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VN 22 Med Surg 1 > VN 22 CLO 4 & 5- Done > Flashcards

VN 22 CLO 4 & 5- Done Flashcards

1
Q

What is an intervention for the prevention of post-op elius?

A

encourage ambulation

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2
Q

Most common fluid imbalance in adults?

A

dehydration

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3
Q

Client has manifestations of respiratory alkalosis, what would be the nurses first action?

A

Find and correct the cause of tachypnea

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4
Q

ABG’S

A

Ph: 7.35-7.45
PaCo2: 45-35
Hco3: 22-26

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5
Q

What solution is given to NPO client w/bowel obstruction?

A

isotonic

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6
Q

What nursing intervention should a nurse perform to promote the dignity & self-esteem of a dying client?

A

keep client clean & well groomed

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7
Q

What do we do to prevent the drying of oral mucous membranes in a dying client?

A

-oral care
-ice chips
-petroleum jelly

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8
Q

What type of solution is normal saline?

A

crystolloid

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9
Q

What type of solution replaces circulating blood?

A

colloid

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10
Q

Client is thirsty, has dry mucous membranes, decreased urine output, fever rough tongue, sodium level above 145, do we give pt salt tabs?

A

no, restrict sodium

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11
Q

Client complaints of horseness for 4 months could be a sign of?

A

cancer

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12
Q

What do we monitor when taking care of a Hypertensive pt, to ensure they don’t suffer injury due to lack of regulation of BP?

A

monitor postural changes of BP

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13
Q

Pt with malignant HTN(BP is ridiculously high), and complaints of a sudden headaches. what does the nurse do?

A

notify physician

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14
Q

Older people on digoxin are at an increased risk for what?

A

toxicity

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15
Q

What is a contraindication to ultrasonography is what?

A

-chewing gum
-smoking

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16
Q

Comatose pt blood sugar of 30 mg/dEq, what would be ordered?

A

50% glucose IV stat

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17
Q

Pt w/CVA prescribed w/heparin what do we worry about?

A

hemorrhage

18
Q

What do we assess for anyone having a contrast test ?

A

allergy to iodine

19
Q

A pt w/neuro disorder we see a change in VS , what does the nurse do?

A

report to the physician

20
Q

What is the priority for seizure?

A

protect from injury (safety)

21
Q

What’s the difference between an ischemic and hemorrhagic stroke

A

ischemic: block, emboli
hemorrhagic: bleeding

22
Q

What is a good nursing intervention to reduce the risk of aspiration for someone receiving tube feedings?

A

keep the client in semi fowlers position at all times

23
Q

PT with DKA, what type of insulin do they need?

A

regular

24
Q

Nursing interventions for seizures?

A

-keep pt safe from injury

25
Q

What would you anticipate when preparing a client for appendicitis surgery? What are nursing interventions?

A

-maintain NPO status
-deliver IV fluids
-obtain surgical consent

26
Q

What do you check when administering insulin to type 1 diabetics?

A

-duration of insulin (peak)
-accuracy of dosage
-type

27
Q

After a cardiac catheterization, we want to make sure we educate pt to report what?

A

numbness, tingling, or pain in the extremity

28
Q

What’s the #1 nursing instruction we can give to a pt w/pre hypertension?

A

avoid salt

29
Q

What do we avoid with an aneurysm?

A

-straining
-coughing
-heavy lifting

30
Q

Self-management of HF, what do we avoid with dietary?

A

avoid intake of processed or commercially prepared foods

31
Q

Procedure w/contrast what do we ask for?

A

allergy to iodine, shellfish or shrimp

32
Q

Why don’t we stop anticonvulsant meds abruptly?

A

can trigger status epileptics

33
Q

When do you take Sumitriptan?

A

take at the onset of the headaches

34
Q

What med do we avoid giving to a pt with an aneurysm?

A

opioids

35
Q

What is a nursing intervention for pt w/hiatal hernia before surgery?

A

sitting upright 2hrs after eating

36
Q

With Rouxney gastric bypass, what is the main thing to do?

A

-small meals, gradually increasing them
-avoiding liquids before and during meals

37
Q

Why don’t we encourage prolonged used of laxatives?

A

Can slow down bowel function “sluggish”

38
Q

What do we avoid in any type of abdominal surgery?

A

heavy lifting

39
Q

When we add fiber-rich foods what do we need to recommend?

A

add fiber gradually

40
Q

What are we concerned with pts that have diarrhea?

A

-hypokalemia (increase potassium-rich foods)
-dehydration

VN 22 Med Surg 1 (15 decks)

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