ABGs
the range of a normal pH
7.35-7.45
The satiety hormone.
Leptin
As a DCN student you are never allowed to do this.
Push IV meds
The fifth vital sign.
Pain
the founder of modern nursing
Florence Nightingale
metabolic system lab value
HCO3
You are asking your pt about their bowel elimination, which response by your patient would require a follow up, if any?
"I use stimulant laxatives when I have constipation, I last took it February 5."
"I have a bowel movement about every 3-4 days."
"I had an enema during my last hospital stay to remove a fecal impaction."
"I sit on the toilet every morning from 8-8:15 before I go to work."
The first one, if someone is having occasional constipation and treating it with laxatives they do not have a healthy bowel routine and likely need more fiber in their diet. Inquire more.
the Right to Refuse
The team that has participated in the most Super Bowls.
Patriots
Mary Eliza Mahoney was the first African American to study and graduate from an American school of nursing in this year.
1879
respiratory system lab value
PaCO2 (partial pressure of arterial carbon dioxide)
patients meet the criteria for metabolic syndrome if they have at least three of this criteria
-high triglycerides
-high cholesterol (or using cholesterol-lowering meds)
-hypertension (or using antiHTN meds)
-elevated fasting blood glucose (use of blood-glucose lowering meds)
central obesity
Check these three things when pulling a medication from the Pyxis:
right med
right dose
expiration date
The only medication that can stop the metabolic effects of malignant hyperthermia.
The year nursing was no longer considered a professional degree in U.S. education
2025
this is necessary to decide if an upper extremity can have an ABG drawn from
modified Allen test, Allen test (to check for adequate collateral flow)
You are caring for a patient admitted with abdominal spasming and pain associated with severe diarrhea. Check this serum blood level.
Potassium
"Hi, patient is rating pain a 3/10 in the abdomen following laproscopic cholecystectomy. The only pain medication available is oxycodone, can I get something else?"
Dr. S: "325-650mg Tylenol prn q6 for mild to moderate pain for Mr. Loomis in room 544"
Your next action:
clarify route of administration
James McCune Smith, MD, earned his medical degree in 1837 from where because medical schools in the US denied him admission due to his race.
University of Glasgow
Florence Nightingale led a group of nurses here in 1854 to administer aid and nursing services to British soldiers
Crimea
interpret:
pH: 7.28
PaCO2: 55 mmHg
HCO3: 24mEq/L
uncompensated respiratory acidosis
Your PICC line administering TPN keeps occluding. You attempt to flush the lumens with NS and meet significant resistance. Your PICC line has exposed catheter of 1cm, which was documented upon insertion, and was confirmed with a chest x-ray. Your next action:
hang D10 per facility protocol and watch glucose levels
Your patient is a 73F DNR pmhx of anaphylaxis, HTN, hypothyroidism, and frequent falls has allergies to oxycodone, beta-lactamase inhibitors and vancomycin. Pt admitted with cellulitis to RLE, there is c/f sepsis and broad-spectrum antibiotics need to be administered. The provider is ordering abx. What is the problem, if any?
-pipercillin/tazobactam (Zosyn) 4.5g/100ml q6 IV to run over 30 mins
-cefazolin (Ancef) 2g/20ml q8 IV push
-ciprofloxacin 500mg po q12 hrs
-doxycycline 100mg po bid
Zosyn - beta-lactamase allergy, plus 10% chance pt is also allergic to penicillins
Your patient opened their eyes to your voice, incorrectly states the month and year but knows how old they are, and is following your commands. Their GCS is:
GCS is 13
eye opening (3)
verbal response (4)
obeys commands (6)
Latin word "nutricius" meaning: to nourish, protect, sustain. In the late 16th century it came known as someone who cares for the infirm.