Fluid/Electrolytes/Acid/Base
Diabetes
Cardiovascular
Respiratory
Shock
100
peaked T waves
What is hyperkalemia?
100
The patient states that the glucose readings have always been 'good.' The nurse checks this lab to confirm this is true.
What is glycosylated hemoglobin A1C?
100
132/84 and 128/82 20 minutes later. Follow-up appointment is 134/84 and 130/82 20 minutes later.
What is pre-hypertension?
100
Increased rate and depth of breathing that results in a decreased PaCO2 level. 2 answers depending on reason for the breathing pattern
What is hyperventilation due to exertion or anxiety OR Kussmaul's respirations due to DKA?
100
Last set of VS: 110/76, HR=80, RR=16 (taken 4 hours ago) This set of VS: 96/76, HR=100, RR-22 The patient is S/P surgery, EBL 500 mL The nurse suspects the patient may be in 'this'
What is the compensatory stage of shock?
200
pH 7.33
What is acidosis?
200
This patient has a blood sugar over 600 and pH is normal
What is Hyperglycemic Hyperosmolar Syndrome (HHS)?
200
rate 60-100, 1 P for every QRS, and regular
What is sinus rhythm?
200
Assessment of patient: SpO2 on room air = 86%, patient is confused, skin is dusky. Patient is admitted with pneumonia. The nursing diagnosis for this patient based on these findings.
What is impaired gas exchange r/t to pneumonia as evidenced by assessment findings?
200
Patient presents to ED after a motor vehicle collision. The leg is swollen and purple. BP is 80/50, HR 120, RR 24. The nurse suspects 'this' is happening
What is hypovolemic shock?
300
pH 7.32 / CO2 32 / HCO3 20
What is metabolic acidosis
300
The patient with DKA has been urinating excessively (known as what?), and the skin is 'tenting' when touched by the nurse. The nurse plans care for 'this' nursing diagnosis.
What is deficit fluid volume related to polyuria?
300
This patient has a blowing diastolic murmur heard at the 3rd or 4th intercostal space.
What is aortic regurgitation?
300
Patient complains of a hoarse voice for greater than two weeks, foul breath, and persistent cough.
What is larnygeal cancer?
300
A new antibiotic is started on your patient and is set to run over 30 minutes. 10 minutes after the infusion starts, the spouse yells for help. The patient is having difficulty breathing, the BP is 80/50, HR 140, RR 38. The nurse suspects 'this' and does these two things.
What is anaphylactic shock and turns off the antibiotic immediately, then calls for help?
400
pH 7.32 / CO2 50 / HCO3 24
What is respiratory acidosis
400
The patient with diabetes presents to the clinic. The patient has developed diabetic neuropathy over the past year, and now states that the arch of the foot seems to be 'falling.' The nurse notes these comments in the record, and suspects 'this'
What is Charcot foot secondary to diabetic neuropathy?
400
After a MI, the patient MAY develop this complication, which may require the use of an intra-aortic balloon pump (IABP) to help support the patient as they recover.
What is cardiogenic shock?
400
This genetic disorder puts patients at a greater risk for panacinar emphysema even if the patient does not have other risk factors.
What is alpha1-antitrypsin deficiency?
400
This stage of shock is often not recognized as it is happening; BP remain low despite treatment and end organ dysfunction has occurred.
What is irreversible or refractory shock?
500
Movement of fluid from an area of lower solute concentration to an area of higher solute concentration VS. Movement of solutes from an area of greater concentration to lower concentration. (must put the words in the correct order in the response).
What is Osmosis vs Diffusion?
500
4 COMMON Teaching points to help a patient PREVENT foot injury:
What are: wear proper fitting shoes at all times, do NOT cross your legs for a long period of time to avoid decreased blood flow to feet, check the temperature of bath water with a thermometer and apply a thin coat of lotion to the top and bottom of the feet but NOT between the toes.
500
BNP=1400, pt is dyspneic, with diminished lung sounds in bases and pink frothy sputum. BP is 94/68. HR= 90, RR= 28. SpO2 on 3L NC is 94%.
What is left-sided heart failure with pulmonary edema?
500
This patient has just returned from Australia on a non-stop flight. The patient presents with shortness of breath, anxiety and right calf pain.
What is pulmonary embolism secondary to a DVT?
500
The most common form of circulatory shock
What is septic shock?
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