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Random NCLEX/ Fluid And Electrolytes


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

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