Med Surg

A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. Which of the following actions should the nurse perform first? - Discontinue the existing IV infusion. -The greatest risk to this client is further injury from the IV infusion or catheter; therefore, the first action the nurse should take is to discontinue the infusion by stopping the fluid flow and removing the catheter. Redness, swelling, and warmth indicate phlebi...

FVD: What lab values for serum osmolality would you expect? - >295 FVD: What are some causes, pathologic, iatrogenic, and IADLs, of FVD? - Iatrtogenic: NGT usage Pathological: Neurovirus, Diabetic Ketoacidosis, Anorexia IADL'S: Over Exercising FVD: What population(s) is/are most at risk for FVD? - Children & Elderly FVD: What tonicity and type of prescribed fluids helps to prevent FVD in the hospitalized pt with an NGT? - Isotonic FVD: When administering hypertonic (3%) saline IV, wh...

b. decrease - A patient has a new onset of shallow and slow respirations. While the patient's body attempts to compensate, what happens to the patient's pH level? A. Stabilizes B. Decreases C. Fluctuates D. Increases D. Maintain adequate hydration - The nurse is planning care for an older adult patient with respiratory acidosis. Which intervention should the nurse include in this patient's plan of care? A. Administer prescribed intravenous fluids carefully. B. Reduce environmental s...

Which patients are at risk for fluid volume excess? A. 64 year old male with a diagnosis of kidney failure B. 46 year old male who is training for a marathon C. 35 year old male with diarrhea and vomiting for the past 2 days D. 83 year old female with a diagnosis of a stroke and has trouble talking - A Which solution is considered a hypertonic IV solution? A. 0.9% sodium chloride B. Total parenteral nutrition C. 0.45% sodium chloride D. Lactated Ringers solution - B What happens to the...

Timeout - Performed immediately prior to surgical incision. Includes the verification of the patient, procedure, correct site, needed equipment, and, according to facility policy, can include fire risk assessments and antibiotic administration verification. Things to report to perioperative team to ensure safety DURING SURGERY - Allergies Anesthesia complications What are the effective communication techniques used in the perioperative setting - Pre-op teaching Education Therapeutic co...

preoperative - decision to have surgery to operating room intraoperative - operating room to post anesthesia care unit postoperative - PACU, admit as an in patient, discharge home, follow up. medication reconciliation - A procedure to maintain an accurate and up-to-date list of medications for all patients between all phases of health care delivery. respiratory/ cardiovascular - surgery is delayed if issues arise in either of these systems bilirubin, albumin, ALT, AST - if these values ar...

Surgery? - The use of instruments during an operation. It treats injuries, diseases, and deformities. Surgical procedures are named according to? - The involved body organ, part, or location and the suffix that describes what is being done during the procedure. What reduces the invasiveness of surgical procedures? - Laser, Scope, and Robotic technologies Minimally invasive surgery includes? - Laparoscopic surgery (abdominal and pelvic cavity) and thoracoscopic surgery (chest and abdominal...

1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible." - 1. "I will be glad when this is over so I can go home to...

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. - 4 An Ankle-Brachial Index of 0.65 suggests moderate arterial vascular disease in a client who is experienc...

What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient? (Select all that apply.) 1. BUN : serum creatinine ratio of >12.1 2. Urine positive for blood 3. Hematocrit level of >47% 4. Urine specific gravity of 1.027 5. Urine osmolality of >450 mOsm/kg - Correct answer: 3. 4. and 5. More than half of students who answered this question in Wolters Kluwer's adaptive learning systems, powered by PrepU, answered "BUN : serum creatinine r...