ati testing Flashcards
what is an indication of fluid deficit?
tachycardia
what is an important technique for a nurse to remember when performing nasotracheal suctioning?
use intermittent suctioning while withdrawing the catheter
what food should the nurse recommend a patient with hypercholesterolemia to add to their diet?
avocados b/c they have no cholesterol
what is the first thing a nurse should do when about to transfer a pt from a bed to a chair?
assess for orthostatic hypotension
what kind of environment should a pt with tuberculosis be placed?
a room with negative-pressure airflow
when would a nurse irrigate an indwelling catheter?
bladder scan shows 525 mL of urine
this indicates a blockage in the catheter
what type pf precautions does shigella require?
contact precautions
what foods are examples of complete protein?
cheese, poultry, fish
what should the nurse ask the patient to determine the quality of pain?
is the pain dull or sharp
what level of albumin indicates pressure ulcers and poor wound healing?
less than 3.5
what is the norton’s scale?
measures risk of pressure ulcers
less than 16 indicates high risk
when should a peripheral IV be taken out?
when there is swelling and coolness at the IV site
what does RACE stand for?
Rescue
Alarm
Confine
Extinguish
used in the event of a fire
what patient should the nurse consult a provider before giving CAM therapies?
asthmatic
what should a pt with an allogenic stem cell transplant be sure to do?
wear a mask when out of the room due to being immune compromised
what angle can subcutaneous injections be given?
45-90 degrees
when should a pt going home with a tracheostomy use a cover?
when going outside
potassium normal lab value
3.5-5 mg/dL
calcium normal lab value
8.5-10.2 mg/dL
magnesium normal lab value
1.5-2.5 mg/dL
BUN normal lab value
7-20 mg/dL
creatinine normal lab value
0.5-1.2 mg/dL
albumin normal lab value
3.5-5.5 mg/dL
sodium normal lab value
135-145 mg/dL
what care would a nurse implement for a patient with a DNR that comes into emergency room with difficulty breathing
oxygen via nasal cannula
what is the highest rate a pt should ever receive oxygen
no higher than 6 L/min
what lab values indicate risk for pressure ulcer formation
a score of 18 or below on braden’s scale
a score of 16 or below on norton’s scale
albumin level less than 3.5
what HDL level indicates a higher risk for CAD
HDL below 60
how does veracity relate to a nurse’s practice
always be honest with the patients and never deceive others
how far in front of a pt should crutches be placed while ambulating?
15 cm
how far in front of a pt should crutches be placed while ambulating?
15 cm
normal chloride level
97-107 mg/dL
normal chloride level
97-107 mg/dL
what does hypernatremia indicate
dehydration
what may meperidine cause
respiratory depression
how many mL are in 1 oz
30 mL
chvosteks sign indicates
hypomagnesia
hypocalcemia
what indicates a sudden occlusion of TPN
shakiness and diaphoresis
abdominal cramping, headache, nausea, weakness
hyponatremia
tachycardia indicates what
hyponatremia and hypovolemia
numbness of extremities
hyperkalemia
