QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM AMS RN 10.0
Chp 47)
Assess for fluid and electrolyte imbalances, particularly with a new ileostomy
More than 1000ml/day
Can be bile-colored and liquid
Hemodialysis and Peritoneal Dialysis: Planning Care for a Peritoneal Dialysis Catheter Site
(Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 57)
Monitor weight, serum electrolytes, creatinine, BUN, and blood glucose
Teach to follow instructions carefully and to take all meds
Instruct the client to take essential minerals, and vitamins with supplements of
phosphorus, calcium, sodium, and potassium
Fluid and Electrolyte Imbalances (4 items)
Electrolyte Imbalances: Expected Laboratory Findings of Hyponatremia (Active Learning
Template - Basic Concept, RM AMS RN 10.0 Chp 44)
Normal to high BP
Hypothermia, tachycardia, rapid thread pulse, hypotension, ortho hypotension,
diminished peripheral pulses
Increased motility, hyperactive bowel sounds, ab cramping
Emergency Nursing Principles and Management: Priority Intervention for Heat Stroke (RN
QSEN – Safety, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 2)
ABCs
LOC
VS’s
Resuscitation
Hemodynamics (2 items)
Electrocardiography and Dysrhythmia Monitoring: Rhythm Interpretation (Active Learning
Template - Diagnostic Procedure, RM AMS RN 10.0 Chp 28)
Atrial fib, supraventricular tachycardia, ventricular tachycardia with pulse all treated with
amiodarone, adenosine, and verapamil
Pacemakers: Client Teaching About a Newly Inserted Permanent Pacemaker (Active Learning
Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 29)
Carry a pacemaker identification card at all time
Prevent wire dislodgement
Take pulse daily at same time
Report signs of dizziness, fainting, fatigue, weakness, chest pain, hiccupping,
palpitations, difficulty breathing
Illness Management (4 items)
Esophageal Disorders: Teaching About Gastroesophageal Reflux Disease (RN QSEN - Patient-
centered Care, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 48)
Symps: dyspepsia and regurgitation, radiating pain (neck, jaw, or back)
Report of a feeling of having a heart attack
Pyrosis (burning sensation in the esophagus)
Pain that worsens with position (bending, straining, laying down)
Respiratory Management and Mechanical Ventilation: Verifying Placement of Endotracheal Tube
(Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 19)
Chest X-ray
Medical Emergencies (2 items)
Head Injury: Identifying Cerebrospinal Fluid Leak (Active Learning Template - Basic Concept,
RM AMS RN 10.0 Chp 14)
Clear drainage from the nose
Glucose monitoring
Pathophysiology (7 items)
Infections of the Renal and Urinary System: Causes of Edema in Nephrotic Syndrome (Active
Learning Template - System Disorder, RM AMS RN 10.0 Chp 60)
Glomerular damage
Inflammatory Bowel Disease: Recognizing Clinical Manifestations of Appendicitis (Active
Learning Template - System Disorder, RM AMS RN 10.0 Chp 52)
Right lower quadrant pain; begins at peri-umbilical area
Fecaliths, or hard pieces of stool, can be the initial cause of obstruction
Pain increases with movement
Tachycardia, fever
Multiple Sclerosis: Clinical Manifestations (Active Learning Template - System Disorder, RM
AMS RN 10.0 Chp 10)
Pain or paresthesia
