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Summary RN CONCEPT BASED ASSESSMENT LEVEL 2 PRACTICE CRITICAL POINTS

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RN CONCEPT BASED ASSESSMENT LEVEL 2 PRACTICE CRITICAL POINTS

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Metabolic Alkalosis
 Acid-Base Imbalances: Interpreting ABG Results for a Client Who Has Had Prolonged Vomiting (Ch.
45)

-Arterial pH is an indirect measurement of hydrogen ion concentration and is a result of respiratory and
kidney compensation function, but the arterial blood gases (ABGs) are most commonly used to evaluate
acid-base balance.

-An acid deficit causes the loss of gastric fluids, through prolonged vomiting resulting in an increase in
the bicarbonate ion, and a decrease in the hydrogen ion concentration.

-If this should occur, the nurse is to administer antiemetics, fluids, and electrolyte replacements.


Benign Prostatic Hypertrophy
 Benign Prostatic Hyperplasia: Postoperative Findings to Report (Ch.66)

-Clients who have BPH typically have theses s/s:
urinary frequency, urgency, hesitancy, or incontinence, incomplete emptying of the bladder, dribbling
post-voiding, nocturia, diminished force of urinary stream, straining with urination, and hematuria.

-The client rates the severity of lower urinary tract manifestations using a 0 to 5 scale and also rates
his quality of life as affected by urinary tract manifestations.

-When a client experiences persisting back flow of urine into the ureters and kidneys, this can lead to
kidney damage.


Gastroenteritis with Dehydration
 Acute Infectious Gastrointestinal Disorders: Evaluating the Effectiveness of IV Rehydration for a
Client Who Has Gastroenteritis (Ch.22)

-Administer parenteral fluid therapy as prescribed, it’s initiated when a child is unable to drink
enough oral fluids to correct fluid losses, also for patients with severe dehydration or continued
vomiting.

-Isotonic solution is administered at 20 mL/kg IV bolus with possible repeat for isotonic and
hypotonic dehydration.

-During hypertonic dehydration, rapid fluid replacement is contradicted because of the risk of
cerebral edema.




Asthma
 Asthma: Evaluating Teaching About Peak Flow Meters (Ch.21)




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