Sliding in the DMs
These two primary infusions are expected as primary interventions to treat DKA.
What is NS and insulin.
A patient's current BS is 126 and tells the nurse they are compliant with their insulin and lifestyle regimen. This lab test will confirm the client's compliance.
What is HbA1c.
What is informed consent?
In the PACU, the nurse instructs the client to do these measures to prevent atelectasis and pneumonia.
What is cough and deep breathing, mobilization, and using the IS?
The nurse is caring for a client with a diagnosis of acute osteomyelitis and educates the client on these two key factors in relation to proper healing.
What is wound care and antibiotic use.
This type of insulin peaks in 4-12 hours and lasts 14-24 hours.
What is NPH.
The nurse is monitoring a client in the PACU following a traumatic exploratory laparotomy with EBL of 2L. The nurse knows to follow closely this lab result.
What is H&H (will also except CBC)
When preparing a small child for surgery, the nurse is aware of the importance of including parents, personal items, and these other factors.
What is keeping it simple and honest, establishing trust, letting the child make choices, and child-life specialist.
The nurse performs which interventions to combat post-operative cognitive delirium?
Gout, a painful joint infliction characterized by red and tender joints, is caused by an overabundance of this in the body.
What is Uric Acid.
A client presents with c/o retinopathy and neuropathy x2 months. The nurse should anticipate this diagnosis.
What is DM type II
A client in the ER is diagnosed with DKA. The nurse knows this one lab test will give them the most complete and valuable information.
What is a BMP
The nurse is caring for a client with diabetes mellitus type I, preparing to undergo a laparoscopic cholecystectomy. The nurse knows to 1) hold/not hold glargine; and 2) hold/not hold lispro.
What is: 1) not hold; 2) hold
While assessing a client on POD2 following an extensive abdominal surgery. the nurse notes hypoactive bowel sounds in all four quadrants. The nurse understands this as the most likely cause of this issue.
What is immobility.
This classification of medications is NOT typically used as a treatment option for fibromyalgia.
What are opioids.
This nurse is caring for a patient with HHS and is monitoring for neurologic and EKG changes due to this imbalance.
What is electrolyte imbalances.
While monitoring for therapeutic levels of anticoagulation, the nurse knows to look for this lab value ___ for heparin, and this lab value ____ for warfarin.
What is PTT and PT/INR.
Prior to a client receiving a blood transfusion, the nurse will ensure these factors are met. (4 things total, give me at least 3)
What is: informed consent, proper IV access, obtain VS/assessment, and prep the blood product with Y-tubing and NS.
The nurse correctly identifies and documents a surgical incision that has re-opened as this.
What is dehiscence.
This is an autoimmune disease that typically accompanies polyarthralgia and is characterized by the Monarch.
What is systemic lupus erythematosus.
Pt is 22 y/o F, Hx of DM1, DKA, AKI. NKDA. BIBA d/t single car MVA, A&O x2-3 confusion and slurred speech, c/o pain 7/10 to LUE, LLE, contusion to chest from seat belt. DexCom RUE, insulin pump RUQ, BS 513. Pt is most likely experiencing _____ d/t ______.
What is DKA, faulty or empty insulin pump
Pt is 42 y/o M, PMHx of HTN and DM2. Recent fall with closed nondisplaced Rt ulna fx 2 days ago. C/o increased pain and pressure 9/10 to RUE, absent pulses to RUE and pallor. This lab result will confirm the suspected diagnosis.
What is CK for rhabdomyolysis (will also except BMP for kidney damage) r/t compartment syndrome.
Pt is 68 y/o M, A&O x4, PMHx of HTN, HLD, CAD. NKDA. BIBA with CP and pressure 10/10, Trops 157, EKG shows STEMI. The nurse should anticipate which type of sedation for this client?
What is moderate sedation for cardiac catheterization.
Pt is a 72 y/o F, A&O x4 baseline, recent fall with Lt femur fx and ORIF POD2, currently exhibiting tachypnea, tachycardia, hypotension, and AMS. This is what the nurse will do first.
What is O2 10-15L?
Explain why postmenopausal women are at a higher risk for osteoporosis (2 points).
Due to 1) lack of estrogen and 2) decrease in natural Vitamin D and calcium.