F & E
Clients who take diuretics such as furosemide may complain of leg cramping due to this common problem associated with the medication.
What is hypokalemia?
This is what the nurse would interpret if the none of the numbers on the ABG result are within normal limits, and the client is being treated for an exacerbation of COPD.
What is respiratory acidosis with partial compensation?
This is the term used when a dying client has apnea followed by periods of deep, rapid breathing.
What is Cheyne-Stokes respirations?
This is a contraindication for the use of chiropractic care in a client.
What are clients with a history of osteoporosis or any bone disease?
These are sensory functions that tend to decline as a person ages.
Students must name at least 3
What is vision, hearing, taste, smell, and touch?
These lab values tend to be decreased when clients have an excess of fluid in their body.
What are BUN, Hgb, and Hct?
This is an appropriate intervention for a client with COPD in respiratory acidosis.
Students must choose at least one of the possible choices.
Maintain a patent airway, place the patient on Bipap, Place the patient in a semi-fowlers position, encourage pursed lip breathing, intubate the patient and increase the respiratory rate, place the patient on a bicarbonate drip
This is an inappropriate action for the nurse to take when providing postmortem care if the client will need an autopsy.
What is removal of all lines, tubes, and drains?
This CAM treatment is said to regulate and realign energy through meridians in the skin.
What is acupuncture?
This is the inability to understand written or spoken language.
What is receptive aphasia?
These are etiologies of hypokalemia.
Student must name at least 2 etiologies.
What are taking non-potassium sparing diuretics, NG tube to gastric suction, severe vomiting and diarrhea, laxative abuse, decreased dietary intake, excessive sweating, increased cellular uptake
This is an inappropriate intervention for the treatment of respiratory alkalosis.
Students must choose at least one of the possible choices.
Place the client on a BiPap, administer antibiotics, provide a nebulizer treatment, encourage pursed lip breathing, hyperventilate the client.
This is the stage of grief the client is in if they state, "I have lived a good life and am ready to die in peace".
What is the acceptance stage?
This is an example of the "O" in the acronym HOUDINI when considering placing a urinary catheter.
Student must name at least one.
Urinary retention, BPH, Kidney stones, constipation, urethral strictures, pelvic organ prolapse, trauma to the pelvis
These are inappropriate interventions for a client who is hard of hearing.
Student must name at least 1
Scream at the client, use a high-pitched voice, speak slowly, use a soft voice, ask a family member to interpret for you
This is the portion of the ECG complex that would be abnormal that indicates hyperkalemia.
What is an elevated ST segment?
This is how the nurse would interpret an ABG if only the pH is within normal limits, and the client had an experience that led to hypoventilation.
What is fully compensated respiratory acidosis?
This is the criteria for a client to receive hospice care.
What is 2 physicians certifying that the client has 6 months or less to live?
Symptoms of this bowel complication include severe, colicky pain that tomes in waves, hyperactive high pitched bowel sounds early on progressing to absent bowel sounds, inability to pass stool and gas, severe abdominal distention.
What is a bowel obstruction?
This is the sensory function tested when using a tuning fork.
What is hearing?
This type of IV fluid should be considered for clients with intracellular dehydration.
What are hypotonic solutions?
This is the value the nurse would expect to see first if a client is in any state of alkalosis.
What is the pH above 7.45?
This is the term used when a client needs to maintain a belief system and worship practices based on religion.
What is religious care?
These are potential complications to be alert for if a client is on heparin therapy.
Students must name at least 2
What is blood in the urine, blood in the stool, hypotension, decreased platelet count, bleeding gums, petechia, purpura, bleeding at an IV site or after phlebotomy for longer than normal.
Clients with this sensory disorder are at an increased risk of injury due to inability to feel and perceive noxious stimuli.
What is neuropathy?