Need to know values
What is the normal range for pH?
What is: 7.35-7.45
What are the injection sites for insulin?
What is: Posterior upper arm, abdomen, buttocks, anterior thigh.
What is pain?
What are causes of respiratory acidosis?
What is: Hypoventilation, respiratory failure, COPD, sever pneumonia
Your patient is 12 hours post op. Their BP has dropped to 70/30, and you note that their dressing is being saturated within an hour. What is your next course of action as an RN?
What is: Contact provider, administer fluids, hold pressure on the wound
What is the normal range of potassium (K)
What is: 3.5-5
What are risk factors of type 2 diabetes?
What is: Obesity, family hx, racial predisposition (African American, or Hispanic)
When is the RN responsible for assessing pain?
What is: On admission, prior to medication administration, after med admin/non-pharmacological interventions
How is potassium excreted?
What is: Kidneys, sweat and stool
List examples of time where the patient themselves would not give consent for surgery
What is: Patient is a minor, unconscious, mentally incompetent, or medical emergency
What is the normal range for sodium (Na)
What is: 135-145
What are the 3 Ps of hyperglycemia?
What is: Polyphagia, polydipsia, polyuria
A patient in your care is on a PCA. Their wife asks if she is able to press the button while her husband is sleeping. What education should the RN give regarding PCA pumps?
What is: Only the patient should press the button. There is a lockout so there isn't a risk of overdose, frequent respiratory/sedation checks should occur
What are the causes of hypervolemia?
What is: HF, renal failure, SIADH, Cushings, excessive IV fluids
A patient is 1 day post up and you are beginning to ambulate them. They question why you are ambulating them so soon after surgery. What is your response as an RN?
What is: To prevent blood clots (DVT and PE) and Atelectasis
What is the normal range for calcium (Ca)
9.0-10.5
How does HHS differ from DKA?
What is: Higher glucose level (600 or higher), Severe dehydration
You patient describes their pain as an 8/10 after receiving pain medication an hour ago. Describe what is occurring.
What is: Breakthrough pain
What is an example of an isotonic solution?
What is: 0.9 NS, Lactated ringers, D5W
While performing an appendectomy, the circulating RN notes that the patients HR is 140 and their RR is 8. Temperature is checked and reads 110.2F. What is the likely diagnosis?
What is: Malignant hyperthermia
What is the normal range for Magnesium?
What is: 1.3-2.1
For the sick day protocol, how often should glucose be checked? When would the provider be contacted?
What is: Every 4 hours, contact provider is glucose reading is 300 or higher 2 consecutive times
What is the name of the scale used to assess a patient's level of sedation?
What is: Pasero scale
Interpret
pH: 7.6
CO2: 50
HCO3: 45
What is: Metabolic Alkalosis (partially compensated)
What is the RN's role in pre-op?