HR Topics to Review: Day 1

Give 3 examples of Hypotonic Solutions.

0.45% NSL, D2.5W, 0.33% NSL

Give 2 causes of Hypomagenesemia.

1. Diarrhea 2. Alcoholism

Give 3 causes of Hypernatremia.

1. Hyperventilation- insensible water loss 2. Heat stroke 3. Diabetes Insipidus

What are the manifestations of Hypercalcemia?

1. Over sedation 2. Brittle bones 3. Kidney stones

Give 4 causes of Hyponatremia.

1. SIADH 2. Only drinking H2O 3. Psychogenic Polydipsia 4. D5W

Give 8 examples of Hypertonic Solutions.

3% NSL, 5% NSL, D10W, D5NS, D5LR, D5 1/2NS, TPN, Albumin

What are the late signs of hypoxia?

CRASH: confusion + stupor, respiratory rate decreased, arrythmias, skin and mucous membranes cyanotic, heart rate decreased, hypotension

The nurse is reinforcing proper use of the walker with partial weight-bearing to a client with a total hip arthroplasty. Which action would indicate to the nurse that the client is using the walker correctly?

Elbows are bent at 30 degrees

How does calcium gluconate affect potassium?

It decreases potassium

What are manifestations of Respiratory Alkalosis? Why?

Light-headed, faintness, tingling or numbness- d/t Cerebral Vasoconstriction: decreased blood flow to the brain

What are the early signs of hypoxia?

STRESS: symptoms of restlessness, tachycardia, respiratory rate increased, elevated BP, skin and mucous membranes pale, sounds in lungs adventitious

A client diagnosed with a brain injury continues to attempt to get out of the bed without assistance. Which nursing interventions would the nurse implement? a) Ask a familiar person to stay with the PT b) Apply bed alarm c) Move PT closer to nursing station d) Reinstruct not to get out of bed e) Provide positive and negative enforcement

a), b), c)

After determining that a client diagnosed with a stroke has adequate swallowing ability, the nurse develops interventions to safely provide oral feedings to the client. What interventions should the nurse include in this plan of care? a) Provide oral care prior to feedings b) Flex head forward c) Serve pureed foods d) Use crushed ice to stimulate swallowing e) Offer thickened liquids f) Place PT in semi-fowler's

a), b), d), e)