FIBs
a. blood clotting time
b. bleeding
c. 20-30 sec
d. heparin
The RN measuring for acidosis or alkalosis in a patient, the following 3 levels are looked at and identifies the normal levels.
pH 7.35-7.45
CO2 35-45
HCO3 22-28
The nurse identifies the following as standard drop factors for IV tubing.
10 gtt/mL
15 gtt/mL
20 gtt/mL
60 gtt/mL
The nurse knows which electrolytes impact EKG changes.
Potassium
Calcium
Magnesium
1 mcg = _______mg
0.001 mg
A 58 year old male patient is taking digoxin 0.25 mg PO daily. Prior to giving the medication, the nurse tells the patient the digoxin normal level is _____and assesses the patient's ______.
Normal Level: 0.5-2 ng/mL
Apical pulse, 60 seconds
Apical Pulse:
Lub: S1 Tricuspid and Mitral Valves
Dub: S2 Aortic and Pulmonary Valves
Aortic, R side sternal border 2nd IC space
Pulmonic, L sternal border 2nd IC space
Tricuspid, left sternal border 4th IC space
Mitral, Midclavicular line, 5th IC space Apical pulse
pH 7.37
CO2 33
HCO3 17
Metabolic Acidosis with full compensation
250 mL LR is to be infused over 2 hours. The IV tubing has a drop factor of 15 gtt/mL. Calculate the gtt flow rate.
31 gtt/min
What electrolyte disorder causes a shortened QT interval?
Hypercalcemia
15 kg = _________lb
33 lb
The nurse knows that the CBC includes five labs, ___, ____, ___,___, and ____ and expects the normal levels to be within what ranges?
RBC: M 4.7-6.1 mm3; F 4.2-5.4 mm3
WBC: 5-10 mm3
Platelets: 150-400 mm3
HGB: M 14-18 g/dL; F 12-15 g/dL
HCT: M 42-52%; F 37-47%
pH 7.22 CO2 49 HCO3 24
Respiratory acidosis no compensation
An IV 300 mL is to be infused over 6 hours. The IV tubing has a drop factor of 60 gtt/mL. Calculate the gtt/min flow rate.
50 gtt/min
The nurse knows that ________causes wide flat P waves and tall peaked T waves while ________cause peaked P waves and shallow T waves with a prominent U wave.
Hyperkalemia
Hypokalemia
Infuse 250 mg ampicillin diluted in t0 mL NS over 20 minutes. What is the flow rate?
150 mL/hr
The knows the BMP includes eight values including ___, ___, ___, ___, ___, ____, ___, and ___ and identifies their normal ranges and impact on the body.
Glucose: 70-110 mg/dL; energy
Calcium: 9-10.5 mg/dL; bones,nerves,blood clotting, cardiac function
BUN: 10-20 mg/dL; kidney function
Creatinine: M 0.6-1.2 mg/dL, F 0.5-1.1 dL kidney function
Bicarbonate: 22-28mEq/L; lung & kidney function
Chloride: 98-106 mEq/L; fluid control
Potassium: 3.5-5 mEq/L; muscle control
Sodium: 135-145 mEq/L; fluid balance
pH 7.42 CO2 32 HCO3 18
Respiratory alkalosis with full compensation
Calculate the gtt/min flow rate for a fluid infusing at 125 mL/hr. The drop factor of the tubing is 15 gtt/mL.
31 gtt/min
Which electrolytes cause prolonged PR intervals and hyper or hypo?
Potassium-hyperkalemia, hypokalemia
Magnesium-hypermagnesemia, hypomagnesemia
Infuse 500 mg azithromycin in 250 mL NS over 3 hours. What is the flow rate?
83 mL/hr
The nurse knows the ordered Troponin test is to measures ___a___ to rule out a __b___ and recognizes that these levels __c____ sharply within __d_ to ___ hours after and peak _e___hours after.
a: protein specific to the heart
b: heart attack
c: increase
d: 3 to 12
e: 24
pH 7.51 CO2 47 HCO3 32
Metabolic alkalosis with partial compensation
67 gtt/min
The nurse know that _____causes ST depression when elevated or low.
Potassium
Calculate the infusion time for an IV that is infusing at 150 mL/hr with 800 mL left in the IV bag. The current time is 0620. When will this IV be completed?
1140
5.33 hours; 5 hours 20 minutes;
0620 + 5 hr 20 minutes = 1140