Stormi
Tell me the rules of nines
The rules of nines is burns and it all equals an equivalent of 9
How can the nurse assess skin temperature?
Placing the dorsum of the hand on the skin
Serum PH
7.35-7.45
Patient has silvery, white scales patches on her skin. What dose she have?
Psoriasis
Pt has high uric acid levels. What does the patient have?
Gout
I experienced an abrupt change in mentation including disorientation and confusion. What potential dx did I have?
Delirium
What PPE should the nurse wear for airborne precautions?
Mask or particulate air filter respirator (N95)
gown
What can a patient do for constipation?
Increase fiber
Increase water
Walking
Bowel schedule
patient is taking calcium. What supplement will help facilitate calcium absorption?
Vitamin D
What does the medication memantine do?
Lessens symptoms of Alzheimer's disease
What is diplopia? and when do we see it in a patient?
Diplopia is double vision.
We see diplopia in clients with a fracture to the body orbit
How would the nurse move the auricle for instilling antibiotic solution in the ear of an adult?
Pull auricle upward and back
T/F- Can a patient with glaucoma use the medication atropine?
False- Cholinergic blockers such as atropine can dilate pupils which increases intraocular pressure. Clients with glaucoma should avoid use of atropine in an effort to maintain normal range of IOP.
What s the reason for chest tubes following thoracic surgery?
Chest tubes are used after thoracic surgery to drain secretions, air, and blood from the thoracic cavity is necessary
Magnesium
1.3-2.1 mEq/L
A patient comes in the ER for burns. What will you assess?
Nostrils and back of the throat for soot
if patient produces black colored sputum.
Pt has a bed sore with measurements of 2 x 2 and crater of 0.5 cm deep. What stage is this?
Stage III
How long should the nurse leave the wound drain for a client who had surgery for a fractured hip
1-2 days
What are the negative effects of a patient taking daily laxatives?
The clients natural bowel function may become sluggish.
Patient will need to increase dose since the body will get accustomed to the dose and will need more
What are complications of a tracheostomy?
Aspiration
Infection
Injury to the laryngeal nerve
What is osteoarthritis?
Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint
What would the nurse expect to hear when auscultating breath sounds with a patient that is having an acute asthma exacerbation?
Expiratory wheeze
What does the nurse do when a cylinder cast is applied?
Hold the arm or leg in place
What labs need to be monitored on a patient who was prescribed furosemide?
Sodium level
Potassium level
What is lactulose used for?
Lactulose is administered to detoxify ammonium and to act as an osmotic agent drawing water into the bowel which causes diarrhea in some client.
What food increases the excretion of uric acid?
High intake of purine-rich food.
What discharge instructions would the nurse give to a patient postoperative tonsillectomy and adenoidectomy?
Avoid carbonated fluids
gradually increase fluids then add soft foods.
apply an ice collar to the neck area
gargle with warm saline water
What is the purpose for escharotomy on a burned client?
This procedure relieves tissue constriction.
What finding would the nurse expect to see in a client with emphysema?
Dyspnea
Barrel chest
Clubbing of the finger
Shallow respirations
Is it normal for a Patient with COPD to have weight loss?
Yes- Decreased appetite may be a result of diminished oxygenation to the appetite centers of the brain.
Where would the nurse assess on a client who is dehydrated due to fluid losses from the GI tract?
Checking if the mucous membranes are dry.
Pt can present with poor skin turgor and dry mucous membranes .
What does the nurse need to teach patient when using inhalations from albuterol metered dose inhaler?
Hold breath at least 10 seconds after inhaling the medicaiton.
What are the adverse effect of taking Recombinant interferon alpha- 2b in combination with ribavirin.
Ribavirin may cause birth defects. Make sure the patient uses strict birth control methods.
What does a Miotic eye solution do to the eye?
A miotic agent works by constricting the pupil and pulling the iris away from the drainage channels to the aqueous fluid can escape.
What symptoms will the nurse see for a salicylate toxicity?
Headache, Ringing in the ears, N/V, tinnitus, increased pulse and respiratory rate, mental confusion, and drowsiness.