Electrolyte Imbalance
Lasix is a diuretic. This lab should be closely monitored.
K+
What is the antidote for opioid overdose?
What is naloxone (Narcan)?
What is the primary neurotransmitter involved in depression?
What is serotonin?
This is the BEST indicator of fluid status in a patient
Daily weight
In order to determine how much of a nasogastric tube to insert, the nurse should measure the distance from the tip of the patient's nose to this body part, then from this body part to which end point?
What is the ear lobe and the xiphoid process?
Which electrolyte imbalance is associated with Chvostek’s and Trousseau’s signs?
What is hypocalcemia?
A patient on warfarin should avoid excessive intake of which vitamin?
What is Vitamin K?
What is the priority action for a patient experiencing a panic attack?
What is encourage slow breathing?
This standardized communication method helps nurses communicate clearly & accurately to other nurses, physicians, & other members of the healthcare team. There are 4 components that should be addressed in order.
What is SBAR?
A patient with type 2 diabetes has a blood glucose of 55 mg/dL. The nurse should administer _______ (if the patient is unconscious) & given them _______ (if the patient is alert), and recheck the sugar in _______.
glucagon, 15 g of fast acting carbs (candy, juice), 15 minutes
What drug should you not give with calcium that cause cardiac arrhythmias?
Digoxin
What is a common side effect of furosemide (Lasix)?
What is hypokalemia?
Which personality disorder is characterized by impulsivity and unstable relationships?
What is borderline personality disorder?
What is the most common symptom of left-sided heart failure?
What is pulmonary congestion?
You observe the surgeon palpating around the site of a closed-chest water-seal system drainage thoracic tube on a 1 day post-op patient who underwent thoroscopy. You understand that the surgeon is assessing for this condition.
What is subcutaneous emphysema?
Crackles are felt under the fingers upon palpation. Air can leak into the subcutaneous tissue after lung injury, in this case thoroscopy.
A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (Select all that apply).
A. Encourage eating potassium-rich foods
B. Restrict sodium in the diet
C. Decrease water intake
D. Monitor vital signs
E. Monitor intake and output
B, D & E
Which type of insulin has no peak and provides 24-hour coverage?
What is insulin glargine (Lantus)?
What is the primary medication used to treat bipolar disorder?
What is lithium?
What is the standard concentration of oxygen in room air?
21%
You enter your 82 y/o patient's room to administer 8am cefazolin IVPB. Upon programming the IV pump, you notice the primary IV is infusing at 175 mL/h. You know the order says to run at 75 mL/h and the night nurse hung a new 1000 mL bag at 3 am. Based on what you know, after correcting the IV pump, you immediately perform this assessment.
What is a respiratory assessment of breath sounds?
This patient received 500 extra mL IV fluid which could cause overload, especially an elderly patient. Assessing for basilar crackles would be representative of pulmonary congestion caused by heart failure.
A nurse is planning care for a client who has over hydration and hyponatremia. Which of the following actions should the nurse include in the plan? (Select all that apply).
A. Monitor neurological status
B. Administer sodium polystyrene sulfonate as prescribed.
C. Provide oral hygiene frequently.
D. Restrict sodium intake as prescribed.
E. Encourage foods high in protein.
A & D
What class of medications should not be given with grapefruit juice due to interaction?
What are statins or calcium channel blockers?
A client has been diagnosed with an anxiety disorder. When developing outcomes for this client, which outcome(s) would the nurse identify as important to achieve in the immediate time frame? Select all that apply.
A. Client reports a reduction in anxiety level within 24 hours
B. Client states the need for continued medication compliance by discharge
C. Client participates in group therapy session on day 2
D. Client reports an increased ability to concentrate within 4 hours
E. Client demonstrates positive coping methods to control anxiety in 1 week.
Answer: A, C, D
Rationale: In the immediate time frame, appropriate outcomes would include a reduction in anxiety level, participation in group therapy and an increased ability to concentrate. These are more short-term outcomes geared to the immediate situation. The outcomes related to medication compliance and positive coping, although appropriate, are more long term in nature, which is in 1 week and by discharge.
What primary prevention strategy should a nurse recommend to reduce the risk of flare-ups in patients with ulcerative colitis or Crohn’s disease?
Avoid trigger foods (e.g., high-fiber or spicy foods) or maintain a balanced diet.
Rationale: Dietary management reduces irritation and inflammation in IBD. This strategy empowers patients and prevents exacerbations.
During SBAR from the night shift on a patient 1 day post bowel resection, you are told he received hydromorphone 1mg every 4hrs during the night, last dose approximately 1 hr ago due to increasing pain. Upon initial assessment, you find him lethargic, with a pulse of 119, a BP of 78/49 and a large, firmly distended abdomen. There is no bleeding noted on the dressing. When you palpate the abdomen he moans with pain. Anticipating this complication, you call a Rapid Response.
What is post operative bleeding?
This patient shows signs of hypovolemic shock. Although there is no bleeding at the incision site, it is within the peritoneal cavity