FULL QUESTIONS AND SOLUTIONS VERIFIED
A+
◉ Do not give _ at bedtime. Answer: tetracycline; don't let them lie
down b/c it might cause gastric reflux
◉ S/S of LSHF. Answer: cyanosis, tachycardia, orthopnea, pulmonary
congestion (cough, crackles, wheezes, blood-tinged sputum,
tachypnea) restlessness, paroxysmal nocturnal dyspnea
◉ S/S of RSHF. Answer: edema, weight gain, ascites, distended
jugular veins, fatigue, anorexia
◉ Risk factors of respiratory acidosis. Answer: respiratory
depression; pneumothorax; airway obstruction; inadequate
ventilation
◉ Risk factors of repiratory alkalosis. Answer: hyperventilation;
hypoxemia; altitude sickeness; asphyxiation; asthma; pneumonia
◉ Response for fire [RACE]. Answer: R - rescue
A - alarm
,C - contain
E - extinguish
◉ How often to remove restraints and check on client. Answer:
every 2 hours
◉ Characteristics that increase risk for falls. Answer: older age,
cognitive/sensory impairment, impaired mobility, bowel and
bladder dysfunction, side effects of medications, and history of falls
◉ Equipment at client's bedside for seizure precautions. Answer:
oxygen, oral airway, and suction equipment
◉ Description of semi-fowlers. Answer: head of bed elevated at 30
degrees
◉ Description of fowlers. Answer: head of bed elevated to 45
degrees
◉ Description of high-fowlers. Answer: head of bed elevated to 90
degrees
◉ Description of supine. Answer: lying on back, head, and shoulders
, ◉ Description of prone. Answer: lying on abdomen, legs extended,
and head turned to side
◉ Description of lithotomy. Answer: lying on the back with hips and
knees flexed at righ angles and feet in stirrups
◉ Description of sims. Answer: lying on left side with most of the
body weight borne by the anterior aspect of the ilium, humerus, and
clavicle (client is unconscious or receiving enema)
◉ If patient isn't voiding, don't give .... Answer: potassium
◉ Manifestations of hypokalemia (low potassium). Answer: muscle
weakness, cramping, nausea, vomiting, decreased bowel motility,
dysrhythmias, irritability
◉ Manifestations of hyperkalemia (high potassium). Answer:
peaked T waves, ventricular dysrhythmias, increased bowel motility
◉ Addison's disease need to add .... Answer: cortisol
◉ Newborn vital signs. Answer: HR 100-160
R 40-60
BP 60-80 systolic; 40-50 diastolic