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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. Kussmaul’s 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

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23. Hypercalcemia 31. Pseudostrabismus

 Give Calcitonin (calcimar)  Asian Americans
 Avoid Vitamin D  American Indians
 Alaskan Native infants
24. Hypocalcemia
 Paresthesias 32. Lactated Ringer’s solution
 hyperactive reflexes  Replace fluid from gastrointestinal
 (+) Trousseau’s or Chvostek’s 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. Client’s 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-fowler’s
 increased restlessness and
apprehension 44. Pre-MRI medication
 Sedative

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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
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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
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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 donor’s 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
 Physician’s office
 Client’s home
 Lawyer’s 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
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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
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www.nurseacademy.blogspot.com Nursing Bullets 1

94. Chronic venous insufficiency

 avoid crossing the legs
 avoid sitting in chairs where the
feet don’t 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 6”during
sleep

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

96. Thromboangiitis obliterans (Buerger’s

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

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