final•when you have a pt with a cast what is your priority=
circulation, movementandsensation... assesscirculationby pulse checkmovementby movingfingerschecksensationbyaskingif they can feel anything
•when you have a child with a arm cast what is priority
•invasion of client privacy.. what would be a good example of violating patient privacy-•a client was brought to er after serious accident needs to go to a procedure needs aninformed accident who do you go to ?
never a friendonly closefamily member
•you are doing rounds, in planning client rounds, which client will you collect the datafirst?
look for a pt who will fall into categoryof ABC-- ABCis priority
•You have a patient who came from surgery the initial nursing action is= (immediatelyafter post op
) your action is ABC(infectiondoesntset in until 72 hrs do not answerthat)
•your pt has sever headache he was given analgesic how does it give pain release=
gait control mechanism
•Bilroth I- gastro dudenostomy II- gastro jujenostomy If they have has abdominalsurgery what will they come back with?
NGT(inorder to removeexcessair you needto addNGTfor first 24-48 hrs after surgery*whichof the physicianordersdo you question?Neverirrigatea NGTstatuspost abdomensurgery
•you have a pt w/ acute gastritis, which medication that you find on your pt chart iscontraindicated =
NSAIDS(irritate to stomachIbuprofen,aspirin, steroids)
•acid base- ph-7.35-7.45•paCO2= 35-45Respiratory•pa O2= 80-100%•HCO3= 22-28GI/Kidney(metabolic)•(21-26)••<---Acidosis ^ Alkalosis--->•UGIT- NGT/Vomiting > left with metabolic alkalosis (if it comes out your mouthalkalosis)•LGIT- Diarrhea > left with acidosis (comes from your anus is acidosis)•Respiratory Acidosis > COPD= Asthma, bronchitis, Pulmonary EmphysemaTrap CO2= CO2+H2O> H2CO3- Resp acidosis
bronchitis usually stays with the ptHyperventilate (RR^ deep rapid)Hypoventilate (RR down shallow)•Which diet do you not give to COPD pts?-