What is hypoxemia?
What can it lead to?
- It can lead to hypoxia- decreased delivery of oxygen to the tissues
Describe oliguria.
Scant urine production (<400 ml per day or 30ml per hour)
Explain Subjective vs Objective data.
Subjective- what the patient tells you
Objective- what you observe
What is the reversal agent for opioid specific drugs?
Narcan (naloxone)
Potassium, Phosphate and Magnesium
Describe Cheyenne Stokes breathing
Deep, rapid breathing and slow, shallow breathing with periods of apnea
What is the lab for prostate?
Name the steps of assessing the abdomen.
Inspect, Auscultate, Percuss, Palpate
What scale is used for anyone who cannot answer questions appropriate regarding pain?
FLACC scale
Osmosis travels from _____ concentration to _____ concentration.
Low to high concentration
What is normal cardiac output?
4-8 liters per minute
Order: Vancomycin 40mg/kd/d divided into q6h doses IV.
The manufacturer recommends reconstituting 500mg vial with 10mL, yielding 50 mg/ml. How many mLs will you administer for each dose if the client weighs 90 lbs?
8.2 mL
What are 2 things that nurses cannot delegate?
Teaching and Assessment
How long does it take for meds given PO to start working?
30 to 60 minutes
3% saline is what type of solution?
Hypertonic
Orthostatic hypertension is depicted by? (Difference in mm?
Doctors order says: 0.5L of normal saline to infuse over 6 hours. Drip factor is 30 gtt/ml.
How many drops per min?
42 drops per min
A nurse is assessing a female teenager. The nurse asks the young woman to bend over and touch her toes. The nurse assesses the curvature of the spine as a means of detecting scoliosis. Assessing the curvature of the spine is an example of:
A)Health education
B)Primary prevention
C)Secondary prevention
D)Tertiary prevention
C- Secondary prevention
If someone is a 4 on the Pasero Opioid induced sedation scale (POSS) what are you going to do?
Consider administration of naloxone, notify provider & monitor patients respiratory status and sedation until they are stable
Patient has a urine specific gravity of 1.040. What will their urine look like?
Concentrated- dark yellow
What is the first thing you give if someone is SOB?
Followed by what?
Albuterol
Steroid

Stage 3
Where do you hear the S1 heart sound the best?
The apex of the heart.
Describe the WHO three-step approach.
Step 1: Non opioid- ibuprofen or nsaid
Step 2: Mild opioid- oxycodone, hydrocodone
Step 3: Stronger opioid- Morphine, Fentanyl
The nurse is caring for an older adult with hypernatremia. Which of these interventions does the nurse perform first?
A. Restrict the client's intake of sodium
B. Administer a diuretic
C. Monitor the serum osmolarity
D. Encourage fluid intake
D- Encourage fluid intake