Nursing Process
This medication is used for chest pain.
What is Nitroglycerin?
What is the expected range for White Blood Cell count for a healthy adult patient?
What is 5,000-10,000?
A patient with hypoxia may first present with this subtle neurological change.
What is restlessness or confusion?
During a Foley catheter insertion, urine begins to flow—what is your next step?
What is advance the catheter another 1–2 inches before inflating the balloon?
This type of stroke is caused by a clot.
What is ischemic stroke?
A compensating patient in shock will most likely show this vital sign change first.
What is tachycardia?
The normal range of this lab value for an adult is 3.5-5
What is potassium?
This breathing pattern is commonly seen in DKA patients.
What is Kussmaul Respirations?
The gold standard for verifying NG tube placement.
What is XRay confirmation?
Normal urine output per hour.
What is >/= 30ml/hr?
This device delivers the highest oxygen concentration without intubation.
What is a NRB mask? (points for HHFNC)
pH 7.30, CO₂ 50—this condition is present
What is respiratory acidosis?
During your initial assessment, you note unequal chest rise, hypotension, and tracheal deviation. What is the priority action?
What is activate emergency response and prepare for needle decompression (suspected tension pneumothorax)?
Priority action during a seizure.
What is protect the airway / turn the patient on their side?
A patient admitted with COPD presents with new altered mental status, increased RR, and o2 of 86%. what is one expected order to receive?
What is ABG, BiPAP, RT tx?
Priority intervention in hypovolemic shock.
What is IV fluids?
What is a normal sodium level for an adult patient?
What is 135-145?
This dysrhythmia has no P waves and an irregular rhythm.
What is atrial fibrillation?
Before starting a tube feeding, you should do this to reduce aspiration risk.
What is elevate the head of bed (30–45 degrees)?
Symptoms of bradycardia, hypertension, and irregular respirations are also known as...
What is Cushing's Triad?
What assessment tool matters more than one single value?
What is trend (overtime)?
pH 7.25, HCO₃ 14, CO₂ 28—interpretation.
What is metabolic acidosis with respiratory compensation?
A unilateral dilated pupil in a neuro patient suggests this life-threatening complication.
What is an increased ICP with possible herniation?
Priority action if your patient suddenly has an increased work of breathing and you note diaphoresis.
What is vital signs? (then call a friend)
Priority intervention for a patient in acute respiratory distress.
What is positioning in high fowler's?