" I feel so tired"
This condition is often seen with fatigue, pale conjunctiva and iron deficiency.
What is anemia
This is a simple nursing intervention to do with a patient prior to ambulation to prevent "dizziness" while standing
Dangle patient on side of bed
This is the most important educational advice for your patient with HF going home!
Daily weights!
These are the 3 causes of AKI
- pre-renal ( dehydration)
- intrarenal ( toxic meds cause ATN)
- post renal ( urinary retention)
This number is used by the American Heart Association to transfuse blood, except for what circumstances?
What is Hgb 7.0 except if patient iis
- actively bleeding
- patient is symptomatic> chest pain , shortness of breath
- low urine output post surgery < 30 ml/hr
These 2 silent infections may cause weakness in the elderly, often discovered after a fall.
What are a UTI and PNA
These are 3 reasons a patient would be on "fall risk"
- elderly
- confusion
-unsteady gate
- narcotics
- hypotension
Your patient keeps trying to get out of bed. These are 2 things a nurse can do to prevent the "escape"
- 3 side rails up-not 4
- bed monitor on
- call bell within reach
- re-orientation
- avusure ( robot monitor)
You notice your family member drinking tons of water and losing weight quickly. What may be the problem???
Diabetes
The RN monitors sodium levels with what intervention, and notes the level should not rise or lower by this many Meq in 24 hrs or this may happen?
8 meq- seizures may occur due to cerebral edema
- Patient laced on neuro checks!
This increase in gas exchange in COPD patients causes them to become very sleepy
What is CO2
Your patient has a fever of 103. You administer Tylenol 650 mg, recheck in an hour and is 102.9. What is another medication you can ty to help lower the fever?
What is motrin/toradol ( with high fevers you can alternate both meds)
This is one important educational advise to your diabetic patient who may get sick at home.
- if on insulin only take 1/2 dose if not eating
- check blood sugars more frequently
- If vomiting and on only po meds- need to call doctor
You remove your post-op patients foley. They are due to void when??
8 hours
The nurse has to replace her patient with 40 meq of IV potassium for a K 3.6. This is how they give it
10 meq of K in 100 ml NS over 1 hour
- given every hour x4
What is check a blood sugar!
Your patient's potassium is 6.5. What 4 things must the RN do to "bring it down?"
- stat ECG
- check BS
- IV insulin and dextrose
- calcium gluconate
You have a patient on coumadin and they ask about diet education. These foods should be included and why?
Foods high in vitamin K include leafy green vegetables (cooked and raw), broccoli, brussels sprouts, cabbage, pickled cucumber, asparagus, kiwifruit, okra, green beans, and salad greens like lettuce.
Vitamin K will lower an INR
You get report your patient is on a fluid restriction 1200 ml diet. What are two conditions that may include this diet?
- hyponatremia
- heart failure
Name 2 medications you must you check a blood pressure before administering.
Hypertensive meds and diuretics
- must be Sbp > 100
Elevation of this may cause a patient with liver disease to become lethargic
What is ammonia
You note your patient on coumadin has an elevated INR of 6 and is actively bleeding. What do you do bring it down.
give FFP if actively bleeding
You find your patient unresponsive (please don't die). These are 5 critical thinking ideas that make you try to fix the problem!
- blood sugar >give dextrose
- narcotics > give narcan
- benzo > give flumazocan
- COPD > start bipap
- liver failure > Lactulose enema
A patient in DKA is given NS boluses for this reason
What is to dilute their blood - which will lower their sugar
You have a patient in DKA. Do they have an anion gap??
Sodium (Na): 148
*Chloride (Cl): 100
*Bicarbonate (HCO3-): 28
yes 20
Gap is closed at 15