Terms in this set (246)
The specimen needs to be collected in a sterile container
After performing chest physiotherapy, the
nurse decides to collect a sputum sample that
has been ordered. Which of the following is
important for the nurse to remember when
performing this procedure?
How are IV cathaters sized by? By gauge, the smaller the gauge the larger the diameter of the catheter
- Assess dressing
How can you prevent infection for peripheral - Look for signs of infection at insertion site
IV's? - Change IV site and IV tubing every 72-96 hours (per facility policy)
By increasing the heart rate& contraction strength
How does the body try to compensate for
volume loss during hypovolemia?
, - Low Ca diet and meds
- IV isotonic Saline & calcitonin
How do you manage hypercalcemia? - Loop diuretics to excrete Ca+
- Dialysis
- Restrict Mg
- IV Calcium gluconate, Fluids &
How do you manage hypermagnesemia? - Furosemide & dialysis
- High Ca+ diet & Supplements Vit D
- IV Calcium Gluconate
How do you manage hypocalcemia? - Cardiac monitor
- Treat underlying cause
- Oral supplements
How do you manage hypomagnesemia? - Parenteral IV or IM magnesium
- Give preterm labor to relax contractions
How much much fluid output per day should About 300 mL/day
come from exhalation?
About 900 mL/day
How much much fluid output per day should
come from insensible fluid loss?
About 600 mL/day
How much much fluid output per day should
come from perspiration?
, 100-200 mL/day
How much much fluid output per day should
come from the intestinal tract?
1,500 mL/day (at least 30 to 50 mL/hr.)
How much much fluid output per day should
come from the kidneys?
Q8h and before and after an infusion
How often should a nurse flush a patient's IV
site, who is recieving intermittent infusions?
- Every 8 hours
How often should the nurse flush a patient's
- Before and after IV infusions
peripheral IV?
Every 8 hours
How often should you record a patient's
I&O's?
Retractions
How would a nurse describe: "Muscles
between their ribs and above the clavicles are
pulling with each breath"?
, - Blue discoloration of lips and nail beds
- Change in alertness or level of consciousness
- Chest pain, tightness, or pressure
- Palpitations
- No urine production
- Tachycardia - increased heart rate
If hypovolemia goes untreated, what serious
- Tachypnea - rapid breathing
symptoms may develop?
- Decreased blood pressure
- Weak pulse
COPD
It is determined that Mr. Smith has developed
oxygen induced hypoventilation. Which of the
following conditions put this client at higher
risk for developing this condition?
Using oils around oxygen can contribute to the risk of fire so we will need to find
alternative together
Mr. Smith complains that the oxygen is
uncomfortable and his nose feels dry. He asks
if he can have his Juul from his bag to reduce
his anxiety. The nurse responds to the client
with which of the following statements?
The specimen needs to be collected in a sterile container
After performing chest physiotherapy, the
nurse decides to collect a sputum sample that
has been ordered. Which of the following is
important for the nurse to remember when
performing this procedure?
How are IV cathaters sized by? By gauge, the smaller the gauge the larger the diameter of the catheter
- Assess dressing
How can you prevent infection for peripheral - Look for signs of infection at insertion site
IV's? - Change IV site and IV tubing every 72-96 hours (per facility policy)
By increasing the heart rate& contraction strength
How does the body try to compensate for
volume loss during hypovolemia?
, - Low Ca diet and meds
- IV isotonic Saline & calcitonin
How do you manage hypercalcemia? - Loop diuretics to excrete Ca+
- Dialysis
- Restrict Mg
- IV Calcium gluconate, Fluids &
How do you manage hypermagnesemia? - Furosemide & dialysis
- High Ca+ diet & Supplements Vit D
- IV Calcium Gluconate
How do you manage hypocalcemia? - Cardiac monitor
- Treat underlying cause
- Oral supplements
How do you manage hypomagnesemia? - Parenteral IV or IM magnesium
- Give preterm labor to relax contractions
How much much fluid output per day should About 300 mL/day
come from exhalation?
About 900 mL/day
How much much fluid output per day should
come from insensible fluid loss?
About 600 mL/day
How much much fluid output per day should
come from perspiration?
, 100-200 mL/day
How much much fluid output per day should
come from the intestinal tract?
1,500 mL/day (at least 30 to 50 mL/hr.)
How much much fluid output per day should
come from the kidneys?
Q8h and before and after an infusion
How often should a nurse flush a patient's IV
site, who is recieving intermittent infusions?
- Every 8 hours
How often should the nurse flush a patient's
- Before and after IV infusions
peripheral IV?
Every 8 hours
How often should you record a patient's
I&O's?
Retractions
How would a nurse describe: "Muscles
between their ribs and above the clavicles are
pulling with each breath"?
, - Blue discoloration of lips and nail beds
- Change in alertness or level of consciousness
- Chest pain, tightness, or pressure
- Palpitations
- No urine production
- Tachycardia - increased heart rate
If hypovolemia goes untreated, what serious
- Tachypnea - rapid breathing
symptoms may develop?
- Decreased blood pressure
- Weak pulse
COPD
It is determined that Mr. Smith has developed
oxygen induced hypoventilation. Which of the
following conditions put this client at higher
risk for developing this condition?
Using oils around oxygen can contribute to the risk of fire so we will need to find
alternative together
Mr. Smith complains that the oxygen is
uncomfortable and his nose feels dry. He asks
if he can have his Juul from his bag to reduce
his anxiety. The nurse responds to the client
with which of the following statements?
