Cardiac
Which lab would you obtain on someone with chest pain?
Troponin
Which lung sound requires IMMEDIATE follow up
1. Wheezing
2. Vesicular
3. Crackles
4. Absent
ABSENT
Indicates severe atelectasis, alveoli are not inflating, thus no gas exchange.
Who would benefit most from a high protein diet?
1. Pregnant patient
2. Patient with burns
3. Patient with asthma
4. Patient with heart disease
Patient with burns, promotes healing
You are planning a treatment for fecal incontinence. What is an appropriate intervention?
Assist the client to the toilet 30 minutes after each meal
What are some things you should do before assessing a patient's abdomen?
Ask the patient to void
Make room comfortable
Lay the patient supine
What lab would you obtain if you suspect heart failure?
BNP
What is an incentive spirometer used for?
Prevent atelectasis and pneumonia
Which diet is most appropriate for someone with cardiac AND kidney disease?
Low sodium
Opioids
Bed rest
Decreased exercise
Decreased water intake
Decreased fiber
Red, fragile skin surrounding a stoma is most likely caused by what?
Not measuring the ostomy bag wafer correctly (too big).
Which heart sound is left 3rd intercostal space?
Erbs
How many liters do you put a simple face mask at?
6-10
What does a rapid weight gain or loss indicate?
indicates fluid status (edema, etc)
Apply a barrier cream to peri area
Administer IV fluids
Encourage fluid intake
Administer anti-diarrhea medication
When should you empty a stoma bag?
1/3-1/2 full
What assessment would you perform on a patient with an aterial or venous ulcer?
Pulses
What do we add to the oxygen of every patient?
Humidity
What are signs of dysphagia?
Coughing while eating
Choking while eating
Change in voice
Gagging
Pocketing food
A client underwent abdominal surgery 2 days ago, which of the following assessment finding is an emergency?
-Hypoactive bowel sounds
-Nausea
-Rebound tenderness
-Removal of NG
Rebound tenderness- can indicate peritonitis!
Who should you not perform a deimpaction of stool on?
Someone with heart disease/taking antihypertensives. Can stimulate vagus nerve and decrease heart rate
What is the first thing you should do with someone with angina?
Have them sit down and rest
What should you do if your patient has a change of level of consciousness or behavior?
Get an oxygen saturation!
Pureed foods
Thickened liquid
Tilt chin down
Small bites
Feed slowly
What is the MOST accurate way to check the placement of an NG?
KUB x-ray
Normal bowel sounds are heard how often?
Every 5-15 seconds