teaching a pt with diabetes regarding foot care?
always wear shoes
check your feet everyday
check for any discoloration,
sores
buy shoes that fit
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dry betwen the toes
no alcohol on the feet
diabetic has an order for NPH 35units to be given in the am
he has an upset stomach. should he still take the insulin
he should still take it.
but you should encourage a snack
give as ordered.
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01:41
assessig new pt. complains of new symptoms of tiredness and has echemosis/bruising.
do your gums easily bleed.
Ask "if their gums easily bleed) ( assess for other signs of bleeding/ internal bleeding, looking at platelet count)
pt with hyper thyroidism and expophthalmos what would the plan of care include
nutritional support
routine eye care to not dry out the eyes
cool enviroment
prevention of diarrhea
tremors, temp elevation, restlessness
person with hemophelia has tender swollen joints, what is the nursing diagnosis
acute pain realted to bleeding into closed spaces
hemoarthrosis
pt is getting transfusion. they begin to wheeze and have back pain.
stop the trans.
run the line open and save the blood.(do not discontinue the line you have to save it)
notify the charge nurse immediatly
get vitals
document
What different types of ethnicities are risk factors or high risk for developing diabetes?
hispanic
african american
american indian
person has stenosis in her coronary artery and is scheduled for PTCA
non-surgical technique to open up blocked coronary arteries
what is the period of time where the insulin has the strongest effect.
peak
SIADH Syndrome of inappropriate antidiuretic hormone secretion/how do you treat
restrict fluids
sodium by iv/hypertonic sodium chloride
diuretics
DIC Disseminated intravascular coagulation what causes this?
trauma
sepsis/shock
malignicys
planceta abrubtio
transfusion reaction
amnoictic embolism
resp distress syndrome
severe pain in the chest not releived by nitro, has dyspnea, pallor and professed sweating. what do they have.
MI
Have a patient who just had a heart catherization (angioplasty) and is npo but has metformin due what do you do?
Hold it, call provider tp hold it for 3 days after wards metformin has contrast with kidney function
Addison disease making a discharge plan, has a risk for injury
orthstaic hypotension
teach to get up slowly
s/s of inadequate steroid levels, meds
keep away from infection
no stress
pt with stable coronary artery disease. prescribed . nitro what does nitro do.
it increases blood flow to the heart muscle.
side effects, headache, hypotension
pt has cardiac cath. is going to have heart cath. with dye and has a shellfish allergy. what are your going to do.
tell the charge nurse and surgery team.
iron def. anemia. what foods are high in iron
liver and muscle meats
green leafy veg.
dried fruits
apricots, figs,
eggs
legumes
whole grain and enriched breads and cereals.
pt with blood glucose regulation. takes bilberry and horse chesnut. for vericose veins what is the priority nursing action.
they interact with the blood glucose
ask your doctor
pt has CHF weigh pt and he weighed 3.5 more pounds more than the day before. what are you going to do next
check the for edema in the ankles and feet.
and jugler vein distention. by having the pt. in semi fowers state.
African American has history of hypertension. she is admited with chest pain that radiated to abdomen, SOB and dyspnea what do you worry about the most
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