1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client?
A. Calcium chloride C. Calcitonin (Miacalcin)
B. Calcium gluconate D. Large doses of vit...
Fundamentals Exit HESI
Determining the client position for insertion of indwelling catheter, Most important
Orthopnea
Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When
performing return demonstration pt applies pressure to the umbilical area of his abdomen
Apply downward manual pressure at the suprapubic region
Finding a client sitting on the floor, nurse calls for help from UAP
Get a BP cuff
Correct position for patient walking with cane
30o flexion at the elbow
Teaching a patient about crutch walking
Place weight on arms and hands when using crutch
Patient has active tuberculosis. Action to prevent spread of infection
Wear mask when going to patient’s room
To advance NG tube while inserting what position should patient be in
High fowler’s
Which profession is at greatest risk of developing Hepatitis A
Cook in a restaurant
Handwashing sequence
Palms, between fingers, dry off with paper towel, turn off faucet
Someone with wound vac how to make sure it is effective
Check seal to make sure no leaks
Chest tube becomes disconnected
Get new saline bottle to stick end into until reconnect tube
Patient in ventricular fibrillation
Defib shock once
Chest tube colume 125
Mark container between 100 and 150
Heart sounds audio
S1S2
Patient on bleed precautions
Soft bristle toothbrush
Electric razor only to shave
Avoid IM injections, use small needles when necessary and hold pressure for 5 minutes
No straining with BM
, FrmRN2u
UAP giving complete bath-which patient is more concern
Patient with dyspnea (SOB when lying flat)
Patient receiving Morphine in PCA pump
Make sure the lock is on the machine
Precautions for RSV
Do not put patient with another patient having RSV
Insulin can be kept at room temp
28 days
Drawing insulin
Clear (regular) first then cloudy (NPH)
Know the insulins and their peak/onset (there are several Qs about this in different formats)
Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes Peak: .75-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours (IV ok)
Intermediate acting- NPH Onset: 1-2 hours Peak 6-12 hours
Long acting- Glargine (lantus) Onset 1.1 hour Peak: 14-20 hours (DO NOT MIX)
Assessing placement of NG tube
<4 pH gastric aspiration
Carpal spasm induced by BP cuff and seen in patient with hypocalcemia
Trousseau’s sign
Trousseau's sign
(Trousseau sign of latent tetany, low calcium, holding hand like swan, seen in hypocalcemia before
hyperrelexia or tetany) Put bp cuff around arm, inflate, hold in place 3 mins, occuldes brachial, pt, will
put hands like shape of swan
Facial spasm after tapping facial nerve and seen in patients with hypocalcemia
Chvostek’s sign
Patient on neutropenic precautions
No flowers or plants in room
No fresh veggies-cooked only
Avoid crowds and sick people
head of the bed positioning for post-craniotomy patient with infratentorial lesions
FLAT
Supratentorial – elevated
assisting the patient to cough productively
increase fluids to loosen secretions
O2 flow rate be for a patient with COPD
No more than 2 liters by nasal cannula
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