Picmonic Questions Flashcards
70 y/o female pt is hospitalized in a hypokalemic state from diuretic use. Prior to discharge, the nurse gives the pt diet education. Which of the following foods would be recommended to include in her diet? Select all that Apply.
-Avocados
-Spinach
-Potatoes
-White Rice
-Strawberries
-Peanut Butter
Avocados, Spinach, Potatoes
Rationale: A hypokalemia pt needs a balanced diet with high potassium foods.
Avocados, spinach, and potatoes are high in potassium; all others are low in potassium.
40 y/o, female, hypertensive pt is prescribed hydrochlorothiazide. The nurse is providing her with medication education.
Which statement(s) made by the pt indicates successful teaching? Select all that apply.
-“This medication may lead to low potassium, sodium, and calcium levels in my body.”
-“I will restrict fluid intake to 3000mL per day.”
-“Now that I am taking this medication, I will not have to monitor vital signs regularly.”
-“I will notify my doctor if I wish to become pregnant.”
-“This medication may lead to low potassium and sodium levels in my body.”
-“I will notify my doctor if I wish to become pregnant.”
-“This medication may lead to low potassium and sodium levels in my body.”
Rationale: hydrochlorothiazide is commonly used thiazide diuretic to treat hypertension, edema, and diabetes insipidus
-Pt are at risk for electrolyte imbalance, hypokalemia
-Contraindicated by pregnancy
A 30-year-old, male patient with full thickness burns sustained to his anterior trunk and limbs after falling into a campfire while intoxicated is at day nine on the Burn ICU. He currently has infusions of Lactated Ringers, continuous TPN, IV analgesia and a sedative. For the past day, he has increased his urine output, with urine appearing clear and pale. He is NSR on the monitor, but his most recent daily ABG revealed a pH of 7.51. Which of the following electrolyte imbalances should the Burn ICU nurse and team have the most concern?
Hypophosphatemia
A 25-year-old, male hockey player’s four front teeth have been knocked out during a fight with a player of the opposing team. He now has a charming toothless grin, and he’s in quite a bit of pain. After the nurse administers the ordered 20mg of oxycodone, which of the following is the nurse responsible for documenting? Select all that apply:
1 - The dosage given.
2 - The time administered.
3 - The therapeutic range of the medication.
4 - The onset of action.
5 - The mechanism of action.
6 - The route of administration.
1/2/6
Rationale: Documentation is key to the nurse’s role. Proper documentation is crucial, and should include the medication, dosage, time and route of administration.
