Why do older adults become dehydrated?
Decreased thirst mechanism
What lab value is important to check if your patient has crackles in the lungs?
BNP
What do you hear when your patient has a bowel obstruction?
Tinkling bowel sounds
Your patient has a colostomy, what color should the stoma be?
red or pink
Which nurse would evaluate a patient for a colostomy?
WOCN (Wound ostomy care nurse)
What height do you hang an IV?
3 feet above the heart
Your patient is taking lisinopril. What do you want to teach your patient?
HR and B/P prior to taking
What do you do first when administering tube feeding to a comatose patient?
Elevate the hob
Your patient may have appendicitis. Where would they have pain?
RLQ or McBurney's point
Your patient is taking 1000 mg of acetaminaphin every 4 hours for pain. What labs do you check?
Liver enzymes
Your patient is dehydrated, what labs will you check?
K+, Mg+, Ca+
or Chemistry
Pt's respirations are building to deep breaths followed by periods of apnea. What is this called?
Cheyne stokes
A patient s/p gastrectomy will have this life long problem.
Pernicious anemia
What oral medication can be given to a trauma patient to prevent stress ulcers?
Sulcrafate
What is the ventricular rate?
20-40
A patient is vomiting, they are at risk for which acid/base imbalance.
Metabollic alkolosis
Which out of range lab value would cause ventricular fibrillation?
K+
What complication do you monitor in someone who has GERD?
Barretts Esophagus
A patient who eats these kinds of foods is at risk for gastric cancer. What are the foods?
Smoked meats
What do you teach a patient with Buerger's disease?
Smoking cessation
Your patient has diarrhea, they are at risk for which acid base imbalance?
Metabollic acidosis
The cardiac strip has regular P waves and QRS complexes, PR interval 0.12 second, QRS interval 0.8 second, your rate is 110. What is this rhythm?
Sinus tachycardia
Your patient is receiving chemo and radiation for esophageal cancer. What is your main concern?
Choking or aspiration
What are the signs and symptoms of hypovolemic shock?
Increased heart rate and respiratory rate, low b/p
Name the acronym we use for a pt having an MI.
MONA