A patient suffering from hypoxemia develops this imbalance
What is elevated CO2 leading to respiratory acidosis?
100
My ER patient that was found after a fall begins to try to get out of bed, insisting that he needs to go home, and will not remain still. I begin to suspect he may have this type of injury.
What is frontal lobe?
100
When assessing a patient I notice the presence of an S3 gallop. I begin to assess my patient for further signs of this condition.
What is CHF?
100
If asked to rank the human hormones in order of importance, this one would be at the top.
What is thyroid hormone?
100
Your patient with advanced cirrhosis begins to be forgetful and disoriented. You draw labs to check this level
What is ammonia?
200
If my patient has acidosis, I should expect this serum electrolyte to be abnormal
What is potassium?
200
A patient after a stroke begins to have difficulty comprehending spoken words. It would be reasonable to suspect an injury to this area.
What is Wernicke's?
200
The patient in bed 3 has a radial catheter. I must remember to add this assessment when I evaluate the patient.
What is assessment of ulnar nerve?
200
A patient with DM comes to the clinic complaining of new onset headaches and an elevated BP. Based on what you know about the complications of DM, you suspect the disease has impaired this organ
What are the kidneys?
200
A patient in the ED is suspected of having salicylate poisoning. When assessing, the nurse expects to see these signs
What is increased rate and depth of respiration?
300
There are 2 information sources to assist the RN to determine what can be safely delegated to the LPN.
What is the state practice act and the policy and procedure manual of the facility?
300
The patient has had an injury to the brainstem This type of posturing is to be expected.
What is decerebrate?
300
Post cardiac catheterization the RN must assess for these complications since they require immediate action.
What is bleeding, potential EKG changes, and actual EKG changes?
300
A patient experiencing fight or flight will exhibit these physiological symptoms
What is tachycardia, increased rate and depth of respirations, and urinary retention?
300
A patient post dialysis begins to bleed profusely after a phlebotomist draws labs. A nurse realizes this medication may be necessary to lessen the risk of bleeding
What is protamine sulfate?
400
An ethical principle in health care is promoting the well being of patients and presupposes that harm and benefit are balanced.
What is beneficence?
400
A patient has been diagnosed with a thrombotic stroke. This class of drugs will be given to treat.
What are thrombolytics?
400
The patient begins to exhibit significant ST depression during the stress test the first intervention by the nurse is to
What is stop the test?
400
two assessments that can be done to assess for hypocalcemia
What is chvostek's & Trousseau's?
400
A patient in the ED with a PE also has a diagnosis of right sided HF. If the nurse notices this hemodynamic parameter becoming less than it should be, immediate action is required.
What is urine output falls below 10ml per hour?
500
My patient that has an acid base disturbance, an epidural or subdural hematoma, liver encephalopathy, septic shock, hypovolemia, or is withdrawing from alcohol may be at risk for developing this condition.
What is delirium?
500
When a patient has a pulmonary embolis, it is most important to monitor this parameter
What is oxygenation?
500
The patient tells you that his socks leave deep rings in his ankles and that his shoes are tight by the end of the day. You should suspect the presence of.
What is edema?
500
Your patient is experiencing the effects of SIADH. You realize that you can do this to limit the effects.
What is put the patient on a fluid restriction?
500
The patient is experiencing SOB, tracheal shift, and decreased lung sounds in one lung field. The nurse suspects it could be this condition.