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qstn | ans |
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What do you teach in Burger's disease | stop smocking |
lithium used for | Treating Manic disorder episode in pt bipolar disorder. Salt intake diet should not be reduced.. |
N. theurapetic lithium lvl | 0.5 - 1.3 mEq/l |
s/s right sided heart failure | dependent edema |
10 years child w/ dM refused for treatment | Leave the child alone in the room and come back in 15 m to see the behaviour change |
Pt. teaching w/ ECT | 1. HA is one of the s/e 2. Remove the denture before the procedure 3. Pt. might have temporary memmory lost. |
New born from alcoholic mother | sneezing and tremor's baby |
Pregnant woman think that her amniotic fluid broke about 1 hour ago. What is NI? | Do nitrazine test. A pH > 7.0 indicates that the amniotic sac has ruptured or blue color a PH <7 is negative or yellow color. |
desert that is good for HTN | Fresh strawbery |
What do you wear in pt.E.coli | Wear Gown & glove inside pt room |
s/s of pt w/ E. coli | bloody diarrhea, acute abdominal pain, vomiting, and fever |
Where do you place Pt with MRSA and what do you wear? | Contact isolation and wear gown & glove and googles outside & off and leave inside |
S/E lithium | Mild tremor;mild thirst; temporary and mild NA and generaldiscomfort at the beginning of the treatent. |
Allopurinol used for | Gout. Treat high uric acid levels in the blood or urine caused by certain types of cancer chemotherapy. |
Celebrex used for | Treating rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, menstrual pain, or pain |
S/E of Celebrex | Dizz or drow |
Early sign of Lithium tox | nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, lack of coordination, blurred vision, or ringing in the ears. |
Diet for gout? | Low purine diet: how?Bing cherries, celery extract,cheese,carbonated beverage,Dietary supplements Quercetin, a flavonoid, can decrease uric acid levels. |
Food to avoid in Gout? | sardines and anchovies seafood particularly shellfish such as clam, oyster, scallop, shrimp, crab, lobster, and crayfish. sweetreads, kidneys, liver, brains, dry bean,alcohol & meat extracts, consomnes and gravis. |
How to collect urine specimen? | 1.Clamp the tube for 30 m, 2. clean with alcohol swab, 3. insert needle and get 30 cc of urine and put in the specimen container, unclamp the tube and send the specimen to the lab. |
What is chemotheraphy? | Chemotherapy is treatment of cancer with anticancer drugs, it destroys cancer cells. |
S/E of propranolol | Constipation; diarrhea; dizziness; drowsiness; fatigue; lightheadedness; mild pain, swelling, or redness at the injection site; nausea; stomach upset or cramping; trouble sleeping; vomiting; weakness. |
Norvasc is used for | Anti HTN, and Anti Angina. |
Norvasc (amlodipine) CI w/ | impair hepatic , renal or renal fctn, sick sinus syndrome. |
Metoprolol is used for | Anti HTN |
Metoprolol CI w/ | HR <45, CHF, Systolic <100 |
Pt Teaching w/ radiation? | Clean the skin w/ water or mild soap + water using the hand rather than wash cloth, rinse the soap thoroughly and pat dry the skin with soft towel or cloth. |
Lasix is used for | Diuretic for HTN or water retention (swelling) associated with CHF, liver disease, or kidney disease. NI;: check for NA and K lvl. |
S/E of cocaine intake? | Abdominal or stomach pain; chills; confusion; dizziness or lightheadedness; excitement, nervousness, restlessness, or any mood or mental changes; fast or irregular heartbeat; general feeling of discomfort or illness; hallucinations (seeing, hearing, or fe |
Viagra is used for? | Treating erectile dysfunction. No nitrate & Nitroglycerin |
SE of viagra | HA, dizziness, abnormal vision, flushing drowsiness, fainting, or blurred vision, diarrhea and uti. |
Koshier diet for Jews | Separate meat and diary product. Let the pt to unwrap the packing. |
Anemia diet | Red meat and iron suppl, Bread/cereal, dark green leafy veggie, liver,raisin |
Gal bladder diet | Low fat and Avoid fried food, peanut & Chocó |
Celiac diet | Yogurt and apple sauce AND GLUTEN FREE |
NI w/ FX w/ emboli | Bed rest |
SS for CHF | Swollen feet at HS |
NI for post Colonoscopy | -Check for bleeding (hematocrit lvl) |
Bumex is used for? | Treating swelling caused by excess body water associated with heart failure or kidney or liver disease. Take w/ food AM. |
NI for inguina Hernia | Put ice pack and elevate the scrotum |
Hep A | passed through the stool of infected persons. Transmission is from person-to-person contact or through contaminated food and water. |
SS of Hep A/ | fatigue, jaundice, appetite loss, abdominal pain, nausea, diarrhea, and fever. |
Hep B | caused by the hepatitis B virus (HBV). |
SS of Hep B | fatigue, jaundice, appetite loss, abdominal pain, nausea, diarrhea, and fever. |
Prostatectomy | transurethral resection, a procedure performed to relieve urinary symptoms caused by benign enlargement) |
Risk for complication and SE of Prostatectomy ? | Excessive bleeding, Incontinence and impotence. SEX is OK. |
Amputation | Not supposed done for pt w/ unctrlable DM, CHF or infection and pt w/ blood clotiing disorder. |
Rickettsia | - Rocky Mountain spotted fever (RMSF) - Def. in vit D |
SS of Rickets | High fever, chills, headache, severe weakness, and muscle pain. |
Ativan (lorazepam) | Treating anxiety |
SE of Ativan | Bradycardya and Hypotension. |
Draw NPH or Reg first into syringe | Reg first . . |
Acute pancreatitis | Give meperidine (Demerol), antacid, anticholinergic and encourage cough and deep breathing. NO MOTRIN |
Diet for DM | Diet in low sodium , low Fat, and low carbs. |
SS of Cushing syndrome | High lvl of cortisol in the blood with SS Weight gain, moon face, buffalo hump. |
How to relief heart burn? | Give calcium carbonate, prilosec(omeprazole). |
low purine diet? | Asparagus * Cauliflower * Mushrooms * Peas * Spinach * Whole-grain breads and cereals * White poultry meats, such as chicken, duck and turkey * Kidney and lima beans.Green vegetables and tomatoes * Fruits and fruit juices * Breads that do not use yeast. |
High purine food | Beef * Pork * Bacon * Lamb * Seafood * Foods that are made with a significant amount of yeast such as beer and bread * Alcoholic beverages |
Paracenthesis | Paracentesis is a medical procedure involving needle drainage of fluid from a body cavity, most commonly the abdomen. It is used for a number of reasons: |
NI for paracentesis | Void immediately before the proced. |
Enalapril is used for | HTN & CHF |
Enalapril CI w/ | Furosemide and hidrochlorothiazide, dextran sulfate. |
Death in budhism | Salvation depends on one's own right living. Let them contemplate the death. |
Pt. Teaching in taking Dilantin? | Brush teeth w/ soft tooth brush |
down Syndrome | Protruding tongue |
Cleft pallate | Feed at upright position.& direct the formula to the side and back of the mouth.Feed small amounts gradually and burp frquently |
Sickle cell | Hydrate and blood flow w/ iv, parent counseling, semi fowler |
Lice | Wash and dry the hair w/ pediculicide shampoo. |
Burn 100 % | Put in isolation |
Diet for Diverticulosis | high fiber |
Pamelor | Relief ss of depr./treatment of panic disorder |
Tylenol | Stay out of the sun |
Anti dote for Narcotic | narcan |
Propranolol(inderal) | Anti HTN, Anti arrythmic |
Metoprolol (lopressor) | Anti HTN |
SE Metoprolol | mpotence |
Right sided heart failure | the lower right chamber of the heart (right ventricle) cannot pump blood to the lungs as fast as it returns from the body through the veins |
CVA | Semi fowler and thicken liquid |
A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient's medication does not cause urine discoloration? | A. Sulfasalazine B. Levodopa C. Phenolphthalein *D. Aspirin |
. You are responsible for reviewing the nursing unit's refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator's contents? | *A. Corgard B. Humulin (injection) C. Urokinase D. Epogen (injection) |
A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb? | *D. IgG |
A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take? | A. Immediately see a social worker *B. Start prophylactic AZT treatment C. Start prophylactic Pentamide treatment D. Seek counseling |
A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? | A. Atherosclerosis B. Diabetic nephropathy *C. Autonomic neuropathy D. Somatic neuropathy |
Atenolol is used for? and SE? | is used to treat angina (chest pain) and hypertension SE: slow or uneven heartbeats; feeling light-headed, fainting;feeling SOB, even with mild exertion;swelling of your ankles or feet;nausea, stomach pain, low fever, loss of appetite, dark urine, clay-c |
Cymbalta and SE | is used to treat major depression. SE: Appetite changes, constipation, diarrhea, dizziness, dry mouth, fatigue, headache, insomnia, nausea, sexual difficulties, sleepiness, sweating, tremor, urinary difficulties, vomiting, weakness |
Naproxen is used for? SE? | Treating rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and juvenile arthritis SE: Dizz and drow |
Mobic is used | Treating rheumatoid arthritis, osteoarthritis, and juvenile arthritis. |
Neurontin is used for? | Treating seizures associated with epilepsy. |
Oxycodone | Treating moderate to severe pain |
Paxil | Treating depression, obsessive-compulsive disorder (OCD), generalized and social anxiety disorders, posttraumatic stress disorder, and panic disorders |
Prednison and S/e? | Treating severe allergies, arthritis, asthma, multiple sclerosis, and skin conditions. S/E: Difficulty sleeping; feeling of a whirling motion; increased appetite; increased sweating; indigestion; mood changes; nervousness. |
Percocet | Relieving moderate to moderately severe pain. |
Prozac | Treating depression or obsessive-compulsive disorder (OCD) in adults and children. |
Seroquel and S/E? | Treating schizophrenia. S/E: Constipation; dizziness; drowsiness; dry mouth; lightheadedness; nasal congestion; sore throat; stomach pain or upset; tiredness; vomiting; weakness; weight gain. |
topamax and S/E? | is used to help control some types of seizures in the treatment of epilepsy. S/E: back pain, breast pain, chest pain |
Ethambutol and S/E? | Treating tuberculosis (TB) infections of the lung along with other medicines. S/E: Appetite loss; disorientation; dizziness; general body discomfort; headache; nausea; stomach upset or pain; vomiting. |
Rifampin | The treatment of all forms of tuberculosis and the treatment of some people who have meningitis without symptoms |
INH(isoniazid | used for Tuberculosis. CI w/ Previous isoniazid-associated hepatic injury, drug fever, chills, or arthritis; acute liver disease. |
full liq diet? | OJ,strained soup, & soft custard |
Clear liquid diet ? | water, buillion, broth,carbonated bev.hard candy, lemonade,posicles,coffee or tea and gelatin. |
source of riboflavin (B2) food? | Milk, Lean meats, fish and grain. |
Levitra is used for? | Treating erectile dysfunction (ED). |
SE of Levitra? | Dizziness; flushing; headache; heartburn; stuffy or runny nose; upset stomach. |
Ambien is used for? | Short-term treatment of insomnia (difficulty falling or staying asleep |
S/E Mobic | Constipation; diarrhea; dizziness; gas; headache; heartburn; nausea; stomach upset; trouble sleeping. |
S/e Oxycodone | Constipation; dizziness; drowsiness; headache; nausea; sleeplessness; vomiting; weakness |
nicotinic acid, | Niacin=is a B vitamin (vitamin B3). |
what are 3 classic ss of preeclampsia | HTN, Gen. Edema, and Proteniura. |
impetigo | appears thick honey colored crust |
scabies | appears as burrows, or fines, grayish line. |
herpes simplex | appears cluster of fluid-filled with vesicles. |
Normal lvl cholesterol? | 140 - 199 mg/dl |
Source of food high in thiamin? (B1) | Pork products, nuts, whole grain,cereals and legums. |
diet for celiac disease? | Rice, corn, apple souce and yogurt or gluten free food. |
Reye's syndrome | is a potentially fatal disease that causes numerous detrimental effects to many organs, especially the brain and liver. It is associated with aspirin consumption by children with viral diseases such as chickenpox. |
Kawasaki disease | Systemic disease primarily of infants and young children, characterized by skin rash, swelling of hands and feet, enlarged cervical lymph nodes, "strawberry tongue", dry and cracked lips, high fevers, and coronary artery disease. |
SS of Kawasaki disease | Severe redness in the eye, rash in the stomach, chest & Genital, red dry crack lips.strawbery tonque w/ white coated and big red bump, swollen palm of the hand w/ purple red color, swollen lip nodes, and the skin of the hand begin to peel. |
Diverticulosis vs diverticulitis? | Diverticulos is the herniation of the large intestine (colon) bulges out through the outer, muscular layer. These outpouchings are called diverticula. Diverticulitis refers to the development of inflammation and infection in one or more divertica. |
Immediately after delivery the height of the fundus will be at? | at the level of the umbilicus or 1 to 3 finger bread below it and in the midline of the abdomen. |
Normal transferin level? | M: 200 - 400 mg/dl |
Early SS of CHF | Tachycardia, tachypnea,profuse scalp sweating, fatique and irritability,sudden weight gain and respiratory distress. |
Early SS Dumping syndrome | vertigo, tachycardi,syncope ,sweating,parlor,palpitationand disire to lie down. |
SS of hypovolemia and wha it is NI | cool, clammy and pale skin, feeling of axiety, restless and thirst. NI: check the V.S. |
Time closed for anterior and posterior fontanel? | 12 to 18 moth for anterior and 2 to 3 mos for posterior. |
diet for acute gastroenterities? | low residue (low fiber) as for for ileostomy, colostomy, partial obstructions of the intestinal tract or diarhea. |
Diet for elevated Amonia level? | Low protein.! |
Elevated BUN means? | Congestive heart failure, Hypovolemia,Heart attack ,Kidney disease , including glomerulonephritis , pyelonephritis , and acute tubular necrosis,Kidney failure,Shock, Urinary tract obstruction |
Low BUN means? | Liver failure, Over-hydration,low protein diet, malnutrition |
Variant Angina | =Printzmetal angina is prolonged and severe and it occurred at the same time every day and most often in the morning. |
Allergy to latex cannot eat what food? | banana, kiwi, tropical food,potatoes, cest nut, and avocado. |
What is antidote for Heparin? | Vit K. |
Reason for giving vit K at birth? | To protect the baby from injury. |