www.nurseacademy.blogspot.

com Nursing Bullets 1

1. Bone marrow aspiration 8. Normal serum sodium level

Local anesthesia 135-145mEq/L

2. Administering intramuscular iron 9. IV potassium chloride concentration

Z-track method, upper outer Peripheral IV line: 20-40mEq/L
quadrant of the buttock Central IV line: 60mEq/L

3. Foods high in iron 10. Normal serum potassium level

red meat 3.5 to 5.1mEq/L
liver organ meats
blackstrap molasses 11. Normal serum albumin level
oysters 3.4-5.0g/dL
kidney beans
whole wheat bread 12. Enemas until clear order
egg yolk One to three enemas may be given
spinach
13. Identifying blood compatibility
kale
Indirect Coombs' test
turnip tops
beet greens 14. Bradypnea
carrots Regular but abnormally slow
raisins respirations
apricots
15. Kussmauls respirations
4. Client with metabolic alkalosis Abnormally deep, regular, and
decreased respiratory rate and increased in rate
depth
nausea, vomiting and diarrhea 16. Hyperpnea
restlessness Labored and increased in depth
numbness and tingling in the and rate
extremities
twitching in the extremities 17. Apnea
hypokalemia Respirations that cease for a
number of seconds
hypocalcemia
dysrhythmias 18. Arterial Blood Gases (ABGs)
specimen
5. Respiratory alkalosis
Use heparinized syringe
decrease in the respiratory rate and
depth 19. Client with ileostomy
headache metabolic acidosis
lightheadedness
vertigo 20. Tetany from acute hypocalcemia
mental status changes Give calcium gluconate and
paresthesias calcium chloride
hypokalemia
hypocalcemia 21. Sickle cell crisis classic symptom
tetany Pain
convulsions
22. Hypokalemia
6. Normal magnesium level peaked P waves
1.6 to 2.6 mg/dL flat T waves
depressed ST segment
7. Normal serum calcium level prominent U waves
8.6 to 10.0 mg/dL

www.nurseacademy.blogspot.com *information taken from various nursing

resources.
www.nurseacademy.blogspot.com Nursing Bullets 1

23. Hypercalcemia 31. Pseudostrabismus

Give Calcitonin (calcimar) Asian Americans
Avoid Vitamin D American Indians
Alaskan Native infants
24. Hypocalcemia
Paresthesias 32. Lactated Ringers solution
hyperactive reflexes Replace fluid from gastrointestinal
(+) Trousseaus or Chvosteks sign (GI) tract losses
decreased heart rate
hypotension 33. Albumin
hyperactive bowel sounds Shock and protein replacement
increased neuromuscular
34. Scabies
excitability
Gown and gloves
muscle cramps
tetany 35. TB patients
seizures High intake of protein, iron, and
insomnia vitamin C
irritability
memory impairment 36. Uric acid type of stone
anxiety High intake of legumes, green
vegetables, and fruits (except
25. Fat emulsions prunes, grapes, cranberries, and
Provide essential fatty acids and citrus fruits)
additional calories
Assess hypersensitivity to eggs 37. NGT attached to low suction
Metabolic alkalosis
26. Infiltration
pallor 38. Late-stage salicylate poisoning
coolness Metabolic acidosis
swelling
39. Family history of general anesthesia
27. Phlebitis problems
remove the IV Risk for post-operative malignant
hyperthermia
apply warm moist compresses
notify the physician 40. Position post-liver biopsy
Right side-lying position with a
28. Insensible fluid loss
small pillow or folded towel under
Skin and lungs the puncture site for 2 hours
29. Sensible fluid loss 41. Clients position during enema
wound drainage Left lateral position with the right
gastrointestinal tract losses leg acutely flexed
urine
42. Position post-insertion of Cantor tube
30. Shock Right side
Hypotension
Tachycardia 43. Post-supratentorial surgery
cold, moist, pale, or cyanotic skin Semi-fowlers
increased restlessness and
apprehension 44. Pre-MRI medication
Sedative

www.nurseacademy.blogspot.com *information taken from various nursing

resources.
www.nurseacademy.blogspot.com
45. Position of client with air embolism
Left side with the feet higher than
the head.
46. Client with TPN to receive antibiotic
Ensure a separate IV access for
the antibiotic
47. Priority management of sickle cell
crisis
Hydration therapy and pain relief
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
Nursing Bullets 1
auscultation over the right
ventricle may reveal a churning
windmill type of sound
58. Serum sodium level is lower than
125mEq/L
IV hypertonic saline
59. Impaired Oral Mucus Membranes
Avoid lemon-glycerin swabs
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
*information taken from various nursing
resources.
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 donors 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
Physicians office
Clients home
Lawyers 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
www.nurseacademy.blogspot.com
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
*information taken from various nursing
resources.
www.nurseacademy.blogspot.com Nursing Bullets 1

94. Chronic venous insufficiency

avoid crossing the legs
avoid sitting in chairs where the
feet dont 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 6during
sleep

95. Sclerotherapy
injection of a sclerosing agent into
a varicosity to damage the vein
and close it off

96. Thromboangiitis obliterans (Buergers

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

www.nurseacademy.blogspot.com *information taken from various nursing

resources.