Jeopardy Flashcards
Hypertonic / Isotonic / Hypotonic:
0.45% Sodium Chloride
Hypotonic
Hypertonic / Isotonic / Hypotonic:
10% Dextrose
Hypertonic
What type of IV solution is given with blood transfusions?
Normal Saline (NS) 0.9%
Fluid that is hypertonic outside the body but hypotonic once infused
D5 1/2 NS (Body absorbs the glucose and leaves 1/2 NS which is hypotonic.)
A patient with hypocalcemia has a calcium level below:
9
A patient with hypercalcemia could use which non-pharmacological intervention to help reabsorb the calcium?
Passive range of motion
For a patient with a calcium level of 14, the priority would be to administer:
Calcitonin (it TONES DOWN the calcium in the blood stream.
Which sign is a contraction of facial muscles in response to a light tap over the facial nerve in front of the ear?
Chvostek Sign
Which sign is a carpal spasm induced by inflating a blood pressure cuff above the systolic pressure for a few minutes?
Trousseau Sign
For a potassium level of 5.7, which oral medication would you administer?
Kayexalate
For a potassium level of 3.2, which diuretic would you administer?
Spironolactone (Potassium sparing)
A patient is given 40 mg Furosemide and now has low, shallow respirations, dysrhythmia (EKG shows a U-wave), lethargic, leg camps and muscle weakness. What do you anticipate their potassium level will be?
Low.
Which medication should never be given IVP?
Potassium
For a patient with an Na level of 122, what is the nurse’s priority?
Place the patient on a fluid restriction
If a patient’s sodium level is 180, what can you anticipate their skin will look like?
Dry / tented.
Which levels would be considered hypernatremia?
Greater than 145.
For a patient with hyponatremia, what fluid would you anticipate the physician ordering?
3% Saline (Only given in the ICU)
When administering Iv Mg, which medication should you always have on hand?
Calcium gluconate
A patient’s magnesium level is 0.9. The doctor orders Magnesium Sulfate IV. Which nursing intervention takes priority?
Monitoring deep tendon reflexes (Neuromuscular changes include reduced or absent deep tendon reflexes)
What can cause hypomagnesemia?
Malnutrition, starvation, diarrhea, Celiac disease, Crohn’s disease, medications
A patient is admitted to the ER. The patient receives dialysis on Tuesdays and Thursdays of every week and presents with a palpable AV shunt (thrill present) in the left upper arm. The patient is extremely lethargic, and family members are present to help answer questions. While collecting the patient’s medication history, the daughter states her mother has been taking “a lot” of Maalox lately due to an upset stomach. You note this to be a significant finding. What would you expect this patients Mg level to look like?
Mg will be elevated. It is excreted in the kidneys; since pt is on dialysis, kidneys retain mg
A patient has tented skin with a weak and thready pulse. They are pale with a dry mouth.
Fluid volume deficit / dehydration
Labs that reflect dehydration:
Elevated BUN, urine specific gravity and creatinine
You are the nurse working in the ER. The patient in bay 5 is screaming for water every 5 min. The patient is agitated and slurred speech. The patient has a psych history and has been hospitalized multiple times. The Na level is 119; which condition would you suspect this patient has?
Water intoxication / dilutional hyponatremia
