1. Consequence of too much O2 → dry & cracking oral mucosa

2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension)

3. 1 day post surgery (thoracotomy), what should the nurse do? → teach about incentive

spirometer and high fowler’s position (not give O2 nasal cannula)

4. CVP increase → possible right ventricular failure

5. Digoxin toxicity s/sx → nauseous with loss of appetite [REPEAT]

6. Apical pulse location → (image) mitral location

7. PaO2 50 mm → severe hypoxia (anything > 60 mm)

WEEK 4

1. Hypokalemia → “U” wave formation on EKG

2. Client’s partner will suction, ready to be sent home? → they perform it independently

3. Best indicator for heart damage → troponin I

4. Patient is on coumadin, what is concerning → PT 45 seconds (normal: 11-12.5)

5. Suspected MI, what do you do first → oxygen

WEEK 5

1. Type I patient insulin therapy, barriers? → literacy, dexterity, culture, motivation

2. Give Lispro, when do you wanna give insulin → 15 minutes before breakfast

3. Give furosemide, what do you teach → give foods high in potassium

4. What does coumadin do → prevent stroke in patients with atrial fibrillation

5. SIADH → fluid restriction

6. DKA, blood sugar goes down to 240 → change to D5 NS IV fluid

7. Cushing’s SATA → buffalo hump, purple striation, moon face

8. tPA (tissue plasminogen), what is the most concerning → LOC (not oozing blood)

WEEK 6

1. Teaching of Hep B → increase appetite (anorexia)

2. Allergic reaction of blood transfusion → generalized urticaria

3. Asthma exacerbation, priority intervention → nebulizer (not high-fowler's position)

4. +4 edema intervention → pressure relieving mattress

5. Warfarin, contraindication → cabbage (green leafy)

6. Severe cirrhosis → nose bleeding & bruising *bleeding priority*

7. Acute pancreatitis teaching → no cheddar cheese

8. Intervention for ascites → (NOT 3in above umbilicus)

9. Cirrhosis, further teaching → “I can eat anything I want”

10. Acute pancreatitis, after pain med → keep them NPO

11. TPN at home teaching (SATA) → keep refrigerated, start D10 if feeding is finished, keep

infusion rate if behind on feeding (3)

12. Patient is falling asleep as nurse is talking to them → increased ammonia levels

13. Cholecystitis (SATA) → back rub, incisional splinting, identify pain level, change client

position (4