Fluid volume excess/ dehydration
What is a nursing priority for fluid volume excess?
What is restrict fluids and sodium?
What is decreasing? GFR means glamorous filtration rate, rate of how much the kidneys filtrate
What is the labs of sodium look like in a patient with diabetes insipidus? (increased or decreased)
What is increased?
What are expected finding in a patient with COPD? (Name 2)
What is barrel chest, diminished breath sounds, chronic cough and clubbing fingers?
When is it a medical emergency for a patient with RSV when assessing the lung sounds?
What is no sound to the lungs when auscultating?
What is the indication for fluid volume excess?
What is weight gain of 2lbs a day or 5lbs a week?
True or false CKD is reversible?
What is False?
What do patients lack in with diabetes insipidus?
What is ADH?
What is the proper technique for a patient using a spacer?
What is shake, place inhaler in the spacer, seal, spray hold for 10 sec?
What kind of contact will a patient with RSV be on?
What is droplet and contact?
A nurse is administering IV fluids to a patient with severe dehydration. Which two parameters are most important to monitor?
A) Temperature and respiratory rate
B) Urine output and pulse rate and quality
C) Blood glucose and oxygen saturation
D) Pain level and skin turgor
What is B?
Why B is correct: The two most important areas to monitor during rehydration are urine output and pulse rate and quality. These indicators help assess the effectiveness of fluid replacement and prevent complications.
What electrolyte should a nurse not restrict with a patient with CKD?
A. Potassium
B. Calcium
C. SodiumD. Phosphate
E.What is B?
Why is B t he kidneys cannot activate enough vitamin D, less vitamin D means less calcium is absorbed from food
What medication will you give to a patient with diabetes insipidus?
What is a desmopressin?
What is the rescue medication for a patient with asthma?
What is a SABA?( ALBUTEROL)
When will a patient with RSV be hospitalize?
What is O2 being 90% and under, apnea, severe retraction and poor feedings/ dehydration?
What are expected outcomes with fluid volume excess?
What is clear breath sounds, decreased edema, stable BP and weight reduction?
What are the two most common causes for CKD?
What is diabetes and hypertension?
What will be the urine osmolality in a patient with diabetes insipidus? (low or high)
What is low (diluted urine)
What is the number 1 risk factor for a patient with COPD?
What is chronic smoking?
Who are at risk for getting RSV?
What is infants, toddlers and elderly?
A patient present to the ER with dehydration, Which assessment finding is most concerning?
A. patient with dry mucous membranes
B. patient with dry brittle skin
C. Patient with a poor skin turgor
D. Patient with a urine output of 20 mL
What is D?
Why is D right low urine output is a sign of decreased kidney perfusion and severe dehydration.
A patient with CKD has a serum creatinine level that has increased from 2.5 mg/dL to 4.8 mg/dL over the past 6 months. What does this trend indicate?
A) Kidney function is improving
B) The patient is adequately hydrated
C) CKD is progressing with worsening kidney function
D) The patient needs to increase dietary protein
What is C?
Why C is correct: In CKD, serum creatinine levels may increase gradually over a period of years, reaching levels of 15 to 30 mg/dL or more. Rising creatinine indicates progressive nephron damage and declining kidney function.
What is your nursing priority for a patient with diabetes insipidus?
What is IVF , NS or LR
What are the new normal range of O2 stats for a patient with COPD?
What is 88-92%?
What are some patient teaching you will give to a patient parents?
What is hand hygiene, update vaccines, hydrate, acetaminophen for fever, cool humidifier?