWER--prevent infection -return pt to normal state -help pt cope with self ...

APPROVED; 2024 TNCC WRITTEN EXAM 100% VERIFIED QUESTIONS WITH THEIR COMPLETE ANSWERS LATEST 2024 UPDATE ACTUAL EXAM. What are the late signs of breathing compromise? - Answer--- Tracheal deviation - JVD What are signs of ineffective breathing? - Answer--- AMS - Cyanosis, especially around the mouth - Asymmetric expansion of chest wall - Paradoxical movement of the chest wall during inspiration and expiration - Use of accessory muscles or abdominal muscles or both or diaphragmat...