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| Pregunta | Respuesta |
| potential drug interaction of herbal medications and warfarin? | feverfew, garlic, ginger, gingko biloba, ginseng |
| Allopathic medicine | convential western medicine. |
| The nurse understand that administering a hypotonic soluntion to a patient will shift water from the _____ to the _____ space. | extracellular, intracellular |
| what to tell a patient about performing coughing and deep breathing exercises | explain importances of maintianing a semi-fowler's or sitting position. Keep your splint on your stomach the hole time to help with support. Demonstrate how you would like them to breath or cough. caution the patient against just clearing their throat. Instruct pateint to cough and to look at sputum each time for consistency. |
| Relaxation therapy | learn how to focus on body sensations and tensions. |
| How is oxygenation requirements related to a patients cardiac output? | during treatment of a patient who is hemorrhaging, increased fluid therapy and replacement of blood increase circulating volume, thus increases the preload and stroke volume, which increases cardiac output. |
| The nurse would expect a patient with respiratory acidosis to have which ABG results? | decreased pH with increased Bicarbonate level |
| postoperative diet progression | start with crackers, soup, and clear liquids and build up as tolerated. |
| What drugs have to be held before surgery? | NSAID's like ibuprofen |
| micro drop tubing drops per minute=rate per hour gtt/min=ml/hr | ml/hr/60 min=ml/min drop factor X ml/min= gtt/min |
| COPD causes | clubbing of fingers which affects activities of dailys life. |
| Signs and symptoms of Myocardial Infarction | sudden decrease in coronary blood flow or an increase in myocardial oxygen demand without adequate coronary perfussion. Chest pain (crushing, squeezing, or stabbing) in the left chest, and sternal area, possible in back, radiate to left arm, neck, jaws, teeth, epigastric area and back. |
| purpose of total parental nutrition | IV administration of complex, highly concentrated solution containing nutrients and electrolytes that is formulates to meet a patient's needs. |
| Progressive relaxation training | teaches the individual how to effectively rest and reduces tension in the body. Person learns to detect subtle localizzed muscle tension sequentially, one muscle group at a time. |
| What does rapid weight gain indicate? | extracellular volume excess and clinically may manifest with problems with urination. Deteremine patient's recent urine I&O. |
| Can a nurse delegate to a nursing assistant to assure that a patient does post-operative exercises? | True |
| What can an Atrial fibrillation cause? | emboli resulting in stroke, myocardial infarction and pulmonary embolus. All can lead to sudden and drastic drop in oxygenation. |
| Integrated medical clinic | allow health care consumers the opportunity to be treated by a team of providers consisting of both allopathic and complementary practitioners. |
| postoperative leg exercises | supine position. guide through exercises. rotate each angle, alternate dorsiflexion and plantor flexion of both feet, perform quadriceps setting by tightening thighs and bringing knee down toward matress, have patient alternately raise each leg straight up from bed surface. Have patient continure practicing every 2 hours. |
| Is it mandatory to include family in preoperative education? | No but it is advisable. |
| What is the first intervention a nurse does prior to assisting the patient in the use of an incentive spirometer? | hand washing |
| Importance of humidifying for a patient with a tracheostomy? | most common complication of a tracheostomy tube is partial or total airway obstruction caused bby uildup of respiratory secretions. |
| know what to do if there is a suddden decrease in drainage from a wound drain | indicatea a blocked drain and you need to notify the health care provider. Evacuator device is unable to maintain a vacuum on its own, notify the surgeon, who then orders a secondary vacuum system. |
| Teach patient about splinting their incision after surgery | place pillow or blanket over incisional area and place hands over pillow to splint incision. During coughing and breathing exercises, have pateint press gently against incisional area for splinting or support. |
| physiological reason for hyperventilation in pateint that is febrile | Increased body temperature increases the metabolic rate thereby increasing carbon dioxide production. |
| respiratory acidosis related causes and signs and symptoms | causes: Impaired gas exchange, impaired neuromuscular function, dysfunction of brainstem, respirtory control Sign & symptoms: Headache, light-headness, decreased level of consciousness, cardiac dysrhythmia, warm & flushed skin, muscle twitching. HCO3 normal or >26 mEg/L, pH<7.35, PaCO2> 45 mm Hg. |
| Signs and symptoms of Hypokalemia | Low Serum Potassium (K+) Bilateral muscles weakness that begins in quadriceps and may ascend to respiratory muscles, abdominal distention, decreases bowl sounds, constipation, cardiac dysrhythmias; signs of digoxin toxicity at normal digoxin levels. Serum K+ level< 3.5 mEg/L, possilble ECG abnormalities. |
| Hypernatremia How to identify when IV threapy is working? | Extreme thrist, dry and flush skin, postural hypotension, fever, restlesness, confusion, agitation, coma, seizures. Serum Na+ > 145 mEg/L, serum osmolality >295 mOsm/kg, urine specific gravity 1.030. |
| Identify the clinical manifestations of the use of aspirin for fever and relate it to what it does to carbon dioxide. | Increased body temperature increases the metabolic rate, thereby increasing carbon dioxide production. The increased carbon dioxide level stimulates an increase in the patient's rate and depth of respiration, causeing hyperventilation. |
| Understand what sensible water loss is and conditions that can cause it to occur. | Sensible water loss is loss of fluid from the body through the secretory activity of the sweat glands and the exhalation of humidified air from the lungs. Sensible water loss can be caused by fever,body composition changes, impaired mobility, concernas about bladder control, decreased thirst sensation, older-adult kidneys are less able to concentrate urine. |
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