BUN 10 to 30 mg/dl, potassium 4.0 mEq/L, creatinine 0.5 to 1.5 mg/dl
Decreased serum calcium, blood pH 7.2, potassium 6.5 mEq/L
BUN 15 mg/dl, increased serum calcium, creatinine l.0 mg/dl
BUN 35 to 40 mg/dl, potassium 3.5 mEq/L, pH 7.35, decreased serum calcium
Left lower quadrant
Left upper quadrant
Right lower quadrant
Right upper quadrant
Telling him to avoid heavy lifting for 4 to 6 weeks
Instructing him to have a soft bland diet for two weeks
Telling him to resume his previous daily activities without limitations
Recommending him to drink eight glasses of water daily
An increase in the total volume of intracranial plasma
Excessive renal perfusion with diuresis
Fluid shift from interstitial space
Fluid shift from intravascular space to the interstitial space
Debriding and covering the wounds
Frequently observing for hoarseness, stridor, and dyspnea
Establishing a patent IV line for fluid replacement
Changing the location of the bed or the TV set, or both, daily
Encouraging the client to chew gum and blow up balloons
Avoiding the use of a pillow for sleep, or placing the head in a position of hyperextension
Helping the client to rest in the position of maximal comfort
Evaluation of the peripheral IV site
Confirmation that the tube is in the stomach
Assess the bowel sound
Fluid and electrolyte monitoring
Glucose and insulin
Polystyrene sulfonate (Kayexalate)
Assuring Maria that she will be cured of cancer
Assessing Maria’s expectations and doubts
Maintaining a cheerful and optimistic environment
Keeping Maria’s visitors to a minimum so she can have time for herself
Call the MD to change the dressing so Kathy can see the incision
Recognize that Kathy is experiencing denial, a normal stage of the grieving process
Reinforce Kathy’s belief for several days until her body can adjust to stress of surgery.
Remind Kathy that she needs to accept her diagnosis so that she can begin rehabilitation exercises.
It is a local treatment affecting only tumor cells
It affects both normal and tumor cells
It has been proven as a complete cure for cancer
It is often used as a palliative measure.
Biopsy is the removal of suspicious tissue and the only definitive method to diagnose cancer
Ultrasonography detects tissue density changes difficult to observe by X-ray via sound waves.
CT scanning uses magnetic fields and radio frequencies to provide cross-sectional view of tumor
Endoscopy provides direct view of a body cavity to detect abnormality.
Ensuring patency of wound drainage tube
Placing the arm on the affected side in a dependent position
Restricting movement of the affected arm
Frequently elevating the arm of the affected side above the level of the heart.
“I should get out of bed and walk around in my room.”
“My 7 year old twins should not come to visit me while I’m receiving treatment.”
“I will try not to cough, because the force might make me expel the application.”
“I know that my primary nurse has to wear one of those badges like the people in the x-ray department, but they are not necessary for anyone else who comes in here.”
The inability of the kidneys to excrete the drug metabolites
Rapid cell catabolism
Toxic effect of the antibiotic that are given concurrently
The altered blood ph from the acid medium of the drugs
Low residue diet
Vaginal irrigation every shift
Avoid BP measurement and constricting clothing on the affected arm
Active range of motion exercises of the arms once a day.
Discourage feeding, washing or combing with the affected arm
Place the affected arm in a dependent position, below the level of the heart
Hypervolemia, hypokalemia, and hypernatremia.
Hypervolemia, hyperkalemia, and hypernatremia.
Hypovolemia, wide fluctuations in serum sodium and potassium levels.
Hypovolemia, no fluctuation in serum sodium and potassium levels.
A rapid pulse and increased RR
Decreased physiologic functioning
Rigid posture and altered perceptual focus
Increased awareness and attention
Placing her in a trendeleburg position
Putting several warm blankets on her
Monitoring her hourly urine output
Assessing her VS especially her RR
Elevated hematocrit levels.
Urine output of 30 to 50 ml/hr.
Change in level of consciousness.
Estimate of fluid loss through the burn eschar.
Administering an irritant that will stimulate vomiting
Spirating secretions from the pharynx if respirations are affected
Neutralizing the chemical
Washing the esophagus with large volumes of water via gastric lavage
Skin warm and dry
Pupils equal and react to light
Palpable carotid pulse
Positive Babinski’s reflex
Local anesthetics and antibacterial drops for 24 – 36 hrs.
Hot compresses applied at 15-minute intervals
Flushing of the lids, conjunctiva and cornea with tap or preferably sterile water
Cleansing the conjunctiva with a small cotton-tipped applicator
Force air out of the lungs
Increase systemic circulation
Induce emptying of the stomach
Put pressure on the apex of the heart
Ask them to stay in the waiting area until she can spend time alone with them
Speak to both parents together and encourage them to support each other and express their emotions freely
Speak to one parent at a time so that each can ventilate feelings of loss without upsetting the other
Ask the MD to medicate the parents so they can stay calm to deal with their son’s death
Decrease mucosal swelling
Relax the bronchial smooth muscle
Decrease bronchial secretions
Upper half of the sternum
Upper third of the sternum
Lower half of the sternum
Lower third of the sternum
“You should be grateful you are not blind.”
“As one ages, visual changes are noted as part of degenerative changes. This is normal.”
“You should rest your eyes frequently.”
“You maybe able to improve you vision if you move slowly.”
Sneezing, coughing and blowing the nose
Straining to have a bowel movement
Wearing tight shirt collars
Use appropriate hand motions
Keep hands and other objects away from your mouth when talking to the client
Peak clearly in a loud voice or shout to be heard
Converse in a quiet room with minimal distractions
Specimens obtained should be labeled in their proper sequence.
It may be used to inject air, dye or drugs into the spinal canal.
Assess movements and sensation in the lower extremities after the
Force fluids before and after the procedure.
Inform the client that a warm, flushed feeling and a salty taste may be
Maintain pressure dressing over the site of puncture and check for
Check pulse, color and temperature of the extremity distal to the site of
Kept the extremity used as puncture site flexed to prevent bleeding.
Abnormal respiratory pattern
Rising systolic and widening pulse pressure
Contralateral hemiparesis and ipsilateral dilation of the pupils
Progression from restlessness to confusion and disorientation to lethargy
Anticipate the client wishes so she will not need to talk
Communicate by means of questions that can be answered by the client shaking the head
Keep us a steady flow rank to minimize silence
Encourage the client to speak at every possible opportunity.
Altered level of cognitive function
High risk for injury
Altered cerebral tissue perfusion
Sensory perceptual alteration
High risk for injury related to muscle weakness
Ineffective coping related to illness
Ineffective airway clearance related to muscle weakness
Measure the ph of the fluid
Measure the specific gravity of the fluid
Test for glucose
Test for chlorides
Wash, dry, and inspect the stump daily.
Treat superficial abrasions and blisters promptly.
Apply a "shrinker" bandage with tighter arms around the proximal end of the affected limb.
Toughen the stump by pushing it against a progressively harder substance (e.g., pillow on a foot-stool).
Decrease the calorie count of her daily diet.
Take warm baths when arising.
Slide items across the floor rather than lift them
Place items so that it is necessary to bend or stretch to reach them.
Apply hot compresses to the affected joints.
Stress the importance of maintaining good posture to prevent deformities.
Administer salicylates to minimize the inflammatory reaction.
Ensure an intake of at least 3000 ml of fluid per day.
Before log rolling, place a pillow under the client’s head and a pillow between the client’s legs.
Before log rolling, remove the pillow from under the client’s head and use no pillows between the client’s legs.
Keep the knees slightly flexed while the client is lying in a semi-Fowler’s position in bed.
Keep a pillow under the client’s head as needed for comfort.
Heparinize it daily.
Avoid taking blood pressure measurements or blood samples from the affected arm.
Change the Silastic tube daily.
Instruct the client not to use the affected arm.
TURP is the most common operation for BPH.
Explain the purpose and function of a two-way irrigation system.
Expect bloody urine, which will clear as healing takes place.
He will be pain free.
Osmotic diuretics and corticosteroids are given to decrease cerebral edema
Anticonvulsants are given to prevent seizures
Thrombolytics are most useful within three hours of an occlusive CVA
Aspirin is used in the acute management of a completed stroke.