VN 22 CLO 4 Flashcards

1
Q
  1. One of thing we can do to prevent post-op ileus
A

encourage ambulation

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2
Q
  1. What is the most common fluid imbalance in older adults
A

dehydration

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3
Q
  1. If the client has manifestations of respiratory alkalosis, what would be our first action
A

to find and correct the cause of it (Tachypnea)

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4
Q
  1. Know ABG values
A

PH: 7.35-7.45
CO2: 45-35
HCO3: 22-26

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5
Q
  1. What kind of solution do we give for someone who is NPO due to a bowel obstruction
A

isotonic solution

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6
Q
  1. What nurse intervention should the nurse preform to promote their dignity and self-esteem of a dying client
A

Keep the client clean and well groomed

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7
Q
  1. What do we do to prevent dry oral mucous membranes of a dying client
A
  • oral care
  • ice chips
  • petroleum jelly
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8
Q
  1. What type of solution is normal saline
A

Crystalloid solution

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9
Q
  1. What type of solution replaces circulating blood
A

Colloid

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10
Q
  1. Patient is thirsty , dry mucous membranes, decreased urine output, fever, rough tongue, sodium above 145
A

Avoid salt tablets

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11
Q
  1. Client report hoarseness about 4 months could indicate what
A

can be a sign of cancer

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12
Q
  1. Taking care of a Hypertensive patient to ensure they dont suffer injury due to their regulations of their BP
A

monitor posture changes in blood pressure

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13
Q
  1. With malignant HTN, if we notice that the BP is high and has an headache
A

Notify the physician

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14
Q
  1. Older people on digoxin
A

increase risk for toxicity

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15
Q
  1. Contraindication for GI diagnostic test for ultrasonography
A

chewing gum or smoking

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16
Q
  1. Comatose patient blood sugar level of 30
A

order 50% glucose IV STAT

17
Q
  1. Patient with CVA prescribed heparin worry about
A

hemorrhage

18
Q
  1. With contrast test, we ask for what
A

asses allergy for iodine

19
Q
  1. Patient with neuro disorder and see a change in their vital sign
A

report to the physician

20
Q
  1. Priority for seizures
A

safety

21
Q
  1. Know the difference between ischemic and hemorrhage
A

ischemic is a clot/thrombos/emboli and hemorrhage is bleeding

22
Q
  1. To reduce the risk of aspiration, for someone receiving two feedings, A good nursing interventions is
A

keep the client semi- folwer position at all time

23
Q
  1. DKA type of insulin:
A

Regular

24
Q
  1. Priority for seizures
A

Safety

25
Q

What would you anticipate for someone who has appendicitis

A

Maintain NPO status, deliver IV fluid and obtain surgical consent

26
Q
  1. Administering Type 1 diabetic would we be concerned
A

durations of insulin , accurate of dosage and type of insulin