261 Midterm

Vents

100

True or False: All patients who are paralyzed need to be on a sedative

True

200

This order is the gold standard for confirming ET tube placement

What is Chest XR

300

True or false: sedated patients should have reflexes

True

400

This device needs to be attached to the patient's ET tube to verify placement

What is an end tidal CO2 monitor

500

List 3 s/s that show your patient may need to be reintubated

• Decreased SpO2 levels

• Tachypnea or bradypnea

• Tachycardia

• Decreased level of consciousness

• Decrease in PaO2

• Increase in PaCO2

600

Name 3 potential complications of positive pressure ventilation

Hypotension

VAP

Pneumo

Fluid retention

Icreased ICP

JVD

Stress ulcers

Ischemia of GI tract

Paralytic ileus

Subcut emphysema

700

At this SpO2 should we generally advocate for a reduction in the FiO2 for patients on any kind of oxygen therapy

What is a SpO2 of 95%?

Gassy

100

Name 3 of the most common sources of acid in the body

Potassium

CO2

HCl

200

What happens to pH as the acid levels increases?

pH decreases

300

It takes at least how many days/ hours for renal compensation to accompany a respiratory issue

Minimum 24 hours

400

This body system is the most sensitive indicator to changes in oxygenation

What is the central nervous system?

500

You except to see this breathing alteration in metabolic acidosis

What is rapid deep respriations?

Beans

100

Name 2 nursing specific interventions for hyperkalemia

Cardiac monitor

Hold meds that contain potassium

Contact HCP

Review MAR

Advocate for dietary restriction of K

Administer therapies as ordered

200

These 3 labs aid in the diagnosis of AKI and can also suggest your patient needs dialysis

K

BUN
Cr

300

This phase of AKI shows a decrease in UO to <400mL/day

What is the oliguric phase?

400

This phase of AKI shows a gradual increase in UO of up to 5 L/day

What is the diuretic phase?

500

This phase of AKI shows improved renal function with normalized UO

What is the recovery phase?

600

This is how post renal AKIs can be treated

What is relieving the obstruction to urine outflow?

700

These are 3 nutrition considerations for ESRD management

No NSAIDs

Protein restriction

K restriction

Na restriction

Meds

100

Your preceptor asks why your patient is ordered calcium gluconate if potassium is high. How do you respond

Calcium gluconate stabilizes the cardiac membrane to decrease the likelihood of your heart having a dysrhythmia

200

Phosphate is inactivated by this electrolyte

What is calcium?

300

How does polystyrene sulfonate (Kayexalate) decrease potassium?

Exchanges sodium for K in the GI tract