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38 Cards in this Set

  • Front
  • Back
Nursing Care
Skills- Ch. 6,12,22,23,25,28,31,33-36, 39, 43
Intraoperative begins?
period of time when pt is transferred into operating room and surgery table.
Postoperative begins?
period of time when pt is admitted to PACU to follow-up evaluation in clinical setting or at home.
Mixing Insulin
Draw Regular first, then draw NPH, then admin both in same syringe.
Trach care
clean inner cannula in half-strength hydrogen peroxide
Nasogastreal tube is causing discomfort to pt, what do you do?
loop the tube
Pt at risk for developing a decubitus?
pt who's bedbound.
signs of infiltration
pallor at IV site
forearm infiltrated, where can you insert another IV?
left forearm at anticubital
if pt is decrease in oxygen
have pt sitting upward & assess respirations.
RN can delegate to trained LPN
inserting an initial IV. (pg. 30 from Nursing Care notes)
Oxygenation
Smeltzer: Ch. 21-25
Potter & Perry: Ch. 29
Most accurate to measure oxygen of client blood?
Arterial blood gas study
Pt c pneumonia, has increase secretions?
Admin oral fluids unless contraindicated.
Nursing dx for lower respiratory infection?
Impaired gas exchange
How is a sputum culture collected?
Pt can brush their teeth and cough up sputum, and put it in container first thing in the morning.
Tx for asthma attack?
Beta adrenergic
Total laryngectomy?
problem c dysphasia.
COPD #1 risk factor?
cigarette smoking
Nutritionous status for larynx cancer? (Select all that apply)
Albumin, protein, glucose
preventing atelectasis?
incentive spirometer
Pt on oxygen?
teach pt safety measures when using oxygen.
Trach care is done done?
q 8 hrs
trach tie?
two finger between tie and neck
complication of empyema could be due to?
chest trauma
Fluid and Electrolytes
Smeltzer: Ch. 14, pg. 293-298, pg. 281-284. Potter & Perry: Ch. 17.
sign of spinal cord injury
Increase CO2.
Salicylate poisoning?
Kussmaul breathing
nurse caring for a client c a recent ileostomy understands that the client is at most risk for developing which acid-base disorder?
metabolic acidosis
pneumothorax?
respiratory acidosis
what to do when pt is in respiratory acidosis?
Increase O2.
Pt is metabolic acidosis and has renal failure?
Give bicarbonate intravenously.
Flank pain, back pain?
Calcium.
lip twitching, Chvosteck's sign?
hypocalcemia.
parathyroidism?
calcium
food choice for hypophosphatemia?
meal consist of turkey, milk, mashed potatoes
metabolic acidosis?
it is renal failure.
hypocalcemia?
admin 10% calcium gluconate.