Fluid & Electrolytes
This fluid imbalance results in third spacing and swelling of tissues
What is edema?
This condition is occurring:
What is respiratory alkalosis?
This condition causes blockage of intestinal contents
What is bowel obstruction?
This disorder is characterized by uncontrolled electrical brain activity
What are seizures?
This condition is caused by decreased blood flow to the heart
What is coronary artery disease?
This condition requires immediate intervention: hypokalemia vs hyperkalemia
What is hyperkalemia?
This is the priority assessment finding in dehydration
What is tachycardia (or decreased urine output)?
This acid–base imbalance is caused by CO₂ retention and is commonly seen in patients with hypoventilation
What is respiratory acidosis?
This lab is most important in renal insufficiency
What is creatinine?
This is an early sign of increased ICP
Change in LOC
This dysrhythmia presents as irregularly irregular rhythm
What is atrial fibrillation?
List interventions pertaining to seizure precautions
What are pad rails (Padding), suction ready, no restrictive clothing, turn to side, rescue medications, no items in mouth, oxygen available?
This potassium imbalance increases risk for fatal dysrhythmias
What is hyperkalemia?
This imbalance occurs with prolonged vomiting
What is metabolic alkalosis?
This manifestation is seen in liver disease due to ammonia buildup
What is confusion (hepatic encephalopathy)?
This condition involves progressive cognitive decline
What is dementia?
This lab is most specific for myocardial infarction
What is troponin?
This complication is most life-threatening in liver disease
What is bleeding (or ammonia toxicity)?
This lab value indicates dehydration
What is increased hematocrit (or elevated BUN)?
In respiratory acidosis, this gas is retained
What is CO₂?
This is a priority complication of bowel obstruction
What is perforation (or peritonitis)?
This is the PRIORITY intervention during a seizure
What is protect the airway / turn patient on side?
This is the priority symptom of myocardial infarction
What is chest pain?
This patient is highest priority: stable edema vs chest pain vs chronic dementia
What is chest pain?
A patient with vomiting and diarrhea has dry mucous membranes and low BP. The nurse’s FIRST action is...
What is initiate IV fluid replacement
pH 7.32, CO₂ 50, HCO₃ 24
What is respiratory acidosis?
A patient with renal insufficiency has decreased urine output and hyperkalemia. The priority concern is
What is cardiac dysrhythmia?
A patient becomes suddenly confused and agitated. The nurse should FIRST
What is assess oxygenation / check O₂?
A patient reports chest pain and diaphoresis. The FIRST nursing action is
What is assess and obtain ECG (or MONA priority: oxygen)?
The nurse is caring for four patients. Which patient should be seen FIRST?
A. Patient with liver disease and new-onset confusion
B. Patient with bowel obstruction reporting abdominal pain and distention
C. Patient with a history of seizures who reports an aura
D. Patient with dehydration and dry mucous membranes
Who is the patient with a history of seizures who reports an aura?