Respiratory
This oxygen device can deliver 0-6L of supplemental O2.
What is nasal canula?
To prevent a pressure injuries the nurse would reposition a patient at this interval.
What is every 2 hours or more frequently if patient is voiding frequently or diaphoretic?
The cause of the majority of UTIs in hospitalized patients.
What is invasive procedures during hospitalization? (urinary catheterizations)
Carry oxygenated blood to tissues.
What are arteries?
A nurse is assessing a patient and notes face drooping, arm weakness, and speech difficulty. She/he would expect this order from the provider.
What is a non contrast head CT?
Goal is to determine if patient is having ischemic vs hemorrhagic stroke
According to the AHA the rate of ventilation during CPR.
What is 8-10 breaths per minute?
The standard of care for frequency of skin assessment.
What is on admission, change in patient condition, every shift, and prior to discharge?
Normal urine output in a healthy individual.
What is 0.5-1.5 ml/kg/hour?
The nurse auscultating heart sounds and hears a continuous irregular heart rate would anticipate the patient has this cardiac condition.
What is a. fib?
In atrial fibrillation, multiple ectopic foci stimulate the atria to contract. The AV node is unable to transmit all of these impulses to the ventricles, resulting in a pattern of highly irregular ventricular contractions. Due to its rhythm irregularity, blood flow through the heart becomes turbulent and has a high chance of forming a thrombus (blood clot), which can ultimately dislodge and cause a stroke. Atrial fibrillation is the leading cardiac cause of stroke.
Abnormal & sudden electrical activity of the brain.
What is a seizure?
Crackles auscultated in the lung bases may indicate what condition.
What is fluid in the lungs? (fluid overload, CHF)
A channel or pathway extending from the wound into subcutaneous tissue or muscle resulting in dead space with a potential for abscess formation.
What is tunneling?
What is a potassium of less than 3.5?
Medication given to a patient experiencing symptomatic bradycardia.
What is atropine?
The reflex tested by stroking the lateral side of the foot.
What is the babinski reflex? Used to test for intact CNS
A nurse is assessing a client with chronic airflow limitation and notes that the client has a “barrel chest.” The nurse interprets that this client has what chronic airflow limitation.
What is emphysema?
The stage of a pressure injury with full-thickness tissue loss and visible subcutaneous fat but no exposed bone, tendon or muscle.
What is stage 3?
The nurse would recommend a reduced protein diet to this patient.
What is chronic renal failure Stage I or II patient?
The symptoms a patient would present with when experiencing a third degree heart block.
What are syncope, hypotension, slow ventricular rate, fatigue, shortness of breath, and chest pain?
In complete atrioventricular block, the ventricles take over the pacemaker function in the heart but at a much slower rate than that of the SA node. As a result, there is decreased cerebral circulation
A post CVA patient is having issues with expressive speech. The nurse would knows that the area of the brain affected by the stroke is this area.
What is Broca's area?
A nurse caring for a patient with advanced COPD would expect ______ ABG findings.
What are increased PaCO2, Decreased PaO2, and decreased pH?
The normal pH of the skin.
What is 4 to 6.8?
The nurse is caring for a client with acute kidney injury (AKI). The nurse would expect to note this abnormal breathing pattern.
What is Kussmaul's respirations?
Clinical manifestations associated with AKI occur as a result of metabolic acidosis. The nurse would expect to note Kussmaul's respirations as a result of the metabolic acidosis because the bodily response is to exhale excess carbon dioxide.
Findings a nurse would expect during an assessment of a patient who has right sided and left sided heart failure.
What are:
Left sided heart failure: DROWNING Dyspnea, Rales, Orhopnea, weakness/fatigue, nocturnal paroxysmal dyspnea, Increased HR, Nagging Cough, Gaining Wt 2-3lbs/day
Right sided heart failure: SWELLING Swelling of legs and hands, weight gain, edema, large neck veins (JVD), lethargy/fatigue, Irregular heart rate, nycturia, girth (ascites)
Cranial nerve responsible for sense of smell.
What is cranial nerve I?