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40 year old female is admitted to the hospital showing signs of confusion, irritability, tachycardia, and a bounding pulse. What electrolyte imbalance is she experiencing?Bonus: x2
How would you treat it?
Hyponatremia
-hypertonic solution
This respiratory disease is defined by a breakdown of elastin, continual brachial irritation, dyspnea and infection. What disease process is this?
COPD
What is the 2nd pacemaker And at what beats does it beat per minute?
Atrioventricular node
40-60 bpm
Which type of diabetes includes the 3 p’s
Polyuria
Polydipsia
Polyphagia
Not including the Facial nerve which other nerve would include a motor facial movement.
Trigeminal
Prolonged fasting or starvation can cause this electrolyte imbalance. Signs and symptoms include hyperactive deep tending reflexes, muscle cramps, and tremors.
Hypomagnesia
Bonus:
What’s the nick name?
Ephasema
Pink puffer
Patient is experiencing an autonomic nervous system response what effects does this have on the SA node ?
Increases rate is SA
This condition includes shakiness, palpitations, diaphoresis what nursing implications would you provide?
Bonus:
What are they experiencing
Check Blood sugar
Rule of 15
Hypoglycemia
What disease process involves Acute, inflammatory process of the brain tissue causes brain enlargement, and plaque build up. Including s/s headache, fever 102-106, confusion, hallucinations.
Bonus:
What causes this:
Encephalitis
fungal, viral, herpes, west Nile, St. Louis Virus
Patient is experiencing impaired renal secretion which has now progressed to the following symptoms cramping leg pain, and abdominal cramping. The nurse administered Iv calcium gluconate to correct this imbalance. What’s imbalance are they experiencing?
Hyperkalemia
This medication thins mucus by pulling fluids. Nursing interventions include increasing fluids, checking lung sounds, checking color and amount of sputum. What medication is it and what is its class?
Guaifensin (musinex)
Expectorant
Patient is experiencing fatigue, tachycardia, edema. Patient labs indicate heart failure. What nursing interventions would you apply to help this patient based on using UNLOAD FAST.
Upright position
Nitrates
Lasix
Oxygen
Ace inhibitor
Digoxin
Fluid
After load (decrease)
Sodium restriction
Test
Patient presents to the hospital with bone pain, lethargy, vomiting. Upon further review patient labs present with the following: PO4: 1.8, Ca: 13, K: 4 Mg: 2.8. What underlying condition does the patient have?
Bonus:
How would you treat it?
Hyperthyroidism
Dexamethasone- blocks synthesis of thyroid hormone
________ is the disruption caused by an obstruction. What risk factors would you be able to modify and what nursing interventions would you include?
Ischemic stroke
lifestyle, hypertension care, cardiac disease in early stages, lower cholesterol, obesity
nursing interventions:
Diagnosis tPA assessment, monitor vitals, neuro check,
This electrolyte is necessary for bone and teeth formation. When the imbalance is to high it can lead to lethargy, bone pain, and depressed reflexes. What’s causes this imbalance?
Bonus: what is the electrolyte? And what is the imbalance?
Hyperthyroidism, prolonged immobilization
Calcium, hypercalcemia
________ reduces bronchi swelling and helps with the decrease of allergic or non allergic rhinitis
Bonus: nursing interventions
Beclamethasome {beconase}
respiratory status
Monitor slow wound healing
Rinse mouth after use
Patient is 2 days post op in the hospital with s/s on his redness, swelling, unilateral leg edema, and positive fever. What disorder is the patient experiencing (include name and type of disorder) & what nursing interventions would you proceed with?
Venous
DVT
TED
ELEVATE EXTREMITY
anticoagulant meds
__________ decreases liver glucose production, increases insulin sensitivity, decrease glucose absorption. What precautions must be taken for patient going thru lab testing/ procedure.
Metformin (glucophage)
Hold meds for Lab testing/ procedure requiring
IV contrast
Patient presents with signs and symptoms of a acute ischemic stroke. Patient requires treat meant within _______ time frame. Patient weighs 6’7, weights 230 pounds, and has severe hypertension that he has not been managing well. How much tPA would you administer for the patient to help his acute ischemic stroke.
4.5 hours
do not administer as exclusion criteria
(Current severe uncontrollable hypertension)
Muscle weakness pain, CNS depression, dysrhythmias ares s/s commonly caused by alcohol withdrawal. What’s does this electrolyte do in the body?
Bonus:
what electrolyte imbalance is it ? And what is its normal range?
Helps with function of muscle
hypophosphetimia
2.8-4.5
This beta-adrenergic agonist helps in reversing bronchospasms and can be used with steroid inhalers. A patient taking this medication is now experiencing a hypertension crisis upon further review patient discloses has been taking MAOI with this medication. What class and medication is this?
Long-acting bronchial dilator
Salmeterol (servent)
What medication would you use for a hypertension emergency? And what nursing considerations would you include?
Hydralazine
Bp orthostatic
Weight
CBC
Monitor for lupus like syndrome { sore throat fever muscle and joint aches)
A patient is exhibiting fatigue, recurrent UTI, drowsiness, increased thirst. Patient states he’s in perfect health and doesn’t know what could be causing this. Upon further review nurse notices fruity breath, Blood glucose of 187. What disease process does this patient have, what are they experiencing, and how would you treat the condition?
Type 2 diabetes
Hyperglycemia
Rapid acting insulin
Patient is experiencing a “Grand Mal” seizure and is provided a seizure medication and is now in a post-ictal, and experiencing bleeding gums. The nurse proceeds with the appropriate interventions which include _______ until the patient is back to conscious state. How long does this state last and what medication would cause this effect?
Last 1-3 minutes
phenytoins (Dilantin)
monitor post-ictal state
Fall risk if not already on the floor
Patient safety