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110 terms kandykat1012Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview NCLEX 68 terms Bel enoxaparin indicationsDVT prophylaxis what should nurse have ready with Blakemore tube and why scissors if balloon becomes displaced can compress trachea and cause respiratory arrest For newborns, where do you check pulseApical pulse Where is apical pulse located for adults5th ICS, midclavicular line When is CRIES pain scale used and what does it stand for Neonatal intensive care unit, infants who are less than 38 weeks gestation Crying Requires oxygen Increased vital signs Expression Sleeplessness When is FLACC scale used2 months to 7 years of age who are unable to communicate Face Legs Activity Cry Consolability What is normal ICP5-15 mmHg What is normal pulmonary artery pressure8-20 mmHg
What is the term for high pulmonary artery pressure and what does it impact Pulmonary hypertension affects right side of heart and arteries going to lungs How can you measure pulmonary artery pressure doppler echo Describe MRIuses magnetic fields and radio waves to determine anatomy lasts 15-60 mins may show soft tissue/organ changes great to see brain, spinal cord, and nerves may or may not use contrast What should a client/nurse do before an MRIremove metals (watches, jewelry) assess for claustrophobia assess if patient has pacemaker
- old MRIs may deactivate them
- some newer ones are safe
Contraindications for MRIagitation metal implants old tattoos (lead) Describe CT scanuses x-rays to create 3-D image donut shaped scanner may or may not use contrast (contrast good for tumor identification) patient must remain still 5-10 min *best way to see bones What should be checked before giving contrast renal function What should be done before and after getting contrast increase fluids post contrast hold metformin 24 hours before and 48 hours after monitor urine output closely after CT What should a client do if they are going to get an ultrasound on their digestive system no fluids or food
What should a client do if they are going to get an ultrasound of their pelvis or fetus have a full bladder Order of lab collection with central line1. gather supplies
- hand hygiene
- rub alcohol swab on lumen
- flush central line with 10 mL NS
- draw 10 mL blood and discard
- draw 10 mL blood and put into tubes
- flush with 10-20 mL NS
- label tubes with name/DOB/time collected, send to lab
- document
What is normal PTT30-40 seconds What is PTT with heparin1.5-2x normal What is normal PT10-12 seconds What medication can impact PTwarfarin, time is longer What is normal INR0.9 - 1.2 What is INR on warfarin2-3 (therapeutic) What should be monitored with heparin vs warfarin Heparin - PTT (intrinsic clotting) Warfarin - PT/INR (extrinsic clotting) What are 2 chemicals the liver excrete (LFTs)ammonia bilirubin What does the liver make (LFTs) and what happens to each when there's a problem ALP (up) AST (up) ALT (up) Total protein (down) Albumin (down)
What does high troponin levels indicate and what are considered high levels damage to heart muscles normal is 0-0.4, normal levels should be very low When is BNP released, what is it used to test, and what is the normal range released with fluid retention (released from right atrium, where fluid goes back to), heart senses need to pump harder to move fluid forward tests for CHF normal < 100>6.5 target for diabetes - < 7>