Oxygenation
Barrel chest is an assessment finding associated with what condition?
COPD
Moon face, buffalo hump and central obesity are associated with what endocrine disorder?
Cushing's disease
mL/hr
A nurse threatening to put a diaper on a patient who is incontinent is an example of which type of law?
Assault
What lab results would the nurse review when assessing for anemia?
Hemoglobin and Hematocrit
What IV solution will the nurse hang with a blood transfusion?
Normal Saline
What two body systems are greatly affected in a patient with Cystic Fibrosis?
Respiratory and Gastrointestinal
What 3 manifestations would the nurse expect to see in a patient newly diagnosed with Type 1 Diabetes?
Excessive thirst, increased urination, increased hunger
Name 3 things that put a patient at risk for respiratory acidosis
COPD, pneumonia, asthma, airway blockage (foreign body or trauma), narcotic overdose, sleep apnea
Which of these factors would you NOT consider when practicing prioritization?
Client condition, client preferences, safety, nurse preferences, time available
Where would the nurse palpate to locate McBurney's point in a patient to rule out appendicitis?
Midway between the umbilicus and the anterior iliac crest in the right upper quadrant
What is the priority action when a nurse notices signs and symptoms of a transfusion reaction while transfusing blood?
Stop the infusion!
What pathophysiologic process initiates an asthma attack?
inflammation of the airways
When would the nurse recommend the patient with hypothyroidism to take their levothyroxine sodium (Synthroid)?
One hour before breakfast
What medication would the nurse anticipate administering to the patient experiencing hypermagnesemia?
calcium gluconate
Maintaining an open posture, leaning toward the client, gently touching the client's hand, and maintaining eye contact are all examples of what specific therapeutic communication strategy?
Physical attending
Droplet precautions
What is the nurse's priority action when walking into a patient's room to see the chest tube has been dislodged?
Apply an occlusive Vaseline coated dressing
List 3 major risk factors for developing COPD
working in an industrial environment, cigarette smoking, history of asthma
What lab findings would you anticipate in a patient in Thyroid storm?
(Hyperthyroidism) decreased TSH, elevated T3 & T4
What are 3 assessment findings the nurse would anticipate to find in a patient with fluid volume deficit?
Tachycardia, hypotension, dry mucous membranes
What legal term would be used to describe a patient fall after a nurse failed to assist the patient with ambulation?
Negligence
What are 3 symptoms a nurse would anticipate seeing in a patient who has influenza?
High fever, headache, malaise, non-productive cough, fatigue
Assessing the site frequently, wearing clean gloves when removing the old dressing, and ensuring a sterile environment while applying a new dressing are ways to do what?
Prevent CLABSI
What would you expect a pH to look like in a patient who is experiencing an alteration in respiratory function?
pH < 7.35 (respiratory acidosis)
What are Kussmaul respirations and what condition are they associated with?
Rapid, deep breathing associated with DKA
What acid/base imbalance is associated with DKA?
metabolic acidosis
What is an action that would be INAPPROPRIATE for the nurse to delegate to the UAP/CNA?
providing patient education, performing a head to toe assessment, administering medications
Name 2 things a nurse can teach their patient to do to prevent postoperative pneumonia
Use incentive spirometer, turn/cough/deep breathe, ambulate, reposition
When preparing to provide trach care to a patient, what can the nurse do first to prevent desaturation during suctioning?
pre-oxygenation