NP235 EXAM 1 DEBS review
12 lead EKG?=NO
Labs=NO
chest Xray=NO
Oxygen at 4L=YES - ANS-you have a pt that has chest pain, restlessness, dypnesnea. What do
you do first?
122-NO
186-NO
85-NO
54-YES because they can go into a coma and they have hypoglycemia - ANS-What glucose
reading would you notifiy HCP about FIRST?
3p's
polyuria=lots of pee
polydipsia=lots of thurst
polyphaysia=eating a lot - ANS-what are s/s of hyperglycemia
a pt with hyperparathyroidism=NO
a pt with adrenal insuffencey=NO
a pt with excess Vitamin D=NO
a pt on prolonged bedrest=YES - ANS-what pt has hypocalcemia?
Abdominal ultrasound
abdomingal CT
colonoscopy
Barrium enema Last - ANS-pt w/lots of tests scheduled. What test goes LAST?
Alkalosis
pH will be High over 7.45
HCO3 will be High over 26
paCO2 will be normal - ANS-Acidbase imbalance for NG tube on continous suction. What are
the lab values?
An imflammatory disease of the collagen
NOT a release of histamine
NOT a localized disease
NOT allergies - ANS-Pt has SLE. What is it?
, Can affect the eyes - blurry vision, feet - numbness, skin - infection, heart - high bp and
cholesterol, nerves - neuropathy and kidneys -stops proper function - ANS-What are the
complications of diabetes?
cardiac problems
cardiac dysrhythrma - ANS-Pt. has a potassium of 5.6. what problems does the pt have.
carpal pedal quiver - ANS-taking a blood pressure/ Trousseau's sign what will you see
Check and protect the airway.
ABC's - ANS-you are at the Park and someone gets hives, swelling, angioedema. what are you
going to do
clean the skin to remove lotions or sweat to be sure the electrodes stick - ANS-What pt. prep
should you do for a EKG/ECG
clear
no WBC - ANS-what should a normal lumbar puncture look like?
COPD=NO
heart failure=NO
anemia=YES - ANS-40 yr old with a hemoglobin of 10. what is causing this.
decreased breath sounds
pneumothorax - ANS-thoracentisis on the left side. What breath sounds would you be
concerned about?
DIC
s/s of DIC are hematuria, petichia, decreased clotting, - ANS-placental abruption. What
complication do you need to look for?
divide at higher and faster rate
there is nothing orderly
very unrestricted - ANS-you are giving an education event for cancer. How do cancer cells differ
from regular cells? how do they divide and multiply
Echocardiogram
Bloodculture
labs=sed rate
CRP - ANS-pt has bacterial endocarditis. What test do they need?
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