Hondros Nur 160 Exam 2 (Already Graded A+)
Mask or cannula safety correct answers -ensure straps arent too tight -remove straps 2-3/day to wash, dry, and stimulate skin. -pad any pressure points and observe the tops of ears for skin impairment. Oral and nasal mucous membranes safety correct answers -assess membranes two or three times a day. -use water-based gel on lips on nasal mucosa. -provide frequent oral hygiene. -humidification via humidifier or nebulizing device. Decreasing risk for infection with oxygen use correct answers -remove mask or collar and cleanse with water two or three times a day. -cleanse the skin carefully at this time and observe for cuts scratches and ecchymosis. -change disposable equipment frequently. -remove secretions that are expectorated. ECV deficit symptoms correct answers Sudden wight loss, skin tenting, dry membranes, vascular overload: rapid threads pulse, BP drop, lightheadedness, low urine output, syncope, possible shock. ECV excess symptoms correct answers Sudden weight gain, dependent edema, Vascular overload: bounding pulse, distended neck veins, dyspnea, pulmonary edema. Hyponatremia symptoms correct answers Impaired cerebral function: decreased LOC, nausea, seizures. <130 mEq/L Hypernatremia symptoms correct answers Impaired cerebral function: decreased LOC, thirst, seizures. >145 mEq/L Hypokalemia symptoms correct answers Flaccid muscle weakness, abdominal distinction, constipation, Portugal hypotension, polyuria, cardiac dysrhythmias. <3.5 mEq/L Hyperkalemia symptoms correct answers Flaccid muscle weakness, cardiac dysrhythmias, cardiac arrest. >5.0 mEq/L Hypocalcemia symptoms correct answers Increased neuromuscular excitability: positive Chvostek's and Trousseau's signs, muscle cramping, twitching, hyperactive reflexes, carpal and pedal spasms, tetany, seizures, cardiac dysrhythmias. <9.0 mg/dL <4.5 mEq/L Hypercalcemia symptoms correct answers Decreased neuromuscular excitability: anorexia, nausea, constipation, muscle weakness, diminished reflexes, decreased LOC, cardiac dysrhythmias. >11.0 mg/dL >5.7 mEq/L
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