CMSRN Study guides, Class notes & Summaries

Examples of third spacing - Answer Ascites, edema, burn Dilutional Hyponatremia - Answer Excessive fluid intake Edema, confusion, weight gain Treatment: decrease fluid intake "swells, rings tight" True Hyponatremia - Answer Loss of fluid and Na Weight loss, DRY, hypotensive, tachy, DEHYDRATED Tx: replace both sodium and water Hypernatremia Causes - Answer Fevern unresponsive to traditional interventions, Na IV fluids, DI, tube feeds Hypernatremia Symptoms - Answer DR...

People that have GERD or frequently take NSAIDS are at higher risk for? - Answer GI bleeds Is GI bleeding always visible to patients? - Answer No What 2 diagnostic tests are helpful in GI bleeds - Answer Endoscopy and CBC What kind of fluid replacement is necessary for most GI bleeds? - Answer Isotonic IVF Cirrhosis occurs when - Answer Scar tissue develops over the liver. Lipids store into cells throughout the body What are the 3 s/s of cirrhosis? - Answer Abdominal p...

specific condition of small vessels that can lead to lacunar strokes - Answer lipohyalinosis what is the greatest risk factor for lacunar strokes - Answer hypertension tiny areas of ischemic necrosis caused by occlusion of small penetrating arteries - Answer lacunar strokes what percentage of ischemic strokes do lacunar strokes account for - Answer 25% what are the 5 classic syndromes of lacunar strokes - Answer pure motor hemiparesis, ataxic hemiparesis, dysarthria/clumsy ...

A newly diabetic patient will receive instructions from his nurse. Which of the following actions should the nurse take first? A. Provide the patient with brochures for making smart choices for cooking/baking. B. Ask the patient what they know about diabetes. C. Instruct the patient on exercise or activities that will increase their metabolism. D. Teach them how to use the glucometer. - Answer B. First ask the patient what they know about diabetes. *ACTION questions ask for interv...

The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? - Answer Frequently wash her hands and surfaces of the home. The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client has experienced which of the following? - Answer Was bitten by a tick The nurse is caring for a client with a proto...

A patient with mitral valve disease is admitted to a medical unit with fever, chills, SOB, malaise and a newly developed cardiac murmur. Based on the patient's new diagnosis of endocarditis, the nurse will begin preparing him for discharge by teaching about: a. lifestyle modifications. b. warfarin (Coumadin) therapy. c. self-administration of IV antibiotics. d. the need for fluid restrictions. - Answer c. self-administration of IV antibiotics. A patient with hypercholesterolemia was pr...

A newly diabetic patient will receive instructions from his nurse. Which of the following actions should the nurse take first? A. Provide the patient with brochures for making smart choices for cooking/baking. B. Ask the patient what they know about diabetes. C. Instruct the patient on exercise or activities that will increase their metabolism. D. Teach them how to use the glucometer. B. First ask the patient what they know about diabetes. *ACTION questions ask for intervention, NOT...

A patient with mitral valve disease is admitted to a medical unit with fever, chills, SOB, malaise and a newly developed cardiac murmur. Based on the patient's new diagnosis of endocarditis, the nurse will begin preparing him for discharge by teaching about: a. lifestyle modifications. b. warfarin (Coumadin) therapy. c. self-administration of IV antibiotics. d. the need for fluid restrictions. c. self-administration of IV antibiotics. A patient with hypercholesterolemia was prescribed pr...

You may see a slight increase in diastolic blood pressure early in shock because: A. Concurrent brain injury is present B. Stroke volume has increased C. There is an increase in vascular tone D. Left ventricular contractions have strengthened C. There is an increase in vascular tone A 62-year-old male patient with a remote history of rheumatic fever is admitted to the medical-surgical unit with the following symptoms: Subjective: Shortness of breath, chest pain, syncope Objective: Perip...

A patient has Ascites. What is a sign of Ascites? A. High Epinephrine Levels B. Low Plasma Albumin levels C. High Plasma Oncotic levels D. Low Blood PRessure B. Low Plasma Albumin levels. The lack of pressure from plasma proteins will allow fluid to enter the wrong areas. Cirrhosis may develop in some cases. What makes Ca-MRSA unique compared to other types of MRSA? A. A. It is acquired in a hospital B. It is transmitted through sex C. It is transmitted through blood transfusions ...