What happens to sodium when the body is dehydrated?
hypernatremia
What are the associated risks of COPD?
Increased risk of pneumonia
What is the diagnostic test to diagnose flail chest?
Chest xray, ABGS,
Lab values for a person who is in dehydration vs overhydration
Dehydration- elevated everything
Overhydration- decreased everything
Priority action when someone has a spontaneous pneumothorax?
Prepare for a chest tube , administer 02
Risk factors for metabolic acidosis?
Diarrhea, Renal failure, DKA, kussmaul respirations
What would you expect to observe in an older client with a pneumothorax?
Low 02 STAT
COPD patient with anxiety: what least invasive action should a nurse take?
Teach pursed lip breathing
A patient is in liver failure and has fluid volume excess, what type of diet can this patient be on? Think in terms of which food is easiest on the liver!
Low protein, low salt , high carbs, high carbs– pasta, slice of bread, baked potato with butter/ olive oil, steamed veggies
Cystic Fibrosis meds
Bronchodilators, mucolytics, inhaled antibiotics, pancreatic enzymes, vitamins
What should be prioritized for a patient with hyponatremia?
Limit fluids, give diuretics, hypertonic IV
Medications on discharge for patients diagnosed with TB
: antituberculars: Isoniazid, rifampin, pyrazinamide, ethambutol, vitamin B6.
What are the steps of using an incentive spirometer?
A tight mouth seal, inhale for 3-5 seconds, perform 10x an hour
Sign and symptoms of respiratory alkalosis?
Tachycardia, muscle spasms, nausea, vomiting, seizures
When is the best time to educate and teach a patient?
When patient is motivated to learn
A post op on suctioning: what acid base should nurse monitor for?
Metabolic alkalosis
Which of the following are the most common manifestations of COPD? What can you see?
Barrel chest, hypoxia, clubbing of fingers
What are signs and symptoms of tuberculosis?
persistent cough longer than 3 weeks, purulent sputum (possibly blood streaked), fatigue, lethargy, weight loss, anorexia, night sweats, low grade fever
Sign and symptoms of metabolic alkalosis? (ALKALOSIS UP)
Hyperreflexia, tachycardia
Most common risk factor for emphysema?
Cigarettes
What happens when someone is exhibiting a trousseau sign?
a hand and wrist muscle spasm that indicates low calcium levels in the blood, or hypocalcemia
Patient diagnosed with flail chest how does it look?
Unequal chest expansion
Pulmonary embolism must be included in the education?
Increased risk for bleeding
Chest tube system and the chambers explain them. What happens if it bubbles or stops bubbling? What happens if the chest tube is removed or dislodged?
first chamber- drainage collection, second chamber- water seal, third-chamber- suction control
Continuous bubbling indicates air leak, no bubbling means air has been removed
If a chest tube is removed dress the area with dry sterile gauze
If the chest tube area is compromised, immerse the end of the chest tube in sterile water to provide a temporary water seal
Adverse effects of hypotonic fluid administration- what should nurses be looking out for?
Confusion