Nur 160 Exam 2, Hondros | 98 Questions And Answers(A+ Solution Guide)

Nursing interventions for urinary retention {Ans: i&o, push fluids, run water, stick hands in warm water, bladder scan-see how much is in there (if at or more than 200, call someone), pt will need straight cath at that point, when straight cathed, if you get to 1000, clamp it off and go back later.}Coumadin {Ans: PT/INR}Foley {Ans: a pt with a large prostate needs a coude, minimum output 15mL/kidney/hr-if less call MD}Dehiscense {Ans: When a wound has opened up, most often d/t force (cough)}NG Tube-How to measure {Ans: tip of nose-ear lobe-xyphoid process}NG tube position for placement {Ans: Hihg Fowler's}Sodium (Na+) {Ans: 135-145}ABG {Ans: Arterial Blood Gas}Prevention of DVT {Ans: early and frequent ambulation, TED hose}Hypermagnesemia Causes {Ans: Tums, CKD, diabetic ketoacidosis}Ventilation {Ans: Action of inspiration and exhalation of air, O2 into and out of lungs}Prednisone {Ans: decreases inflammation}Hypercalcemia causes {Ans: supplements, calcium, immobilization, antacid, parathyroidism}Hypernatremia signs and symptoms {Ans: decreased urinary output, firm rubbery tissue turgor, restlessness, agitation, confusion, flushed skin}Hypocalcemia signs and symptoms {Ans: irritanility, osteoporosis, N,V,D, increase dDTR, arrhtymtias, +Trousseau sign, +Chvostek sign}Hypermagnesemia signs and symptoms {Ans: weakness, hypotension, Vomiting, Nausea,