Medications
When taking this medication, you would expect to see a urine output go from 500ml/hr to 125ml/hr as a therapeutic effect
What is Desmopressin (Vasopressin)?
While interpreting fetal monitoring, you know a normal fetal baseline is this range and what type of variability?
What is 110-160bpm and Moderate variability?
pH 7.21; CO2 73; HCO3 25
What is respiratory acidosis?
Your patient is going home with a cast on their right arm. They ask you what symptoms would warrant a call to their provider. You would educate them on these findings.
What are "hot spots", odor, decreased feeling in that extremity and increase pain?
As the nurse receiving a patient from PACU, you know this will always be your first action after you identify the patient.
What are vital signs/assessment?
Your patient is on an aminoglycoside and is due for their "peak" level to be drawn. You know this is due when?
What is 30mins after the medication is given?
At delivery you clear the infant's airway and place baby skin to skin with mom. Your next step will be this.
What is dry/warm infant with a warm blanket?
Your patient is on continuous NG tube suction s/p bowel resection. You know they are at risk for this acid base imbalance.
What is metabolic alkalosis?
A 23 week pregnant mom calls the labor department crying that her labs just showed a positive rubella titer. This is what you will tell her a positive titer is.
What is being immune to rubella?
(positive titer means you have antibodies to fight off the infection)
During a hospital emergency you need to find the best patient to send home to open up beds. Which patient would you recommend for discharge?
A. Pt with TB and an active cough
B. Pt with PKD (polycystic kidney disease) who had blood in their urine
C. Pt with pneumonia on oral antibiotics and temp of 100.2
C. Pt is stable and can continue treatment at home
This medication is a smooth muscle relaxant that protects the brain in patients with pre eclampsia or in preterm labor
What is Magnesium Sulfate?
Your patient is at her first prenatal visit. She reports her last menstrual period was on 12/19/24. Using Naegel's Rule, you know her EDD is this.
What is September 26, 2025?
Your are caring for a client who has acute kidney injury You know this patient is at risk for what acid base imbalance.
What is metabolic acidosis?
A first time mom is asking you how they should install the infant car seat. You will teach her this about car seat safety for a newborn.
What is rear facing until age 2, chest clip should be in line with the armpits and only 2 fingers should fit between the infant and the straps?
Your patient has refused their lithium the last 2 shifts. You know they need it and decide to mix it in their dinner potatoes. This is an example of this?
What is malpractice and battery?
5 minutes after a dose of Nitroglycerin, your patient says the pain has gone from a 9/10 to a 5/10. This is your next step
What is give a second dose of Nitroglycerin?
Your patient is on magnesium sulfate for pre eclampsia. Her previous assessment was: BP 167/95, DTR +3. You know this will be a therapeutic effect of magnesium.
What is DTR +2 (and lowered blood pressure as a side effect)
Your patient presents with tachycardia and tachypnea and appears anxious. You try to get them to slow down their breathing to prevent this acid base imbalance.
What is respiratory alkalosis?
Your patient has Addison's disease and you are educating them that they will need to routinely monitor this hormone level.
What is antidiuretic hormone (ADH)?
You are orienting a new nurse and she asks what veracity means. You explain it means this.
What is being honest and telling the truth?
This medication used for bipolar can affect the production of T3 and T4.
What is Lithium?
You hear your patient's fetal monitor alarming with a drastic decrease in FHR from 142 down to 70. This will be your first action.
What is reposition the mom?
Your patient is recovering from abdominal surgery after a traumatic car accident including several broken ribs. You know they are at risk for respiratory acidosis due to this impaired nursing care plan.
What is ineffective oxygenation/respirations?
Your patient is being discharged. You educate them that this medication can turn all their secretions/urine an ORANGE-ish/RED color".
What is Rifampin?
These are the considerations you take when starting an IV on a patient.
What are location (no history of mastectomy or lymph node removal), cleaning the site in a circular motion, inserting with a flash of blood, flushing the site with NS to ensure patency?