NUR 160 EXAM 2 HONDROS
ABCS for Post Op Patient - ✔✔airway
breathing
consciousness
circulation
system review
bronchial sounds - ✔✔louder on expiration than on inhalation
bronchial sounds location - ✔✔upper airway that are normal sounds, heard over the trachea and over
the upper airways & between the scapulae on the back
calcium lab values - ✔✔9-11
chronic bronchitis s/s - ✔✔hypoxia, acidosis, increased respiratory rate, digital clubbing, recurrent
cough & increased sputum production, cyanotic, edematous, cardiac enlargement, use of accessory
muscles to breath
coarse crackles - ✔✔intermittent bubbling sounds, can be present in CHF and pneumonia, heard on
inspiration, can go through to exhalation, caused by airway opening and secretions in the airways
dehiscence - ✔✔separation of a surgical incision
effects of early post op ambulation - ✔✔increased rate and depth of breathing, increased circulation,
increased micturition, increased metabolism, increased peristalsis
emphysema s/s - ✔✔increased CO2 retention (pink), purse lip breathing, dyspnea, barrel chest, anxious,
use of accessory muscles to breath
, evisceration - ✔✔protrusion of an internal organ through a wound or surgical wound
fine crackles - ✔✔intermittent, explosive sounds, caused by opening of the airway and by fluid in the
airway, heard on inhalation, can be present with CHF, pneumonia, and COPD
foods rich in potassium - ✔✔apricots, bananas, oranges, grapefruit, melon, honeydew, dried fruits, beef,
chicken, liver, pork, milk, nuts, dried beans, broccoli, carrots, cola drinks, vegetable juices, tomatoes,
potatoes
HCO3 lab value - ✔✔22-26 (acid-basic)
hypercalcemia causes - ✔✔cancer, osteoporosis, steroid therapy
hypercalcemia s/s - ✔✔kidney stones, decreased DTR, severe muscle weakness, bone pain, constipation,
n/v, nausea, increased thirst, dry mucous membranes, coma, impaired memory
hyperkalemia causes - ✔✔renal disease, K+ sparing diuretic use, addison's disease, burns, acidosis
hyperkalemia s/s - ✔✔arrhythmia, bradycardia, heart tight and contracted, hypotension, diarrhea,
muscle weakness, increased DTR, irritability, abdominal cramping, hyperactive bowel sounds
hypermagnesemia causes - ✔✔renal disease, antacids, magnesium laxatives
hypermagnesemia s/s - ✔✔heart block, bradycardia, hypotension, coma, death, slurred speech,
weakness, decreased DTR, depressed & shallow respirations, n/v, diarrhea
hypernatremia causes - ✔✔DI, increased Na+ intake, v/d, diaphoresis, too much NaHCO3
ABCS for Post Op Patient - ✔✔airway
breathing
consciousness
circulation
system review
bronchial sounds - ✔✔louder on expiration than on inhalation
bronchial sounds location - ✔✔upper airway that are normal sounds, heard over the trachea and over
the upper airways & between the scapulae on the back
calcium lab values - ✔✔9-11
chronic bronchitis s/s - ✔✔hypoxia, acidosis, increased respiratory rate, digital clubbing, recurrent
cough & increased sputum production, cyanotic, edematous, cardiac enlargement, use of accessory
muscles to breath
coarse crackles - ✔✔intermittent bubbling sounds, can be present in CHF and pneumonia, heard on
inspiration, can go through to exhalation, caused by airway opening and secretions in the airways
dehiscence - ✔✔separation of a surgical incision
effects of early post op ambulation - ✔✔increased rate and depth of breathing, increased circulation,
increased micturition, increased metabolism, increased peristalsis
emphysema s/s - ✔✔increased CO2 retention (pink), purse lip breathing, dyspnea, barrel chest, anxious,
use of accessory muscles to breath
, evisceration - ✔✔protrusion of an internal organ through a wound or surgical wound
fine crackles - ✔✔intermittent, explosive sounds, caused by opening of the airway and by fluid in the
airway, heard on inhalation, can be present with CHF, pneumonia, and COPD
foods rich in potassium - ✔✔apricots, bananas, oranges, grapefruit, melon, honeydew, dried fruits, beef,
chicken, liver, pork, milk, nuts, dried beans, broccoli, carrots, cola drinks, vegetable juices, tomatoes,
potatoes
HCO3 lab value - ✔✔22-26 (acid-basic)
hypercalcemia causes - ✔✔cancer, osteoporosis, steroid therapy
hypercalcemia s/s - ✔✔kidney stones, decreased DTR, severe muscle weakness, bone pain, constipation,
n/v, nausea, increased thirst, dry mucous membranes, coma, impaired memory
hyperkalemia causes - ✔✔renal disease, K+ sparing diuretic use, addison's disease, burns, acidosis
hyperkalemia s/s - ✔✔arrhythmia, bradycardia, heart tight and contracted, hypotension, diarrhea,
muscle weakness, increased DTR, irritability, abdominal cramping, hyperactive bowel sounds
hypermagnesemia causes - ✔✔renal disease, antacids, magnesium laxatives
hypermagnesemia s/s - ✔✔heart block, bradycardia, hypotension, coma, death, slurred speech,
weakness, decreased DTR, depressed & shallow respirations, n/v, diarrhea
hypernatremia causes - ✔✔DI, increased Na+ intake, v/d, diaphoresis, too much NaHCO3
