comps

• Tumor lysis


  Hyperkalemia (cloudy urine)
• Chest tube drainage

  More than 100ml/hr is bad
• URGENT conditions

  • Multiple fractures
  • Absent pedal pulses
  • Soft tissue injuries
  • New onset infection
• Hematocrit in cath lab

  33% is bad (risk for bleeding), 37% is normal
• Command hallucinations


  Need more supervision, call for help
• Patient with potassium of 2.4 should not get out of bed
• Calculating fluid for burn patient

  2500ml in 24 hours = 325ml in the first 8 hours
• Disseminated zoster


  Airborne precautions
• AKI


  Metabolic alkalosis
• Child with heart rate of 160 and walking in the hallway has abnormal vital signs
• Auscultate aortic in the 2nd space right of the sternal border
• Treating V-Tach


  Lidocaine drip, amiodarone and cardioversion
• Stoma


  Pallor and dry = ischemic, call MD
• Clear nasopharynx in spontaneous birth
• Latex allergy risk factors

  • Spina bifida
  • Multiple surgeries
• Assessing foot drop


  Assess pressure points, patient in high top shoes = Assess for skin breakdown
• Screening guidelines


  • Colonoscopy: age 50 and every 10 years
  • Prostate: age 50 every year with a digital exam or sigmoidoscopy-age 50 every 5 years
  • Mammogram: 29-40yo every 3 years or 40+ every year
• Lispro onset


  15-30 min
• Establish means of communication for left CVA patient
• HPV vaccine


  Best when given at age 9-26
• MS patient should not take a hot bath
• Nurse wears lead apron when visitor is with internal radiation patient for more than 2 hours
• Testicular exam after hot bath or shower
• Priority for patient with pacemaker and feeling dizzy
• Comfort measures for impending death
• Patient with insomnia should do activities in the morning
• Hyperventilation


  Respiratory alkalosis
• Wound drainage


  Sanguineous to serosanguineous = wound healing
• Emphysema patient should use inhaler before exercise
• Priority for neonate on mom/baby unit with heart rate of 95
• Nurse signs consent to indicate patient understands
• Order of nursing actions

  1. Assess

  2. Plan

  3. Communicate

  4. Surveillance/supervise

  5. Evaluate/feedback
• Priority for patient 2h post lumbar puncture reporting headache
• 11 year old should not sit in the front seat
• Lower the bag during soap suds enema if patient complains of abdominal cramping
• Hypothyroidism signs


  Dry skin, menorrhagia, and brittle nails
• Appropriate IM needle


  25 gauge and 1" needle
• Activity for mother that lost child 2 weeks ago is mourning
• CNA gives CHG bath to reduce spread of MRSA
• Droplet precautions for patient suspected of flu