Lab/collection
Normal Value for WBC
White Blood Cells?
What is the term used to describe low WBC?
normal range 5000-10000.
in table 24.1 page 416 5.0mm-10.0mm
the term is Leukopenia also on page 416
What is the normal PH of Urine?
Name two abnormal findings in Urine.
4.6-8.0
page 424
Ketones, hematuria, etc you could have picked any two.
Give the Range in Ml's of fluid you would use to flush the g-tube after medication administration?
30-60
pg 510 # 13
Normal Value for Potassium?
What does potassium do?
3.5-5.0
It pumps the heart
Give the normal values:
PH
Paco2
Hco3
7.35-7.45
35-45
22-26
What is the platelet normal range?
What is one of the dangers when the platelets count falls below 20000.?
What is the term for blood in the urine?
150000.-400000. page 416
Spontaneous bleeding
Hematuria pg 416
What is the prescribing MD looking for when he orders you to perform a stool occult?
What is Melena?
IF your patient takes Iron, what color would you expect the stool to be?
Blood that has changed to a dark, tarry substance. pg 901
Dark
Where is the Jejunostomy tube Placed?
Jejunum pg 503 or pg 467. fig 26.1
Normal Value for Sodium?
Your patient has high sodium ( hypernatremia)
Give one nursing intervention?
135-145
Encourage fluid intake
I&O
restrict sodium intake
Monitor Temp. pg 451
Solve this ABG:
PH 7.45
Paco2 43
Hco3 22
Normal ABG
Fully compensated
Patient education for 24-hour urine specimen?
1. Empty the bladder into the toilet and begin timing the collection of the specimen
2. For the next 24 hour add all urine to collection container
3. Keep the container on ice or refrigerated if instructed
4. When 24h is up empty the bladder and add the urine to the collection container
5. Seal the container and return to lab or md office
What are the five procedures we discussed under week 1 on your syllabus?
1. Prep for Radiology Procedures
2. Lumbar Puncture
3. Bone marrow aspiration
4. Thoracentesis
5. Paracentesis
I and O math problem:
Please calculate the patients i&O for the shift 7am-3pm
8am- 16oz of water
10am 4oz of coffee with two 15ml of creamer
11:30 Patient voided 240ml of clear yellow urine.
1pm Prn 1 liter of IV normal saline started at 60 ml an hour
2:30 pm Lunch with 160z of broth, One cup of Ice, and 12oz of ginger ale
3:15pm vomited 6 oz
3:45 PRN Zofran administered
5pm Patient voided 360ml of clear yellow urine
7pm D'cd order of Normal saline
Intake output
480 240
120 +30
120
480+120+360
Total: 1710
Give three s/sx of Hypercalcemia?
8.4-10.6
Anorexia
Abd pain, constipation
polyuria, confusion, renal calculi, pathologic fractures, and cardiac arrest. pg 452
Name the Tonicity of the iv fluid below
1. 0.9% normal saline
2. D5W
3. 3% Normal saline
4. 0.45% Normal saline
1. isotonic
2. isotonic
3. Hypertonic
4. Hypotonic
pg 461
1 Perform hand hygiene
2. clean finger with alcohol swab
3. Turn on machine and place lancet in the holder check the date on the test strips from the bottle
4. Place the fingerstick device firmly on the skin and push the release button (this will cause the lancet to pierce the skin.
5. Wipe the first drop of blood with a cotton swab if indicated by machine.
6. lightly squeeze the finger and gently milk it down the finger toward the tip until blood has formed on the tip.
7. Lightly apply the drop of blood to the pad and on the test strip and apply a clean cotton ball to the puncture wound with pressure
8.evaluate the reading
Name the steps to measure an NG Tube?
Measure from the tip of the nose to the tip of the ear and then to the xiphoid process.
Mark the distance on the tube with a piece of tape. (called the traditional mark)
pg 504 starts with letter A
You are the oncoming nurse at Gwinnett Hospital and your patient in room 101 has these sign and symptoms:
Weight gain, Crackles in the lungs, slow bounding pulse, elevated blood pressure, and possible edema.
What do you think your patient is experiencing?
Give one intervention?
One nursing intervention is to weigh your patients daily
Ask about diet and foods that contain a lot of sodium
Ask about urine output?
Give normal values of Magnesium?
Give three s/sx of Hypomagnesemia?
1.3-2.1
Chvostek sign, Positive Trousseau sign, vertigo hypocalcemia, hypokalemia, insomnia, hyperactive reflexes, foot cramps. pg 452
Name the fat-soluble vitamins?
ADEK
How do you perform a urine Dipstick test?
1. Fill out lab form
2. Perform hand hygiene
3. Obtain the specimen
4. don gloves
5. wet the dipstick with urine (ensure all colored squares are moistened with urine.
6. Remove the stick from urine quickly and gently tap it on the side of the container to remove excess urine.
7. Start time the tests immediately after wetting the stick. pg423
What is the PH of the stomach?
What is the Golden Standard to Confirm Placement?
1-4
X-Ray pg 505 #12 under letter B
You are working on the Rehab unit, and the charge nurse informs you that your patient in room 102 feels very weak.
You walk and complete your assessment
Your finding is:
Dry mucus membranes, cool dry skin, decrease urine output, Flat neck veins when lying down, Orthostatic Hypotension, and weakness.
What do you think your patient is experiencing and give one nursing intervention?
Fluid volume deficit
Place your patient on fall risk precautions
call bell in place
start I &O
Give the normal values of Phosphate?
Give three s/sx of Hypophosphatemia
2.7-4.5
Confusion, seizures, numbness, weakness possible coma pg 453
This question is worth 5 points
A weight gain of loss of 1kg (2.2lbs) in 24 hours indicates a gain or loss of how many mls of fluid?