Acid Base Imbalance
Fluids & Electrolytes
Hemo/Onc
GI Issues
Hepatic
Endocrine
Diabetes
Immune/
End of Life
100

Expected acid base imbalance for a patient with NG tube to suction...

Metabolic alkalosis

100

Best nursing intervention for measuring effectiveness of diuretic therapy...

DAILY WEIGHT

100

Which term describes the occurrence where bone marrow activity and white blood cell counts are at their lowest levels after chemotherapy

Nadir

100

Normal colostomy stoma appearance

Beefy, pink-red

100

Lactulose...

Does what? How?

Decreases ammonia levels... by removing through stool

100

SIADH presents with what electrolyte imbalance?

Dilutional HYPOnatremia
100

Sick day teaching for diabetics includes educating on the need to....

TAKE INSULIN even with nausea/vomiting/anorexia

100

Significance of pre-op voiding

An empty bladder prevents involuntary elimination under anesthesia and reduces the risk for urinary retention during the early postoperative recovery.

200

Expected acid base imbalance for a patient with opioid overdose

Respiratory acidosis

200

Type of fluid used for fluid resuscitation

ISOTONIC -- Normal Saline 

OR LR for burns, GI fluid loss, surgery

200

Most common manifestation associated with multiple myeloma

BONE PAIN

200

C-diff precautions

Contact precautions

-Private room

-Clean with bleach

-Soap and water, no alcohol based sanitizers

-May be hospital acquired 

200

Drug anticipated for treatment of ascites... why...

Spironolactone -- patients at risk for hypokalemia due to fluid shifting from changes in osmotic pressure 

200

Exopthalmos -- looks like what? exists with what disease process?

Bulging (dry) eyes -- Grave's disease 

200

Used to manage severe hypoglycemia at home...

1 mg Glucagon IM

200

Age Related Changes of Immunity 

•Decline in immune function

•Reduced number/function of neutrophils

•Delayed response of elevated WBC

•Later diagnosis of infection/sepsis

•Decreased cell-mediated immunity

•Decrease size of the thymus

•Decreased function of T and B cells

•Increased autoantibodies

300

Expected acid base imbalance for a patient with chronic diarrhea

Metabolic acidosis

300

Complication of administration of HYPERtonic fluids...

Fluid overload

300

Underlying problem that causes sick cell crisis...

Hypoxemia -- give oxygen FIRST!

300

Refeeding syndome

-Who is at risk?

-Clinical manifestations.... following what?

-Malnourished

-Presents as fluid overload following initiation of enteral feedings

300

Esophageal varicies priorities of care

AIRWAY, VOLUME

300

Pheochromocytoma -- presents how? avoid what?

With HTN, palpation of the abdomen

300
Insulin drips will always be this type of insulin...

REGULAR INSULIN

300

RICE acronym for inflammation stands for...

Rest, ice, compression, elevation

400

Expected acid base imbalance for a patient with hyperventilation

Respiratory alkalosis

400

HYPERvolemia AKA ____________

Manifestations 

Fluid volume OVERLOAD

Bounding pulse

Distended neck veins

Crackles in lungs

Hypertension

Tachycardia 

Disorientation/confusion

400

Hodgkins lymphoma specific cells... & manifestations

Reed sternberg cells

PAINLESS inflamed lymph nodes with "B symptoms"

•Fever

•Night sweats

•Weight loss

•Pruritis

•Hepatosplenomegaly

400

Bowel perforation... clinical manifestation

At risk for...

-Rigid, board-like abdomen

-At risk for peritonitis

400

Symptomatic cholecystitis - location of pain, treatment, complication with management

RUQ, laparoscopic cholecystectomy, referred shoulder pain -- early ambulation

400

Myxedema coma is.... what? What is our expected ROUTE for medications? What medication?

Severe hypothyroidism. IV. Levothyroxine.

400

Lab value indicative of DM diagnosis

Hgb A1C >6.5

400

Post-mortem care includes:

Placing an absorbent pad under the patient. 

Adjusting lighting to dim as appropriate. 

Closing the patient's eyes and jaw. 

HOB 30 or with pillow beneath head

Removing the patient's jewelry and eye glasses.

500

Interpret the following ABG:

pH 7.48       HCO3 22            PCO2 28

Respiratory alkalosis 

500

Potassium 

Normal range, ECG changes for too little/too much, drug to treat excess, drug to supplement & how to administer

3.5-5

HYPO - u waves, HYPER - peaked T waves

EXCESS - Kayexalate (Polystyrene sulfonate)

DEFICIENCY - IV NO BOLUS, NOT MORE THAN 10 mEq/hour, ORAL - do not crush or chew 

500

FFP tranfusion.. for what abnormal labs? Infusion time?

INR, 30 minutes 

500

This type of ulcer has pain 1-2 hours following meals and may be aggravated by food.

Avoid what types of drugs?

Gastric ulcer 

Avoid NSAIDs/ASA

500

Cirrhosis manifestations

-Pruritis

-Ascites

-Portal hypertension

-Esophageal varices 

-Jaundice

-Clay colored stool 

-Dark colored urine

500

Manifestations of hyperthyroidism

Weight loss

Heat intolerance

Tachycardia/palpitations

500

Goal of diabetic medical management is ___________ to prevent chronic complications.

Tight glycemic control.

500

Surgical complication manifested by muscle rigidity and hyperthemia. Adverse effect of this drug.

Malignant hyperthermia. 

Succinylcholine

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