Teaching
While planning; the goals and objectives must be..
Name 2
Specific
Measurable
Achievable
Relevant
Time Bound
What is a durable power of attorney?
When a person identifies and appoints someone to make medical decisions on his or her behalf if he/she becomes incapacitated.
Collapse of a portion of the lung is defined as...
Atelectasis
What are the three type of fluid solutions?
Isotonic
Hypertonic
Hypotonic
Identify Normal Values for ABG's
Ph 7.35 - 7.45
Co2 35-45
Hco3 22-26
What is the purpose of assessment?
To determine learning needs of the patient
This governing body establishes the minimum acceptable level of nursing and protects the public from unsafe nursing practice.
Board of Nursing
Identify and define the purpose of the Pharynx and Epiglottis
The Pharynx is shared pathway between air and food
The Epiglottis closes keeping food in the esophagus
What is the purpose of Renin-Angiotensin-Aldosterone?
To retain sodium and further retain water
What do the lungs regulate and what do the kidneys regulate?
Lungs-c02
Kidneys - Hc03
Name 3 barriers of learning
Pain
Illness
Emotions
Language
Age
Culture
Mental/physical disability
Prognosis
Psychomotor ability
A living will and Power of Attorney are examples of ...
Advanced Directives
Define
Tachypnea
Bradypnea
Dyspnea
Apnea
Rapid respirations
Slow rate
Difficulty Breathing
No Breathing
Name 2 potential side effects of Hyponatremia
Confusion
N/V
Seizures
Tachycardia
Your patient is admitted with Sepsis and at risk for Organ Failure what do you expect their ABG to look like?
A. PH 7.10 C02 40 HC03 18
B. PH 7.50 CO2 26 Hc03 20
C. PH 7.20 CO2 60 Hc03 24
Metabolic Acidosis
A. PH 7.10 C02 40 HC03 18
Showing the patient the steps of insulin administration and having them demonstrate it back is an example of which type of learning?
Psychomotor Learning
You walk into a room and see a nurse telling the patient, if you don't take this medication I'm going to hold you down and make you drink it.
This is an example of...
Assault
Name 3 different types of Oxygen Therapy
Nasal Cannula
Simple Mask
Partial Rebreather
Non Rebreather
Venturi Mask
NPPV (Non invasive positive pressure)
Artificial Airways
What electrolyte abnormality can cause issues with the skeletal system such as tetany and muscle spasms.
Ie; Trousseau's and Chvosteks
HypoCalcemia
8.5-10.5
Your Chronic COPD patient was just admitted for Dyspnea. What do you expect their ABG to look like?
A. PH 7.45 C02 45 HC03 24
B. PH 7.26 C02 65 HC03 24
C. PH 7.24 C02 30 HC03 20
Respiratory Acidosis
B. PH 7.26 C02 65 HC03 24
Define ADPIE (The Nursing Careplan Process)
Assessment
Diagnosis
Planning
Implementation
Evaluation
I am a policy defined as "Any person coming into the ER must receive appropriate medical screening examination" This ensures the patient is either appropriately treated or transferred to a facility with appropriate care.
EMTALA
Emergency Medical Treatment and Active Labor Act
Act of breathing, inspiration and expiration
Amount of air inspired and expired with each breath
Define ADH and what it does
Antidiuretic Hormone
Causes water to be retained
controlled by hypothalamus
You just admitted a 24 year old female diagnosed with a Panic Attack. Your physician orders an ABG. What Acid Base imbalance do you expect to see?
Respiratory Alkalosis