Definitions
Edema
what is an excess accumulation of fluid in the interstitial space
K+
3.5-5.5 meq/L
A nurse is assessing the patient's wound and believes it to be eviscerated. What should the nurse do first?
What cranial nerve would you assess to check your to make sure your patient's sense of smell is intact?
CN I or Olfactory
Your patient is complaining of pain. They have a history of a GI bleed. What pain medication would is contraindicated?
NSAIDs
Standard precautions
A form of PPE that the nurse should practice with all clients
Na+
135-145 meq/L
Your post-op patient is scheduled for physical therapy in 1 hour. As the nurse, what nursing action should you take?
What is medicate for pain
In which order do the assessment techniques go?
What is inspect, palpate, percuss , auscultate
What primary side effect should the nurse assess for in a patient receiving opioid analgesics?
What is respiratory depression
Third Spacing
Accumulation and sequestration of trapped extracellular fluid
Glucose
80-120mg/dL
Assess and monitor for signs of respiratory distress
You hear an audible inspiratory and expiratory wheeze. What disease process would you expect to find on your patient's chart?
What is asthma
The nurse should not administer more than what amount when administering an intramuscular injection
What is 3ml
Blood pressure
the force on the walls of an artery exerted by the pulsating blood under pressure from the heart
Plt
150,000-400,000 mm3
A pre-operative nurse is meeting with a patient scheduled for surgery in one week. Which of the following medications should the nurse advise the patient to discontinue?
Levothyroxine, Coumadin, Novolog, Atenolol
What is Coumadin
What is patent airway and ability to swallow
A prescription reads levothyroxine, 150 mcg po once daily. The medication label reads levothyroxine, 0.1mg/tablet. How many tablets should the nurse administer to the patient?
What is 1.5 tablets
Atelectasis
A collapsed state of the lung that may be a result of an obstruction caused by secretions, failure of the patient to deep breathe, or ambulate
aPTT
30-40 seconds
The nurse is caring for a patient with a DVT which position should the nurse place the patient in?
What is bed rest with elevation of the affected extremity
Your patient has been placed in bilateral soft wrist restraints. How often do you assess for skin integrity and CMS?
What is every 30 minutes
Name the six rights of medication administration and how many checks you perform prior to administering medication
Right patient, route, time, dose, frequency, medication, documentation.
3x- comparing EMAR to order, comparing order to pharmacy order, as you are education patient