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NUR 220 Final 2
- Attitudes of critical thinking
Answer confidence, independence, fairness, responsibility, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility
- levels of clinical thinking
- basic level of clinical thinking
Answer basic complex commitment
Answer must trust and rely on experts, use concrete thinking, and a set of rules or principles for guidance
- complex level of clinical thinking
Answer rely on experts less and trust self more, analyze and examine choices independently
- commitment level of clinical thinking
Answer able to anticipate when to make choices without assistance
- general clinical decision making
Answer scientific method, problem solving, and decision making
- specific clinical decision making 1 / 4
Answer look for clues to understand the evidence and infer correctly to accurately diagnose and choose the right course of action
- Tanner's Clinical Judgement Model
- expectation 2. noticing 3. interpretation
Answer
- responding 5. reflecting
- Normal range for Na
Answer 135-145 mEq/L
- normal range for Mg
Answer 1.5-2.5 mEq/L
- normal range for Ca
Answer 8.5-10.5 mg/dL
- Normal range for K
Answer 3.5-5 mEq/L
- Normal range for Cl
Answer 96-106 mEq/L
- Ca is regulated by
Answer parathyroid gland 2 / 4
- What is vitamin D needed for?
Answer calcium absorption in the intestine
- What is Ca necessary for
Answer blood coagulation and muscle and nerve activity
- Sodium regulates what
Answer fluid balance
- Potassium regulates
Answer cardiac enzymes, transmit nerve impulses
- Magnesium is important for
Answer DNA and protein synthesis
- Hyponatremia causes
Answer fluid overload, prolonged fevers, diarrhea, renal failure
- What causes mg imbalances?
Answer malabsorption, malnutrition, chronic alco- holism, DKA, burns
- S/S of hyponatremia
Answer lethargy tremors 3 / 4
decreased level of consciousness restlessness headache confusion apprehension
seizures coma
- treatment for hyponatremia
Answer limit fluids, and increase dietary sodium
- S/S hypernatremia
- causes for hypernatremia
Answer decreased level of conciousness confusion lethargy coma thirst seizures
Answer excessive NA intake, kidney failure, diarrhea, di- uretic overuse
- treatment for hypernatremia
Answer stop the cause and perform fluid resuscitation
- causes for hypocalcemia
Answer diarrhea, hypoparathyroidism, pancreatitis, acciden- tal surgical removal of parathyroid, Vit D deficiency
- S/S hypocalcemia
Answer paresthesia, muscle twitching, weak heart contractions, tetany, increased reflexes, +Chvostek sign, +Trousseau Sign
- +Chvostek sign
- / 4
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