Acid/Base
Balance
Balance
pH: 7.29, PaCO2: 47, HCO3: 24
What is Uncompensated Respiratory Acidosis
The patient is experiencing SOB while lying flat. The nursing intervention to decrease SOB is:
What is elevating HOB to 90 degrees
The nurse is taking care of a patient with right flank pain, frequency, N/V, and fever. The disease process is:
What is Renal Stones
The patient is exhibiting a blank stare and appears to be daydreaming. The patient is experiencing a ________ seizure.
What is absence seizure
The patient has peripheral neuropathy in his lower extremities. What teaching point is important for self care?
What is inspection of feet
The patient is having intractable N/V. The condition the patient is most at risk for:
What is Metabolic Alkalosis
The nurse is treating a patient with asthma. Upon listening to lung sounds, the nurse may hear:
What is Expiratory Wheezing throughout the lung fields
The renal stone procedure that uses shock energy waves to break up stones for easier passage through the urethra:
What is Extracorporeal shockwave lithotripsy (ESWL)
The nurse is taking care of a patient who is actively seizing. The HIGHEST PRIORITY nursing intervention is:
What is managing the airway
Three risk factors for developing peripheral neuropathy
What are DM, B12 deficiency, autoimmune disorders, and hypothyroidism
The patient is in Diabetic Ketoacidosis. The condition the patient is at risk for:
What is Metabolic Acidosis
The nurse is caring for a patient experiencing an acute asthma attack. The nurse expects ________ medication type to be ordered:
What is Bronchodilator
The nurse is educating on causative factors of _______________: bariatric surgery, inadequate flushing of the urinary tract, and hypertension.
What are renal stones
The best way to assess for therapeutic medication level in patients taking Keppra is:
What is serum drug level
Diagnostic tests for Peripheral Neuropathy (3)
What are electromyography, thyroid function test, and CBC
pH: 7.35, PaCO2: 48, HCO3: 29
What is Fully Compensated Respiratory Acidosis
The nurse is caring for a patient with RSV. The lung sound finding that is an emergency is:
What is stridor (high-pitch wheeze)
The "gold standard" for BPH treatment
What is Transurethral Resection of the Prostate (TURP)
The patient has a history of febrile seizures. The nurse is educating that ___(3)____ could trigger a seizure:
What are high fever, heavy clothing/blankets, and genetic predisposition
The patient dislodges their outer cannula during routine trach care. The nurse is able to reinsert the outer cannula in the patient's stoma. The HIGHEST PRIORITY nursing intervention is:
What is auscultating lung sounds
pH: 7.48, PaCO2: 31, HCO3: 20
What is Partially Compensated Respiratory Alkalosis
The patient is exhibiting pursed lip breathing, orthopnea, digital clubbing, and a barrel chest. The disease process is:
What is "Pink Puffer" Emphysema
The patient has trouble urinating and describes having hesitancy, dribbling, and urgency. Three teaching points to help the patient are:
What are decreasing caffeine intake, following a voiding schedule, and limiting spicy foods and alcohol
The nurse is taking care of a patient with a history of seizures. The room is prepared for seizure activity with: (2)
What are seizure padding for the bed and suction setup
The nurse is administering a blood transfusion to a patient who develops fever and back pain 30 minutes into the transfusion. The HIGHEST PRIORITY nursing intervention is:
What is stopping the transfusion