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What are late manifestations of fat embolism? - ANSWER --
PETECHIAE ON THE CHEST
- dyspnea
- tachypnea
- agitation
- headache
- petechiae
CA 125 test - what is this for? - ANSWER -monitors progress during
and after treatment of ovarian cancer
acute/intermediate burn phase - when does this occur? - ANSWER 48-
72 hrs after burn injury
acute/intermediate burn phase - what are clients at risk for during this
phase? - ANSWER -- infection
- fluid overload
acute leukemia - what are 2 things patient is at risk for? - ANSWER --
fracture
- dysrhythmia
,What are exercises patient post mastectomy can do in the first 24
hrs? - ANSWER -- squeezing a rolled washcloth
- flexing and extending hand
- flexing and extending elbow
(we do NOT want to stress incision)
Myelogram - what is this? - ANSWER -uses contrast and x-rays to
examine the spinal cord and nerves for abnormalities (herniated discs
or spinal cord tumors)
Myelogram - how should clients had be after the procedure? -
ANSWER -semi-fowlers
- clients head must be elevated after the procedure
- prevents contrast medium from reaching the brain
Plan of care following a lumbar puncture - ANSWER -- provide oral
fluids
- monitor for nausea
- check LOC
- check sensation in toes
Exercise stress test - what should client avoid prior? - ANSWER --
client should avoid medications that will prevent fluctuations in HR
during the test such as ...
- calcium channel blockers and heart blockers
, What are common respiratory findings in clients with emphysema? -
ANSWER -shallow respirations
Nursing measures to prevent pulmonary embolism? - ANSWER --
assess legs for redness
- apply elastic compression stocking
- perform passive ROM
What is disseminated intravascular coagulation (DIC)? - ANSWER --
conditions that causes spontaneous excessive bleeding due to
decreased clotting ability of the blood
- low platelets
What are manifestations of DIC? - ANSWER -- fatigue
- headache
- bruising
Nursing interventions for patient with cellulitis? - ANSWER -- elevate
the affected leg with 2 or more pillows
- client at risk for skin breakdown
Polycystic ovarian syndrome - what should nurse monitor? -
ANSWER -glucose