Random NCLEX/ Fluid And Electrolytes

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Pulmonary TB assessment -fevers in afternoon
-frequent coughing
-bloody sputum
-weight loss
calcium level 135-145 mEq/L
calcium food sources bacon
butter
canned food
cheese
frankfurters
ketchup
lunch meat
milk
mustard
processed food
snack food
soy sauce
table salt
white/whole wheat bread
suprapubic prostatectomy 2 tubes: cath and suprapubic drainage tube. Both should drain bloody urine. if he yells "Take that tube out of me right now!" he could have a clot
Train wreck this morning: which patient is stable to be moved? from surgical to peds- which skills does nurse have? oopharectomy
total knee replacement needs special equipment; passive ROM
spinal stenosis postop requires careful positioning

pt in PACU, major abd sx this morning. Patient vomits. which are we most concerned with?
-electrolyte imbalance
-wound contamination
-aspiration
-dehiscence
aspiration because patient is not likely to be fully conscious

pt major abd sx yesterday, vomiting frequently. most concerned with?
-electrolyte imbalance
-wound contamination
-aspiration
-dehiscence
electrolyte imbalance bc vomiting frequently

Pt admitted immediately following CVA. Which goal is priority?
-maintain skin integrity
-be continent of urine
-have clear lungs upon auscultation
-maintain joint mobility
clear lungs upon auscultation

4 y/o constantly scratching anus. pinworms suspected. INITIAL:
-identify organism
-collect stool specimen
-prevent reinfection
-notify health dept

when you hear INITIAL think ASSESSMENT (1&2)
stool specimen doesnt dx pinworms. need to
identify organism

adult acute glomerulonephritis complains of thirst. Offer client:
-hard candy
-cup of broth
-milkshake
-glass of ginger ale

Think odd man wins
-hard candy
can't give pt liquids
Thyroid crisis
odd man wins! rapid pulse!
thyroid controls metabolic rate

chronic glomerulonephritis. which CM would not be observed when in stage of diminshed renal reserve?
-polyuria
-high BUN
-polydipsia
-noctura

odd man wins
high BUN

Probable hep A. Initial symptom?
-icterus
-jaundice
-pruritis
-nausea

Nausea. Starts with GI
odd man wins!
Hypocalcemia EKG

Prolonged STProlonged QT

Hypercalcemia EKG

Shortened ST segmentWidened T wave

Hypokalemia EKG

ST depression

Shallow, flat, inverted T waveProminent U wave

Hyperkalemia EKG

Tall peaked T waves

Flat P waves

Widened QRS complexProlonged PR interval

Hypomagnesemia EKG

Tall T waves

Depressed ST segment

Hypermagnesemia EKG

Prolonged PR intervalWidened QRS complexes