An apple a day keeps the doctor away.
What is the gold standard method of confirming a nasogastric tube is properly inserted into the stomach?
What is an x-ray.
A patient with new onset seizure activity is found to be hypernatremic with a sodium level of 152. What is an appropriate nursing intervention for this patient?
What is administer 0.45% NaCl (hypotonic) solution, implement low sodium diet.
True or False? The nurse is responsible for the initial education of the risks or complications that could result from a surgical procedure.
What is false.
What is normal saline.
Identify this acid-base imbalance.
pH 7.47 CO2 36 HCO3 28
What is metabolic alkalosis?
Which method of alternative nutrition must be administered through a central venous device (CVD) aka central line?
What... is parenteral nutrition. Bonus points. Why?
A patient experiencing renal failure is found to have a peaked or elevated T wave on their EKG. Which imbalance is this patient experiencing?
What two factors impact a patient's bowel function following a surgical procedure?
The entire volume of a blood transfusion needs to be administered in this amount of time.
What is 4 hours.
COPD or administration of anesthesia cause decreased ventilation in patients. This could lead to which acid-base imbalance?
What is.. respiratory acidosis.
A patient taking Warfarin (Coumadin) logs a 24 hours diet recall as part of their nutritional assessment. What foods would be concerning if listed on the patient's log?
A patient diagnosed with hypoparathyroidism reports feeling numbness and tingling in their fingers and toes. What lab value would the nurse expect to be out of range with this patient?
What is calcium (hypocalcemia).
Besides incentive spirometer and deep breathing exercises, what can the nurse encourage post surgically to prevent atelectasis?
What is early mobilization?
What is.. jugular vein distention, hypertension, dyspnea?
A patient experiencing respiratory alkalosis is lacking ________ in their blood stream?
What is carbon dioxide?
Which of the following would aid in stabilizing a patient's blood sugar and prevent a spike in glucose?
A. Apple B. Potato chips C. Cinnamon roll D. Apple juice
What is.. apple.
A patient is found to have a magnesium level of 3.0 (hypermagnesemia). What medications should the nurse instruct the patient to discontinue?
What is laxatives, antacids?
For a patient undergoing surgery, name two risks associated with smoking tobacco.
What is... increased risk of pneumonia, poor wound healing (secondary to decreased blood flow from peripheral vascular disease)
Prior to obtaining blood from the blood bank, what two actions are MOST important for the nurse to take?
A patient is experiencing metabolic alkalosis excessive vomiting. Which nursing intervention is approriate?
What is.. administer ondansetron, IV fluids.
A patient is eating a meal with the HOB elevated to 45 degrees. During their meal they have a change in voice tone after swallowing. What three interventions should the nurse implement and in what order?
What is.... 1) Elevate the HOB to 90 degrees 2) Make the patient NPO 3) Alert the physician
A patient experiencing heart failure has high blood pressure, crackles in the lungs and pitting edema in the lower extremities. What should the nurse anticipate being ordered in this situation?
What is a diuretic (lasix), fluid restriction, daily weights?
Identify this transfusion reaction and the nursing actions associated with it: S/S- fever, flank pain red urine
What is.. Acute Hemolytic Reaction. Actions: stop infusion, call rapid response, change administration (IV) set, infusion NaCl
Diabetic ketoacidosis puts the patient at risk for which acid-base imbalance? What is the correct treatment?
What is.. metabolic acidosis. Administer IV fluids to support excretion of ketones through the kidneys (support kidney function).