109 Questions
Which of the following is a common cause of fluid volume deficit?
Excessive sweating
What is a potential clinical manifestation of fluid volume deficit?
Tachycardia
Which intervention is appropriate for managing fluid volume deficit?
Increasing sodium intake
What is a potential clinical manifestation of fluid volume excess?
Tachycardia
Which electrolyte imbalance is often associated with fluid volume excess?
Hyponatremia
What is a potential cause of fluid volume excess?
Heart failure
What can occur with severe/sudden water excess of severe hyponatremia?
Seizures
Potassium's normal range
3.5-5.0
Calcium's normal level
8.5-10
Sodium's normal range
135-145
What position should the patient be in with central lines?
Trendelenburg
What do you clean the site of a central line with?
chlorhexidine
what is a potential complication of central venous lines?
air embolism
how do we maintain for central line patency?
flushing it (with NS or heparin)
what is one important nursing care/intervention for central lines?
making sure it is well secured to the patient
what is a hemolytic reaction?
incompatibility
what is a febrile reaction?
reaction to WBC
what is a mild allergic reaction?
rash
what is a severe allergic reaction?
shock
what is the normal platelet range?
150,000 - 450,000
what is a bleeding precaution for someone with thrombocytopenia?
using a soft-bristle toothbrush or gauze
what is a hemophilia intervention/action?
checking for bruising, nosebleeds
what is a client teaching for hemophilia?
importance of frequent CBC labs
s/s of iron deficiency anemia
pallor
what is NOT something that occurs with anemia?
warm extremities
what is the priority intervention for sickle cell anemia?
oxygen
s/s of sickle cell anemia
extreme pain
which is NOT a treatment of sickle cell anemia?
limit fluid intake
what should NOT be used for sickle cell anemia?
cold
what stimulates bone marrow to produce RBCs?
erythropoietin
what do we do if someone is allergic to blood transfusions in the past?
give Benadryl and start
s/s of worsening oxygenation
changes in LOC
what is used in a thoracentesis?
local anesthesia
what is the patient instructed to do during a thoracentesis?
not move
how much output can lead to hypotension during a thorancentesis?
> 500 mL
what is a nursing intervention for someone with COPD?
pursed-lip breathing teaching
what is the drive to breathe for COPD patients?
O2
s/s of asthma
wheezing, dyspnea, change in LOC
what do we give in an acute asthma attack?
albuterol
what do we monitor with albuterol?
tachycardia and tremors
what is the treatment for TB?
long term medication
who should NOT be involved in TB treatment?
house keeper
where do we keep the chest tube unit?
below the insertion site
what do you NOT do if the suction is disconnected from the chest tube?
shove it back together
what does continuous bubbling mean?
air leak
how do you support someone with a PE?
give oxygen and anticoagulants
what should you NOT do to prevent VAP?
perform mouth care every 4 hours
what is the primary intervention for uncontrolled a-fib?
CCB or beta blockers, amiodarone, or dig
what is the purpose of a TEE?
detect a clot before cardioversion
s/s of right-sided HF
JVD
s/s of left sided heart failure
crackles
what would we NOT do to control HTN?
gain weight
what is NOT monitored for warfarin?
aPTT
when taking warfarin, what should INR be at?
2-3 x higher
DVT prevention includes what?
anticoagulation
s/s of pericarditis
pleuritic chest pain
pericarditis ECG change
ST elevation
what is NOT a modifiable risk factor of carotid artery disease?
race
what percentage blockage is atherosclerosis silent until?
40%
what is NOT a type of angina?
constant
which type of angina is an emergency?
unstable
what type of angina is relieved by rest or medications?
stable
what type of angina is caused by coronary spasm and not plaque buildup
varient
which is NOT a s/s of coronary artery disease
restlessness
what is NOT a s/s of GERD?
hypertension
what is a complication of GERD?
barretts esophagus
s/s of hypoglycemia
diaphoresis
how do we treat hypoglycemia?
15-15 rule
what is NOT a consequence of prolonged hyperglycemia?
liver damage
which is NOT a manifestation of an UTI?
clear urine
what is a risk factor of an UTI?
catheterization
what is a normal finding with pyridium?
orange urine
what kind of catheter promotes a higher risk for an UTI?
indwelling
what is NOT a risk factor for osteoporosis?
premenopausal women
what is the test used to diagnose osteoporosis?
DEXA
which would we NOT teach the patient to do with osteoporosis
alcohol consumption
what medication helps osteoporosis?
bisphosphinates
what is NOT a risk factor for osteomyelitis?
children < 1
what is NOT a manifestation of osteomyelitis?
constipation
what is the medication of choice for osteomyelitis?
IV antibiotics
what is NOT a test for osteomyelitis?
CT
what is NOT a manifestation of paget's disease?
small skull
what is NOT a treatment for paget's disease?
pyridium
what is used for someone who had a hip replacement?
raised toilet seat
what should someone who has a hip replacement NOT do?
lie on affected side
what is NOT a risk factor of cataracts?
being active
what happens as cataracts advances?
pupil gets white/grey
what is NOT a manifestation of cataracts?
rapid loss of vision
what is NOT one of the postop teaching for patients having cataract surgery?
lifting objects more than 5 lb is okay
which is NOT a risk factor of glaucoma?
hyperthyroidism
what is a s/s of glaucoma?
gradual loss of peripheral vision
what is the most common type of glaucoma?
open angle
what type of glaucoma is an emergency?
acute angle
which is NOT a teaching about glaucoma?
play contact sports
what is the most common type of macular degeneration?
dry
what is an early indication of dry macular degeneration?
drusen bodies
which type of macular degeneration is an emergency?
wet
which type of macular degeneration is gradual?
dry
which type of macular degeneration is rapid?
wet
what is NOT a s/s of corneal abrasion?
normal movement of the eye
what is NOT a patient teaching for corneal abrasion?
no restrictions
what is NOT a s/s of vertigo?
fatigue
what should the nurse teach the patient about vertigo?
decrease salt, nicotine, alcohol
what does meniere's triad consist of?
normal eye movements
what medication does NOT help meniere's?
opioids
what is another s/s of meniere's?
tinnitus
what is NOT a way to keep symptoms manageable for meniere's?
limit exercise
what is the cure for meniere's?
there is no cure
what is NOT an intervention for vertigo?
X-Ray
Test your knowledge on fluid volume deficit with this quiz. Explore common causes, clinical manifestations, and appropriate interventions for managing this condition.
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