-
antidiuretic syndrome. specific gravities assess what?
fluid vol. status.
-
renal failure. mg levels high. assess what?
DTR
-
burn unit, 3rd spacing. fluid shift. expect pt to demonstrate?
hypovolemia.
-
hyperventilation is most common cause of what acid base imbalance?
resp. alkalosis.
-
oh 7.26, co2 28, bicarb 11.
metabolic acidosis, compensating alkalosis.
-
edema around insertion site. what is it?
infiltration
-
skin turgor. what do you remember?
inelastic skin turgor is normal part of aging.
-
periph IV before pt goes to OR, selecting a site.
choose distal site
-
medical ICU, hypertonic solution, low blood pressure. how?
osmosis and osmolality
-
65 female. renal failure. tingling lips and fingers. spasm in wrist and hands.
hypocalcemia.
-
patient in renal failure ability to regulate ph. what is the cause...
the kidneys regenerate and reabsorb bicarb to maintain stable ph
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65yom. pyloric stenosis, NG tube suction for 72 hours.
metabolic alkalosis
-
preparing IV site.
ask patient if allergic to latex
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SOB, ABGs drawn. ph 7.21, co2 64, bicarb 23, what is it.
resp acidosis.
-
oliguric , acute care NP orders fluid challenge. why?
help distinguish reduced renal blood flow from reduced renal fx.
-
home health nurse, 84, poor skin turgor
-
limiting fluids, adjusting timing of fluids.
-
74M, slip carpet on home. hip fx. axious and thirsty.
sympathetic rx.
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skills lab IV technique. excess hair?
shave.
-
evaluating lab results. cause release of ADH?
increased NA+
-
admitting pt with ephysema. co2 56-64. cautious admitting oxygen?
hypercarbia
-
electrolytes arterial to capillary fluids.
hydrostatic. pumping of heart.
-
77M fell off roof. creatinine levels increased?
reduced renal fx.
-
IV site infltration of med. what is it?
extravasation of site
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post colon resection. ng tube patent. cramps. tingling feet.
dilute of urine.
-
oncoogy floor. metastatic brain CA.
hypercalcemia.
-
multiple traumas, ABGs x4. assess what?
hco3 buffer system.
-
met acidosis. role of kidneys in this?
kidneys excrete hydrogen ions
-
ICU, resp acidosis, what dx can cause this?
guillian barre
-
ICU, trauma, trouble breathing, abd pain.
mixed metabolic acidosis with resp acidosis.
-
isotonic fluids close to ECF. infuse electrolytes when?
never. rupture RBCs
-
family concerns with status. tachy, lethargic, weak, edema. what is it?
hyperchloremia
-
met acidosis 2 forms. what causes normal anion gap?
excessive administration of chloride
-
met. alk. ng tube. bowel obstruction. what drug to have?
semetidine (antacid)
-
pancreatitis. malnourished. TPN. why would you know to do it slowly?
hypocalcemia. avoid shifts in electrolytes.
-
secondary hypermag. assess what?
shallow resp.
-
increase K+ with diet?
bananas.
-
chvostek sign.
hypocalcemia.
-
-
DM, criteria?
fasting blood glucose of greater 126
-
new DM2. guidelines to teach?
control cal intake resonable body wt.
-
what will decrease body need to insulin.
exercise.
-
humolog. teach what?
have meal tray available.
-
dx with type 2. sick day rules.
do no limit insulin with nausea and vomit.
-
what type of oral dm agent?
biguinide
-
students, studying DM, macrovascular complication?
stroke. MACRO.
-
senior health class, risk factor for DM, what can't be modified?
advanced age.
-
sx of hyperglycemia. DM, 15yo
type 1
-
type 1, pt asks what causes, what you say?
destruction of cells.
-
type 1 DM, glycosuria, what urine look like?
diluted.
-
primary tx of type 2 dm?
follow wt loss plan.
-
DM RN educator, ADA recommendations?
50-60% calories from carbs, 20-30 from fat, rest from protein
-
88yo with DM brought by daughter
fluid and electrolyte replacement.
-
pt teaching. best way to assess pt can prepare insulin?
direct observation of skill
-
elderly pt clinic. DM. foot care.
avoid complications associate with foot ulcers.
-
sick day rules. needs further teaching.
will not take when sick, but will recheck Q2
-
which pt will have greatest success in maintaining?
pt who adheres to meal plan
-
spilling sugar into urine, gestation DM.
200 after fasting.
-
which pt what hyperosmolar non ketonic
type 2 or no known
-
new DM2, 67 yo, long term complication?
cardiovascular dx
-
pt divorce. custody battle, drinking, lost job.
ketoacidosis
-
MD explain diabetic neuropathy, what cause?
causes aren't known for sure.
-
adolescent, what causes diabetes?
genetic, environmental and immunologic
-
contributing cause to foot ulcer?
insensitive feet.
-
DM educator, hypoglycemia as what?
below 60
-
summer camp, prevent hypoglycemia
always carry a fast acting sugar
-
teaching basic info to type 1 dm
how to mix insulint
-
conducting class on how to manage insulin regimen?
if you are going to use vial within 1 month, you can keep at room temperature.
-
enhance action at receptor site w/o increasing insulin secretion of beta cells of pancreas?
thiazolidinediones
-
adolescent patient, nervous and hungry, tachy, diaphoretic
fruit juice 4-6 oz.
-
another name for diabetic microvascular disease.
diabetic microangiography.
-
patient with DM2 seeing the nurse to review foot care, priority instruction?
avoid hot water and heating pads
-
DM educator assessing pt for knowledge how?
monitor the pt's daily food menus
-
foot care for DM pt. general guidelines?
wash feet in warm water.
-
decrease in deep tendon reflexes, ho hx of diabetic neuropathy.
decreased vibratory senation
-
diabetic pt with flu.
eat small amounts, stay hydrated.
-
hasimoto thyroiditis. what sx you expect?
numbness and tingling in fingers.
-
PACU, thyroidectomy, how to position?
semi fowlers, 2 pillows.
-
total parathyroidectomy. assess for what?
tentany
-
addison's disease
muscle weakness
-
iodine for thyroid, what food?
table salt.
-
corticoid steroid tx. important info?
infection
-
diabetes insipidis?
1.001-1.005
-
cushing's syndrome dexamethasone
administration at 2300 and plasma costisol at 0800 next morning.
-
cushing's syndrome. nursing priority?
muscle weakness.
-
addison's disease? hormone replacement.
dizziness on standing.
-
shift assessment aldostoronism. kidney's response?
proteinuriua
-
home care pt teaching, cortisol, when take corticos?
early morning, 7-8 am
-
diarrhea and vomiting. adrenal insufficiency.
increase Na+ intake.
-
hyperparatyroidism.
ambulation and act as tolerated.
-
adrenal tumor. vitals may change?
HTN and heart rate changes.
-
tyroidectomy. what labs indicate?
hypocalcemia.
-
hypertyroidism. create meal plans.
small, freq meals, high protein, calories,
-
dx of SIADH. care plan. priority is?
excessive fluid volume.
-
hypofx of adrenal cortex
decrease BP
-
grave's disease physical characteristics?
bulging eyes.
-
RAAS simulation test. what you d/c before test?
anti-hypertensives.
-
MD orders test for something, test for what?
diabetes insipidous
-
greater risk for hypothyroidism.
45F
-
77M hypothyroidism, knee surgery. prolonged rx to what type of med?
anasthetics
-
parathyroidectomy
Ca+ gluconate keep at bedside for emergency use.
-
pt with hypocalemia is having carpelpedal spasms. what is this called?
Trousseau signs.
-
you have hyperthyroidism, what monitor for?
thyroid storm.
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