GI Disorders/ F&E
What are two assessment findings for a patient with a dignosis of peritonitis?
What is rigid board like abdomen, abdominal pain, decreased or no bowel sounds?
Which of the following patients would be at increased for prerenal complications?
A patient with a diagnosis of renal calculi
A patient with heart failure
A patient overusing NSAIDs
A patient with glomerulonephritis
What is a patient with heart failure?
Describe the flow of blood through the heart.
What is RA -RV-Lungs -LA- LV - Systemic
What class of medication should the patient with a diagnosis of asthma use when an acute attack occurs?
What is beta adrenergic agonist?
List three signs and symproms of hypoglycemia.
What is diaphoresis, lightheadedness, shaking, mental confusion, anxiety
What is the treatment for H-Pylori?
What is triple therapy? 2 antibiotics + PPI
What assessment should be done to check the patency of an AV fistula?
What is check for bruit and thrill?
In cor pulmonale which heart chamber is most affected?
What is right ventricle?
Two nursing interventions for a patient with a diagnosis of asthma.
Bronchodilators
Identify triggers
Peak Flow daily
Supplemental oxygen as needed
Respiratory assessment
What 2 labs should be checked prior to starting an insulin gtt for a patient with a diagnosis of DKA?
What is glucose and potassium?
2 potential interventions for a patient with pottasium level of 6.5
What is place on cardiac monitor, give diuretics, give insulin and glucose
When should enalapril be given to a patient receiving hemodialysis?
What is after HD is done and BP is checked?
What diagnostic test is need to calculate a patient's EF?
What is an echocardiogram?
Name three nursing interventions for a patient with COPD.
Cough & deep breath
Encourage fluid intake
Stop smoking
Position in high fowlers
Keep O2 saturation between 88-92%
Name the type of insulin used in an insulin gtt.
What is regular insulin?
What are three prevention methods to a patient who experiences dumping syndrome after a gastric resection?
What is lying down after a meal, small meals, Low simple carbs, more protein, low sugar, no drinks with meals.
What medication is given to patients with ESRD who have a decreased hemoglobin level?
What is Epogen?
What class of medications is ordered for a patient with newly diagnosed hypertension unresolved with lifestyle modifications?
What is diuretics?
What are 3 Interventions to reduce the risk of atelectasis in a postop patient?
What is early ambulation, frequent turning, cough deep breath, incentive spirometer?
What are three signs and symptoms of hyperthyroidism?
What is unexpected weight loss, tachycardia, diaphoresis, irritability
Name and describe 2 signs /assessment findings that indicate a patient has hypocalcemia.
What is Trousseau sign - inflate cuff carpal spasms
Chvostek - tapping facial nerve on cheek causing spasm of the facial muscle
What is the purpose of the glucose in the peritoneal dialysis fluid?
Prevent excess removal
Decrease the risk of peritonitis
Prevents disequilibrium syndrome
Increased osmotic pressure to increase ultrafiltration
What is increased osmotic pressure to increase ultrafiltration?
Three clinical manifestations /symptoms of cardiac tamponade?
What is hyotension,JVD, muffled heart sounds, chest pain.
What is the major advantage of using a venturi mask for oxygenation?
What is a precise amount of oxygen is delivered.
Name three interventions for a patient in DKA.
Whar are:
IV Fluids
Insulin gtt
Monitor glucose, electrolytes, and anion gap)
Check glucose Q1hr