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