"Math-tastic" Meds
Ordered: Prednisone 5 mg PO daily. Available: 2.5 mg tablets. Calculate: Number of tablets the nurse will administer.
What is 2 tablets?
This type of wound healing occurs when edges are well-approximated, such as a surgical incision.
What is primary intention?
This electrolyte imbalance is most commonly associated with renal failure and can cause life-threatening cardiac dysrhythmias.
What is hyperkalemia?
The normal range for arterial blood pH.
What is 7.35 to 7.45?
A subjective feeling of "air hunger" or difficulty breathing.
What is dyspnea?
The first step of the nursing process when caring for a patient with a new wound.
What is assessment?
Calculate the infusion rate in mL/hr: Order is 750 mg of medication in 500 mL D5W to infuse over 4 hours.
What is 125 mL/hr?
The term for the softening and breakdown of skin due to prolonged exposure to moisture.
What is maceration?
The movement of water from an area of lower solute concentration to an area of higher solute concentration.
What is osmosis?
This acid-base imbalance is often caused by hypoventilation or COPD, leading to high CO2 levels.
What is respiratory acidosis?
This bedside assessment technique involves tapping the chest wall to listen for resonance or dullness.
What is percussion?
A nursing intervention to prevent pressure injuries for an immobile patient.
What is repositioning every 2 hours?
A child weighing 40 lbs is prescribed 0.5 mg/kg. Calculate: The total dose in mg to be administered.
What is 9.1 mg? (40 lb / 2.2 = 18.18 kg; 18.18 * 0.5 = 9.09)
A stage of pressure injury characterized by nonblanchable erythema of intact skin.
What is Stage 1?
This type of IV solution (e.g., 0.45% NS) causes water to move into cells, making them swell.
What is a hypotonic solution?
Interpret these ABGs: pH 7.30, PaCO2 36, HCO3 14.
What is metabolic acidosis?
The nursing intervention of choice to help clear secretions for a patient who is post-operative.
What is coughing and deep breathing (or incentive spirometry)?
When assessing for IV infiltration, the nurse looks for these local symptoms.
What are edema, pallor, and coolness?
Order: Furosemide (Lasix) 60 mg IV push. Available: A vial labeled 40 mg/4 mL. Calculate: The amount in milliliters (mL) that the nurse will administer.
What is 6 mLs?
These four phases of wound healing include hemostasis, inflammatory, proliferation, and maturation.
What are the stages of wound healing?
A common symptom of hypernatremia (sodium excess) often caused by fluid deprivation or diarrhea.
What is neurological impairment (or restlessness/disorientation)?
A patient experiencing an anxiety attack and hyperventilating is at risk for this acid-base imbalance.
What is respiratory alkalosis?
A late sign of hypoxia characterized by a bluish discoloration of the skin.
What is cyanosis?
Before performing a painful wound dressing change, the nurse should do this.
What is administer the prescribed analgesic (pain medication)?
Order: 1,000 mL Lactated Ringer’s to infuse over 8 hours. Available: Macrodrip tubing with a drop factor of 15 gtt/mL. Calculate: Flow rate in drops per minute (gtt/min).
What is 31 gtts/min?
This severe complication involves the protrusion of internal organs through a wound incision.
What is evisceration?
The most reliable indicator of daily fluid balance status in a clinical setting.
What is daily weight?
The primary organ responsible for long-term compensation of acid-base imbalances by excreting or retaining bicarbonate.
What are the kidneys?
The delivery device used to provide a precise, fixed concentration of oxygen (e.g., 24% to 50%).
What is a Venturi mask?
This "five-step" systematic method is used by RNs to provide person-centered care.
What is the Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation)?