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QUESTION True or False If you're giving an elderly patient 2 units of blood, they CAN get fluid overload Answer: True QUESTION Steps when inserting peripheral IV Answer: insert IV, look for flashback in hub, and then advance the hub over the needle QUESTION · Steps in starting a peripheral IV Answer: -Wash hands -Regular Gloves -Clean the site -Apply tourniquet and feel for vein -insert IV, look for flashback in hub, and then advance the hub over the needle (steps on the test) QUESTION What regulates thirst?
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True or False If you're giving an elderly patient 2 units of blood, they CAN get fluid overload Answer: True
Steps when inserting peripheral IV Answer: insert IV, look for flashback in hub, and then advance the hub over the needle
· Steps in starting a peripheral IV Answer:
What regulates thirst?
Answer:
What can a provider order to check if there is damage to the pituitary gland? Answer:
If your patients hematocrit is 20% is it high or low? Answer:
If your patient says "I don't want to do chemo anymore" what do you as the nurse do? Answer: "Can you tell me more about it?" or report to provider
Stages of Death and Dying Answer:
Can a patient receive hospice care in a hospital setting? Answer: Yes, if they make a statement saying they cannot you as the nurse must provider further education
hospice care Answer: treatment of the terminally ill in their own homes, or in special hospital units or other facilities, with the goal of helping them to die comfortably, without pain
pallative care Answer: Taking care of the whole person- mind, body and spirit/heart/soul. Views death as natural and personal experience
If you have a Jehovah's Witness patient who has an order to hang blood what will you do? Answer:
ESR normal range Answer: Men - 0 - 17mm/hr Over 50 yrs, 1-20 mm/hr
Women - 1 - 25mm/hr over 50 yrs, 1-30 mm/hr
Prealbumin normal range Answer: 12 - 50g/dl
Albumin normal range Answer: 3.1-4.3 g/dl
Total protein normal range Answer: 6.0-8.0 g/dL
pH normal range Answer: 7.35-7.
Creatine
Normal HCO Answer: 22 - 26 21,20,19,18,17... (Acid) 27,28,29,30,31.. (Alkalotic)
Normal calcium levels Answer: 8.5-10.5 mg/dL
Normal Magnesium Answer: 1.5-2.0 mEq/L
Normal sodium levels Answer: 135 - 145mEq/L
normal potassium levels
Answer: 3.5- 5
Normal platelet count Answer: 150,000-300,
Isotonic Fluids Answer: 0.9 Normal Saline Lactated RIngers **5% Dextrose in water 5% Dextrose in 0.225 saline
Why would a patient have Isotonic fluid ordered? Answer: to increase extracellular fluid, due to surgery, diarrhea, blood loss, dehydration, vomitting
hypotonic solution Answer: .45 of saline .22% saline .333% saline
What are signs that your IV has infiltrated? Answer:
How long can you have blood out of the blood bank before administering? Answer: 4 hours
If you check the blood to administer to a patient and both nurses do not agree on the blood type, what do you do? Answer:
What do you need to do prior to infusing blood? Answer:
What do you do as a nurse when you infuse blood? Answer:
If during a blood infusion, the patient complains of pain at the site during infusion, what will you do? Answer: STOP THE INFUSION!!! then you can open saline and assess based on facility policies
What type of fluid would a patient with severe hyponatremia most likely be started on? Answer: Hypertonic Fluids
A patient with cerebral edema would most likely be order what type of solution? Answer: 3% Saline
A patient is being admitted with dehydration due to nausea and vomiting. Which fluid would you expect the patient to be started on? Answer: 0.9% Normal Saline
Answer: 22 - 26
What lab values would you expect in a patient with ESRD? Answer:
What regulates the Antidiuretic hormone (ADH) Answer:
Do you think someone with ESRD would have a high or low BUN? Answer:
If the patient has experienced damage to their pituitary gland what would you expect it to affect? Answer:
Which patient would more likely have metabolic alkalosis? (pulling out acids) Answer: the answer is NOT
What would you expect to see in a patient experiencing third spacing/intravascular space to transcellular compartment? Answer:
Diuretics can result in changes to which electrolytes? Answer: