Comprehensive Study Guide
Pull the clients ear down and back - ANS✔✔ Proper administration of an optic medication to a
child
urgent surgery - ANS✔✔ Type of surgery that is scheduled within 24-48 hrs to relieve
symptoms?
Hypocalcemia - ANS✔✔ Positive trousseau and Chvostek signs are associated with what?
assess the client - ANS✔✔ When a nurse makes a medication error what is the FIRST thing the
nurse should do?
Timeout - ANS✔✔ before starting a procedure, the whole surgical team should stop to take a
break to discuss what's it called
· 22-25 gauge to 1-1.5 length - ANS✔✔ what gauge and needle length should be used to
administer an IM injection in an adult?
· Sleep apnea - ANS✔✔ the nurse should include interventions to support oxygenation for a
patient with what sleep alteration?
· Name and date of birth - ANS✔✔ before administering a med to a client what must the nurse
double check?
· Right pt, dose, time, documentation, to refuse, education, drug, route, evaluation, assessment
- ANS✔✔ what are the 10 rights of med administration?
,· Stroke volume x heart rate - ANS✔✔ what is the formula for cardiac output?
· 0.9% NaCl or lactated ringers - ANS✔✔ which type of iv fluid would be most appropriate to
administer to a dehydrated client?
First asks if they want you to do it with them or for them - ANS✔✔ a client asks a nurse to pray
for them
· Anticipatory grief (study types of grief) - ANS✔✔ older adult has 1 month left to live, what
type of grief are they likely experiencing?
· Biot's respirations - ANS✔✔ what are irregular respirations of variable depth, alternating with
periods of apnea called?
· Assess the client's bladder for distention - ANS✔✔ the nurse has noted the pt is experiencing
oliguria what intervention should the nurse perform first?
Hypotonic Saline - ANS✔✔ what category of fluid is 0.45% NaCl?
Tactile aphasia or agnosia - ANS✔✔ what is reduced or lack of ability to recognize objects by
touch?
neuropathic pain - ANS✔✔ complex chronic nerve with no stimulation?
· Children and people with cognitive issues - ANS✔✔ pain scale with sad and happy faces what's
it used for?
, ... - ANS✔✔ know acid base stuff
... - ANS✔✔ know diet for
-They are all low (inverse relationship) (pg. 1025)
-Hemodilution occurs from FVE so that decreases lab values
-So FVD (hypovolemia or dehydration, give isotonic fluids for this) would cause labs to increase -
ANS✔✔ what are the BUN HCT and specific gravity of urine levels with FVE?
Hypokalemia - ANS✔✔ K level of 3.1, what electrolyte imbalance is this?
Late signs of hypoxia - ANS✔✔ bradycardia, hypotensive, fatigue, and cyanotic
· Scrub nurse, they're sterile - ANS✔✔ What type of nurse that sets up and maintains sterile
field, prepares instruments, and responds to surgeon's needs?
· Moderate or consciousness sedation - ANS✔✔ rapid recovery, low anxiety and pain that are
adequately controlled, without the risk of general anesthetics, with what types of anesthetics?
-No foreign objects,
-wrong surgery,
-wrong site,
-infections from elective surgery, --wrong pt,
-DVT or PE after a knee or hip replacement
-With a PE pt, they will be short of breath (she said this will help with patho) - ANS✔✔ what are
the 6 never events for preoperative care?