Elderly
Does the thirst mechanism increase or decrease with aging?
Decrease
A client is taking Furosemide (Lasix). Which electrolytes will be affected by this medication?
Potassium (K)
Normal pH
7.35 -7.45
Post EGD client. A nurse is waiting for _____ to return before giving any diet.
gag reflex
Vision
Blurry and hazy vision
Cataract
An elderly client has three days of vomiting and diarrhea. What is the priority concern?
Dehydration
Which electrolyte will be affected by parathyroidectomy?
Calcium (Ca)
pH < 7.35
acidosis
Small outpouchings of the colon wall without inflammation.
Diverticulosis
Vision
Blind spots in the center of the field of vision
Macular degeneration
Chronic constipation with elderly. Please give me one nursing education.
Encourage drinking fluid/ do not use laxatives regularly/ encourage dietary fiber/ respond the feeling of defecation
Osmosis is water movement from ____ solute concentration to ______ solute concentration.
Low to high
A client has been vomiting for three days. What ABG result are you expecting?
Metabolic alkalosis
Pain on RUQ and right shoulder is
Choose one (cholelithiasis or appendicitis)
Cholelithiasis
Skin
Raised, reddish, irregular border. What will you check the first?
Allergy reaction
Respiratory system (coughing and size of lung) and aging.
Coughing is less effective/ size of the lung decreased
The normal range of this electrolyte is 1.6 - 2.2 mg/dL. A client with this electrolyte 0.8 presents facial muscle twitching and Torsades de point.
Magnesium (Mg)
Which ABG may a client with COPD present?
Respiratory acidosis
Coffee grounds emesis, melena, abdominal pain, diaphoretic, and __________ are the s/s of GI ulcer perforation.
rigid board like abdomen
Multiple elevated unilateral fluid-filled vesicles to the trunk
Varicella zoster (shingles)
An elderly client c/o severe sore throat, high fever, drooling, and difficulty swallowing. Is it viral pharyngitis or streptococcal pharyngitis?
Streptococcal pharyngitis
The lab results reflect a fluid volume deficit
Elevated BUN, urine specific gravity, hematocrit
ABG interpretation
pH 7.3
PCO2 43
HCO3 18
Metabolic acidosis
S/s of cirrhosis
CHEAP (choose one)
Clotting defect/Hepatorenal syndrome/Encephalopathy/Ascites/Portal hypertension/ or esophageal varices
S/S of cellulitis (at lest 4 s/s)
erythema, edema, pain, warm to touch