1L of water = _____ lb. - 2.2 lb (1kg) A nursing student ask you what he should do if his patients chest tube drainage system breaks, what will you tell him? - place the distal end of the chest tubing connection in a sterile water container at a 2-cm level as an emergency water seal A patient comes to the clinic complaining of fatigue, lethargy, weakness, and confusion. As a nurse you know these symptoms are begining neurologic manifestations of what electrolyte imbalance? - Hypercalcemia A patient just diagnosed with TB from a positive sputum smear is planning to leave at the end of the week for a vacation in Italy. As a nurse you remind this patient about what in regards to their treatment? - You are considered infectious for the first 2 weeks after starting treatment -to restrict visitors, avoid travel on public transportation and trips to public places, and on the importance of good handwashing and oral hygiene. ABG analysis includes - PaO2- 80-100 mmHG PaCO2-35-45mmHg pH- 7.33-7.45 HCO3- 22-26mEq/L SaO2- >95% Acid-Base regulatory mechanisms - Buffers- react immediately Respiratory system- responds in minutes and reaches max effectiveness in hours Renal system- takes 2 to 3 days to respond, but kidneys can maintain balance indefinitely in chronic imbalances Activity Considerations for COPD - -exercise training leads to energy conservation -modify ADLs to conserve energy -walk 15-20minutes a day at least 3x/wee
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