VN 22 CLO 4 & 5- Done

Question 1

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

Answer 1

encourage ambulation

Question 2

Most common fluid imbalance in adults?

Answer 2

dehydration

Question 3

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

Answer 3

Find and correct the cause of tachypnea

Question 4

ABG’S

Answer 4

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

Question 5

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

Answer 5

isotonic

Question 6

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

Answer 6

keep client clean & well groomed

Question 7

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

Answer 7

-oral care
-ice chips
-petroleum jelly

Question 8

What type of solution is normal saline?

Answer 8

crystolloid

Question 9

What type of solution replaces circulating blood?

Answer 9

colloid

Question 10

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

Answer 10

no, restrict sodium

Question 11

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

Answer 11

cancer

Question 12

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?

Answer 12

monitor postural changes of BP

Question 13

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

Answer 13

notify physician

Question 14

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

Answer 14

toxicity

Question 15

What is a contraindication to ultrasonography is what?

Answer 15

-chewing gum
-smoking

Question 16

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

Answer 16

50% glucose IV stat

Question 17

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

Answer 17

hemorrhage

Question 18

What do we assess for anyone having a contrast test ?

Answer 18

allergy to iodine

Question 19

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

Answer 19

report to the physician

Question 20

What is the priority for seizure?

Answer 20

protect from injury (safety)

Question 21

What’s the difference between an ischemic and hemorrhagic stroke

Answer 21

ischemic: block, emboli
hemorrhagic: bleeding

Question 22

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

Answer 22

keep the client in semi fowlers position at all times

Question 23

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

Answer 23

regular

Question 24

Nursing interventions for seizures?

Answer 24

-keep pt safe from injury

Question 25

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

Answer 25

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

Question 26

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

Answer 26

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

Question 27

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

Answer 27

numbness, tingling, or pain in the extremity

Question 28

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

Answer 28

avoid salt

Question 29

What do we avoid with an aneurysm?

Answer 29

-straining -coughing -heavy lifting

Question 30

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

Answer 30

avoid intake of processed or commercially prepared foods

Question 31

Procedure w/contrast what do we ask for?

Answer 31

allergy to iodine, shellfish or shrimp

Question 32

Why don't we stop anticonvulsant meds abruptly?

Answer 32

can trigger status epileptics

Question 33

When do you take Sumitriptan?

Answer 33

take at the onset of the headaches

Question 34

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

Answer 34

opioids

Question 35

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

Answer 35

sitting upright 2hrs after eating

Question 36

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

Answer 36

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

Question 37

Why don't we encourage prolonged used of laxatives?

Answer 37

Can slow down bowel function "sluggish"

Question 38

What do we avoid in any type of abdominal surgery?

Answer 38

heavy lifting

Question 39

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

Answer 39

add fiber gradually

Question 40

What are we concerned with pts that have diarrhea?

Answer 40

-hypokalemia (increase potassium-rich foods) -dehydration