Adult Exam #4

how much urine output should you have in 1 hour

30 mL

what aptient is at highest risk for DVT

42 year old male smoker with fractured pelvis

what patients should be on a FODMAP diet

IBS patients

list risk factors for acute gastritis include NSAIDs, alcohol, and caffiene but not

IV drug use

What is dysmetria

a condition that makes it difficult to perform smooth, accurate movements

what is paracentesis

a procedure that removes fluid buildup inside your abdomen

signs and symptoms of gastrointestinal perforation

abdominal tenderness, pain and distension, nausea and vomiting, fever, and chills

patient comes in with small bowel obstruction (SBO) has intermittent pain, develops into constant pain, what is your next step

assess bowel sounds - rupture can occur

your patient is going to the OR for a EGD, what task can you delegate to CNA

assisting patient to bathroom to void

hepatitis C is spread through

blood contact

IBS - pick the best diet plan for patient

broiled chicken with brown rice, steamed broccoli, glass of apple juice

to patient with GI bleed is prescribed 2 units of packed red blood cells. the first action of RN is to

check for consent

your COPD patient is using pursed lip breathing and O2 stat is 88% what is the appropriate intervention

check in and continue to monitor

your patient has a crushing leg injury what they are at risk for

compartment syndrome

patient has a cast on their lower leg it feels tight what is the nurse concerned for

compartment syndrome - never put a case on someone with edema / swelling until it goes away

patient with CKD is taking 40 of lasix daily, how will nurse know it's effective

daily weight

your place an NG for a pyloric obstruction. the patient wants to know hwy they need the NG tube. its because

decompresses the stomach

what is diplopia

double vision

a nurse cares for a patient who has a new colostomy. which action would the nurse take

empty bag frequently to avoid excess gas

parkinson's patients - which task is appropriate to delegate

encourage independence with ADLs

newly diagnosed cancer patient is withdrawn, what action should you take

encourage patient to verbalize feelings

parkinson's disease which statement is accurately associated with disease

he may have trouble chewing, so i will offer bite size food

patient has a serum K+ level of 6.5 mEq/L a creatinine level of 2 mg/dL and a urine output of 35 - what is the best action

high-potassium - place on cardiac monitor

GERD - which lets you know the patient understands your discharge instructions

i will not lay down after eating

patient understands the difference in LABA (long acting) and SABA (short acting) by what statement

i will take this medication every morning to help prevent an acute - asthma patients should take there inhalers

you are discharging a patient with alzhemier's you give what instructions to caregiver

install deadbolt locks on all outside doors

parkinson's patient - identify the correct nursing interventions

keep head of bed at 30 or greater - risk of aspiration

another word for "Sway back" is

lordosis

what does a negative fecal occult blood test indicate

negaitive for blood in stool

cerebral palsy is assoicated with which systems

neuro

patient has fractured femur what condition may impede healing

osteoporosis

chron's disease manifests in what way

pain on the right lower quadrant and steatorrhea

patient has odynophagia exhibited by

pain when swallowing pills

patient had an upper Gi hemmorhage with a nasogastric (NG) tube. what comfort measure may the nurse delegate to CNA (CNA's don't assess)

perform mouth care

you are caring for a patient who is having a seizure identify, what actions should avoid

placing patient in a supine position

manifestations of parkinson's disease includes tremors, hallucinations, and lack of facial expressions but

poor vision

you have a renal patient, you wouldn't give him a banana because it has

potassium

what stage is medication most effective when treating migraines

prodrome

your patient develops bleeding esophageal varicose, what is your first action

protect airway

cystic fibrosis is assoicated with which system - secretion formation of all systems

pulmonary, GI, GU, and renal

patient has dialopia, dysmetria, and sensory change what would you recommend

put periods of rest into your schedule

what foods should patients on a FODMAP diet avoid

raisins

after a colon resection what should the nurse include in pain care

stool softeners to ease bowel movement

PUD patient - you believe your patient has a gastronintestinal perforation.. based on

sudden sharp pain

what clinical manigestation does happen for hypovelemic shock

tachycardia

where is the pyloric obstruction

the lower part fo the stomach that connects to the small intestine

patient is recovering from a paracentesis 1 hour ago. which assessment finding requires action by the nurse

urine output from foley is 20 mL/hr

migraine patient is getting transdermal sumatriptan education should include

use contraception while taking this medication

a nurse is assessing a patient who had ulcer colitis and severe diarrhea. which assessment would the nurse complete first

vitals

Patient is on coumadin, you should not give him foods with

vitamin K

how do you check NG placement

xray

colostomy is placed in ascending colon - you explain to the patient that

you will always have liquid stool