Nursing care conditions flashcards
Study the cards, then practice on the patient.
Twenty flashcards on common nursing care situations: key signs, priority actions and safety checks.
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20 cards
- Magnesium sulfate toxicity: early sign to check?
- Loss of deep tendon reflexes.
- Antidote for magnesium sulfate toxicity?
- IV calcium gluconate.
- Boggy uterus with heavy bleeding after birth: first nursing action?
- Firm fundal massage.
- Suspected transfusion reaction: first action?
- Stop the transfusion and keep the IV open with normal saline on new tubing.
- Conscious child with low blood sugar at school?
- Give 15 g fast-acting carbohydrate, recheck in 15 minutes.
- DKA: lab to check before starting an insulin drip?
- Potassium. Hold insulin if below 3.3 mEq/L.
- Earliest sign of compartment syndrome under a cast?
- Pain out of proportion, worse with passive stretch.
- High fever, lead-pipe rigidity and confusion after an antipsychotic?
- Neuroleptic malignant syndrome.
- Unresponsive, slow breathing, pinpoint pupils: priority actions?
- Support breathing with a bag-mask and give naloxone.
- Low blood pressure, absent breath sounds, trachea shifted away?
- Tension pneumothorax. Needle decompression now.
- Peritoneal dialysis: early sign of peritonitis?
- Cloudy dialysate effluent.
- Newborn jaundice in the first 24 hours of life?
- Pathologic until proven otherwise. Check bilirubin now.
- Infant with sudden colicky pain and currant jelly stool?
- Intussusception.
- Sickle cell pain crisis: nursing priorities?
- Fast pain control with opioids, hydration and oxygen if low.
- Main way to prevent pressure injuries in bed-bound patients?
- Reposition at least every 2 hours and relieve pressure on bony areas.
- Preventing atelectasis after surgery: incentive spirometer use?
- About 10 breaths every hour while awake.
- After mastectomy with node removal: arm precaution?
- No blood pressure, IV or needle sticks on the affected arm.
- Hepatic encephalopathy: lactulose goal?
- Two to three soft stools a day.
- Active pulmonary tuberculosis: isolation type?
- Airborne precautions, negative pressure room and N95 respirator.
- Heart failure at home: weight gain to report?
- More than 2 to 3 lb in a day or 5 lb in a week.