Clinical Competency
The pt just received ear drops in his left ear. He should be positioned with his left ear ____ and wait ____ in-between installations.
What is positioning with the ear up and waiting 5 minutes in-between?
These are the ABCs of diabetes control.
What is A1C, BP, & cholesterol levels?
Ph - 7.48, PCO2 - 30, HCO3 - 21
What is respiratory alkalosis with partial compensation?
This medication causes a orange-red discoloration of tears, sweat, & urine.
What is rifampin?
IV bolus and IV push drugs are usually given over ____.
What is 2 minutes?
This is the most invasive diagnostic study for aplastic anemia and will look like this if positive for aplastic anemia.
What is bone marrow aspiration and dry tap?
(yellow and fatty)
the normal lab value for this is 37-52%
What is hematocrit?
This nutritional advice would be given to a pt taking lisinopril.
What is avoiding salt substitutes containing potassium?
(No DASH diet)
This is describing a ____ inhaler.
1. Shake well
2. Breathe out
3. Breathe in slowly & depress inhaler
4. Hold breath for 10 sec
5. Wait 1 min between puffs
6. Rinse in warm water 2x/wk
What is a MDI?
(tx the bronchospasm, not the inflammatory response)
This would be your first worry when a pt is admitted with signs of being in Addisonian Crisis and this would be your biggest concern if it progresses.
What is discontinuation of steroid meds and circulatory collapse?
The job of this portion of blood is a cell fragment, prevents & stops bleeding, normal levels are 150,000-400,000.
What are platelets?
This is something very important to keep in mind when administering an IM injection of Digoxin.
What is no more than 2ml of digoxin in each IM site?
While accessing and flushing a midline catheter, the student nurse forgets what technique to use. Instead of asking her instructor, she phones you instead. You tell her to use a _______ technique.
What is a push-pause technique?
(it creates turbulence within the cath to help remove debris adhering to the catheter, thus decreasing the chance of occlusion)
After 72 hrs, the nurse assesses a pts PPD site and finds an induration of 6mm. This result would be interpreted as ___and the next steps would be ____.
What is negative for TB and getting a CXR and sputum test?
Mechanisms that try to prevent large changes in Ph and/or attempt to correct alterations in acid-base balance. They alter toward normal level.
What is a compensatory mechanism?
Nervousness, restlessness, tremors, HA, paradoxical bronchospasm, chest pain, & palpations are all common side effects of this medication.
What is albuterol?
A pt receiving a unit of PRBC experiences facial flushing, low back pain, BP 110/76 & P 107. This is a ____ reaction and I will ______ FIRST.
What is a hemolytic reaction & stopping of the transfusion?
(discontinue at the most proximal port)
These would be the 5 post-op nursing care priorities after a thyroidectomy.
What is:
have a trach tray, oxygen, suction available
assess for hypocalcemia (tetany)
assess for hemorrhage or tracheal compression
pt in semi-fowlers
avoid neck flexion & tension on suture line
Sadie complains of fatigue, constant thirst, frequent urination. When assessed her respirations are 28 with a fruity smell on her breath and her glucose is 484 mg/dl. This is a imbalance and ______ breathing is expected.
What is metabolic acidosis and kussmal respirations?
(High CO2, so rapid breathing to excrete it, fruity
HTN, angina pectoris, prevention of MI, management of stable symptomatic HF d/t ischemia, hypertensive or cardiomyopathic origin are all indications of this medication.
What is Metoprolol?