Brownie Recipe 2

WEEK 3 1. Consequence of too much O2 → ​dry & cracking oral mucosa 2. PE s/sx →​ petechiae​, ​pleural rub​, ​tachycardia​ ​(not bradycardia, hypertension) 3. 1 day post surgery (thoracotomy), what should the nurse do? ...

WEEK 3 1. Consequence of too much O2 → ​dry & cracking oral mucosa 2. PE s/sx →​ petechiae​, ​pleural rub​, ​tachycardia​ ​(not bradycardia, hypertension) 3. 1 day post surgery (thoracotomy), what should the nurse do? → ​teach about incentive spirometer and high fowler’s position​ ​(not give O2 nasal cannula) 4. CVP increase → ​possible right ventricular failure 5. Digoxin toxicity s/sx → ​nauseous with loss of appetite​ [REPEAT] 6. Apical pulse location → (image) ​mitral location 7. PaO2 50 mm → ​severe hypoxia​ (anything > 60 mm) WEEK 4 1. Hypokalemia → ​“U” wave formation on EKG 2. Client’s partner will suction, ready to be sent home? → ​they perform it independently 3. Best indicator for heart damage →​ troponin I 4. Patient is on coumadin, what is concerning → ​PT 45 seconds​ (normal: 11-12.5) 5. Suspected MI, what do you do first → ​oxygen WEEK 5 1. Type I patient insulin therapy, barriers? → ​literacy​, ​dexterity​, ​culture​, ​motivation 2. Give Lispro, when do you wanna give insulin → ​15 minutes before breakfast 3. Give furosemide, what do you teach → ​give foods high in potassium 4. What does coumadin do → ​prevent stroke in patients with atrial fibrillation 5. SIADH → ​fluid restriction 6. DKA, blood sugar goes down to 240 → ​change to D5 NS IV fluid 7. Cushing’s SATA → ​buffalo hump​, ​purple striation​, ​moon face 8. tPA (tissue plasminogen), what is the most concerning → ​LOC​ ​(not oozing blood) WEEK 6 1. Teaching of Hep B → ​increase appetite​ (anorexia) 2. Allergic reaction of blood transfusion → ​generalized urticaria 3. Asthma exacerbation, priority intervention → ​nebulizer ​(not high-fowler's position) 4. +4 edema intervention → ​pressure relieving mattress 5. Warfarin, contraindication → ​cabbage​ (green leafy) 6. Severe cirrhosis → ​nose bleeding & bruising​ *bleeding priority* 7. Acute pancreatitis teaching → ​no cheddar cheese 8. Intervention for ascites → ​high carbs, high calories​ ​(NOT 3in above umbilicus) 9. Cirrhosis, further teaching → ​“I can eat anything I want” 10. Acute pancreatitis, after pain med → ​keep them NPO 11. TPN at home teaching (SATA) → k​eep refrigerated​, ​start D10 if feeding is finished​, ​keep infusion rate if behind on feeding​ (3) 12. Patient is falling asleep as nurse is talking to them → ​increased ammonia levels 13. Cholecystitis (SATA) → ​back rub​, ​incisional splinting​, ​identify pain level​, ​change client position​ (4)WEEK 7 1. Spinal cord injury, what will occur? → ​flaccid paralysis 2. What contributes to ICP → ​sodium 110​ (hyponatremia) *always think sodium!* 3. Hep A, early indication → ​anorexia 4. Acute pancreatitis, where is the pain → ​epigastric radiating to back 5. What should be reported → ​ICP of 19 6. Left HH, teaching → ​put tray & items on patient’s right side 7. Cane teaching with AP → ​move cane first before legs 8. Stroke teaching → ​put the patient semi fowlers to facilitate swallowing 9. Associated with embolic stroke → ​chronic a fib 10. L1, what should you do? → ​give anticoagulants​ (they are paralyized → not active ROM exercises) 11. TIA where will you monitor, symptoms go away → ​go to neurotele & monitor 12. Embolic stroke → ​it travels 13. Most concern to nurse → ​unresponsive with arousal 14. ICP sata → ​headache​, ​slurred speech​, ​eye changes​, ​disorientation 15. Trauma, s/sx hypovolemia → ​increased HR​ (tachycardia)