He Don't Eat No Meat
What two methods are used to confirm proper placement of an NG tube in the stomach?
What is an x-ray, testing the gastric pH?
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.
Identify this acid-base imbalance.
pH 7.47 CO2 36 HCO3 28
What is metabolic alkalosis?
Immediately following surgery, exudate is expected to be ___________ then will gradually change to _________
What is...... Sanguineous, Serous?
Middle adults are often faced with caring for their aging parents as well as continue to support and raise their children/grandchildren. This is referred to as the ____________
What is.. sandwhich generation?
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?
COPD or administration of anesthesia causes decreased ventilation in patients. This could lead to which acid-base imbalance?
What is.. respiratory acidosis.
This tissue is described as pink/red and moist, it is a sign that new connective tissues and blood vessels are forming to carry oxygen to a wound.
What is.. granulation tissue?
An infant (1 month to 1 year) explores their environment with their mouth related to Freud's oral stage. This puts them at risk for ____________
What is.. choking?
Identify three food choices that would be appropriate for a soft diet.
What are.... well-cooked veggies, mashed potatoes, refried beans, tender meat/fish, pancakes, creamy peanut butter?
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).
The patient who is experiencing respiratory alkalosis experiences a _____________ in carbon dioxide levels in their bloodstream.
What is a decrease?
This type of wound healing occurs when the edges of a wound are not well approximated. Granulation tissue fills the wound from the wound bed up.
What is secondary intention?
According to Erikson, a young adult (18-39) is trying to this stage by forming meaningful relationships whether platonic or romantic?
What is.... Intimacy vs Isolation?
A client who takes Warfarin (Coumadin) should limit their intake of this vitamin ________ . Foods that are high in this vitamin are _______.
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?
A patient is experiencing metabolic alkalosis due to excessive vomiting. Which nursing intervention is approriate?
What is.. administer an antiemetic (ondansetron), IV fluids.
This type of dressing is most appropriate for a wound that is dry or may contain necrotic tissue that requires debridement.
What is.. Hydrogel?
The older adult (65+) should have these accomodations made to their homes to decrease their risk of falls? (4)
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?
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).
What are four components/descriptors that describe a stage IV pressure ulcer?
What is..... full thickness tissue loss, exposed bone/tendon/muscle, slough or eschar present, undermining and tunneling, fat visible?
Adolescents (12-18) are at risk for ________ and _________ as a result of Freud's genital stage.
What is.. pregnancy, sexually transmitted infections?