Tulloch

Acid/base imbalances? - R= Respiratory O=opposite M=Metabolic E=equal Always use what type of technique when doing a wound change? - Sterile technique causes for respiratory alkalosis. - Anxiety, fever, hyperventilation, pregnancy, severe obesity, neuromuscular disorders (MS, MD) Causes of Metabolic acidosis? - Diarrhea, Renal failure, diabetes mellitus, alcohol abuse Causes of Metabolic Alkalosis? - Gastric acid loss, hypomagnesemia, hypocalcemia, diuretics Causes of respiratory acid...

Can effect pulse ox reading - Cold hands Nail polish Cool skin loss of skin turgor flattened neck veins - Hypovolemia COPD Assessment and finding - -Barrel chest - shortness of breath -lung crackling -clubed fingers Dehydration that can be treated with fluids and IV - Hypovolemia Early signs of hypoxia - Restlessness anxiety Tachycardia Tachypnea Focused assessment with oxygen patient - O2 setting Cannula in nostril Pulse of Ventilation

Advair Prevent asthma attacks and treat COPD Albuterol Treat wheezing , shortness of breath caused by breathing problems (asthma) Albuterol and inhalers USED= shortness of bresathe through a Nebulizer Appropriate nursing care for a patient with pneumonia includes which interventions ? ( Select all that apply) 1. Assist the patient to conserve energy 2. Place the patient in a semi- high Fowler position 3. Educate the patient about the importance of hand washing Being hypervolemia (Deh...

Airborne Isolation Examples What do you wear? - N-95 Mask Gloves Place patient in a room with negative airflow EX) TB, measles, varicella As nurses we have to be explorers... explain what this means - We need to ask ourselves, Do we have the info we need or do we still need to gather some more data to form our thoughts bronchial - description: high pitch, loud harsh sounds created by moving air through the trachea location: anteriorly over the trachea, not heard over lung tissue charac...

What does the 2nd S in SPICES stand for? - Skin Breakdown What does the C in SPICES stand for? - Confusion What does the E in SPICES stand for? - Evidence of Falls What does the I in SPICES stand for? - Incontinence What does the P in SPICES stand for? - Problems with Eating or Feeding What does the S in SPICES stand for? - Sleep Disorders What is Reflection-in-Action? - Reflection-in-action refers to the nurse's understanding of patient responses to nursing actions while care is occurri...

(AMA)against medical advice - Important document that must be signed 5 Steps to restraining a person - 1)Document the other options tried before restraining 2) use the least restrictive 3 )notify the MD the family and the supervisor 4) restraint ordered by physician only and only good for 24 hours 5) apply to movable part of the bed no rails bed frame only A reason why a nurse would perform a back rub - To promote sleep ABC - Airway breathing circulation Acid base disorder that usually occ...

Define critical thinking Thinking with purpose 4 aspects of critical thinking 1. Necessary 2. Complex 3. Reprioritization 4. Expected 4 things critical thinkers do 1. Stop 2. Think 3. Ask 4. Assess Critical thinking is driven by Patient, family, and community needs Critical thinking is based on The nursing process, evidence-based thinking, and the scientific method

Assessment Tool - An overall assessment tool of older adults SPICES Can see situations as wholes rather than parts, learns from experience what events are likely to occur, and are able to modify plans in response to different events. Proficient (Stage Four) Caputi clinical judgement framework Getting the information Making meaning of the information Determine actions to take Taking action Evaluating outcomes and your thinking clinical judgement an interpretation or conclusion about a...

Benner's Stage 1: *Novice* - The Novice or beginner has no experience in the situations in which they are expected to perform. The Novice lacks confidence to demonstrate safe practice and requires continual verbal and physical cues. Practice is within a prolonged time period and he/she is unable to use discretionary judgement. Benner's Stage 2: *Advanced Beginner* - Advanced Beginners demonstrate marginally acceptable performance because the nurse has had prior experience in actual situat...

According to the Natioanl Patient Safety Goals: - 1. contact isolation 2. documentation for restraints 3. type used 4. how long restraint was in place 5. frequency it was checked 6. alternatives you attempted first After an IM injection is given, you: - throw the uncapped needle away in a biohazard bag AMA stands for - Against Medical Advice Ampule - A small sealed glass container that holds a single dose of medication, using a filtered needle for admisteration Before you start teach...