VN 22 CLO 4 Flashcards
1
Q
- One of thing we can do to prevent post-op ileus
A
encourage ambulation
2
Q
- What is the most common fluid imbalance in older adults
A
dehydration
3
Q
- If the client has manifestations of respiratory alkalosis, what would be our first action
A
to find and correct the cause of it (Tachypnea)
4
Q
- Know ABG values
A
PH: 7.35-7.45
CO2: 45-35
HCO3: 22-26
5
Q
- What kind of solution do we give for someone who is NPO due to a bowel obstruction
A
isotonic solution
6
Q
- 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
7
Q
- What do we do to prevent dry oral mucous membranes of a dying client
A
- oral care
- ice chips
- petroleum jelly
8
Q
- What type of solution is normal saline
A
Crystalloid solution
9
Q
- What type of solution replaces circulating blood
A
Colloid
10
Q
- Patient is thirsty , dry mucous membranes, decreased urine output, fever, rough tongue, sodium above 145
A
Avoid salt tablets
11
Q
- Client report hoarseness about 4 months could indicate what
A
can be a sign of cancer
12
Q
- 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
13
Q
- With malignant HTN, if we notice that the BP is high and has an headache
A
Notify the physician
14
Q
- Older people on digoxin
A
increase risk for toxicity
15
Q
- Contraindication for GI diagnostic test for ultrasonography
A
chewing gum or smoking
16
Q
- Comatose patient blood sugar level of 30
A
order 50% glucose IV STAT
17
Q
- Patient with CVA prescribed heparin worry about
A
hemorrhage
18
Q
- With contrast test, we ask for what
A
asses allergy for iodine
19
Q
- Patient with neuro disorder and see a change in their vital sign
A
report to the physician
20
Q
- Priority for seizures
A
safety
21
Q
- Know the difference between ischemic and hemorrhage
A
ischemic is a clot/thrombos/emboli and hemorrhage is bleeding
22
Q
- 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
- DKA type of insulin:
A
Regular
24
Q
- Priority for seizures
A
Safety
25
What would you anticipate for someone who has appendicitis
Maintain NPO status, deliver IV fluid and obtain surgical consent
26
26. Administering Type 1 diabetic would we be concerned
durations of insulin , accurate of dosage and type of insulin
