Nursing Review Bullets 1

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Nursing Bullets 1

1. Bone marrow aspiration  Local anesthesia

8. Normal serum sodium level  135-145mEq/L

2. Administering intramuscular iron  Z-track method, upper outer quadrant of the buttock

9. IV potassium chloride concentration  Peripheral IV line: 20-40mEq/L  Central IV line: 60mEq/L

3. Foods high in iron  red meat  liver organ meats  blackstrap molasses  oysters  kidney beans  whole wheat bread  egg yolk  spinach  kale  turnip tops  beet greens  carrots  raisins  apricots

10. Normal serum potassium level  3.5 to 5.1mEq/L

4. Client with metabolic alkalosis  decreased respiratory rate and depth  nausea, vomiting and diarrhea  restlessness  numbness and tingling in the extremities  twitching in the extremities  hypokalemia  hypocalcemia  dysrhythmias 5. Respiratory alkalosis  decrease in the respiratory rate and depth  headache  lightheadedness  vertigo  mental status changes  paresthesias  hypokalemia  hypocalcemia  tetany  convulsions 6. Normal magnesium level  1.6 to 2.6 mg/dL 7. Normal serum calcium level  8.6 to 10.0 mg/dL www.nurseacademy.blogspot.com

11. Normal serum albumin level  3.4-5.0g/dL 12. “Enemas until clear” order  One to three enemas may be given 13. Identifying blood compatibility  Indirect Coombs' test 14. Bradypnea  Regular but abnormally slow respirations 15. Kussmaul’s respirations  Abnormally deep, regular, and increased in rate 16. Hyperpnea  Labored and increased in depth and rate 17. Apnea  Respirations that cease for a number of seconds 18. Arterial Blood Gases (ABGs) specimen  Use heparinized syringe 19. Client with ileostomy  metabolic acidosis 20. Tetany from acute hypocalcemia  Give calcium gluconate and calcium chloride 21. Sickle cell crisis classic symptom  Pain 22. Hypokalemia  peaked P waves  flat T waves  depressed ST segment  prominent U waves

*information taken from various nursing resources.

www.nurseacademy.blogspot.com 23. Hypercalcemia  Give Calcitonin (calcimar)  Avoid Vitamin D 24. Hypocalcemia  Paresthesias  hyperactive reflexes  (+) Trousseau’s or Chvostek’s sign  decreased heart rate  hypotension  hyperactive bowel sounds  increased neuromuscular excitability  muscle cramps  tetany  seizures  insomnia  irritability  memory impairment  anxiety 25. Fat emulsions  Provide essential fatty acids and additional calories  Assess hypersensitivity to eggs 26. Infiltration  pallor  coolness  swelling 27. Phlebitis  remove the IV  apply warm moist compresses  notify the physician 28. Insensible fluid loss  Skin and lungs 29. Sensible fluid loss  wound drainage  gastrointestinal tract losses  urine 30. Shock  Hypotension  Tachycardia  cold, moist, pale, or cyanotic skin  increased restlessness and apprehension


Nursing Bullets 1 31. Pseudostrabismus  Asian Americans  American Indians  Alaskan Native infants 32. Lactated Ringer’s solution  Replace fluid from gastrointestinal (GI) tract losses 33. Albumin  Shock and protein replacement 34. Scabies  Gown and gloves 35. TB patients  High intake of protein, iron, and vitamin C 36. Uric acid type of stone  High intake of legumes, green vegetables, and fruits (except prunes, grapes, cranberries, and citrus fruits) 37. NGT attached to low suction  Metabolic alkalosis 38. Late-stage salicylate poisoning  Metabolic acidosis 39. Family history of general anesthesia problems  Risk for post-operative malignant hyperthermia 40. Position post-liver biopsy  Right side-lying position with a small pillow or folded towel under the puncture site for 2 hours 41. Client’s position during enema  Left lateral position with the right leg acutely flexed 42. Position post-insertion of Cantor tube  Right side 43. Post-supratentorial surgery  Semi-fowler’s 44. Pre-MRI medication  Sedative


www.nurseacademy.blogspot.com 45. Position of client with air embolism  Left side with the feet higher than the head.

Nursing Bullets 1 

auscultation over the right ventricle may reveal a “churning” windmill type of sound

46. Client with TPN to receive antibiotic  Ensure a separate IV access for the antibiotic

58. Serum sodium level is lower than 125mEq/L  IV hypertonic saline

47. Priority management of sickle cell crisis  Hydration therapy and pain relief

59. Impaired Oral Mucus Membranes  Avoid lemon-glycerin swabs

48. Before teaching cane-assisted ambulation  Assess clients balance, strength and confidence 49. Normal serum osmolality  285-295mOsm/kg of water 50. Normal Oxygen saturation  >95% 51. Hypoxemia  Oxygen saturation ≤ 88% 52. Normal CSF Protein  15-45mg/dL 53. Function of progesterone  Maintains uterine lining for implantation and relaxes all smooth muscle including the uterus  54. Hormones produced by the ovaries  Estrogen and progesterone 55. Prior to intralipid infusion  checked solution for separation or an oily appearance 56. Continuous tube feeding  Check the residual every 4 hours 57. Air Embolism in client with TPN  chest pain  decreased level of consciousness  tachycardia  dyspnea  anxiety  feelings of impending doom  cyanosis  hypotension  hypoxia www.nurseacademy.blogspot.com

60. Vastus Lateralis muscle  Best injection site for all age group especially ages >3 61. Assessing post-hysterectomy client  Roll the client to one side after checking the perineal pad and the abdominal dressing 62. Least reliable method for determining accurate placement of the NG tube  Placing the end of the tube in water to observe for bubbling 63. Position for thoracentesis  Sitting at the edge of the bed leaning over the bedside table with the feet supported on a stool; or  Left side-lying with the head of the bed elevated 30 to 45 degrees 64. Tracheostomy tube suctioning  Goggles, mask, sterile gloves 65. Correct use of walker  Put all four points of the walker 2 feet forward flat on the floor, puts weight on the hand pieces, and then walks into it 66. Post-radical vulvectomy  Avoid using warm tap water 67. Hydraulic lift  Position client in the center of the sling 68. Confused client with stable gait  Alarm-activating bracelet or “wandering bracelet.” 69. Glass thermometer breakage  Notify the Environmental Services Department of the spill


www.nurseacademy.blogspot.com 70. Client with internal radiation implant  Long-handled forceps and a lead container (pig) 71. Incident reports  Analysis of adverse client events by reviewing the quality of care and determine any potential risks for injury to the client 72. In corneal donor’s death  Eyes are closed and gauze pads wet with saline are placed over them with a small ice pack  Elevate head 73. Keeping the living will  Medical record at the hospital  Physician’s office  Client’s home  Lawyer’s office. 74. Appropriate test for asterexis  Ask the client to extend an arm, dorsiflex the wrist, and extend the fingers 75. Primary prevention  measures that keep illness, injury, or potential problems from occurring 76. Secondary prevention  Measures that seek to detect existing health problems or trends (case finding, screening) 77. Tertiary prevention  Measures that prevent occurrence of additional injury 78. Thiamine rich foods  Pork products, nuts, whole-grain cereals, and legumes 79. Normal CVP  4 to 11 mm H2O 80. Accurate indicator of fluid status and nutritional management  Body weight 81. Excessive use of oral antacids  Metabolic alkalosis


Nursing Bullets 1 82. Client with body or leg casts  Use fracture pan 83. Isotonic solution  0.9% normal saline  5% dextrose in water 84. Hypotonic solution  0.45% normal saline 85. Hypertonic solution  10% dextrose in water  5% dextrose in 0.9% normal saline 86. Thrombophlebitis  Elevate the affected leg 87. Severely anemic persons  Hemoglobin >8 g/dL  pale  exhausted  (+) palpitations  sensitivity to cold  loss of appetite  dizziness  headaches 88. Site for bone marrow aspiration  Iliac crest and the sternum 89. Sickle cell anemia  (+)hemoglobin S 90. Malnutrition  Low serum transferrin and total iron-binding capacity (TIBC) 91. Iron-Deficiency anemia  Decreased iron-binding capacity but increased transferrin levels 92. Schilling test  Pernicious anemia 93. Classic signs of Pernicious anemia  weakness  mild diarrhea  smooth, sore red tongue  paresthesias  difficulty with balance  occasional confusion



Nursing Bullets 1

94. Chronic venous insufficiency  avoid crossing the legs  avoid sitting in chairs where the feet don’t touch the floor  avoid wearing garters or sources of pressure above the legs (such as girdles)  avoid prolonged standing or sitting  wear elastic hose for 6 to 8 weeks (or perhaps for life)  elevate foot of the bed 6”during sleep 95. Sclerotherapy  injection of a sclerosing agent into a varicosity to damage the vein and close it off 96. Thromboangiitis obliterans (Buerger’s disease)  Smoking cessation program 97. Cause of anginal attacks  eating heavy meals  straining during bowel movements  smoking  overexertion  emotional upset  temperature extremes 98. Characteristic of atrial fibrillation  Auscultate apical pulse for irregular rate and palpate the radial pulse for pulse deficit 99. Position for pericardiocentesis  Supine with the head of the bed raised to an angle of 45-60 degrees 100. 

Low cardiac output (+) Crackles



Nursing Review Bullets 1

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