-
When caring for a patient with
bacterial meningitis which lab results would indicate a left shift in the
differential?
- -
- Elevation
- in the neutrophils
-
Which lab value would most likely
indicate a viral infection?
- -
- Elevated
- lymphocytes ( viral = right shift)
-
Which nursing diagnosis should be
included in a plan of care of a patient with low hemoglobin levels?
- -
- Alteration
- in tissue perfusion
-
What signs would the patient exhibit
who has a low total protein level?
-
What is an estimated glomerular
filtration rate?
-
A GFR is a test that evaluates the kidney function, anything below 60 mL/hour =
- renal impairment. Calculated using creatinine
- levels and a formula
-
What patient teaching should be
completed before a patient goes for a MRI test?
- -
- Tell
- them that there will be limited space within the machine, also there will be a
- loud clanging noise throughout the test
- -
- Must
- be able to follow directions
-
Which assessments by the nurse is the
most important when caring for a patient going to a CT scan test with dye?
- -
- If
- the patient is allergic to the dye/contrast medium
- -
- Also
- the patients kidney function
-
What nursing action should be
included in the plan of care with a patient who is post femoral arteriogram?
- -
- Pressure
- must be maintained at the insertion site
- -
- Monitoring
- distal pulses
- -
- Patient
- must be on bedrest for 6-8 hours with the affected leg straight
-
What test would be ordered to
identify abnormal electrical heart conduction?
- -
- EKG:
- the test involves attaching 10 electrodes to the patient’s chest and
- extremities to measure electrical impulses of the heart; looking for
- abnormalities of electrical conduction
-
What instructions would the nurse give
to a patient who is going to receive a baseline EKG?
- -
- Nurse
- collects med lists and asks if the patient is having any cardiac symptoms
-
What action should be taken when a
patient with telemetry unit what to take a shower?
- -
- Must
- call CMR, and left them know that your will be removing the unit for a shower
-
What instructions would the nurse
give a patient wearing a holter monitor?
- -
- Keep
- a diary of the activities that you perform, such as walking or taking meds
- -
- If
- they have any symptoms they should press the event button
-
What instructions would the nurse give
a patient who is going for a EEG?
- -
- Make
- sure you wash your hair, and keep it free from all gels and hair spray
-
What position should the nurse assist
the patient to assume when preparing for a paracentesis?
-
Which medications should the patient
avoid when preparing for a bone marrow aspirations?
- -
- Not
- the take anything with aspirin (NSAIDS)
-
What factor is dependent on the
movement of fluid from ECF to ICF compartments?
-
What does third spacing mean?
- -
- It’s
- a fluid shift; low blood volume = low blood pressure = increase in fluid volume
- in interstitial spaces causing edema
-
What types of patients are at risk
for electrolyte imbalance?
- -
- Blood
- loss= water loss as well as solid blood components (electrolytes, proteins,
- RBC, WBC, thrombocytes)
-
You are caring for a patient with
nausea, vomiting and diarrhea and is currently NPO, family wants to know why?
- -
- To
- give the bowel a rest, patient might not be able to absorb the fluid through
- the GI tract
-
Have to prioritize care of several patients,
which to assess first?
- -
- Infants,
- small children, frail elders and patients with CHF and renal failure are more
- susceptible to fluid overload
-
What would cause a low BUN level?
-
What signs and symptoms would you be
most concerned about when caring for a patient taking Lasix?
- -
- Cramping,
- muscle spasm, weakness
-
What foods would you encourage the patient
to eat if they were on Lasix?
- -
- Bananas,
- apricots, avocados, sweet and baked potatoes, halibut, oranges, white beans and
- yougurt
-
What does a osmotic diuretic
medication do?
- -
- Increase
- osmolarity of the blood so that water will be pulled out of the interstitial spaces
- into the intravascular space
- -
- Lose
- water along with electrolytes (K and Na)
-
What is the lab value for Na levels
in the body?
-
Patients that need to limit their sodium
intake to 1500 mg/day?
- -
- People
- with hypertension and HF
-
What IV fluids would be included in
the treatment plan of a patient suffering from hyponatremia?
- -
- Isotonic
- IV infusion of 0.9 NaCl or LR
-
What results would you consider
effective when giving a patient Kayexalate?
- -
- How
- many bowel movements the patient has had
-
You just admitted a patient with
hypercalcemia related to cancer. The nurse would be concerned if the patient
was taking what kind of medicine?
- -
- Digitalis;
- increase strength of heart contractions, and slows the pulse and HR, can lead
- to toxicity
- Monitor for symptoms of
- toxicity: bradycardia, visual disturbances
-
Which additional electrolyte
imbalance would patient with hypercalcemia be at risk for?
- -
- Increased
- calcium = decreased magnesium and decrease phosphorus
-
Which assessments would the nurse be
looking for when admitting a patient with alkalosis?
- -
- Slow
- respiratory rate ( allows CO2 to remain in the blood)
-
What would be contributing cause of
low calcium deficiency?
- -
- Lack
- of Vitamin D absorbtion
-
What spaces contain 2/3 of the body
fluids?
-
What are the nursing responsibilities
for most diagnostic tests:
- -
- Making
- sure consent was signed
- -
- Knowing
- when to hold fluids or foods
- -
- Telling
- patient what to expect
- -
- Monitor
- for complications
- -
- Necessary
- nursing care post-op
-
Which diagnostic procedures may be
ordered for a patient with a suspected brain tumor?
- -
- MRI,
- EEG, Lumbar puncture
-
Which type of interventions would be
included with a patient admitted with fluid volume overload?
-
Name 4 signs of fluid volume excess:
- -
- Crackles
- in the lungs (RR above 26)
-
Chest X Ray
a radiographic picture of the upper torso
-
CBC
- complete blood count
- measures RBC, WBC, platelets (thrombocytes), hemoglobin and hematocrit in the blood
-
platelets
measures the number of thrombocytes that aid in the blood clotting process to prevent hemorrhage
-
WBC
measures the number of infection fighting leukocytes in the blood
-
H&H
Hemoglobin and hematocrit
-
Hemoglobin
measures the amount of iron pigment in the blood
-
hematocrit
measures the percentage of RBC compared to te whole volume of blood
|
|
