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Dietary teaching for IBS? Crohns? Diverticulitis? Diverticulosis? Iron absorption? High K, what do
you do? - ✔✔✔--IBS: high fiber
-crohns: Low fiber
-diverticulitis: low fiber
-diverticulosis: high fiber
-iron absorption: eat vitamin C foods
-Heart failure: hold salt and fluid restrict
-High K: hold spironolactone
For a 26 week gestation client about to have oral glucose test, what should you do? - ✔✔✔--
reduce carbs 3 days prior
-fast overnight
-blood will be collected every hour during test
-avoid caffeine
-maintain normal activity level
For a child with asthma, what should you do? - ✔✔✔--get flu vaccine once/year
-take the highest reading out of 3 PEF meter readings (not average)
-remove carpet from bedroom
For a client with GI bleed and NG tube in place, what action should the nurse take when
performing a gastric lavage? - ✔✔✔--200-300 mL room temperature solution (tap water, sterile
water, NaCl) should be instilled
-lie on left side
For a client with type 1 DM who may have injured their ankle, what therapy should be given? -
✔✔✔--monitor glucose q 2-4 hours (for increase glucose from stress on body)
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-monitor neurovascular status of client every hour
-DO NOT APPLY ICE (DM 1 clients with ice therapy are contraindicated)
-maintain the affected ankle elevated and immobilize
-give opioid IV or PO to manage pain
For a non-weight bearing extremity client on crutches, what is important? - ✔✔✔--initially
measure crutches (NEVER adjust midway)
-use 3 point gait
-when walking upstairs, advance unaffected leg first
-when walking downstairs, advance crutches with affected leg first
-wear rubber soled shoes
For an occlusive crisis in sickle cell, what should you do first? - ✔✔✔--GIVE IV FLUIDS to
promote blood flow through ischemic areas
-then can give pain meds, warm packs, collect blood
For cataract extraction surgery, what are the protocols? - ✔✔✔--avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't lift anything over 10 lbs
For clients with uric acid formation urinary calculi, what foods can they eat? - ✔✔✔--oranges
-AVOID meats, alcohol, chicken
For hypocalcemia, where do you tap to ellicit positive Chvostik sign? - ✔✔✔--cheek about an
inch in front of tragus
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-ellicits facial nerve
For total hip arthroplasty's, what is most important? - ✔✔✔--installing a raised toilet seat at
home
-maintain hip angles less than 90 degrees
-USE a walker
-DO NOT use pillow under knees->can cause decrease circulation and contractures
For visual acuity testing using the Snellen chart, what should you do? - ✔✔✔--keep both eyes
open during test
-assess with glasses first, then without glasses
-stand 10 ft away
-in order to pass a line, must get 4-6 symbols correct
How are ear drops administered to children over 3? Under 3? - ✔✔✔--over 3: pull ear upwards
and back while instilling it
-under 3: gently pull ear down and back
-gently massage tragus after administering it (NOT the back of the ear)
-allow it to be administered at room temp
How do you confirm NG tube placement? Med for ectopic pregnancy, what is a risk for it? What
does betamethasone cause? What is the test for PKU? Frequent variable/late decels, what do
you do first? What disease must be reported to CDC? Screening test done at 16 weeks
gestation? Can woman with hep C breastfeed? - ✔✔✔--aspirate content->pH of 4 or less
-ectopic pregnancy: methotrexate, IUD->risk
-betameth. causes hyperglycemia in mom and hypoglycemia in newborn
-PKU: Guthrie test