Nur256 Exam #2.docx

Nurse Expects These Clients to be in Respiratory Acidosis? - correct answer Morphine Overdose Sleep Apnea COPD Asthma Attack Alcohol Intoxication How much urine do we want to be excreted from kidneys? - correct answer 30mL/hr What is the ONLY solution you can give with blood? - correct answer Normal Saline Anything over 1.3 on creatine labs mean? - correct answer Kidney Injury Anything over 1.5 on creatine labs mean? - correct answer Dialysis A patient is dying what order would you question? - correct answer Pain Medication Order Patient is in oncology, and is at risk for infection related to myelosuppression, what intervention should nurse take? - correct answer Maintain Skin Integrity What are we doing for palliative care? - correct answer Taking a Holistic Approach Patient is going for a follow up appointment, has jaundice, what labs do we check? - correct answer LFT (LIVER FUNCTION TESTS) Personal Care is being given by aid, she needs you to intervene when? - correct answer She's Skipping Oral Care (prevents Stomatitis) Zofran (odansteron) makes you sleepy, what do you need to do for safety? - correct answer Help Patient when getting out of bed. Where do you have exchange of oxygen? - correct answer Alveoli How will the nurse correct Respiratory Alkalosis? - correct answer Use a Paper bag What does adventitious mean? - correct answer Anything abnormal (Tactile Fremitus) When do we collect sputum cultures? - correct answer upon rising (in the morning) Before performing any radioisotope procedures, what do we need to check for? - correct answer Any allergies related to iodine or shellfish What should the nurse recommend a patient with pharyngitis avoid? - correct answer ENDS use, secondhand smoke What is a priority education component for a patient scheduled for a total laryngectomy? - correct answer Clarify misconceptions after the patient speaks w/provider Discuss effect of surgery on speech postop Explain methods for communication postop Patient is catholic, and just taken off hospice care, what should nurse do? - correct answer Notify Priest to give Last Rights. (LAST SACRAMENT) What medication is not used for Epistaxis? - correct answer Benadryl Anything greater than 100 on a BMP means? - correct answer Heart Failure What is the highest priority with patient who has an upper respiratory infection? Emphysema? - correct answer Maintain Airway How do you document breathing sounds? - correct answer Clear to diminish (Acute Respiratory Failure) Nurse just clocks in for shift, who would she see first? - correct answer Patient with Stridor (upper Airway Block) Patient has asthma, what medication do we give? - correct answer Bronchodilator After given bronchodilator, how do we know it worked? - correct answer Listen to lung sounds for NO DYSPNEA