ibis final Flashcards
urine specific gravity lab value
1.010-1.030
would a patient with fluid volume deficit have a high or low urine specific gravity?`
high
safety measures for a patient with increased confusion?
place patient in room closest to nursing station
magnesium normal lab values
1.3-2.1
sodium normal lab values
135-145
potassium normal lab values
3.5-5
chrloride normal lab values
98-106
BUN normal range
10-20
what does a high BUN indicate
patient dehydrated
Physiological findings of a pt with N/V/D
dehydration poor skin turgor fluid volume deficit flat neck veins tachycardia low BP (hypotension) electrolyte imbalance
fluid volume deficit means?
dehydration
Aspiration prevention for patient with NG tube?
30-45 degree bed elevation
flush
aspirate for gastric secretions (ph testing)
abdominal x-ray
instructions for flushing meds down NG tube
15-30 ml
put meds once at a time
explanation for why patient needs IV access even though they are drinking by mouth
for medications
for emergency access
Who do you refer a patient with pain and crepitus out of Temporomandibular joint (TMJ?
oral surgeon
signs of TMJ disorder
pain
popping
crepitus
who is responsible to obtain patient informed consent?
the surgeon (person performing surgery)
What tasks can you delegate to an AP for a post op patient
vitals
feeding
ambulation
Can an AP change dressings
No
Isolation precautions for airborne
N95 mask
TB
measles (rubeola)
varicella zoster
what precautions are there for rubella?
droplet
where do you put linen that has been soiled by feces
biohazard
proper linen handling
dont put on floor dont double bag wrap inward or use a tie dont shake dont leave extra linen inside room
what do you put at the foot of isolation patient bed
plastic bag
isolation patient will have their own?
linen disposal hamper
how to keep a sterile field
dont reach over
keep hands over elbows
open outwards
wash hands for 20 secs
Response for when family asks why you dont put restraints on patient who keeps pulling out IV
lowest form of restraints have to be used before
wrap IV site with acrylics
place IV in non-reachable area
try to resolve patient confusion if they are confused
what do you do before obtaining wound culture
irrigate site
difference between speaking to male patient and female patient
male patients are more direct
home safety for fall risk patient
bars in shower non slip bathmat no carpet no clutter night light non slip rug med alert shower chair
nursing actions for patient with partial hearing issues
make sure hearing aid is working
speak to patient face to face
clean hearing aid w/ non alcohol wipes or damp cloth
what does cold therapy do
constricts (less blood circulation)
what does hot therapy do
dilates (more blood circulation)
clean under patient nail with
orange stick
can a CNA cut a patients nail?
no
who cuts diabetic patients nails
podiatrist
clear liquid diet includes
black coffee jello apple juice orange juice chicken broth
is sherbert included in a clear liquid diet?
no
what kind of liquid is apple sauce
full liquid
what do you ask a patient to do if they have adventitious lung sounds (abnormal)
cough (could be congestion)
interventions for patient with low o2 saturation
raise head of bed (opens up airways)
what is the limit of O2 COPD patient can receive?
2 L (they retain CO2)
patient with cardiac issues should be instructed not to do what when defecating
straining
what is the issue with a patient straining during defecation
can cause cardiac syncope (passing out)
stimulates cranial nerve 10