FLUID & ELECTROLYTES
An older adult receives 3% NS. Thirty minutes later, which finding requires immediate intervention?
What is new-onset crackles in both lungs?
pH 7.28, PaCO₂ 52, HCO₃ 26.
What is uncompensated respiratory acidosis?
Absent breath sounds on one side with tracheal deviation suggests this condition.
What is tension pneumothorax?
A patient with suspected TB must be placed in which room type?
What is a negative-pressure room?
A wound with exposed bone is classified as which stage?
What is Stage 4 pressure injury?
A patient with severe vomiting has pH 7.51, HCO₃ 32, PaCO₂ 45.
What is metabolic alkalosis?
A COPD patient has pH 7.35, PaCO₂ 60, HCO₃ 34.
What is compensated respiratory acidosis?
Which assessment best confirms adequate oxygenation?
What is oxygen saturation and level of consciousness?
Why is alcohol-based sanitizer ineffective for C. diff?
What is it does not kill spores?
Which drainage type indicates active bleeding?
What is sanguineous drainag
Which findings are expected in fluid volume deficit?
What are tachycardia, hypotension, decreased skin turgor?
patient with diarrhea is at highest risk for
metabolic acidosis?
Which findings indicate respiratory distress?
What are nasal flaring, accessory muscle use, restlessness?
Which PPE is required for disseminated herpes?
What are gown, gloves, N95 respirator?
Which findings suggest wound infection?
What are erythema, warmth, purulent drainage?
A patient with Na⁺ 118 mEq/L is confused. Which nursing action takes priority?
What is initiating seizure precautions?
Why does hyperventilation temporarily correct metabolic acidosis?
What is CO₂ elimination decreases acidity?
Why is a patient positioned upright during thoracentesis?
What is to expand the intercostal space and prevent lung injury?
Which action breaks sterile technique?
What is reaching over a sterile field?
Why are scaphoid fractures at high risk for nonunion?
What is poor blood supply?
A patient on loop diuretics develops ventricular dysrhythmias. Which electrolyte imbalance is the most likely cause?
What is hypokalemia?
A ventilated patient suddenly becomes restless with pH 7.55 and PaCO₂ 28. What adjustment is anticipated?
What is decreasing the ventilator rate?
A patient with suspected PE is scheduled for pulmonary angiography. What history finding requires immediate reporting?
What is contrast dye allergy?
A nurse removes PPE in the wrong order after caring for an isolation patient. Which infection risk is highest?
What is self-contamination?
A patient with diabetes has a heel wound covered in black eschar. What is the priority nursing action?
What is do not remove the eschar?