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Random NCLEX/ Fluid And Electrolytes
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Side A ------ Side B Pulmonary TB assessment ------ -fevers in afternoon-frequent coughing-bloody sputum-weight loss calcium level ------ 135-145 mEq/L calcium food sources ------ baconbuttercanned foodcheesefrankfurtersketchuplunch meatmilk mustardprocessed foodsnack foodsoy saucetable saltwhite/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
Side A ------ Side B Pulmonary TB assessment ------ -fevers in afternoon-frequent coughing-bloody sputum-weight loss calcium level ------ 135-145 mEq/L calcium food sources ------ baconbuttercanned foodcheesefrankfurtersketchuplunch meatmilk mustardprocessed foodsnack foodsoy saucetable saltwhite/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
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