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Nclex review prep
Question | Answer |
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IF THE PH AND THE BICARB ARE BOTH IN THE SAME DIRECTION THEN IT IS? | METABOLIC EX. pH 7.30 AND HCO3 IS 20 THIS IS METABOLIC ACIDOSIS BECAUSE THEY ARE BOW GOIN DOWN. ITS ACIDOSIS WHEN WHEN THE pH IS LOW AND ALKALOSIS WHEN THE pH IS HIGH. |
WHAT ARE THE SIGNS AND SYMPTOMS OF ACID-BASE IMBALANCE? | RULE IS: AS THE pH GOES, SO DOES MY PATIENT EXCEPT FOR POTASSIUM. EX. IF THE pH IS UP THE PATIENT IS UP EXCEPT FOR POTASSIUM |
IS MAC KUSSMAULS METABOLIC OR RESPIRATORY AND IS IT ALKALOSIS OR ACIDOSIS? | IT IS METABOLIC ACIDOSIS |
CAUSES OF ACID-BASE IMBALANCE..IF IT IS LUNG AS YOURSELF ARE THEY OVER OR UNDERVENTILATING? iF OVER VENTILATING IT IS? IF THEY ARE OVER VENTILATING IT IS? | UNDERVENTILATING--PICK RESPIRATORY ACIDOSIS(PNEUMONIA-PCA PUMP TO MUCH) OVERVENTILATING-PICK RESPIRATORY ALKALOSIS(ANXIETY) GO WITH THE O2 SAT ON THIS... |
CAUSE OF ACID-BASE IMBALANCE..IF IT IS NOT LUNG THEN IT IS? IF THE PATIENT HAS PROLONGED GASTRIC SUCTION OR VOMITING PICK? FOR EVERYTHING ELSE PICK? | METABOLIC---METABOLIC ALKALOSIS(LOOSING ACID) METABOLIC ACIDOSIS---WHENEVER YOU HAVE NO CLUE PICK METABOLIC ACIDOSIS |
THE # 1 PROBLEM IN ABUSE IS? | DENIAL |
WHAT IS DEPENDENCY? | WHEN THE ABUSER GETS THE SIGNIFICANT OTHER TO DO THINGS FOR THEM OR MAKE DECISIONS FOR THEM |
WHAT IS CODEPENDENCY? | WHEN THE SIGNIFICANT OTHER DERIVES POSITIVE SELF-ESTEEM FROM DOIN THINGS FOR OR MAKING DECISIONS FOR THE ABUSER |
HOW DO U TREAT DEPENDENCY / CODEPENDENCY? | 1. SET LIMITS AND ENFORCE THEM. AGREE IN ADVANCE ON WHAT REQUESTS ARE ALLOWED, THEN ENFORCE THE AGREEMENT. 2. WORK ON THE SELF-ESTEEM ON THE CODEPENDENT PERSON. 3. MANIPULATION |
WHAT IS WERNICKE'S (KORSAKOFF'S) SYNDROME? | PSYCHOSIS INDUCED BY VITAMIN B1 (THIAMINE) DEFICIENCY. |
WHAT IS THE PRIMARY SYMPTOM OF WERNICKE'S (KORSAKOFF'S) SYNDROME? | AMNESIA WITH CONFABULATION (MEMORY LOSS AND MAKING UP STORIES BECAUSE THEY CANT REMEMBER) |
WHAT ARE THE CHARACTERISITICS OF WERNICKE'S SYNDROME? | A. PREVENTABLE TAKE B1 VITAMIN B. ARRESTABLE STOP IT FROM GETTING WORSE BY TAKING B1 3. IRREVERSIBLE BRAIN CELLS ARE DEAD |
WHAT DO THEY GIVE IN WERNICKE'S SYNDROME? | ANTABUSE / REVIA |
WHAT IS THE ONSET AND DURATION OF ANTABUSE / REVIA? | 2 WEEKS |
WHAT IS THE PATIENT TEACHING FOR ANTABUSE / REVIA? | AVOID ALL FORMS OF ALCOHOL TO AVOID NAUSEA, VOMITING, AND POSSIBLE DEATH. EX MOUTHWASH, PERFUMES, COLOGNES, AFTERSHAVES, ANY OTC THAT SAYS ELIXIR, INSECT REPELLANTS, VANILLA EXTRACT, VINIGERETTES, ALCOHOL BASED HAND SANITIZERS |
WHAT ARE THE SIGNS AND SYMPTOMS OF UPPERS? | EVERYTHING GOES UP. EX HR, RR, CONDUCTIVITY, GI MOTILITY, REFLEXES (+4), MUSCLE SPASTIC, EYES DILATE, INCREASED BOWEL SOUNDS |
WHAT ARE THE SIGNS AND SYMPTOMS OF DOWNERS? | EVERYTHING GOES DOWN...EX. HR, RR, LOC, FLACIDITY, 1-0 REFLEXES ( 2 IS NORMAL) |
IN OVERDOSE / INTOXIFICATION "I HAVE TO MUCH..." SO TO MUCH UPPER MAKES EVERYTHING GO? AND TOO MUCH DOWNER MAKES EVERYTHING GO? | TOO MUCH UPPER EVERYTHING IS UP TO MUCH DOWNER EVERYTHING IS DOWN (DEPRESSED STATE) |
IN WITHDRAWAL..." I DONT HAVE ENOUGH..." SO TOO LITTLE UPPER EVERYTHING IS? TOO LITTLE DOWNER EVERYTHING IS? | TOO LITTLE UPPER EVERYTHING IS DOWN TOO LITTLE DOWNER EVERYTHING IS UP |
WHAT DO U ALWAYS ASSUME WITH DRUG ADDICTION IN THE NEWBORN? | INTOXICATION ( NOT WITHDRAW) AT BIRTH UNTIL 24 HRS AFTER 24 HRS IT IS WITHDRAWAL |
WHAT IS THE DIFFERENCE BETWEEN ALCOHOL WITHDRAWAL SYNDROME VS DELIRIUM TREMENS? | EVERY ALCOHOLIC GOES THRU AWS WITHIN 24 HRS, ONLY A MINORITY GET DELIRIUM TREMENS. AWS IS NOT LIFE-THREATENING. DTS CAN KILL U. PATIENTS WITH AWS ARE NOT DANGER TO THEMSELVES OR OTHERS. PATIENTS WITH DT'S ARE DANGEROUS TO SELF AND OTHERS |
WHAT DO U THINK WHEN U HEAR AMINOGLYCOSIDES? | A MEAN OLD MYCIN |
WHAT IS AMINOGLYCOSIDES? | ITS AN ANTIBIOTIC USED TO TREAT SERIOUS INFECTIONS, LIFE-THREATENING INFECTIONS, GRAM (-) INFECTIONS, AND RESISTANT INFECTIONS |
WHAT DO ALL AMINOGLYCOSIDES END IN? | -MYCIN |
IF IT ENDS IN WHAT THROW IT OFF THE MYCIN LIST? | -THROMYCIN |
WHAT ARE THE TOXIC EFFECTS OF AMINOGLYCOSIDES? | OTOTOXICITY AND NEPHROTOXICITY * MYCIN = MICE = EARS |
WHAT SHOULD U MONITOR WITH AMINOGLYCOSIDES? | HEARING, BALANCE, TINITUS AND CREATININE LEVELS(KIDNEY FUNCTION) |
WHAT CRANIAL NERVE IS AMINOGLYCOSIDES TOXIC TO? | THE 8TH CRANIAL NERVE *THE NUMBER 8 DRAWN INSIDE THE EAR REMINDS U OF THE 8TH NERVE |
HOW OFTEN AND WAT ROUTE OF ADMINISTRATION DO U GIVE AMINOGLYCOSIDES? | Q8 HRS OR LESS IM OR IV DO NOT GIVE PO |
IN WHAT TWO CASES WOULD U GIVE AMINOGLYCOSIDES PO? | HEPATIC ENCEPHALOPATHY AND PRE-OP BOWEL SURGERY WHO CAN STEROLIZE MY BOWEL? NEOKAN NEOMYCIN AND KANAMYCIN |
WHAT IS THE TROUGH AND PEAK FOR AMINOGLYCOSIDES GIVEN SUBLINGUAL? | TROUGH---30 MIN BEFORE NEXT DOSE PEAK---5-10 MIN AFTER DISSOLVED |
WHAT IS THE TROUGH AND PEAK FOR AMINOGYLCOSIDES GIVEN IV? | TROUGH---30 MIN BEFORE NEXT DOSE PEAK---15-30 MIN AFTER THE DRUG IS FINISHED |
WHAT IS THE TROUGH AND PEAK FOR AMINOGLYCOSIDES WHEN GIVEN IM? | TROUGH---30 MIN BEFORE NEXT DOSE PEAK---30-50 MIN AFTER GIVING THE DRUG |
WHAT ARE CALCIUM CHANNEL BLOCKERS? | THEY ARE VALIUM FOR UR HEART...THEY ARE A NEGATIVE INO, CHRONO, AND DROMO |
CCB'S ARE WAT IN INOTROPIC? | THEY ARE WEAK |
CCB'S ARE WHAT IN CHRONOTROPIC? | THEY ARE SLOW |
CCB'S ARE WHAT ION DROMOTROPIC? | THEY ARE BLOCKS / SLOWS CONDUCTION |
WHAT DO CALCIUM CHANNEL BLOCKERS TREAT? | A - ANTIHYPERTENSIVE (LOWERS BP) AA - ANTI ANGINAL (CALM DOWN TO BEAT SLOWER) AAA - ANTI ATRIAL ARRYTHMIAL |
WHAT ARE THE SIDE EFFECTS OF CALCIUM CHANNEL BLOCKERS? | HEADACHE AND HYPOTENSION *MEASURE BP BEFORE GIVING HOLD IF SYSTOLIC IS UNDER 100 |
WHAT DO CALCIUM CHANNEL BLOCKERS END IN? | -ZEM -DIPINE (DIPPING IN THE CALCIUM CHANNEL) VERAPAMIL ( THEE EXCEPTION) |
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF LITHIUM (ANTIMANIA)? | THERAPEUTIC---0.6-1.2 TOXIC---GREATER THAN 2 |
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF LANOXIN (DIGOXIN)? | THERAPEUTIC---1-2 TOXIC---GREATER OR = TO 2 |
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF AMINOPHYLLINE (ANTISPASMODIC)? | THERAPEUTIC---10-20 TOXIC---GREATER THAN OR = TO 20 |
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF DILANTIN (SEIZURE MED)? | THERAPEUTIC---10-20 TOXIC---GREATER THAN OR = TO 20 |
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF BILIRUBIN? | THERAPEUTIC--*NEONATES ELEVATED RANGE 10-20 TOXIC--GREATER THAN OR = TO 20 * HARD TO BRING BACK USUALLY DIE 20 IS IRREVERSIBLE STAGE |
WHAT DOES HYPERKALEMIA DO TO THE BODY? | IT DOES SAME AS THE PREFIX EXCEPT FOR HR AND URINE OUTPUT. SO EVERYTHING GOES UP EXCEPT FOR HR AND URINE OUTPUT. |
WHAT DOES HYPOKALEMIA DO TO THE BODY? | IT DOES THE SAME AS THE PREFIX EXCEPT FOR HR AND URINE OUTPUT. SO EVERYTHING GOES DOWN EXCEPT HR AND URINE OUTPUT |
WHAT DOES HYPERCALCEMIA DO TO THE BODY? | IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES DOWN |
WHAT DOES HYPOCALCEMIA DO TO THE BODY? | IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES UP. |
WHAT DOES HYPERMAGNESEMIAS DO TO THE BODY? | IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES DOWN. ** IN A TIE NEVER PICK MAGNESIUM. IF SYMPTOM INVOLVES NERVE OR SKELETAL MUSCLE PICK CALCIUM, FOR ANY OTHER SYMPTOM PICK KALEMIA(POTASSIUM) |
WHAT DOES HYPOMAGNESEMIAS DO TO THE BODY? | IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES UP. ** IN A TIE, NEVER PICK MAGNESIUM. iF SYMPTOM INVOLVES NERVE OR SKELETAL MUSCLE PICK CALCIUM FOR ANY OTHER SYMPTOM PICK KALEMIAS(POTASSIUM) |
WHAT DOES HYPERNATREMIA DO TO THE BODY? | DEHYDRATION |
WHAT DOES HYPONATREMIA DO TO THE BODY? | OVERLOAD |
WHAT IS THE EARLIEST SIGN OF ANY ELECTROLYTE DISORDER? | NUMBNESS AND TINGLING (PARASTHESIA) |
WHAT IS THE UNIVERSAL SIGN/SYMPTOM OF ELECTROLYTE IMBALANCE? | MUSCLE WEAKNESS (PARESIS) |
WHAT IS THE ELECTROLYTE TREATMENT? | 1. NEVER PUSH POTASSIUM IV 2. NOT MORE THAN 40 mEq OF K+ PER LITER OF IV FLUID 3. GIVE D5-D50 + REGULAR INSULIN TO DECREASE K+ (THE HIGHER THE # THE FASTER IT GOES) 4. KAYEXALATE: A DRUG THAT LITERALLY GETS THE POTASSIUM OUT |
WHAT IS HYPERTHYROIDISM? | HYPER-METABOLISM |
WHAT ARE THE SIGNS AND SYMPTOMS OF HYPERTHYROIDISM? | THIN, WEIGHT LOSS, IRRITABLE, AGGITATED, TACHYCARDIA, HYPERTENSION, HOT (COLD INTOLERANCE)(HEAT INTOLERANCE),EXOTHALMUS (BULGING EYES)GASY BOWELS, DIARRHEA |
WHAT DISEASE IS HYPERTHYROIDISM? | GRAVES DISEASE *REMEMBER RUN YOURSELF INTO THE GRAVE |
WHAT ARE THE TREATMENT OPTIONS FOR HYPERTHYROIDISM? | A. I 131 - RADIOACTIVE IODINE (MUST FLUSH 2-3 TIMES AFTER URINATING--CALL HAZMAT IF URINE HITS THE FLOOR B. PTU(PROPYLTHIOURACIL) C. SURGICAL REMOVAL = THYROIDECTOMY |
WHAT IS A TOTAL THYROIDECTOMY AND WHAT IS THE PATIENT AT RISK FOR? | REMOVAL OF THE COMPLETE THYROID NEED LIFELONG HORMONE REPLACEMENT--AT RISK FOR MAINTAINING CALCIUM LEVELS-HYPOCALCEMIA |
WHAT IS SUBTOTAL THYROIDECTOMY AND WHAT IS THE PATIENT AT RISK FOR? | REMOVAL OF PART OF THE THYROID---AT RISK FOR THRYOID STORM |
WHAT ARE THE SIGNS AND SYMPTOMS OF A THYROID STORM? | SUPER GRAVES DISEASE (ON STEROIDS)--EXTREMELY HIGH FEVER 104^, EXAGGERATED VITAL SIGNS--200HR,PSYCOTIC DELIRIUM, ACTING CRAZY TEMPORARILY |
WHAT IS THE TREATMENT FOR A THYROID STORM? | GET THE TEMP DOWN, GIVE HIGH FLOW RATES OF OXYGEN, ICE PACKS THEN COOLING BLANKETS---NEED 5 ICE PACKS--ARMPITS, GROIN AND BACK OF NECK--STAY WITH UR PATIENT!!!! |
WHAT ARE THE POST-OP RISKS FOR A THYROIDECTOMY? | FIRST 12 HOURS--AIRWAY AND HEMORRAGE 12-48 HOURS FOR TOTAL--TETANY(LOW CALCIUM) 12-48 HOURS FOR SUB-TOTAL STORM |
WHAT IS HYPOTHYROIDISM? | HYPO-METABOLISM |
WHAT ARE THE SIGNS AND SYMPTOMS OF HYPOTHYROIDISM? | WEIGHT GAIN, TIRED, LOW BP, LOW PULSE RATE, ORTHOSTATIC HYPOTENSION, FAINTING, ALWAYS COLD, TOLERATE HEAT |
WHAT IS THE TREATMENT FOR HYPOTHYROIDISM? | HORMONE REPLACEMENT |
WHAT IS THE NAME OF THE DISEASE WITH HYPOTHYROIDISM? | MYEXEDEMA |
WHAT IS THE CAUTION WITH HYPOTHYROIDISM? | DO NOT SEDATE THEY ARE ALREADY THERE |
WHAT ARE TWO ADRENAL CORTEX DISEASES? | ADDISON'S AND CUSHING'S |
WHAT IS ADDISON'S DISEASE? | IT IS THE UNDER SECRETION OF ATHE ADRENAL CORTEX |
WHERE IS THE ADRENAL CORTEX LOCATED? | NEXT TO THE KIDNEY |
WHAT ARE THE SIGNS AND SYMPTOMS OF ADDISON'S DISEASE? | HYPER PIGMENTATION (BRONZE - TAN), SHOCK AT THE DROP OF A HAT (LOOK STRONG + HEALTHY BUT WEAKEST) |
WHAT IS THE TREATMENT FOR ADDISON'S DISEASE? | REPLACE THE HORMONES(STEROIDS)(CORTICOSTEROIDS)--SONE ****ADD-A-SONE |
WHAT IS CUSHING'S DISEASE? | IT IS THE OVER SECRETION OF THE ADRENAL CORTEX |
WHAT ARE THE SIGNS AND SYMPTOMS OF CUSHING'S DISEASE? | MOON FACE, IRRITABILITY, IMMUNOSUPPRESION, BUFFALO HUMP, HIRSUTISM(HAIRY), BRUISES EASILY, CENTRAL OBESITY, HYPERGLYCEMIA, ATROPY, STRIATE(STRETCH MARKS), LOOSING POTASSIUM, GYNECOMASTIA, RETAINS WATER |
WHAT IS THE TREATMENT FOR CUSHING'S DISEASE? | ADRENALECTOMY----TOO MUCH SO WE TAKE IT OUT |
WHAT INFECTIOUS DIEASES WOULD BE IN CONTACT PRECAUTIONS? | HERPATIC INFECTIONS(SHINGLES, HERPES) STAPH INFECTIONS(MRSA), INTERIC INFECTIONS(INTESTINE--HEP A, ECOLI, ROTOVIRUS), AND RSV |
WHAT IFECTIOUS DISEASES WOULD BE IN DROPLET PRECAUTIONS? | MENINGITIS, INFLUENZA, PLUS CHILDHOOD DISEASES SUCH AS WHOOPING COUGH(PERTUSIS), DIPTHERIA, AND THE MUMPS |
WHAT INFECTIOUS DISEASES WOULD BE IN AIRBORNE PRECAUTIONS? | MEASLES, TB, CHICKEN POX, AND SARS |
IN WHAT ORDER DO U PUT ON PERSONAL PROTECTIVE EQUIPMENT? | GOWN, MASK, GOGGLES, AND GLOVES |
IN WHAT ORDER DO U TAKE OFF PERSONAL PROTECTIVE EQUIPMENT? | ABC ORDER GLOVES, GOGGLES, GOWN AND MASK |
DO U PUT ON THE PERSONAL PROTECTIVE EQUIPMENT INSIDE OR OUTSIDE THE ROOM? | OUTSIDE |
DO U TAKE OFF THE PERSONAL PROTECTIVE EQUIPMENT INSIDE OR OUTSIDE THE ROOM? | INSIDE EXCEPT FOR THE MASK IN AIRBORNE U TAKE IT OFF OUTSIDE THE ROOM |
WHAT DO U NEED IN CONTACT ISOLATION? | PRIVATE ROOM W/ DOOR OPEN--UNLESS TWO WITH SAME DISEASE GLOVES HANDWASHING DISPOSABLE SUPPLIES GOWN IF DOING PT CARE |
WHAT DO U NEED IN DROPLET ISOLATION? | PRIVATE ROOM--CAN PUT TWO IN SAME MASK HANDWASHING PT WEAR FILTER REPIRATOR MASKS DISPOSABLE SUPPLIES NOT ESSENTIAL BUT GOOD IDEA |
WHAT DO U NEED IN AIRBORNE ISOLATION? | PRIVATE ROOM W/ DOOR CLOSED MASK SPECIAL FILTER RESPIRATOR MASKS PT WEAR MASK WHEN LEAVING ROOM--SHOULDNT LEAVE THE ROOM DISPOSABLE SUPPLIES NEGATIVE AIR FLOW GOWN--NOT PRIORITY BUT INCLUDE IT HANDWASHING SP |
IN WHAT ORDER DO U DRAW UP CLOUDY AND CLEAR INSULIN? | CLEAR THEN CLOUDY----R THEN N |
FOR IM INJECTIONS WHAT NEEDLE DO U USE? | GUAGE AND LENGTH HAVE TO HAVE A 1 IN IT **I LOOKS LIKE 1 |
FOR SQ INJECTIONS WHAT NEEDLE DO U USE? | GUAGE AND LENGTH HAVE TO HAVE A 5 IN IT **S LOOKS LIKE 5 |
HOW DO U GIVE HEPARIN? | U EITHER GIVE IT IV OR SQ NEVER ORAL |
WHAT IS THE ANTEDOTE FOR HEPARIN? | PROTAMINE SULFATE |
WHAT IS THE LAB TEST THAT MONITORS HEPARIN? | PTT |
CAN HEPARIN BE USED IN PREGNANCY? | YES |
HOW SOON DOES HEPARIN WORK? | RIGHT AWAY |
HOW SOON DOES COUMADIN WORK? | TAKES DAYS TO WORK |
HOW DO U GIVE COUMADIN? | ONLY ORAL NEVER ANY OTHER WAY |
HOW LONG CAN U TAKE COUMADIN? | FOR THE REST OF UR LIFE |
HOW LONG CAN U TAKE HEPARIN? | SHOULD NOT BE ADMINISTERED AFTER 21 DAYS |
WHAT IS THE ANTEDOTE FOR COUMADIN? | VITAMIN K |
WHAT IS THE LAB TESTS THAT MONITORS COUMADIN? | INR |
CAN COUMADIN BE USED IN PREGNANCY? | NO |
WHAT DIURETICS ARE K+ WASTING? | ONLY THE ONE ENDING IN "X" AND DIURIL ALL OTHERS ARE SPARING |
WHAT IS BACLOFEN(LIORESAL)? | MUSCLE RELAXANT **WHEN UR ON UR BACK LOAFEN YOUR ON BACLOFEN |
WHAT ARE THE SIDE EFFECTS OF BACLOFEN? | DROWSINESS, MUSCLE WEAKNESS |
WHAT IS THE PT TEACHING FOR BACLOFEN? | DONT DRINK DONT DRIVE DONT TAKE CARE OF CHILDREN UNDER THE AGE OF 10 |
WHAT DO U NEED TO DECIDE IN PRIORITIZATION OF PATIENTS? | WHO IS SICKEST OR HEALTHIEST |
WHAT HAS NOTHING TO DO WITH UR DECISION IN PRIORITIZATION? | AGE AND GENDER |
WHAT IS IMPORTANT TO PAY ATTENTION TO IN PRIORITIZATION QUESTIONS? | THE MODIFYING PHRASE |
WHAT IS THE FIRST RULE FOR PRIORITIZATION? | ACUTE BEATS CHRONIC |
WHAT IS THE SECOND RULE OF PRIORITIZATION? | FRESH POST-OP(FIRST 12 HRS) BEATS MEDICAL OR SURGICAL |
WHAT IS THE THIRD RULE OF PRIORITIZATION? | UNSTABLE BEATS STABLE |
WHAT IS THE FOURTH RULE OF PRIORITIZATION? | (CAUTION USE ONLY AS A TIE BREAKER) THE MORE VITAL THE ORGAN THE HIGHER THE PRIORITY |
PUT THE ORGANS IN ORDER ACCORDING TO HOW VITAL THEY ARE: PANCREAS, LIVER, BRAIN, HEART, KIDNEYS, LUNGS. | BRAIN, LUNGS, HEART, LIVER, KIDNEYS, PANCREAS |
WHAT RESPONSIBILITES WOULD U NOT DELEGATE TO AN AIDE? | ASSESSMENTS EXCEPT V.S. + ACCUCHECKS NOT ALLOWED TO DO MEDS EXCEPT OTC BARRIER CREAMS NOT ALLOWED TO CHART ABOUT THE PT (JUST WHAT THEY DO) NOT ALLOWED TO DO TREATMENTS EXCEPT ENEMAS DO NOT LET THEM DO CATHERIZATIONS UNLESS NO CHOICE THEY CAN DO AD |
WHAT IS SOMETHING U DO NOT DELEGATE TO FAMILY? | SAFETY |
HOW DO U INTERVENE WITH INNAPPROPRIATE BEHAVIOR OR STAFF? | TELL THE SUPERVISOR INTERVENE IMMEDIATELY-TAKE OVER TALK TO THEM LATER ON WHEN APPROPRIATE IGNORE IT |
WHAT DO U DO IF THE BEHAVIOR OF THE STAFF IS ILLEGAL? | TELL SUPERVISOR |
WHAT DO U DO IF THE BEHAVIOR OF THE STAFF IS PUTTING THE PT OR THE STAFF MEMBER IN IMMEDIATE DANGER OF PYSICAL OR PSYCHOLOGICAL HARM? | INTERVENE IMMEDIATELY |
WHAT DO U DO IF THE BEHAVIOR OF THE STAFF IS LEGAL NOT HARMFUL BUT SIMPLY INAPPROPRIATE? | TALK TO THEM LATER |
WHAT ARE THINGS THAT MAKE A PT STABLE? | CHRONIC ILLNESS, POST-OP > THAN 12 HRS, REGIONAL OR LOCAL ANESTHESIA, LAB ABNORMALITIES OF A OR B LEVEL, UNCHANGED ASSESSMENT, USE OF THE PHRASES: READY FOR DISCHARGE, ADMITTED LONGER THAN 24HRS AGO, IF EXPERIENCING THE NORMAL S+S OF THE DISEASE |
WHAT ARE THINGS THAT MAKE A PT UNSTABLE? | ACUTE ILLNESSES, POST-OP < THAN 12 HRS, GENERAL ANESTHESIA, LAB ABNORMALITIES OF C OR D LEVEL, CHANGE IN ASSESSMENTS, USE OF THE PHRASES: NEWLY ADMITTED, NOT READY FOR DISCHARGE, JUST RETURNED, IF U R EXPERIENCING UNEXPECTED S+S OF THE DISEASE |
WHAT ARE SOME THINGS THAT ARE ALWAYS UNSTABLE REGARDLESS OF THE SITUATION? | HYPOGLYCEMIA, HEMMORRHAGE, HIGH FEVERS ABOVE 104, PULSELESSNESS AND BREATHLESSNESS |
WHAT ARE THE PHASES OF NURSE - PATIENT RELATIONSHIP IN PYSCHIATRIC? | THE PRE-INTERACTION PHASE THE INTRODUCTORY PHASE(ORIENTATION) THE WORKING PHASE(THERAPEUTIC PHASE) THE TERMINATION PHASE |
WHAT IS THE PURPOSE OF THE PRE-INTERACTION PHASE? | FOR THE NURSE TO EXPLORE HIS/HER OWN FEELINGS. TO PREVENT JUDGEMENTAL, INTOLERANT REACTIONS |
WHAT IS THE LENGTH OF THE PRE-INTERACTION PHASE? | BEGINS WHEN YOU LEARN YOU ARE GOIN TO BE CARING FOR SOMEONE AND ENDS WHEN YOU MEET THEM |
WHAT ARE THE CORRECT ANSWER(S) FOR THE PRE-INTERACTION PHASE? | THE NURSE WILL EXPLORE HIS/HER OWN FEELINGS ABOUT |
WHAT IS THE PURPOSE OF THE INTRODUCTORY PHASE? | TO ESTABLISH TRUST AND EXPLORE/ASSESS |
WHAT IS THE LENGTH OF THE INTRODUCTORY PHASE? | BEGINS WHEN U FIRST MEET THE PATIENT AND ENDS WHEN A MUTUALLY AGREED-UPON CARE PLAN IS IN PLACE |
WHAT ARE SOME KEY WORD PHRASES TO LET U KNOW THAT IT IS IN THE INTRODUCTORY PHASE? | DURING THE INITIAL INTERVIEW....UPON ADMITTING THE PATIENT....ON ADMISSION....AT YOUR FIRST FEW MEETINGS WITH....WHILE ASSESSING....ON THE DAY OF ADMISSION....WHILE FORMULATING NURSING DIAGNOSES.... |
WHAT ARE THE CORRECT ANSWERS FOR THE INTRODUCTORY PHASE? | THEY SHOULD BE VERY TOLERANT, ACCEPTING, EXPLORATIVE, PROBING, NOSY(ASSESS--HIGH PRIORITY). BE WARM(EARN TRUST) AND FUZZY |
WHAT IS THE PURPOSE OF THE WORKING PHASE? | TO IMPLEMENT THE PLAN OF CARE |
WHAT IS THE LENGTH OF THE WORKING PHASE? | FROM THE FINSIHED CARE PLAN UNTIL DISCHARGE |
WHAT ARE SOME KEY WORD PHRASES TO LET U KNOW THAT IT IS IN THE WORKING PHASE? | DURING THE THERAPEUTIC INTERVIEW...WHILE IMPLEMENTING THE CARE PLAN...WHILE WORKING ON THE CARE PLAN GOALS...DURING TREATMENT SESSIONS...DURING THERAPY...IN YOUR WEEKLY SESSION...THREE DAYS AFTER ADMISSION...AFTER IMPROVING |
WHAT ARE THE CORRECT ANSWERS FOR THE WORKING PHASE? | THEY SHOULD BE VERY FOCUSE, DIRECTIVE, TOUGH. IN SOME WAYS THESE ANSWERS WILL SEEM STERN AND SLIGHTLY UNFRIENDLY. SET LIMITS AND ENFORCE PROPER COMMUNICATION |
WHEN DOES THE TERMINATION PHASE BEGIN? | ON ADMISSION |
IS IT OK TO GIVE OR RECEIVE GIFTS FROM UR PTS IN PYSCH? | NO--NEVER THIS INCLUDES HUGS, KISSES, COMPLIMENTS, OPINIONS, HOLDING HANDS, PLACING AN ARM AROUND, ETC |
IS IT OK TO GIVE ADVICE TO PYSCH PTS? | NO LET THE PT FORMULATE OWN SOLUTIONS AND ALTERNATIVES **REMEMBER GIVING ADVICE AND SETTING LIMITS IS NOT THE SAME THING |
WHAT ARE SOME KEY WORD PHRASES TO AVOID IN PYSCH PTS? | SUGGEST THAT...ADVISE THE PT TO...TELL THE PT TO...IF I WERE YOU, I WOULD...YOU SHOULD...YOU OUGHT TO...YOU SHOULD NOT DO...DONT DO...RECOMMEND THAT... **ALWAYS SAY "AND WHAT DO U THINK U SHOULD DO, MR. SMITH" |
IS IT OK TO GIVE GUARANTEES TO PYSCH PTS? | NO---U CANNOT PREDICT THE HUNMAN MIND OR KNOW ANOTHER'S EXPERIENCE |
WHAT ARE SOME KEY WORD PHRASE TO AVOID TO PYSCH PTS FOR GUARANTEES? | IF U...THEN..., YOU WILL IMOPROVE IF YOU...WE CAN... **U DESTROY THE TRUST IF THE GUARANTEE DOES NOT HAPPEN...U CAN GUARANTEE SAFETY AND PYSCH DRUGS |
WHAT ARE THE DIFFERENT CATEGORY OF PSYCHOTROPIC DRUGS? | PHENOTHIAZINES TRICYCLIC ANTIDEPRESSANTS BENZODIAZEPINES MONOAMINE OXIDASE(MAO) INHIBITORS LITHIUM PROZAC HALADOL(HALOPERIDOL) CLOZARIL(CLOZAPINE) ZOLOFT(SERTRALINE) |
WHAT DO ALL PSYCH DRUGS CAUSE? | LOWER BP WEIGHT CHANGES |
WHAT DO PHENOTHIAZINES END IN? | -ZINE |
WHAT ARE THE SIDE EFFECTS OF PHENOTHIAZINES? | **REMEMBER ABCDEFG A-ANTICOLINERGIC(PRIMARILY DRY MOUTH) B-BLURRED VISION C-CONSTIPATION D-DROWSINESS E-EXTRAPYRAMIDAL SYNDROME(LOOKS LIKE PARKINSON'S DISEASE F-PHOTOSENSITIVITY(SKIN BURNS EASILY) G-AGRANULOCYTOSIS(IMMUNOSUPPRESSED) |
WHAT IS THE NURSING CARE FOR PHENOTHIAZINES? | TREAT SIDE EFFECTS. #1 NURSING DIAGNOSIS IS SAFETY |
WHAT DOES DECONATE MEAN? | AFTER THE NAME OF THE DRUG MEANS IT IS A LONG ACTING IM FORM GIVEN TO A NON COMPLIANT PTS. |
WHAT ARE THE ACTIONS OF PHENOTHIAZINES? | LARGE DOSES--ANTI-PYSCHOTIC(DELUSIONS, HALLUCINATIONS,ILLUSIONS) SMALL DOSES--ANTI-EMETIC(NAUSEA) MAJOR TRANQUILIZERS(BIG GUN TO TRANQUILIZING) |
WHAT ARE TRYCYCLIC ANTIDEPRESSANTS? | THEY ARE MOOD ELEVATORS TO TREAT DEPRESSION EX ELAVIL, TOFRANIL, AVENTYL, DESYREL |
WHAT ARE THE SIDE EFFECTS OF TTRICYCLIC ANTIDEPRESSANTS? | A-ANTICHOLINERGIC(DRY MOUTH) B-BLURRED VISION C-CONSTIPATION D-DROWSINESS E-EUPHORIA(OVERWHELMING SENSE OF HAPPY HAPPY JOY JOY |
HOW LONG DO U HAVE TO TAKE TRICYCLIC ANTIDEPRESSANTS BEFORE BENEFICIAL EFFECTS TAKE PLACE? | 2-4 WEEKS |
WHAT ARE BENZODIAZIPINES? | ANTIANXIETY MEDS(CONSIDERED TO BE MINOR TRANQUILIZERS) |
WHAT DO BENZODIAZEPINES ALWAYS HAVE IN THE NAME? | -ZEP |
WHAT IS THE PROTOTYPE DRUG FOR BENZODIAZEPINES? | DIAZEPAM(VALIUM)----ITS A BIGGIE |
WHAT ARE THE INDICATIONS FOR BENZODIAZEPINES? | INDUCTION OF ANESTHETIC MUSCLE RELAXANT ALCOHOL WITHDRAWAL SEIZURES--ESPECIALLY STATUS EPILEPTICUS FACILITATES MECHANICAL VENTILATION |
DOES BENZODIAZEPINES WORK SLOWLY OR QUICIKLY? | QUICKLY |
HOW LONG CAN U BE ON BENZODIAZEPINES? | MUST NOT TAKE MORE THAN 2-4 WEEKS KEEP ON VALIUM UNTIL ELAVIL KICKS IN |
WHAT ARE THE SIDE EFFECTS OF BENZODIAZEPINES? | ANTICHOLINERGIC(DRY MOUTH) BLURRED VISION CONSTIPATION DROWSINESS |
WHAT IS THE #1 NURSING DIAGNOSIS WHILE TAKING BENZODIAZEPINES? | SAFETY |
WHAT IS MONOAMINE OXIDASE INHIBITORS(MAO)? | ANTIDEPRESSANT |
WHAT ARE THE DRUG NAMES OF MAO INHIBITORS? | MAR-PLAN NAR-DIL PAR-NATE |
WHAT ARE THE SIDE EFFECTS OF MONOAMINE OXIDASE(MAO) INHIBITORS? | ANTICHOLINERGIC(DRY MOUTH) BLURRED VISION CONSTIPATION DROWSINESS |
WHAT ARE THE INTERACTIONS OF MONOAMINE OXIDASE(MAO) INHIBITORS? | TO PREVENT SEVERE, ACUTE, SOMETIMES FATAL HYPERTENSIVE CRISIS, THE PATIENT MUST AVOOID ALL FOODS CONTAINING TYRAMINE |
WHAT ARE FOODS THAT CONTAIN TRYAMINE IN THEM? | AVOID BANANAS,AVACADOS,RAISINS(ANY DRIED FRUIT) ANY GRAINS MADE W?ACTIVE DRY YEAST, ORGAN MEATS,CURED,DRIED,PICKLED, SMOKED MEATS,HOT DOGS,YOGURT,CHEESE EXCEPT MOZZERELLA +COTTAGE,ALCOHOL,ELIXIRS,SOY SAUCE,LICORICE, CAFFEINE, TINCTURES |
WHAT ARE THE DRUG INTERACTIONS OF MONOAMINE OXIDASE(MAO) INHIBITORS? | TEACH THE PTS NOT TO TAKE OVER THE COUNTER MEDS UNLESS THEY ARE PRESCRIBED |
WHAT IS LITHIUM? | AN ELECTROLYTE--USED FOR TREATING BIPOLAR DISORDER(MANIC-DEPRESSION) IT DECREASES THE MANIA |
WHAT ARE THE SIGNS OF TOXICITY OF LITHIUM? | TREMORS, METALLIC TASTE, SEVERE DIARRHEA **HOLD DRUG CALL DR FAIRLY SOON |
WHAT IS THE #1 INTERVENTION FOR LITHIUM? | INCREASE FLUID INTAKE |
WHAT DO U DO IF THE PT IS SWEATING AND THEY ARE ON LITHIUM AND ARE TOXIC? | GIVE THEM AN ELECTROLYTE SOLUTION AS WELL AS FLUIDS |
WHAT PROLONG'S LITHIUM'S HALF LIFE CAUSING LITHIUM TOXICITY? | LOW SODIUM LEVELS |
WHAT DECREASES THE EFFECTIVENESS OF LITHIUM? | HIGH SODIUM LEVELS |
WHAT IS PROZAC? | IT IS AN SSRI (SIMILAR TO A TRICYCLIC ANTIDEPRESSANT--SAME INFO) |
WHAT ARE THE SIDE EFFECTS FO PROZAC? | ANTICHOLINERGIC(DRY MOUTH) BLURRED VISION CONSTIPATION DROWSINESS EUPHORIA |
HOW LONG DOES IT TAKE FOR BENEFICIAL EFFECTS TO TAKE PLACE? | 2-4 WEEKS |
HOW LONG CAN U BE ON PROZAC? | FOREVER |
WHAT DOES PROZAC CAUSE? | INSOMNIA **SO GIVE BEFORE 12 NOON...IF BID GIVE AT 6AM AND 12 NOON DO NOT GIVE AT BEDTIME |
WHAT DO U NEED TO WATCH FOR WHEN CHANGING THE DOSE OF PROZAC FOR AN ADOLESCENT? | SUICIDE |
WHAT ARE THE SIDE EFFECTS FOR LITHIUM? | THE 3 P'S PPING(POLYURIA) POOPING(DIARRHEA) PARASTHESIA |
WHAT ARE THE SIDE EFFECTS OF HALDOL? | ANTICHOLINERGIC(DRY MOUTH), BLURRED VISION CONSTIPATION DROWSINESS EXTRAPYRAMIDAL SYNDROME PHOTOSENSITIVITY AGRANULOCYTOSIS |
WHAT CAN ELDERY PTS DEVELOP FROM OVERDOSE OF HALDOL? | NMS(NEUROLEPTIC MALIGNANT SYNDROME--A POTENTIALLY FATAL HYPERPYREXIA(FEVER) WITH TEMP OF 104 OR HIGHER. |
WHAT SHOULD THE DOSE OF HALDOL FOR ELDERLY PTS? | SHOULD BE HALF OF USUAL ADULT DOSE |
WHAT IS CLOZARIL(CLOZAPINE) USED TO TREAT? | SEVERE SCHIZOPHRENIA |
WHAT IS THE ADVANTAGE OF CLOZARIL(CLOZAPINE)? | IT DOES NOT HAVE THESE SIDE EFFECTS: ANTICHOLINERGIC, BLURRED VISION, CONSTIPATION, DROWSINESS, EXTRAPYRAMIDAL SYNDROME, PHOTOSENSITIVITY |
WHAT IS THE DISADVANTAGE OF CLOZARIL(CLOZAPINE)? | IT DOES HAVE THE SIDE EFFECT AGRANULOCYTOSIS(VERY BADLY IN SOME PEOPLE) |
WHAT IS ZOLOFT? | IT IS ANOTHER SSRI LIKE PROZAC |
WHAT DOES ZOLOFT CAUSE? | INSOMNIA---BUT IT CAN BE GIVEN IN THE EVENING |
WHAT DRUG INTERACTIONS DOES ZOLOFT HAVE? | ST. JOHNS WART(SADH--SWEATING,APPREHENSION(IMPENDING SENSE OF DOOM),DIZZINESS, HEADACHE) WARFARIN(COUMADIN)--WATCH FOR INCREASED BLEEDING(MUST LOWER DOSE OF COUMADIN OR U WILL BLEED) |
WHAT ANSWER DO U PICK IN A TIE FOR NUTRITION? | EITHER CHICKEN(BAKED OVER FRIED) OR FISH |
WHAT ANSWER DO U NEVER PICK FOR NUTRITION? | NEVER PICK CASSEROLES FOR CHILDREN |
WHAT TYPE OF FOODS DO U PICK FOR TODDLERS? | FINGER FOODS |
WHAT DO U DO FOR PRESCHOOLERS REGARDING NUTRITION? | NOTHING LEAVE THEM ALONE---ONE MEAL A DAY IS OKAY |
WHAT IS SOMETHING U NEVER DO IN NUTRITION? | NEVER MIX MEDICATION IN CHILDREN'S FOOD |
WHAT IS THE MOST COMMONLY TESTED AREA IN PHARM? | SIDE EFFECTS |
HOW DO U KNOW WAT SIDE EFFECT TO PICK FOR DRUG QUESTIONS? | IF U KNOW WHAT A PARTICULAR DRUG DOES GO WITH THE SIDE EFFECT IN THE SAME BODY SYSTEM WHERE THE DRUG IS WORKING--IF U HAVE NO CLUE WHAT IT DOES LOOK TO SEE IF ITS PO, IF SO PICK G.I. SIDE EFFECTS |
WHAT IS THE ACE OF SPADES ANSWER IN OB? | CHECK FETAL HR |
WHAT IS THE FIRST THING U ASSESS IN A MED-SURG SITUATION? | LOC |
WHAT IS THE FIRST THING U DO IN A MED-SURG SITUATION? | ESTABLISH AN AIRWAY |
WHAT ARE THE 3 RULES OF GROWTH AND DEVELOPMENT QUESTIONS? | THEY R ALL BASED ON GIVE CHILD MORE TIME RULE 1 WHEN IN DOUBT, CALL IT NORMAL RULE 2 WHEN IN DOUBT, PICK THE OLDER AGE RULE 3 WHEN IN DOUBT, PICK THE EASIER TASK |
WHAT ARE SOME GENERAL GUESSING SKILLS FOR THE NCLEX? | RULE OUT ABSOLUTE(ALWAYS, NEVER, EVERY, ALL) IF 2 ANSWERS SAY THE SAME THING, NEITHER IS RIGHT(TACHYCARDIA, RACING HEART) IF 2 ANSWERS ARE OPPOSITES, ONE OF THEM IS PROBABLY RIGHT(HYPERKALEMIA,HYPOKALEMIA) |
WHAT DO U PICK IN QUESTIONS WITH 1 PT 4 NEEDS? | PICK THE ONE THAT IS HIGHEST PRIORITY |
WHAT IS THE SESAME STREET RULE FOR ANSWERING NCLEX QUESTIONS? | ONE OF THE THINGS IS NOT LIKE THE OTHERS, ONE OF THESE THINGS JUST DOESNT BELONG |
WHAT IS THE PURPOSE FOR CHEST TUBES? | IT IS TO RE-ESTABLISH NEGATIVE PRESSURE IN PLUERAL SPACE |
WHAT DOES THE CHEST TUBE REMOVE IN A PNEUMOTHORAX? | AIR-BUBBLING IS GOOD |
WHAT DOES THE CHEST TUBE REMOVE IN A HEMOTHORAX? | BLOOD-DRAINS OUT |
WHAT DOES THE CHEST TUBE REMOVE IN A PNEUMOHEMOTHORAX? | AIR AND BLOOD (BUBBLE-DRAIN) |
WHAT ARE THE LOCATIONS OF CHEST TUBES? | APICAL--HIGH FOR AIR--LABEL A BASILAR--LOW FOR BLOOD--LABEL B |
WHAT DO U DO IF THE WATER SEAL BREAKS IN CHEST TUBES? | CLAMP, CUT TUBE AWAY FROM DEVICE, PUT INTO STERILE WATER(OR ANY WATER IF U HAVE NOTHING ELSE), UNCLAMP |
WHAT DO U DO IF THE CHEST TUBE COMES OUT? | COVER WITH GLOVED HAND VASOLINE DRESSING, DRY STERILE DRESSING AND TAPE IT TO CHEST WALL |
WHAT ARE THE RULES FOR CLAMPING THE CHEST TUBE? | NEVER CLAMP LONGER THAN 15 SEC W/OUT DR'S ORDER USE RUBBER TIPPED DOUBLE CLAMP |
WHAT ARE THE FOUR DEFECTS PRESENT IN TETRALOGY OF FALLOT? | **REMEMBER VARIED PICTURES OF A RANCH VENTRICULAR DEFECIT PULMONARY STENOSIS OVERRIDING AORTA RIGHT HYPERTROPHY |
WHAT IS THE DIFFERENCE BETWEEN A PSYCHOTIC AND A NON PSYCHOTIC? | A NON-PSYCHOTIC PERSON HAS INSIGHT AND IS REALITY BASED A PSYCHOTIC PERSON HAS NO INSIGHT AND IS NOT REALITY BASESD |
WHAT IS DELUSIONS? | A DELUSION IS A FALSE FIXED BELIEF OR IDEA OR THOUGHT. THERE IS NO SENSORY COMPONENT |
WHAT ARE THE 3 TYPES OF DELUSIONS? | PARANOID OR PERSECUTORY, GRANDIOSE, AND SOMATIC |
WHAT IS PARANOID OR PERSECUTORY DELUSIONS? | FALSE, FIXED BELIEF THAT PEOPLE ARE OUT TO HARM U |
WHAT IS GRANDIOSE DELUSIONS? | FALSE, FIXED BELIEF THAT U ARE SUPERIOR TO OTHER PEOPLE |
WHAT IS SOMATIC DELUSIONS? | FALSE,FIXED BELIEF ABOUT UR BODY |
WHAT IS HALLUCINATIONS? | A FALSE, FIXED SENSORY EXPERIENCE |
WHAT ARE THE 5 TYPES OF HALLUCINATIONS? | AUDITORY--HEAR THINGS--MOST COMMON VISUAL--SEE THINGS TACTILE--FEEL THINGS GUSTATORY--TASTING OLFACTORY--SMELLING |
WHAT IS AN ILLUSION? | A MISINTERPRETATION OF REALITY--IT IS A SENSORY EXPERIENCE |
WHAT IS THE DIFFERENTIATION BETWEEN ILLUSIONS AND HALLUCINATIONS? | WITH ILLUSIONS THERE IS REFERENT(SOMETHING THEY MISINTERPRET) IN REALITY |
WHEN DEALING WITH A PT EXPERIENCING DELUSIONS, HALLUCINATIONS, OR ILLUSIONS WHAT IS THE FIRST THING U ASK URSELF? | WHAT IS THEIR PROBLEM? |
WHAT IS FUNCTIONAL PSYCHOSIS? | SCHIZOPHRENICS SCHIZOAFFECTIVES MAJOR DEPRESSION MANIC |
WHAT IS PSYCHOSIS OF DEMENTIA? | AOZHEIMERS WEIRNICKIS HEAD INJURY **IT ONLY GETS WORSE |
WHAT IS PSYCHOTIC DELIRIUM? | LOOSE TOUCH WITH REALITY THEY GET BETTER |
WHAT ARE THE 4 STEPS USED TO TEACH REALITY IN FUNCTIONAL PSYCHOSIS PTS? | ACKNOWLEDGE THEIR FEELING PRESENT REALITY(U TELL THEM WHAT REALITY IS) SET A LIMIT(PRACTICE IT) ENFORCE THE LIMIT |
DOES A FUNCTIONAL PSYCHOSIS PT HAVE THE ABILITY TO LEARN REALITY? | YES |
DOES A PSYCHOSIS OF DEMENTIA PT HAVE THE ABILITY TO LEARN REALITY? | NO |
WHAT ARE THE TWO STEPS TO DEAL WITH PSYCHOSIS OF DEMENTIA PTS? | ACKNOWLEDGE THEIR FEELINGS REDIRECT THEM |
WHAT IS PSYCHOTIC DELIRIUM? | AN EPISODIC TEMPORARY STUNNIN DRAMATIC SECONDARY LOSS OF REALITY DUE TO CHEMICAL IMBALANCE |
WHAT ARE THE 2 STEPS IN DEALING WITH PSYCHOTIC DELIRIUM PTS? | ACKNOWLEDGE FEELING REASSURE SAFETY IT WILL GO AWAY |
WHAT IS THE FLIGHT OF IDEAS? | ONLY WRITE IN PHRASES |
WHAT IS THE WORD SALAD? | CANNOT MAKE A PHRASE |
WHAT IS NEOLOGISMS? | MAKE UP WORDS THAT DONT EXIST |
WHAT IS NARROWED SELF-CONCEPT? | WHEN A PSYCHOTIC REFUSES TO LEAVE THE ROOM OR CHANGE THEIR CLOTHING(UNTIL THEY ARE READY) |
WHAT IS THE IDEAS OF REFERENCE? | WHEN U THINK OTHER PEOPLE ARE TALKING ABOUT U |
WHAT ARE THE 3 PRINCIPLES FOR CHOOSING APPROPRIATE TOYS FOR KIDS? | IS IT SAFE IS IT AGE APPROPRIATE IS IT FEASIBLE(CAN U ACTUALLY DO IT) |
WHAT ARE SOME SAFETY CONSIDERATIONS FOR TOYS FOR KIDS? | NO SMALL TOYS FOR CHILDREN UNDER 4 NO METAL TOYS IF OXYGEN IN USE BEWARE OF FOMITES(NON LIVING OBJECT THAT HARBORS) BAD--STUFFED ANIMALS,PLUSH TOYS GOOD--HARD PLASTIC ACTION FIGURINES |
WHAT IS THE FIRST AND SECOND BEST TOY FOR 0-6 MTHS OLD(SENSORIMOTOR)? | BEST TOY--MUSICAL MOBILE SECOND--LARGE AND SOFT |
WHAT IS THE FIRST AND SECOND BEST TOY FOR 6-9 MTHS OLD(OBJECT PERMANENCE)? | BEST TOY--COVER/UNCOVER(JACK-IN-THE BOX) SECOND--SOMETHING LARGE AND FRIM MATERIAL (WOOD, PLASTIC) |
WHAT IS THE FIRST AND SECOND BEST TOY FOR 9-12 MTHS OLD(SPEECH)? | BEST TOY--VERBAL TOY(TICKLE ME ELMO,SEE N SAY) |
WHAT IS THE BEST TOY FOR 1-3 YRS OLD? | PUSH-PULL (POPCORN TOY--WAGON) THEY WORK ON GROSS MOTOR AND ARE CHARACTERIZED BY PARRELLEL PLAY--BESIDE BUT NOT WITH |
WHAT DO 3-6 YR OLDS(PRESCHOOLERS) WORK ON? | FINE MOTOR AND BALANCE |
HOW DO 3-6 YR(PRESCHOOLERS) OLDS PLAY? | CO-OPERATIVE PLAY--PLAY WITH ONE ANOTHER VERY SOCIAL |
WHAT DO 3-6 YR OLDS(PRESCHOOLERS) LIKE TO DO? | THEY LIKE TO PRETEND |
WHAT ARE THE 7-11YR OLDS(SCHOOL AGE) CHARACTERIZED BY? | **THE THREE C'S COLLECTING THINGS CREATING THINGS COMPETITIVE |
HOW DO THE 12-18 YR OLDS(ADOLESCENTS) PLAY? | THEIR PLAY IS PEER GROUP ASSOCIATION(BE WITH THEIR FRIENDS |
WHEN WOULD U NOT LET TEENAGERS HANG OUT IN EACH OTHERS ROOMS? | FRESH POST-OP IMMUNOSUPPRESSED CONTAGIOUS ILLNESSES |
WHAT IS THE NAGELE'S RULE? | 1ST DAY OF LAST MENSTRUAL PERIOD ADD 7 DAYS SUBTRACT 3 MONTHS |
WHAT IS THE AMOUNT OF THE TOTAL WEIGHT GAIN DURING PREGNANCY? | 28LBS + OR - 3 |
HOW MUCH WEIGHT SHOULD U GAIN DURING THE 1ST TRIMESTER? | 1LB PER MONTH----3 MONTHS 3LBS |
HOW MUCH WEIGHT SHOULD U GAIN DURING THE 2ND AND 3RD TRIMESTER? | 1 LB PER WEEK |
HOW DO U CALCULATE HOW MUCH WEIGHT THE PT HAS GAINED DURING THE PREGNANCY? | THE # OF WEEKS SHE IS - 9 |
WHEN IS THE FUNDAL HEIGHT PAPABLE? | NOT UNTIL WEEK 12 |
WHAT ARE THE POSITIVE SIGNS OF PREGNANCY? | FETAL SKELETON ON X-RAY FETAL PRESENCE ON ULTRASOUND AUSCULTATION OF THE FETAL HEART RATE EXAMINER PALPATES THE FETAL MOVEMENT/OUTLINE |
WHAT ARE THE PROBABLE / PRESUMTIVE SIGNS OF PREGNANCY? | ALL URINE AND BLOOD PREGNANCY TEST CHADWICKS SIGN--CERVICAL COLOR CHANGE-CYANOSIS GOODELLS SIGN--CERVIX SOFTENS HEGARS SIGN--UTERUS SOFTENS |
WHAT IS THE PATTERN FOR OFFICE VISITS FOR PREGNANT PTS? | ONCE A MONTH UNTIL 28 WEEKS ONCE EVERY TWO WEEKS UNTIL WEEK 36 ONCE A WEEK UNTIL DELIVERY OR 42 WEEKS |
WHAT IS THE RANGE OF Hgb(HEMOGLOBIN) DURING PREGNANCY? | NORMAL NON PREGNANT--12-16 FIRST TRIMESTER--CAN DROP TO 11 AND BE NORMAL SECOND TRIMESTER--10.5 QNE BE NORMAL THIRD TRIMESTER--10 AND BE NORMAL |
WHAT IS VENTRICULAR ASYSTOLE? | A LACK OF QRS DEPOLARIZATIONS |
WHAT IS ATRIAL FLUTTER? | RAPID P-WAVE DEPOLARIZATIONS IN A SAW(FLUTTER)-TOOTH PATTERN |
WHAT IS ATRIAL FIBRILLATION? | CHAOTIC(FIBRILLATION)- QRS DEPOLARIZATIONS |
WHAT IS VENTRICULAR FIBRILLATION? | CHAOTIC QRS DEPOALRIZATIONS |
WHAT IS VENTRICULAR TACHYCARDIA? | WIDE, BIZARRE(TACHYCARDIA) QRS'S |
WHAT IS QRS DEPOLARIZATION? | ALWAYS REFERS TO SOMETHING VENTRICULAR(NOT ATRIAL, JUNCTIONAL, OR NODAL) |
WHAT IS THE P WAVE? | REFERS TO ALWAYS AND ONLY ATRIAL |
WHEN SHOULD U BE CONCERNED ABOUT PVC'S? | IF THERE IS MORE THAN 6 PER MINUTE IF THERE IS 6 IN A ROW IF THE PVC FALLS ON THE T-WAVE OF PREVIOUS BEAT |
WHAT ARE THE LETHAL ARRHYTHMIAS? | ASYSTOLE V-FIB |
WHAT IS A POTENTIALLY LIFE-THREATENING ARRHYTHMIA? | V-TACH |
WHAT IS THE TREATMENT FOR PVC'S? | VENTRICULAR LIDOCAINE |
WHAT IS THE TREATMENT FOR V-TACH? | LIDOCAINE |
WHAT IS THE TREATMENT FOR SUPRVENTRICULAR ARRHYTMIAS? | ADENOCARD(TREATS ATRIAL PROBLEMS) BETA BLOCKERS(LOL) CALCIUM CHANNEL BLOCKERS DIGOXIN(LANOXIN) |
WHAT IS THE TREATMENT FOR V-FIB? | EPINEPHRINE, O2 |
WHAT IS THE TREATMENT FOR ASYSTOLE? | 1ST--EPINEPHRINE 2ND--ATROPINE |
HOW DO U TREAT MORNING SICKNESS DURING THE FIRST TRIMESTER OF PREGNANCY? | DRY CARBOHYDRATES BEFOR U GET OUT OF BED |
HOW DO U TREAT URINARY INCONTINENCE DURING THE FIRST AND THIRD TRIMESTER OF PREGNANCY? | VOID EVERY 2 HRS |
HOW DO U TREAT DYSPNEA DURING THE SECOND AND THIRD TRIMESTER OF PREGNANCY? | LEAN FORWARD ARMS ON THE TABLE (TRIPOD POSITION) |
HOW DO U TREAT BACK PAIN DURING THE SECOND AND THIRD TRIMESTER OF PREGNANCY? | PELVIC - TILT EXERCISES(TILT PELVIC FORWARD) |
WHAT IS THE MOST CALID SIGN OF LABOR? | ONSET OF REGULAR CONTRACTIONS THAT RESULTS IN DILATION |
WHAT IS DILATION? | OPENING OF THE CERVIX (0-10) |
WHAT IS EFFACEMENT? | THINNING OF THE CERVIX (THICK-100%) |
WHAT IS STATION IN LABOR AND BIRTH? | RELATIONSHIP OF FETAL PRESENTING PART TO MOMS ISCHIAL SPINE. **CRITICALLY IMPORTANT |
WHAT IS ENGAGEMENT? | STATION 0 BABYS HEAD IS OUT |
WHAT IS LIE IN LABOR AND BIRTH? | RELATIONSHIP BETWEEN SPINE OF BABY AND SPINE OF MOM |
WHAT IS PRESENTATION IN LABOR AND BIRTH? | PART OF BABY THAT ENTERS THE BIRTH CANAL FIRST |
WHAT ARE THE FOUR STAGES OF LABOR AND BIRTH? | STAGE 1--LABOR(CERVIX AND EFFACEMENT) STAGE 2--DELIVERY OF THE BABY(UTERINE CONTRACTIONS=BABY) STAGE 3--DELIVERY OF THE PLACENTA(UTERINE CONTRACTIONS=PLACENTA) STAGE 4--RECOVERY(1ST 2 HR AFTER DELIVERY OF THE PLACENTA |
DESCRIBE THE LATENT PHASE DURING THE FIRST STAGE OF LABOR AND DELIVERY? | 0-4CM DILATED CONTRACTION FREQUENCY--5-30 MIN APART DURATION OF CONTRACTIONS--15-30 SEC INTENSITY OF CONTRACTIONS--MILD |
DESCRIBE THE ACTIVE PHASE DURING THE FIRST STAGE OF LABOR AND DELIVERY? | 5-7CM DILATED CONTRACTION FREQUENCY--3-5 MIN APART DURATION OF CONTRACTIONS--30-60 SECONDS INTENSITY OF CONTRACTIONS--MODERATE |
DESCRIBE THE TRANSITION PHASE DURING LABOR AND DELIVERY? | 8-10 CM DILATED CONTRACTION FRQUENCY--2-3 MIN APART DURATION OF CONTRACTIONS--60-90 SECONDS INTENSITY OF CONTRACTIONS--STRONG |
CONTRACTIONS SHOULD NOT BE CLOSER THAN_____ OR THEY SHOULD NOT BE LONGER THAN__________ | TWO MINUTES 90 SECONDS |
HOW DO U ASSESS THE CONTRACTIONS? | FREQUENCY: BEGINNING OF ONE CONTRACTION TO THE BEGINNING OF THE NEXT CONTRACTION DURATION: BEGINNING TO END OF ONE CONTRACTION INTENSITY: PURELY SUBJECTIVE OF CONTRACTION. PALPATE WITH ONE HAND OVER THE FUNDUS W/ FINGERTIPS |
WHAT ARE THE COMPLICATIONS DURING LABOR? | PAINFUL BACK LABOR PROLAPSED CORD |
WHAT DO U DO FOR PAINFUL BACK LABOR? | POSITION HER IN KNEE - CHEST (ON HANDS AND KNEES WITH BUTT UP HEAD DOWN) SOMEONE PUSH ON HER SACRUM WITH FIST OR TENNIS BALL |
WHAT DO U DO FOR PROLAPSED CORD DURING LABOR? | PUSH THE BABY'S HEAD OFF CORD POSITION HER IN KNEE CHEST, TRENDELENBURG, HIPS ON PILLOW ***SUPER HIGH PRIORITY*** |
WHAT ARE THE INTERVENTIONS FOR ALL OTHER COMPLICATIONS OF LABOR AND BIRTH? | ****REMEMBER LION PIT**** L- LEFT SIDE I - IV INCREASE O - OXYGENATE N - NOTIFY DR. PIT - PITOSIS IF RUNNING DURING A CRISIS STOP IT.. |
WHAT IS THE RULE FOR PAIN MEDS DURING LABOR? | DO NOT GIVE SYSTEMIC PAIN MEDS TO A WOMAN IN LABOR IF THE BABY IS LIKELY TO BORN WHEN THE MED PEAKS |
WHAT DO U DO FOR LOW FETAL HR? | ITS BAD IF UNDER 100 DO LION--LEFT SIDE, IV INCREASE, OXYGENATE, NOTIFY DR. |
WHAT DO U DO FOR HIGH FETAL HR? | IT WILL BE HIGHER THAN 160 ITS OK JUST DOCUMENT MOM WILL HAVE FEVER IF ANYTHING IS WRONG |
WHAT DO U DO FOR LOW BASELINE VARIABILITY? | IT STAYS THE SAME--THIS IS BAD--DO LION (LEFT SIDE, INCREASE IV, OXYGENATE, NOTIFY DR.) |
WHAT DO U DO FOR HIGH BASELINE VARIABILITY? | BABYS HR ALL OVER THE PLACE--THIS IS GOOD--JUST DOCUMENT |
WHAT DO U DO FOR LATE DECELERATIONS? | THIS IS BAD--DO LION( LEFT SIDE, INCREASE IV, OXYGENATE, NOTIFY DR) |
WHAT DO U DO FOR EARLY DECELERATIONS? | BABYS HR MIRRORS --THIS IS OK--JUST DOCUMENT--IT MEANS BABYS HEAD IS PRESSED ON |
WHAT DO U DO FOR VARIABLE DECELERATIONS? | NO PATTERN TO CONTRACTIONS--THIS IS BAD-VERY BAD--PROLAPSE--PUSH POSITION |
WHAT DO U DO IN THE SECOND STAGE OF LABOR AND DELIVERY? IN WHAT ORDER.. | 1. DELIVER THE HEAD 2. SUCTION THRU THE MOUTH AND NOSE(REMEMBER ALPHABETICAL 3. STOP PUSHING CHECK FOR NUCHAL CORD(CORD AROUND BABYS NECK) 4. START PUSHING AGAIN--DELIVER SHOULDERS AND BODY 5. MUST PUT ID BAND ON BABY BEFORE IT LEAVES THE DELIVERY ARE |
WHAT DO U DO IN THE THIRD STAGE OF LABOR? | MAKE SURE IT ALL COMES OUT--BLEEDING AND INFECTION WITHIN 48-72 HRS IF NOT LOOK FOR 3 VESSESL CORD (AVA) (2 ARTERIES 1 VEIN) |
WHAT ARE THE 4 THNGS U DO 4 TIMES AN HOUR IN THE 4TH STAGE OF LABOR AND DELIVERY? | VITAL SIGNS--ASSESS FOR S&S OF SHOCK--PRESSURES UP, RATES ARE DOWN FUNDUS--IF BOGGY, MASSAGE. IF DISPLACED, VOID, CATH CHECK PERINEAL PAD--EXCESSIVE LOCHIA=PAD SAT IN < OR = TO 15 MIN ROLL HER ONTO HER SIDE AND CHECK FOR BLEEDING UNDER THE PT |
HOW LONG IS THE PT IN RECOVERY FOR AFTER LABOR AND DELIVERY? | 2 HRS |
WHAT DO U ASSESS IN POSTPARTUM? | REMEMBER BUBBLE HEAD B- BREASTS U- UTERINE FUNDUS B- BLADDER B- BOWEL L- LOCHIA E- EPISIOTOMY H- HEMOGLOBIN AND HEMATOCRIT E- EXTREMITY A- AFFECT D- DISCOMFORT |
HOW DO U ASSESS THE UTERINE FUNDUS DURING POSTPARTUM? | TONE: FIRM OR BOGGY LOCATION: MIDLINE HEIGHT: r/t UMBILICUS |
HOW DO U ASSESS THE LOCHIA DURING POSTPARTUM? | COLOR--RUBRA(RED), SEROSA(PINK), ALBA(WHITE) AMOUNT--MODERATE= 4-6 INCHES ON PAD/HR EXCESSIVE=SATURATED PAD IN 15 MINUTES OR LESS ODOR CLOTS |
HOW DO U ASESS THE EXTREMITIES DURING POSTPARTUM? | PRIMARILY THE LEGS PULSES, EDEMA, S&S OF THROMBOPHLEBITIS ASSESS CALF MEASUREMENTS (CIRCUMFERENCE) |
WHAT ARE THE OB MEDICATIONS THAT STOPS LABOR? | TERBUTALINE(BRETHINE) MAGNESIUM SULFATE |
WHAT ARE THE OB MEDS THAT STIMULATES LABOR? | PITOCIN(OXYTOCIN) METHERGINE |
WHAT ARE THE OB MEDS FOR FETAL/NEONATAL LUNG MEDS? | BETAMETHASONE(STEROID) SURVANTA(SURFACTANT) |
WHAT DOES TERBUTALINE DO? | CAUSES MATERNAL TACHYCARDIA--AND STOPS LABOR |
WHAT DOES MAGNESIUM SULFATE DO? | IT STOPS LABOR SHUTS IT DOWN SUPRESSES RESPIRATIONS REFLEX DEPRESSION DECREASE IN LOC |
WHAT DOES PITOCIN DO? | STIMULATES LABOR UTERINE HYPERSTIMULATION CLOSER TO 2 MIN LONGER THAN 90 SEC |
WHAT DOES METHERGINE DO? | ONLY TO CONTROL PORT PARTAL BLEEDING HYPERTENSION |
WHAT DOES BETAMETHASONE DO? | INCREASES MOTHERS GLUCOSE MOM GETS IT GIVEN BEFORE BABY BORN GIVEN IM INJECTION AND CAN BE REPEATED |
WHAT DOES SURVANTA DO? | GIVEN TO BABY GIVEN AFTER BABY IS BORN GIVEN TRANSTRACHEAL BLOW IT IN THRU A VENTILATOR |
IN WHAT ORDER DO U DRAW UP INSULIN? | CLEAR THEN CLOUDY R THEN N |
WHAT SIZE NEEDLE DO U USE FOR IM INSULIN INJECTIONS? | GUAGE AND LENGTH MUST HAVE A 1 IN IT **I LOOKS LIKE 1** |
WHAT SIZE NEEDLE DO U USE FOR SQ INSULIN INJECTIONS? | GUAGE AND LENGTH MUST HAVE A 5 IN IT **S LOOKS LIKE 5** |
HOW QUICK DOES HEPARIN WORK? | WORKS RIGHT AWAY |
HOW DO U GIVE HEPARIN? | IV OR SQ NEVER ORALLY |
HOW LONG CAN HEPARIN BE ADMINISTERED? | SHOULD NOT BE ADMINISTERED AFTER 21 DAYS |
WHAT IS THE ANTEDOTE FOR HEPARIN? | PROTAMIN SULFATE FOR OVERDOSE |
WHAT IS THE LAB TEST THAT MONITORS HEPARIN? | PTT |
IS HEPARIN SAFE TO USE DURING PREGNANCY? | YES |
HOW LONG DOES IT TAKE FOR COUMADIN TO WORK? | TAKE DAYS TO WORK |
HOW DO U GIVE COUMADIN? | ONLY GIVEN ORALLY NEVER ANY OTHER WAY |
HOW LONG CAN U TAKE COUMADIN? | FOR THE REST OF UR LIFE |
WHAT IS THE ANTEDOTE FOR COUMADIN? | VITAMIN K |
WHAT IS THE LAB TEST THAT MONITORS COUMADIN? | INR |
CAN COUMADIN BE USED DURING PREGNANCY? | NO |
WHAT DO K WASTING DIURETICS END IN? | ONLY THE DIURETICS ENDING IN -X AND DIURIL **ALL OTHER ARE K SPARING |
WHAT ARE THE SIDE EFFECTS OF BACLOFEN(LIORESAL))? | DROWSINESS MUSCLE WEAKNESS |
WHAT IS BACLOFEN(LIORESAL)? | A MUSCLE RELAXANT WHEN UR ON UR BACK LOAFIN UR ON UR BACLOFEN |
WHAT IS THE PT TEACHING FOR BACLOFEN(LIORESAL)? | DPMT DRINK DONT DRIVE DON TAKE CARE OF CHILDREN UNDER THE AGE OF 10 |
WHAT IS PIAGETS STAGE OF ITELLECTUAL DEVELOPMENT FOR 0-2 YR OLDS? | SENSORIMOTOR |
WHAT IS PIAGETS STAGE OF INTELLECTUAL DEVELOPMENT FOR 3-6 YR OLDS? | PRE-OPERATIONAL PRESCHOOLER |
WHAT IS PIAGETS STAGE OF INTELLECTUAL DEVELOPMENT FOR 7-11 YR OLDS? | CONCRETE OPERATIONS |
WHAT IS PIAGETS STAGE OF INTELLECTUAL DEVELOPMENT FOR 12-15 YR OLDS? | FORMAL OPERATIONS |
WHAT IS THE CHARACTERISITICS OF 0-2 YR OLDS(SENSORIMOTOR)? | TOTALLY PRESENT ORIENTED ONLY THINK ABOUT WHAT THEY SENSE OR ARE DOING RIGHT NOW---THERE IS NO PAST OR PRESENT |
WHAT IS THE CHARACTERISTICS OF 3-6 YR OLDS(PRE-OPERATIONAL)? | FANTASY ORIENTED, ILLOGICAL NO RULES IMMAGINATIVE NO LOGIC OR REASON |
WHAT IS THE CHARACTERISTICS OF 7-11 YR OLDS(CONCRETE OPERATIONS)? | RULE ORIENTED LIVE AND DIE BY THE RULES CANNOT BE ABSTRACT LOGICAL |
WHAT IS THE CHARACTERISTICS OF 12-15 YR OLDS(FORMAL OPERATIONS)? | ABLE TO THINK ABSTRACTLY UNDERSTAND CAUSE - EFFECT THINK LIKE AN ADULT |
WHAT ARE THE TEACHING GUIDELINES FOR 0-2 YR OLDS(SENSORIMOTOR)? | WHEN--NOW--NO PRETEACHING WHAT--WHAT U ARE DOING HOW--VERBALLY |
WHAT ARE THE TEACHING GUIDELINES FOR 3-6 YR OLDS(PRE-OPERATIONAL)? | WHEN--PRE TEACH HAS TO BE DONE ON THE DAY OF THE PROCEDURE WHAT--WHAT U R GOING TO BE DOING AND HOW OR WHAT THEY ARE GOING TO FEEL HOW--USING PLAY, DOLLS, STORIES, TOYS |
WHAT ARE THE TEACHING GUIDELI9NES FOR 7-11 YR OLDS(CONCRETE OPERATIONS)? | WHEN--TEACH DAYS AHEAD WHAT--YOU ARE GOING TO DO AND HOW OR WHAT THEY ARE GOING TO FEEL HOW--DONT USE PLAY USE AGE APPROPRIATE VIDEOS AND READING MATERIAL |
WHAT ARE THE TEACHING GUIDELINES FOR 12-15 YR OLDS(FORMAL OPERATIONS)? | WHEN--LIKE AN ADULT WHAT--LIKE AN ADULT HOW--LIKE AN ADULT |
WHAT ARE THINGS THAT MAKE A PT STABLE? | CHRONIC ILLNESS, POST OP > THAN 12 HRS, REGIONAL OR LOCAL ANESTHESIA,LAB ABNORMALITIES OF A OR B LEVEL, UNCHANGED ASSESSMENTS. EXPERIENCING THE EXPECTED S&S USING KEY PHRASES AS: READY 2 BE DISCHARGED, ADMITTED LONGER THAN 24 HRS AGO |
WHAT ARE THINGS THAT MAKE A PT UNSTABLE? | ACUTE ILLNESSES, POST-OP < THAN 12 HRS, GENERAL ANESTHESIA, LAB ABNORMALITIES OF C OR D,CHANGES IN ASSESSMENTS, EXPERIENCING UNEXPECTED S&S, KEY PHRASES: JUST RETURNED, NEWLY DIAGNOSED, NOT READY FOR DISCHARGE |
WHAT MAKES A PT ALWAYS UNSTABLE? | HYPOGLYCEMIA HEMMORRHAGE HIGH FEVERS ABOVE 104 PULSELESSNESS AND BREATHLESSNESS |
IF THERE IS BUBBLING INTERMITTENTLY IN THE WATER SEAL OF THE CHEST IS THIS GOOD OR BAD? | GOOD |
IF THERE IS CONTINUOUSLY BUBBLING IN THE WATER SEAL IS IT GOOD OR BAD? | BAD....FIND LEAK IN SYSTEM AND TAPE IT |
IF THERE IS INTERMITTENTLY BUBBLING IN THE SUCTION CONTROL CHAMBER OF THE CHEST TUBE IS IT GOOD OR BAD? | BAD.....TURN UP WALL SUCTION |
IF THERE IS CONTINUOUSLY BUBBLING IN THE SUCTION CONTROL CHAMBER OF THE CHEST TUBE IS IT GOOD OR BAD? | GOOD |
WHAT ARE THE TWO THINGS THAT ALL CHD KIDS WILL HAVE WETHER TROUBLE OR NOT? | MURMUR ECHOCARDIOGRAM |
WHAT ARE THE FOUR DEFECTS PRESENT IN TETRALOGY OF FALLOT? | VENTRICULAR DEFECIT PULMONARY STENOSIS OVER-RIDING AORTA RIGHT HYPERTROPHY **REMEMBER THE PHRASE VarieD PictureS Of A Ranch.... |
WHAT IS TRouBLe? | EVERY CONGENITAL HEART DEFECT IS EITHER TROUBLE OR NO TROUBLE SHUNTS BLOOD R - L BLUE (CYANOTIC) WHOSE NAME START WITH T IS TROUBLE EX. TRANSPOSITION OF THE VESSEL TRICUSPID ATRISIA #1 EXCEPTION LEFT VENTRICULAR HYPOPLASTIC SYNDROME |
HOW DO U MEASURE CRUTCHES, CANES, AND WALKERS? | 2-3 FINGERWIDTHS BELOW ANTERIOR AXILLARY FOLD TO A POINT LATERAL TO AND SLIGHTLY IN FRONT OF THE FOOT. |
WHEN IS THE HANDGRIP PROPERLY PLACED WHEN USING CRUTCHES, CANES AND WALKERS? | WHEN THE ANGLE OF THE ELBOW FLEXION WILL BE 30 DEGREES |
WHAT IS 2 PT GAIT? | START IN CRUTCH NEUTRAL POISTION(TWO THINGS TOUCHING DOWN) STEP 1--MOVE ONE CRUTCH & OPPOSITE FOOT TOGETHER STEP 2--MOVE OTHER CRUTCH FOOT TOGETHER (2 PTS TOGETHER FOR A 2 PT GAIT) |
WHAT IS A 3 PT GAIT? | STEP 1--MOVE TWO CRUTCHES AND BAD LEG TOGETHER STEP 2--MOVE GOOD FOOT (3 PTS TOUCH DOWN AT ONCE) |
WHAT IS A 4 PT GAIT? | **EVERYTHING MOVES SEPARATELY STEP 1--ONE CRUTCH STEP 2--OPPOSITE FOOT STEP 3--OTHER CRUTCH STEP 4--OTHER FOOT |
WHAT IS A SWING THROUGH? | ITS USED FOR NON WEIGHT BEARING FOR EX AMPUTATION |
WHEN DO U USE EACH GAIT? | USE THE EVEN NUMBERED GAITS WHEN WEAKNESS IS EVENLY DISTRIBUTED(BILATERALLY). TWO PT FOR MILD PROBLEM FOUR PT FOR SEVER PROBLEM(WHEN 1 LEG AFFECTED) USE ODD NUMBERED GAITS WHEN ONE LEG IS ODD(UNILATERAL PROBLEM) |
WHICH FOOT LEADS WHEN GOIN UP AND DOWN STAIRS ON CRUTCHES? | **REMEMBER UP WITH THE GOOD AND DOWN WITH THE BAD THE CRUTCHES ALWAYS MOVE WITH THE BAD LEG |
WHICH SIDE DO U HOLD THE CANE ON? | THE GOOD SIDE |
HOW DO U ADVANCE THE CANE? | WITH THE WEAK SIDE FOR A WIDE BASE OF SUPPORT |
HOW DO U USE THE WALKER? | PICK IT UP SET IT DOWN....WALK TO IT **CONVINCE THEM TO TIE THEIR BELONGINGS TO THE SIDE AND NOT THE FRONT |
WHAT IS A HIATAL HERNIA? | REGURITATION OF ACID INTO ESOPHAGUS, BECAUSE UPPER STOMACH HERNIATES UPWARD THROUGH THE DIAPHRAGM. 2 CHAMBER STOMACH |
WHAT IS THE DUMPING SYNDROME? | POST-OP GASTRIC SURGERY COMPLICATION IN WHICH GASTRIC CONTENTS DUMP TOO QUICKLY INTO THE DUODENUM |
HOW DO THE GASTRIC CONTENTS MOVE IN A HIATAL HERNIA? | THEY MOVE IN THE WRONG DIRECTION AT THE CORRECT RATE |
HOW DO THE GASTRIC CONTENTS MOVE IN THE DUMPING SYNDROME? | THEY MOVE IN THE CORRECT DIRECTION AT THE WRONG RATE |
WHAT ARE THE S&S OF A HIATAL HERNIA? | GERD---HEARTBURN, INDEGESTION WHEN U LIE DOWN AFTER U EAT |
WHAT ARE THE S&S OF THE DUMPING SYNDROME? | ACUTE ABDOMINAL DISTRESS-CRAMPING,BLOATING,DIARRHEA,DISTENTION DRUNK-UNSTEADY GAIT, SLURRED SPEACH, HEADACHE, CONFUSION SHOCK--PALE, COLD,CLAMY, INCREASED RR AND WEAK, AND LOWERED BP |
WHAT IS THE TREATMENT FOR HIATAL HERNIA? | HOB DURING & 1ST HOUR AFTER MEALS--HIGH FOWLERS AMOUNT OF FLUIDS W/MEALS--HIGH AMTS OF FLUIDS CARBOHYDRATE CONTENT OF MEALS--HIGH CARBOHYDRATE DIET |
WHAT IS THE TREATMENT FOR THE DUMPING SYNDROME? | HOB DURING AND 1 HR AFTER MEALS--LIE DOWN FLAT ON THE LEFT SIDE AMOUNT OF FLUIDS WITH MEALS--LOW FLUIDS PRACTICALLY NONE BETWEEN MEALS CARBOHYDRATE CONTENT OF MEALS--LOW CARB DIET HIGH PROTEIN |
WHAT IS CREATININE THE BEST INDICATOR OF? | KIDNEY FUNCTION |
WHAT IS THE NORMAL RANGE FOR CREATININE? | 0.6 - 1.2 |
WHAT DO U DO IF THE CREATININE LEVEL IS ELEVATED? | ITS JUST ABNORMAL DR WILL DO SOMETHING PT WONT DIE |
WHAT IS THE NORMAL LEVEL FOR INR? | 2'S AND 3'S |
WHAT DOES INR MONITOR? | COUMADIN THERAPY |
WHAT DO U DO IF THE COUMADIN LEVEL IS ELEVATED? | > OR = TO 4 ITS CRITICAL DO SOMETHING HOLD COUMADIN ASSESS BLEEDING(FOCUSED) PREPARE TO GIVE A VITAMIN (K) CALL THE RN OR DR |
WHAT IS THE NORMAL LEVEL FOR POTASSIUM? | 3.5 - 5.3 |
WHAT DO U DO IF THE POTASSIUM LEVEL IS ELEVATED? | LOW ITS CRITICAL DO SOMETHING--ASSESS HEART(EKG)--PREPARE TO GIVE POTASSIUM--CALL RN OR DR 5.4 - 5.9 --ITS CRITICAL--HOLD POTASSIUM--ASSESS HEART--PREPARE KAYEXOLATE--CALL RN OR DR > OR = TO 6 --DEADLY DANGEROUS DO EVERYTHING NOW AND FAST..MORE NURSES |
WHAT IS THE NORMAL LEVEL OF pH? | 7.35 - 7.45 |
WHAT DO U DO IF THE pH IS ELEVATED? | IF IN THE 6'S ITS DEADLY DANGEROUS SEVERE ACIDOSIS ASSESS VS CALL RN OR DR NOT COMPATIBLE WITH LIFE |
WHAT IS THE NORMAL LEVEL FOR BUN? | 8 - 25 |
WHAT DO U DO IF THE BUN IS ELEVATED? | ITS TO BE CONCERNED WITH--ASSESS/MONITOR CHECK FOR DEHYDRATION |
WHAT IS THE NORMAL LEVEL FOR Hgb(HEMAGLOBIN)? | 12 - 18 |
WHAT DO U DO IF THE Hgb LEVEL IS ABNORMAL? | 8 - 11 ASSESS/MONITOR---BLEEDING MALNOURISHED <8 CRITICAL DO SOMETHING--ASSESS BLEEDING, PREPARE TO GIVE BLOOD, CALL RN OR DR |
WHAT IS THE NORMAL LEVEL FOR HCO3(BICAR)? | 22 - 26 |
WHAT IS THE NORMAL LEVEL FOR CO2(CARBON DIOXIDE)? | 35 - 45 |
WHAT DO U DO WHEN THE HCO3 LEVEL IS ABNORMAL? | NOTHING |
WHAT DO U DO IF THE CO2 LEVEL IS ELEVATED? | IN 50'S - ITS CRITICAL DO SOMETHING--ASSESS LUNG STATUS, PURSED LIP BREATHING-PROLONGED EXHALE, -- CALL RESPIRATORY, CALL RN OR DR IN 60'S--DEADLY DANGEROUS-DO SOMETHING NOW-- ASSESS RESPIRATORY--PREPARE TO INTUBATE &VENTILATE--CALL RESP,RN,DR |
WHAT IS THE NORMAL LEVEL FOR HEMATOCRIT? | 36 - 54 |
WHAT DO U DO IF THE LEVEL FOR HEMATOCRIT IS ABNORMAL? | BE CONCERNED |
WHAT IS THE NORMAL LEVEL FOR PO2(OXYGEN)? | 78-100 |
WHAT DO U DO IF THE OXYGEN LEVEL IS ABNORMAL? | LOW70-77-CRITICAL DO SOMETHING--ASSESS LUNG STATUS-PULSE OX, GIVE OXYGEN NASAL CANNULA LOW< OR = TO 60'S DEADLY DANGEROUS DO SOMETHING NOW--ASSESS RESP.,O2 SAT,PREPARE TO INTUBATE&VENTILATE,CALL RESP, RN AND DR |
WHAT IS THE NORMAL LEVEL FOR O2 SAT? | 93-100 |
WHAT DO U DO IF THE O2 SAT IS LOWER THAN 93? | ITS CRITICAL DO SOMETHING--ASSESS RESPIRATORY--GIVE OXYGEN--CALL RESPIRATORY, RN, DR THEN DOCUMENT |
WHAT IS THE NORMAL LEVEL OF BNP(BRAIN NATURITIC PEPTIDE)? | UNDER 100 |
WHAT IS BNP A GOOD INDICATOR OF? | CHF |
WHAT IS THE NORMAL LEVEL OF SODIUM? | 135 - 145 |
WHAT DO U DO IF THE SODIUM LEVEL IS ABNORMAL | BE CONCERNED **IF CHANGE IN LOC ITS CRITICAL DO SOMETHING---SAFETY |
WHAT IS THE NORMAL LEVEL FOR RBC'S? | 4 MILLION TO 6 MILLION |
WHAT DO U DO IF THE LEVEL FOR RBC'S IS ABNORMAL? | BE CONCERNED---WATCH FOR MALNUTRITION AND BLEEDING |
WHAT DOES LAMINECTOMY MEAN? | REMOVAL OF THE VERTEBRAL SPINOUS SPROCESSES |
WHAT IS THE REASON FOR A LAMINECTOMY? | TO TREAT NERVE ROOT COMPRESSION |
WHAT ARE THE S&S OF NERVE ROOT COMPRESSION? | PAIN PARASTHESIA(NUMBNESS AND TINGLING) PARESIS(MUSCLE WEAKNESS) |
WHAT ARE THE LOCATIONS FOR A LAMINECTOMY? | CERVICAL--NECK THORACIC--UPPER BACK LUMBAR--LOWER BACK |
WHAT IS THE MOST IMPORTANT PRE-OP ASSESSMENT IN THE CERVICAL LAMINECTOMY? | DIAPHRAGM, ARMS, AND HANDS(BREATHING,ROM) |
WHAT IS THE MOST IMPORTANT PRE-OP ASSESSMENT IN THE THORACIC LAMINECTOMY? | COUGH AND BOWEL (HOW THEY COUGH AND HOW ARE THEIR BOWELS) |
WHAT IS THE MOST IMPORTANT PRE-OP ASSESSMENT FOR THE LUMBAR LAMINECTOMY? | BLADDER AND LEGS AND FEET |
WHAT IS THE # 1 POST-OP ANSWER ON THE NCLEX? | LOG ROLL-LIE FLAT |
WHAT ACTIVITY/MOBILIZATION STRATEGY POST-OP FOR LAMINECTOMY? | DO NOT DANGLE THESE PTS(SIT ON EDGE OF BED WITH LEGS HANGING? MAY WALK, STAND, OR LIE DOWN WITHOUT RESTRICTIONS DONT SIT LONGER THAN 30 MIN |
WHAT DO U WATCH FOR IN A CERVICAL LAMINECTOMY? | WATCH FOR PNUEMONIA--DONT BREATHE SO WELL |
WHAT DO U WATCH FOR IN A THORACIC LAMINECTOMY? | PNEUMONIA--DONT COUGH |
WHAT DO U WATCH FOR IN A LUMBAR LAMINECTOMY? | URINARY RETENTION |
WHAT IS A LAMINECTOMY WITH FUSION? | IT INVOLVES TAKING A BONE GRAFT FROM THE ILIAC CREST |
WHAT ARE THE DISCHARGE TEACHINGS OF TEMPORARY RESTRICTIONS IN LAMINECTOMIES? | DONT SIT FOR LONGER THAN 30 MIN LOG ROLL AND LIE FLAT FOR 6 WEEKS NO DRIVING FOR 6 WEEKS DO NOT LIFT MORE THAN 5LBS FOR 6 WKS |
WHAT ARE THE DISCHARGE TEACHINGS OF PERMANENT RESTRICTIONS? | WILL NEVER BE ALLOWED TO LIFT BY BENDING AT WAIST(BEND AT KNEES CERVICAL--NEVER BE ALLOWED TO LIFT OBJECTS ABOVE THERE HEAD--REGARDLESS OF WEIGHT NO HORSEBACK RIDING, OFF TRAIL BIKING, JERKY AMUESEMENT PARK RIDES, ETC |
WHAT ARE THE 4 STEPS TO ANSWERING EMPATHY? | IF AN EMPATHY ?..WILL HAVE A QUOTE & EACH ANSWER WILL HAVE A QUOTE PUT URSELF N THE CLIENT'S SHOES SAY THEIR WORD AS IF U REALLY MEANT THEM AS URSELF IF I SAID THOSE WORDS & REALLY MEANT IT HOW WOULD I FEEL..CHOOSE THE ANSWER THAT REFLECTS THAT FEELING |
WHAT IS IMMEDIACY REGARDING PSYCHIATRIC QUESTIONS? | THE BEST PSYCH ANSWERS COMMUNICATE TO THE PT THAT THE NURSE IS WILLING TO DEAL WITH THE PAT'S PROBLEM RIGHT THEN AND RIGHT THERE...BETTER ANSWER TO KEEP THEM TALKING |
WHAT ARE KEY PHRASES TO AVOID IN ANSWERING ?'S WITH PSYCH PTS(IMMEDIACY)? | REFER PT TO HAVE U SPOKEN TO UR....ABOUT THIS? WHY DONT U TALK TO UR ....ABOUT THIS? AVOID CHANGING THE SUBJECT UNLESS U ARE REFOCUSING A PT WHO IS AVOIDING THE SUBJECT OF THE THERAPEUTIC SESSION |
WHAT ARE THE BEST PSYCH ANSWERS FOR CONCRETNESS? | THOSE ANSWERES THAT SAY EXACTLY WHAT THEY MEAN IN A LITERAL SENSE---WORD FOR WORD AVOID KEY PHRASES--SLANG,FIGURATIVE SPEECH, SAYINGS, PROVERBS, VERSES, POETRY, STORIES, PARABLES, ALLEGORIES, NEOGLOGISMS |
WHAT ARE THE BEST PSYCH ANSWERS FOR EMPATHY? | ARE THOSE ANSWERS THAT COMMUNICATE TO THE PT THAT THE NURSE ACCEPTS THE PTS FEELINGS AS BEING VALID, REAL AND WORTHY OF ACTION |
WHAT ARE KEY PHRASES U AVOID IN PSYCH QUESTIONS? | DONT WORRY DONT FEEL YOU SHOULDNT FEEL I WOULD FEEL ANYBODY WOULD FEEL NOBODY WOULD FEEL MOST PEOPLE WOULD FEEL |
WHAT ARE THE S&S OF DIABETES? | POLYURIA--URINATE ALOT POLYDYPSIA--DRINK ALOT POLYPHAGIA--EAT ALOT |
WHAT IS THE TREATMENT FOR TYPE 1 DIABETES? | DIET--LEAST IMPORTANT INSULIN--MOST IMPRTANT EXERCISE |
WHAT IS THE TREATMETN FOR TYPE 2 DIABETES? | DIET--MOST IMPORTANT ORAL HYPOGLYCEMIC PILL--LEAST IMPORTANT ACTIVITIES |
LIST THE ONSET, PEAK AND DURATION FOR R=REGULAR INSULIN(RAPID AND RUN) | ONSET--1HR PEAK--2HRS DURATION--4HRS SHORT ACTING--CLEAR INSULIN--IV DRUG OF CHOICE |
LIST THE ONSET, PEAK AND DURATION FOR N=NPH INSULIN(NOT SO FAST NOT IN THE BAG)? | ONSET--6HRS PEAK--8-10HRS DURATION--12HRS INTERMEDIATE ACTING--CLOUDY SUSPENSION **DO NOT DRIP IV CAN KILL THEM |
LIST THE ONSET, PEAK AND DURATION FOR HUMALOG(INSULIN LISPRO)? | ONSET--15 MIN PEAK--30 MIN DURATION--3 HRS CLEAR--NOT IVDRIP--INSULIN PUMP-FASTEST ACTING--MUST GIVE WHEN THEY START TO EAT |
LIST THE DURATION FOR LANTUS(LARGINE)? | DURATION--12-24 HRS LONG ACTING--SLOW ABSORPTION--NO PEAK--ONLY INSULI U CAN GIVE SAFELY AT BEDTIME.. |
WHAT DOES EXERCISE DO TO INSULIN? | IT POTENTIATES IT |
IF U EXERCISE MORE U NEED MORE OR LESS INSULIN? | LESS |
IF U EXERCISE LESS U NEED MORE OR LESS INSULIN? | MORE |
WHAT MUST U DO ON SICK DAYS IF UR A DIABETIC? | TAKE INSULIN TAKE SIPS OF WATER TO STAY HYDRATED STAY ACTIVE AS POSSIBLE |
WHAT IS THE CAUSE TO LOW BLOOD SUGAR? | NOT ENOUGH FOOD TOO MUCH INSULIN TOO MUCH EXERCISE |
WAT IS THE DANGER FOR LOW BLOOD SUGAR? | PERMANENT BRAIN DAMAGE |
WHAT ARE THE SIGNS AND SYMPTOMS OF LOW BLOOD SUGAR? | DRUNK + SHOCK SLUGGISH, LSURRED SPEACH, IMPARIED REFLEXES, SLOWED REACTION, LABILE, UNSTEADY GAIT, LOWER BP, INCREASED PULSE THREADY, PALE, COLD, CLAMMY, AND HEADACHE |
WHAT IS THE TREATMENT FOR LOW BLOOD SUGAR? | ADMINISTER RAPIDLY METABOLIZABLE CARBOHYDRATE(SUGAR) IDEAL COMBINATION 1 SUGAR AND A STARCH OR PROTEIN EX. OJ AND BREAD IF UNCONSCIOUS--IM GLUCAGON OR IV DRIP D10-D50 |
WHAT ARE THE CAUSES OF HIGH BLOOD SUGAR? | TOO MUCH FOOD NOT ENOUGH EXERCISE NOT ENOUGH MEDICATION # 1 CAUSE IS ACUTE VIRAL UPPER RESPIRATORY INFECTION WITHIN THE LAST WEEK OR TWO |
WHAT ARE THE S&S OF DKA? | DEHYDRATED(LOOK) KETONES IN BLOOD AND URINE ACIDOSIS |
WHAT IS THE TREATMENT FOR DKA? | HIGH FLOW RATE IV - ADULTS AT LEAST 200/HR REGULAR INSULIN IN BAG |
IN DIABETES WHAT ARE THE 2 LONG TERM COMPLICATIONS RELATED TO? | POOR TISSUE PERFUSION PERIPHERAL NEUROPATHY |
WHICH LAB TEST IS THE BEST INDICATOR OF LONG TERM BLOOD GLUCOSE CONTROL? | HEMOGLOBIN--A1C |
IN ABRUPTIO PLACENTA, THE PLACENTA________ FROM THE UTERINE WALL__________. | SEPARATES, PREMATURELY |
ABRUPTIO PLACENTA USUALLY OCCURS IN (PRIMI,MULTI) GRAVIDA OVER THE AGE OF______? | MULITGRAVIDA, 35 (HTN, TRAUMA, COCAINE) |
HOW IS THE BLEEDING OF ABUPTIO PLACENTA DIFFERENT FROM THAT IN PLACENTA PREVIA? | USUALLY WITH PAIN IN ABRUPTIO BUT NOT IN PLACENTA PREVIA, BLEEDING MORE VOLUMINOUS IN PREVIA |
IF U ARE THE NURSE STARTING THE IV ON THE CLIENT WITH ABRUPTIO PLACENTA, WHAT GUAGE NEEDLE SHOULD U USE? | 18 GUAGE --TO GIVE BLOOD IF NECESSARY |
HOW OFTEN SHOULD YOU MEASURE THE VS, VAGINAL BLEEDING, FETAL HR DURING ABRUPTIO PLACENTA? | Q 5-15 MIN FOR BLEEDING AND MATERNAL VS--CONTINOUS FETAL MONITORING, DELIVER AT EARLIEST SIGN OF FETAL DISTRESS |
HOW IS AN INFANT DELIVERED WHEN ABRUPTIO PLACENTA IS PRESENT? | USUALLY C-SECTION |
IS THERE A HIGHER OR LOWER INCIDENCE OF FETAL DEATH WITH ABRUPTIO PLACENTA COMPARED TO PLACENTA PREVIA? | HIGHER |
IN WHAT TRIMESTER DOES ABRUPTIO PLACENTA MOST COMMONLY OCCUR? | THIRD |
SHOULD VOMITING BE INDUCED AFTER INDESGESTION OF CLEANING PRODUCTS? | NO |
AT WHAT AGE ARE ACCIDENTAL POISIONINGS MOST COMMON? | 2 YRS OLD |
IF A CHILD SWALLOWS A POTENTIALLY POISONOUS SUSTANCE, WHAT SHOULD BE DONE FIRST? | CALL MEDICAL HELP |
SHOULD VOMITING BE INDUCED AFTER INDEGESTION OF GASOLINE? | NO--NOT FOR GAS OR ANY OTHER PETROLEUM PRODUCTS |
WHEN TAKING A CHILD TO THE ER AFTER ACCIDENTAL POISIONING HAS OCCURRED WHAT MUST ACCOMPANY THE CHILD TO THE ER? | THE SUSPECTED POISON |
AN ELDERLY CLIENT IS A (HIGH/LOW) RISK FOR ACCIDENTAL POISONING? | HIGH--DUE TOO POOR EYESIGHT |
WHAT TYPES OF CHEMICALS CAUSE BURNS TO ORAL MUCOSA WHEN INGESTED? | LYE, CAUSTIC CLEANERS |
CHILDREN AT HIGHEST RISK FOR SEIZURE ACTIVITY AFTER INGESTION ARE THOSE WHO HAVE SWALLOWED _____ AND _____. | DRUGS AND INSECTICIDES |
CAN IMPAIRED SKIN INTEGRITY EVER BE AN APPROPRIATE NURSING DIAGNOSIS WHEN POISONING HAS OCCURRED? | YES, WHEN LYE OR CAUSTIC AGENTS HAVE BEEN INGESTED |
SCHOOL AGE CHILDREN ARE (HIGH/LOW) RISK FOR ACCIDENTAL POISONING? | HIGH |
WHAT IS THE CAUSATIVE ORGANISM OF ACNE? | P. ACNES (PROPIOIBACTERIUM ACNES) |
WHAT STRUCTURES ARE INVOLVED IN ACNE VULGARIS? | THE SEBACEOUS GLANDS |
NAME 3 DRUGS GIVEN FOR ACNE? | VITAMIN A, ANTIBIOTICS, RETINOIDS |
DIETARY INDISCRETIONS ARE A CAUSE OF ACNE (T/F)? | FALSE |
WHAT ARE THE 3 CAUSATIVE FACTORS IN ACNE VULGARIS? | HEREDITY. BACTERIAL, HORMONAL |
UNCLEANLINESS IS A CAUSE OF ACNE(T/F)? | FALSE |
WHAT IS THE MOST COMMON RETINOID GIVEN TO PEOPLE WITH ACNE? | ACCUTANE |
ACCUTANE IS AN ANALOG OF WHICH VITAMIN? | VITAMIN A |
WHAT IS THE MOST COMMON SIDE EFFECT OF ACCUTANE? | INFLAMMATION OF THE LIPS |
WHAT SIDE EFFECT IS MOST IMPORTANT IN HEALTH TEACHING IN ACCUTANE ADMINISTRATION? | IT CAN CAUSE BIRTH DEFECTS |
WHAT IS THE ANTIBIOTIC MOST COMMONLY GIVEN TO CLIENTS WITH ACNE? IT CAN CAUSE BIRTH DEFECTS. | TETRACYCLINE |
HOW LONG WILL IT TAKE FOR THE PERSON TO SEE RESULTS WHEN ACNE IS BEING TREATED? | 4 TO 6 WEEKS |
DOES STRESS MAKE ACNE WORSE? | YES |
HOW OFTEN SHOULD THE CLILENT WITH ACNE WASH HIS FACE EACH DAY? | TWICE A DAY |
WHAT INSTRUCTIONS DO U GIVE TO A CLIENT TAKING TETRACYCLINE? | TAKE IT ON AN EMPTY STOMACH AND AVOID THE SUNLIGHT (PHOTOSENSITIVITY) |
WHAT ARE COMEDONES? | BLACKHEADS AND WHITEHEADS |
WHAT VIRUS CAUSES AIDS? | HIV--HUMAN IMMUNODICIENCY VIRUS |
THE AIDS VIRUS INVADES HELPER ____ _____? | T--LYMPHOCYTES (CD4 CELLS) |
AIDS IS TRANSMISSABLE THROUGH WHAT 4 ROUTES? | BLOOD, SEXUAL CONTACT, BREAST FEEDING, ACROSS PLACENTA IN UTERO |
HIV IS PRESENT IS ALL BODY FLUIDS (T/F)? | TRUE, BUT NOT TRANSMITTED BY ALL--ONLY BLOOD, SEMEN AND BREAST MILK |
NAME THE FIVE RISK GROUPS FOR AIDS. | HOMOSEXUAL/BISEXUAL MEN,IV DRUG USERS, HEMOPHILIACS, HETEROSEXUAL PARTNERS OF INFECTED PEOPLE, NEWBORN CHILDREN OF INFECTED WOMEN |
WHAT IS THE FIRST TEST FOR HIV ANTIBODIES? | ELISA |
WHAT TEST CONFIRMS ELISA? | WESTERN BLOT |
WHICH TEST IS THE BEST INDICATOR OF THE PROGRESS OF HIV DISEASE? | THE CD4 COUNT |
A CD4 COUNT OF UNDER _____ IS ASSOCIATED WITH THE ONSET OF AIDS-RELATED SYMPTOMS. | 500 |
A CD4 COUNT OF UNDER ______ IS ASSOCIATED WITH THE ONSET OF OPPORTUNISTIC INFECTIONS. | 200 |
GIVE 6 SYMPTOMS OF HIV DISEASE. | ANOREXIA, FATIGUE, WEAKNESS, NIGHT SWEATS, FEVER, DIARRHEA |
WHICH TWO CLASSES OF DRUGS ARE GIVEN IN COMBINATION FOR HIV SERO-POSITIVITY? | NRTI'S (NUCLEOSIDE REVERSE TRANSCRIPTEASE INHIBITORS) AND PI'S (PROTEASE INHIBITORS) |
WHAT DO THESE DRUGS DO? (NRTI'S AND PI'S) | THEY PREVENT REPLICATION |
WHAT DOES THE PHYSCIAN HOPE TO ACHIEVE WITH THESE DRUGS? (NRTI'S AND PI'S) | A DELAYED ONSET OF AIDS FOR AS LONG AS POSSIBLE. (USUALLY CAN DELAY ONSET FOR 10-15 YRS) |
WHAT IS THE MOST COMMON NRTI USED? | AZT ( ZIDOVUDINE) |
WHAT IS THE MOST CHALLENGING ASPECT OF COMBINATION OF DRUG THERAPY FOR HIV DISEASE? | THE NUMBER OF PILLS THAT MUST BE TAKEN IN 24 HRS CAN BE OVERWHELMING. THE FREQUENCY ALSO MAKES IT HARD TO REMEMBER--AN ALARM WRISTWATCH IS USED |
CLIENTS WITH AIDS (GAIN/LOSE) WEIGHT? | LOSE |
THE TYPICAL PEUMONIA OF AIDS IS CAUSED BY ______ ______. | PNEUMOCYSTIC CARINII |
WHAT TYPE OF ORAL/ESOPHAGEAL INFECTIONS DO AIDS PTS GET? | CANDIDA |
WHAT IS THE #1 CANCER THAT AIDS PTS GET? | KAPOSI'S SARCOMA |
KAPOSI'S SARCOMA IS A CANCER OF THE ______. | SKIN |
CAN AIDS PTS ALSO GET LYMPHOMAS? | YES |
WAT LAB FINDINGS ARE PRESENT IN AIDS? | DECREASED RBC, WBC, AND PLATELETS |
IF THE AIDS PT HAS LEUKOPENIA THEY WILL BE ON _____ ______. | PROTECTIVE(REVERSE) ISOLATION |
WITHOUT LEUKOPENIA THE AIDS PT WILL BE ON _____ ______ PRECAUTIONS. | STANDARD PRECAUTIONS OR BLOOD AND BODY FLUID PRECAUTIONS |
WHEN THE AIDS PT HAS A LOW PLATELET COUNT, WHAT IS INDICATED? | BLEEDING PRECAUTIONS: NO IM'S, NO RECTAL TEMPS, OTHER BLEEDING PRECAUTIONS |
DOES AIDS REQUIRE A SINGLE ROOM? | YES---IF WBC COUNTS ARE LOW |
WHEN DO U NEED A GOWN WITH AIDS? | IF U ARE GOIN TO GET CONTAMINATED WITH SECRETIONS |
WHEN DO U NEED A MASK WITH AIDS? | NOT USUALLY UNLESS THEY HAVE AN INFECTION CAUSED BY AN AIRBORNE BUG |
WHEN DO U NEED GOGGLES WITH AIDS? | SUCTIONING, CENTRAL LINE START, ARTERIAL PROCEDURES |
IF AN AIDS PTS BLOOD CONTAMINATES A COUNTER TOP, WITH WHAT DO U CLEAN? | 1:10 SOLUTION OF BLEACH AND WATER |
ARE ALL ARTICLES USED BY AIDS PTS DOUBLE-BAGGED? | NO---ONLY THOSE CONTAMINATED WITH SECRETIONS |
CAN AIDS PTS LEAVE THE FLOOR? | YES--UNLESS WBC'S ARE VERY LOW |
IS DIETARY PROTEIN LIMITED IN AGN(ACUTE GLOMERULAR NEPHRITIS)? | NOT USUALLY--HOWEVER IF THERE IS A SEVERE AZOTEMIA THEN IT MAY BE RESTRICTED--AZOTEMIA MEANS NITROGENOUS WASTES IN THE BLOOD--INCREASED CREATININE AND BUN |
WHAT IS THE BEST INDICATOR OF RENAL FAILURE? | THE SERUM CREATININE |
AGN(ACUTE GLOMERULAR NEPHRITIS HAS A POOR PROGNOSIS (T/F)? | FALSE, THE VAST MAJORITY OF ALL CLIENTS RECOVER COMPLETELY FROM IT |
HOW CAN AGN (ACUTE GLOMERULAR NEPHRITIS) BE PREVENTED? | BY HAVING ALL SORE THROATS CULTERED FOR STREP AND TREATING ANY STREP INFECTIONS |
WHAT IS THE MOST IMPORTANT INTERVENTION IN TREATING AGN(ACUTE GLOMERULAR NEPHRITIS)? | BEDREST--THEY CAN WALK IF HAEMATURIA, EDEMA, HYPERTENSION ARE GONE |
WHAT IS THE MOST COMMON DIETARY RESTRICTION FOR AGN? | MODERATE SODIUM RESTRICTION. FLUID RESTRICTION IS #2 IF EDEMA IS SEVERE |
WHAT ARE THE URINALYSIS FINDINGS IN AGN? | HEMATURIA, IS USUALLY FOUND ONLY IN DISEASES ENDING IN -ITIS PROTEINURIA +3 TO +4 SPECIFIC GRAVITY UP |
HOW LONG AFTER STREP INFECTIONS DOES AGN DEVELOP? | 2 TO 3 WEEKS AFTER INITIAL INFECTION |
HOW DO U ASSESS FLUID EXCESS IN THE CHILD WITH AGN? | DAILY WEIGHT |
WHAT ORGANISM CAUSES AGN? | GROUP A BETA HEMOLYTIC STREP |
WHAT HAPPENS TO THE KIDNEY IN AGN? | IT BECOMES CLOGGED WITH ANTIGEN-ANTIBODY COMPLEXES WHICH THEN CAUSE INFLAMMATION AND LOSS OF FUNCTION |
HOW OFTEN ARE VITAL SIGN MEASUREMENTS TAKEN IN AGN? | Q 4 HRS WITH BP |
WILL THE CLIENT HAVE HYPO OR HYPER TENSION WITH AGN? WHY? | HYPERTENSION, BECAUSE OF FLUID RETENTION |
WHAT ARE THE FIRST SIGNS OF AGN? | PUFFINESS OF THE FACE, DARK URINE |
WHAT ARE THE THREE ADULT STAGES OF DEVELOPMENT CALLED? | EARLY(YOUNG) ADULTHOOD, MIDDLE ADULTHOOD, LATER ADULTHOOD |
WHAT IS THE AGE RANGE FOR YOUNG (EARLY) ADULTHOOD? | 19 - 35 YRS OF AGE |
WHAT IS THE AGE RANGE FOR MIDDLE ADULTHOOD? | 35 - 65 YRS OF AGE |
WHAT IS THE AGE RANGE FOR LATER ADULTHOOD? | 65 YRS OF AGE TO DEATH |
WHAT IS THE DEVELOPTMENTAL TASK FOR EARLY ADULTHOOD? | INTIMACY VS ISOLATION |
WHAT IS THE DEVELOPMENTAL TASK FOR MIDDLE ADULTHOOD? | GENERATIVITY VS STAGNATION |
WHAT IS THE DEVELOPMENTAL TASK FOR LATER ADULTHOOD? | EGO INTEGRITY VS DESPAIR |
"TIME IS TOO SHORT TO START ANOTHER LIFE, THOUGH I WISH I COULD," IS AN EXAMPLE OF ________. | DESPAIR |
"IF I HAD TO DO IT OVER AGAIN, I'D LIVE MY LIFE JUST ABOUT THE SAME," IS AN EXAMPLE OF ________. | EGO INTEGRITY |
WHAT DOES AKA MEAN? | ABOVE THE KNEE AMPUTATION |
WHAT DOES BKA MEAN? | BELOW THE KNEE AMPUTATION |
IF THE PATIENT HAD AN AKA THEY SHOULD LIE ______ SEVERAL TIMES PER DAY. | PRONE--TO PREVENT FLEXION CONTRACTURE |
WHAT WILL PREVENT HIP FLEXION CONTRACTURE AFTER AKA? | LAYING PRONE SEVERAL TIMES A DAY |
THE # 1 CONTRACTURE PROBLEM IN AKA IS _______ OF THE _____. | FLEXION OF THE HIP |
WHAT IS THE # 1 CONTRACTURE PROBLEM AFTER BKA? | FLEXION OF THE KNEE |
HOW DO U PREVENT FLEXION CONTRACTURE OF THE KNEE AFTER BKA? | REMIND THE PT TO STRAIGHTEN THEIR KNEE CONSTANTLY WHILE STANDING |
TO PREVENT POST-OP SWELLING, THE STUMP SHOULD BE_____ FOR____TO____HRS. | ELEVATED, 12 TO 24 HRS |
HOW OFTEN SHOULD A STUMP BE WASHED? | DAILY |
WHEN A STUMP IS WRAPPED, THE BANDAGE SHOULD BE TIGHEST_______ AND LOOSEST______. | DISTALLY, PROXIMALLY |
OF AFTER A RIGHT BKA, THE CLIENT C.O PAIN IN HIS RIGHT TOE, HE IS EXPERIENCING ___________. | PHANTOM LIMB SENSATION |
PHANTOM LIMB SENSATION IS NORMAL (T/F). | TRUE |
WILL PHANTOM LIMB SENSATION SUBSIDE? | IN A FEW MONTHS |
IS IT ACCEPTABLE FOR THE PT TO PUSH THE STUMP AGAINST THE WALL? | YES, THIS IS ONE WAY TO TOUGHEN A STUMP SO IT WILL NOT BREAKDOWN DUE TO THE WEAR AND TEAR OF THE PROSTHETIC LEG; HITTING IT WITH PILLOWS IS ANOTHER GOOD METHOD |
AN ANEURYSM IS AN ABNORMAL ______________ OF THE WALL OF A(N) (ARTERY OR VEIN). | WIDENING (IT IS ALSO WEAKENING). ARTERY |
WHAT ARTERY IS WIDENED IN A THORACIC ANEURYSM? | THE AORTA |
CAN AN ANEURYSM RESULT FROM AN INFECTION? FROM SYPHILIS? | YES, YES |
THE MOST COMMON SYMPTOM OF ABDOMINAL ANEURYSM IS ________________. | A PULSATING MASS ABOVE THE UMIBLICUS |
WHICH ANEURYSM IS MOST LIKEY TO HAVE NO SYMPTOMS....ABDOMINAL OR THORACIC? | THE ABDOMINAL IS MOST OFTEN "SILENT". NO SYMPTOMS |
WHICH ARE VS ARE MOST IMORTANT TO MEASURE IN CLIENTS WITH ANEURYSM? | THE PULSE AND THE BP |
AN ANEURYSM WILL MOST AFFECT WHICH OF THE FOLLOWING...THE BP OR THE PULSE? | THE PULSE---MANY TIMES THE ANEURYSM WILL RUPTURE AND MUCH BLOOD WILL BE LOST BEFORE THE BLOOD PRESSURE STARTS TO CHANGE |
WHAT ACTIVITY ORDER IS THE CLIENT WITH AN ANEURYSM SUPPOSED TO HAVE? | BEDREST---DO NOT GET THESE PEOPLE UP |
IF THE CLIENT WITH ANEURYSM IS PHYSICALLY UNSTABLE, SHOULD YOU ENCOURAGE TURNING, COUGHING, AND DEEP BREATHING? | NO---NO TURNING, COUGHING, OR DEEP BREATHING UNTIL THE CLIENT IS STABLE |
WHAT CLASS OF DRUGS IS THE CLIENT WITH AN ANEURYSM MOST LIKELY TO BE ON? | ANTIHYPERTENSIVES |
WHAT IS THE BIG DANGER WITH ANERUYSMS OF ANY TYPE? | RUPTURE---LEADS TO SHOCK AND DEATH |
IF AN ANEURYSM RUPTURE HOW WOULD U KNOW IT? | DECREASED LOC(RESTLESSNESS), TACHYCARDIA(INCREASED PULSE RATE), HYPOTENSION(THESE ARE THE SIGNS OF SHOCK) |
IF AN ANEURYSM RUPTURES WHAT IS THE #1 PRIORITY? | GET THEM TO THE OPERATING ROOM ASAP |
IS THERE ANYTHING THAT CAN BE DONE FOR THE CLIENT WITH A RUPTURED ANEURYSM BEFORE THEY GET TO THE OPERATING ROOM? | YES---IF AVAILABLE, U CAN GET THEM INTO ANTI-SHOCK TROUSERS BUT NOT IF THIS CAUSES A DELAY IN GETTING THEM TO THE OPERATING ROOM |
THE POST-OP THORACIC ANEURYSM IS MOST LIKELY TO HAVE WHICH TYPE OF TUBE? | CHEST TUBE, BECAUSE THE CHEST WAS OPENED |
THE POST-OP ABDOMINAL ANEURYSM REPAIR CLIENT IS MOST LIKELY TO HAVE WHICH TYPE OF TUBE? | NG TUBE DECOMPRESSION OF BOWEL |
IF U CARE FOR A CLIENT WHO IS POST-OP FOR A REPAIR OF A FEMORAL/POPLITEAL RESECTION WHAT ASSESSMENT MUST U MAKE EVERY HR FOR THE FIRST 24 HRS? | CHECK THE DISTAL EXTREMITY FOR COLOR, TEMP, PAIN AND PULSE--ALSO MUST DOCUMENT |
WHAT CAUSES ANGINA PECTORIS? | DECREASED BLOOD SUPPLY TO MYOCARDIUM, RESULTING IN ISCHEMIA AND PAIN |
DESCRIBE THE PAIN OF ANGINA PECTORIS. | CRUSHING SUBSTERNAL CHEST PAIN THAT MAY RADIATE |
WHAT DRUG TREATS ANGINA PECTORIS? | NITROGLYCERIN |
HOW MANY NITROGLYCERIN TABS CAN U TAKE BEFORE U CALL THE DR? | THREE TABLETS |
HOW MANY MINUTES SHOULD LAPSE BETWEEN THE NITROGLYCERIN PILLS U TAKE? | FIVE MINUTES, REMEMBER U CAN TAKE UP TO 3 NITROGLYCERINE TABLETS 5 MINUTES APART. IF NO RELIEF, CALL MD |
HOW DO U TELL IF THE CLIENT HAS ANGINA OR AN MI? | THE PAIN OF THE TWO IS VERY SIMILAR; THE WAY TO TELL THE DIFFERENCE IS IF NITROGLYCERIN AND REST RELIEVE THE PAIN, ITS ANGINA. IF NITRO AND REST DO NO RELIEVE THE PAIN, ITS PROBABLY AN MI |
BY WHAT ROUTE DO U TAKE NITROGLYCERIN? | SUBLINGUAL |
WHAT IS THE ACTION OF NITROGLYCERIN? | DILATES CORONARY ARTERIES TO INCREASE BLOOD SUPPLY AND REDUCES PRELOAD |
WHAT ARE THE TOP 2 SIDE EFFECTS OF NITROGLYCERIN? | HEADACHE AND HYPOTENSION |
WHAT PRESENTATION MUST THE NURSE TAKE WHEN ADMINISTERING TOPICAL NITROGLYCERIN PASTE? | WEAR GLOVES---NURSE MAY GET A DOSE OF THE MEDICINE |
EVERYONE WITH ANGINA NEEDS BYPASS SURGERY(T/F). | FALSE |
ANOREXICS ARE USUALLY ___________ UNDER THE AGE _______. | FEMALES, 25 |
THE DIAGNOSIS IS MADE WHEN THERE IS A WEIGHT LOSS OF ________% OR MORE OF BODY WEIGHT. | 15%(WEIGH < 85% OF NORMAL BODY WT.) HOSPITALIZE IF 30% WT LOSS |
A MAJOR MENTAL/EMOTIONAL NURSING DIAGNOSIS SEEN IN ANOREXIA NERVOSA IS _________. | ALTERED BODY IMAGE |
THE PULSE RATE OF ANOREXICS IS TACHYCARDIC OR BRADYCARDIC? | BRADYCARDIC |
LIST THE MOST COMMON GYNECOLOGIC SYMPTOM OF ANOREXIC NERVOSA. | AMENORRHEA |
WHAT IS FOUND OVER THE BODY OF THE CLIENT WITH ANOREXIA NERVOSA? | LANUGO---SOFT DOWNY HAIR |
WHAT IS THE TOP PRIORITY IN THE CARE OF THE CLIENT WITH ANOREXIA NERVOSA? | INTAKE OF ENOUGH FOOD TO KEEP THEM ALIVE, HAVE THEM GAIN WEIGHT |
THE BEST GOAL TO EVALUATE THE PROGRESS OF THE CLIENT WITH ANOREXIA NERVOSA IS ___________. | AN ADEQUATE WEIGHT GAIN |
WHAT IS THE APGAR SCALE? | IT IS A QUICK OBJECTIVE METHOD TO COMPARATIVELY EVALUATE THE VITAL FUNCTIONS OF THE NEWBORN |
WHEN IS THE APGAR SCORING PERFORMED ON INFANTS? | AT 1 MIN AND AGAIN AT 5 MIN AFTER BIRTH |
NAME THE 5 CRITERIA THAT ARE RECORDED ON AN APGAR SCALE. | CARDIAC STATUS, RESPIRATORY EFFORT, MUSCLE TONE, NEUROMUSCULAR IRRITABILITY(REFLEXES), AND COLOR |
THE TOTAL APGAR SCORE CAN RANGE FROM _____ TO _____. | 0 - 10 |
THE MAXIUMUM SCORE AND INFANT CAN RECEIVE ON ANY ON OF THE 5 CRITERIA IS __________. | 2 |
THE LOWEST SCORE AN INFANT CAN RECEIVE ON ANY ONE CRITERION OF THE APGAR IS ________. | 0 |
A 10 ON THE APGAR MEANS THE BABY IS ________. | IN TERRIFIC HEALTH |
A 0 ON THE APGAR MEANS THE BABY IS __________. | BAD, THE BABY IS STILLBORN |
ON HEART RATE OR CARDIAC STATUS, A 2 MEANS THAT THE HR IS (ABOVE/BELOW) THAN 0 BUT LESS THAN __________. | ABOVE, 100 |
ON THE RATE CRITERIA AN INFANT SCORES A 1 IF THEIR HEART RATE IS (GREATER/LESS) THAN 0 BUT LESS THAN_______________. | GREATER, 100 |
IN ORDER TO SCORE A 0 ON HR THE INFANT MUST HAVE A RATE OF_________. | ZERO |
A HIGH SCORE OF 2 IS GIVEN FOR RESPIRATORY EFFORT IF THE NEWBORN ______ ________. | CRIES VIGOROUSLY |
AN INFANT IS GIVEN A SCORE OF 1 IF THEIR RESPIRATIONS ARE __________ OR ____________. | SLOW, IRREGULAR |
AN INFANT IS GIVEN A SCORE OF 0 FOR RESPIRATORY EFFORT IF ________. | THEY DO NOT BREATHE |
IN ORDER TO GET A SCORE OF 2 ON MUSCLE TONE THE INFANT MUST _______ ________. | MOVE SPONTANEOUSLY(ACTIVELY) |
TO GET A SCORE OF 1 ON THE APGAR FOR MUSCLE TONE THE NEWBORN MUST PLACE THEIR EXTREMETIES IN ____________. | FLEXION |
A NEWBORN RECEIVES A SCORE OF 0 ON MUSCLE TONE WHEN THERE IS _________ ___________. | NO MOVEMENT(LIMP) |
TO SCORE THE MAXIMUM OF 2 PTS ON NEUROMUSCULAR REFLEX IRRITABILITY THE INFANT MUST _______. | CRY |
IF THE NEONATE________. THEY WILL SCORE A 1 ON NEUROMUSCULAR IRRITABILITY. | GRIMACES |
TO RECEIVE A 0 ON REFLEX (NEUROMUSCULAR) IRRITABILITY THE NEONE MUST EXHIBIT______ _____. | NO RESPONSE |
TO SCORE A MAXIMUM SCORE OF 2 ON COLOR THE CHILD MUST BE __________ _______. | TOTALLY PINK |
IF THE CHILDS ______ ARE ______ AND THE TRUNK-FACE ABDOMEN ARE _____, THE CHILD SCORES 1 ON COLOR. | EXTREMETIES ARE BLUE(CYANOTIC), PINK |
TO GET A 0 ON COLOR THE INFANT IS _______/_______. | TOTALLY BLUE, PALE |
WHEN A HEALTHY CHILD RECEIVES A 9 ON THE APGAR THEY MOST LIKELY GET A 1 ON _______. | COLOR, MOST HEALTHY BABIES HAVE ACROCYANOSIS ON THE 1 MIN APGAR BUT GET A 10 ON THE 5 MIN (ACROCYANOSIS IS BLUE EXTREMITIES, PINK BODY) |
APPENDICITIS IS AN ______ OF THE APPENDIX DUE TO __________. | INFLAMMATION, OBSTRUCTION |
APPENDICITIS OCCURS MOST IN WHAT AGE GROUP? | 15 - 35 |
WHAT IS THE MOST COMMON COMLICATION OF APPENDICITIS? | PERITONITIS |
WHAT FOLLOWS THE RIGHT UPPER QUADRANT(RUQ) ABDOMINAL PAIN OF APPENDICITIS? | NAUSEA AND VOMITING |
WHAT IS THE FIRST SIGN OF APPENDICITIS? | RIGHT UPPER QUADRANT PAIN |
WHERE DOES THE PAIN OF APPENDICITIS FINALLY END UP? | RIGHT LOWER QUADRANT |
WHAT IS THE NAME OF THE RIGHT LOWER QUADRANT (RLQ) ABDOMINAL PAIN WHERE APPENDICITIS PAIN FINALLY LOCALIZES? | McBIRNEY'S POINT |
WHAT IS PRESENT WHEN REBOUND TENDERNESS IS PRESENT? | PERITONEAL INFLAMMATION |
WHEN THE PAIN OF APPENDICITIS GOES AWAY THE CLIENT IS IMPROVING. (T/F) | FALSE---RUPTURE HAS OCCURRED |
WHAT IS THE HIGHEST THAT THE TEMP WILL BE IN APPENDICITIS? | 102 F |
WHAT BLOOD COUNT IS ELEVATED IN APPENDICITIS? | WBC |
WHAT IS THE NAME FOR AN ELEVATED WBC? | LEUKOCYTOSIS |
WHAT IS THE ONLY TREATMENT RECOMMENDED FOR APPENDICITIS? | SURGERY---APPENDECTOMY |
BEFORE THE CLIENT WITH SUSPECTED APPENDICITIS SEES THE PHYSICIAN WHAT SHOULD BE AVOIDED? | NO PAIN MEDS, NO ENEMAS OR LAXATIVES, NO FOOD(NPO) |
TO LESSEN PAIN PLACE THE CLIENT IN _______ POSITION. | FOWLERS(USE POST-OPERATIVELY ALSO) |
NEVER APPLY _____ TO THE AREA OF THE APPENDIX? | HEAT, IT CAUSES RUPTURES |
AFTER APPENDECTOMY, DOCUMENT IN THE NURSES NOTES THE RETURN OF ________. | BOWEL SOUNDS(PERISTALIS) |
NAME THE 5/6 ESSENTIAL NUTRIENTS. | CARBOHYDRATES, FATS, PROTEINS, VITAMINS, MINERALS, WATER |
THE MAJOR SOURCE OF ENERGY FOR THE BODY IS ____________. | CARBOHYDRATES |
CARBOHYDRATES PROVIDE _____ K CALORIES PER 1 GRAM. | FOUR |
SUCROSE IS A SUGAR FOUND IN ________ AND ________. | FRUTIS AND VEGETABLES |
IS GLYCOGEN EATIN IN FOODS? | NO IT IS A STORED FORMED OF GLUCOSE MANUFACTURED BY THE LIVER |
WHAT IS GLYCOGEN? | A STORED FORM OF GLUCOSE/ENERGY |
LACTOSE IS A SUGAR FOUND IN __________. | MILK |
WHEN THE BODY DOES NOT RECEIVE ENOUGH CARBOHYDRATES IT BURNS __________ AND ______. | PROTEINS AND FATS |
THE MOST CONCENTRATED SOURCE OF ENERGY FOR THE BODY IS____________. | FATS |
FATS PROVIDE ___________ K CALORIES PER 1 GRAM. | NINE |
FATS CARRY VITAMINS _____, _____, _____, AND _____. | A, D, E, K |
THE NUTRIENT NEEDED MOST FOR GROWTH AND REPAIR OF TISSUES IS ___________. | PROTEIN(SECOND BEST---VITAMIN C) |
PROTEINS PROVIDE _______ K CALORIES PER 1 GRAM. | FOUR |
VITAMINS AND MINERALS PROVIDE ENERGY FOR THE BODY (T/F). | FALSE--THEY ARE NECESSARY FOR A BODYS CHEMICAL REACTION |
WATER IS PRESENT IN ALL BODY TISSUES. (T/F) | TRUE (EVEN BONE) |
WATER ACCOUNTS FOR _______ TO ______% OF AN INFANTS TOTAL WEIGHT. | 70 - 75 % |
WATER ACCOUNTS FOR ________ TO __________ OF AN ADULTS TOTAL WEIGHT. | 50 - 60 % |
NAME THE 4 BASIC FOOD GROUPS. | MILK & CHEESE, MEAT & LEGUMES, VEGETABLES & FRUITS, BREAD & CEREAL |
AN INDIVIDUAL IS OVERWEIGHT IF THEY ARE ______% ABOVE THE IDEAL WEIGHT. | 10 % |
AN INDIVIDUAL IS OBESE IF THEY WEIGH ______% ABOVE THE IDEAL WEIGHT. | 20% |
WHAT SOLUTION AND MATERIAL ARE USED TO CLEANSE THE EYES OF AN INFANT? | PLAIN WATER, COTTON BALLS, AND WASHCLOTHES |
CAN U USE COTTON SWABS TO CLEAN THE EYES, NARES OR EARS OF AN INFANT? | NO THIS IS DANGEROUS |
CAN U USE THE SAME COTTON BALL/WASHCLOTH EDGE FOR BOTH EYES. | NO IT WOULD CROSS CONTAMINATE |
SHOULD U COVER AN UNHEALED UMBILICAL SITE WITH THE DIAPER? | NO FOLD THE DIAPER DOWN |
WHAT TEMPERATURE IS APPROPRIATE FOR THE WATER USED TO BATHE AN INFANT? | 100 - 105 F |
WHAT IS THE # 1 PURPOSE OF A TEPID SPONGE BATH? | LOWER THE BODY TEMP DURING A FEVER |
HOW SHOULD THE TEMP OF THE WATER BE TESTED IF NO THERMOMETER IS AVAILABLE? | DROPPING WATER ON INSIDE SURFACE OF UR FOREARM |
WITH WHICH BODY PART DO U BEGIN WHEN BATHING AN INFANT? | EYES, ALWAYS |
WHEN CLEANSING AN INFANTS EYE, CLEANSE FROM OUT TO INNER CANTHUS? | NO INNER TO OUTER |
SHOULD U RETRACT THE FORESKIN OF A 5 WEEK OLD MALE, UNCIRCUMSIZED INFANT TO CLEANSE THE AREA? | NO, NOT UNTIL FORESKIN RETRACTS NATURALLY AND WITHOUT RESISTANCE--THEN IT SHOULD BE RETRACTED, CLEANSED AND REPLACED |
WHEN SPONGE-BATHING WITRH TEPID WATER THE CORRECT TEMP IS__________. | 98.6 F |
HOW MANY DAYS DOES IT TAKE FOR THE UMBILICAL STUMP TO FALL OFF? | 7 TO 14 |
THE PRIMARY REASON WHY AN INFANT IS DRAPED DURING THE BATH IS TO PROVIDE PRIVACY. (T/F) | FALSE, THE PRIMARY PURPOSE OF DRAPING IS TO PREVENT CHILLING |
U MAY USE FRICTION TO REMOVE VERNIX CASEOSA FROM AN INFANTS SKIN.(T/F) | FALSE, IT CAUSES DAMAGE/BRUISING |
WHAT SOLUTION IS COMMONLY USED FOR CARE OF THE UMBILICAL CORD? | 70% ALCOHOL TO PROMOTE DRYING(TREND IS TOWARD SOAP AND WATER) |
WHAT CRANIAL NERVE IS AFFECTED IN BELLS PALSY? | #7, FACIAL NERVE |
WHAT IS THE # 1 SYMPTOM OF BELLS PALSY? | ONE-SIDED(UNILATERAL) FACIAL PARALYSIS |
COMPLETE RECOVERY FROM THE PARALYSIS OF BELLS PALSY SHOULD OCCUR IN _____ TO ______ MONTHS. | 4 TO 6 MONTHS |
IN ADDITION TO THE FACIAL PARALYSIS, THE SENSE OF _________ IS ALSO AFFECTED. | TASTE |
WILL THE PT BE ABLE TO CLOSE THEIR EYE ON THE AFFECTED SIDE? | NO |
GIVE 3 EYE INTERVENTIONS FOR THE CLIENT WITH BELLS PALSY. | DARK GLASSES, ARTIFICIAL TEARS,COVER EYE AT NITE |
AS THE PROSTATE ENLARGES IT COMPRESSES THE ___________ AND CAUSES URINARY __________. | URETHRA, RETENTION |
AT WHAT AGE DOES BPH(BENIGN PROTATIC HYPERTROPHY) OCCUR? | MEN OVER 50 YRS OF AGE |
IN BPH THE MAN HAS (INCREASED/DECREASED) FREQUENCY OF URINATION. | INCREASED |
IN BPH THE FORCE OF THE URINARY STREAM IS (INCREASED/DECREASED). | DECREASED |
THE MAN WITH BPH HAS A _____-STREAM OF URINE. | FORKED |
THE MAN WITH BPH HAS HESITANCY. WHAT DOES THIS MEAN? | DIFFICULTY STARTING TO VOID |
WILL THE MAN WITH BPH HAVE ENURESIS, NOCTURIA OR HEMATURIA? | ENURESIS--NO, NOCTURIA--YES, AND HEMATURIA--MAYBE |
WHAT IS THE BEST WAY TO SCREEN MEN FOR BPH? | DIGITAL RECTAL EXAM |
SHOULD FLUIDS BE FORCED OR RESTRICTED IN BPH? | FORCED |
WHAT DOES TURP STAND FOR? | TRANSURETHRAL RESECTION OF THE PROSTATE |
THE MOST RADICAL PROSTATE SURGERY IS THE ________ PROSTATECTOMY. | PERINEAL |
WHAT TYPE OF DIET IS USED IN BPH? | ACID ASH |
WHAT IS THE PRIMARY PURPOSE OF A 3-WAY CONTINOUS BLADDER IRRIGATION(CBI) AFTER TURP? | TO KEEP THE CATHETER CLEAR OF CLOTS AND TO DRAIN URINE |
WHAT SOLUTION IS USED FOR CBI? | NORMAL SALINE (0.9 NaCl) |
HOW FAST DO U RUN THE CBI? | AT WHATEVER RATE IT TAKES TO KEEP THE URINE FLOWING AND FREE OF CLOTS |
WHAT DRUG IS ISED TO TREAT BLADDER SPASM? | B&O SUPPOSITORIES |
SHOULD U TAKE A RECTAL TEMP AFTER PROSTATECTOMY? GIVE STOOL SOFTENERS? | NO RECTAL TEMPS, YES STOOL SOFTENERS |
YOU SHOULD CALL THE MD AFTER TURP WHEN U SEE ________ THICK _______, ________ CLOTS, AND ________ URINE DRAINAGE ON THE DRESSING. | BRIGHT THICK BLOOD, PERSISTENT CLOTS, PERSISTENT URINE ON DRESSING(DONT CALL MD FOR TRANSITORY CLOTS AND URINE ON DRESSING) |
IF U SEE AN INCREASE IN THE BLOOD CONTENT OF URINE COMING OUT OF THE CATHETER, U WOULD FIRST____________. | PULL CAREFULLY ON THE CATHETER TO APPLY LOCAL PRESSURE ON THE PROSTATE WITH THE FOLEY BALLON |
IF U SEE CLOTS IN THE TUBING U WOULD FIRST _______________. | INCREASE THE FLOW RATE |
WHAT EXERCISES SHOULD THE POST-PROSTECTOMY PT DO UPON DISCHARGE? WHY? | PERINEAL EXERCISES, START AND STOP STREAM OF URINE, BECAUSE DRIBBLING IS A COMMON BUT TEMPORARY PROBLEM POST-OPERATIVELY |
WILL THE POST-PROSTATECTOMY PT BE IMPOTENT? | IF TURP, NO IMPOTENCE,IF PERINEAL PROSTATECTOMY, YES IMPOTENCE |
HOW OFTEN SHOULD THE URINARY DRAINAGE BAG BE EMPTIED? | EVERY 8 HRS |
WHAT IS THE MOST COMMMON PROBLEM DUE TO CATHERIZATION? | URINARY TRACT INFECTIONS(UTI) |
WHAT IS THE MOST COMMON ORGANISM TO CAUSE UTI WITH CATHERIZATION? | E. COLI |
WHAT IS THE MOST COMMON ROUTE FOR ORGANISMS TO ENTER THE BLADDER WHEN A CATHERIZATION IS USED? | UP THROUGH THE INSIDE OF THE CATHETER IN THE DAYS FOLOLOWING CATHERIZATION |
NAME SOME FOODS THAT MAKE ACID URINE. | CRANBERRY JUICE, APPLE JUICE,(AVOID CITRUS JUICES----THEY MAKE ALKALINE URINE) |
WHAT IS IMPORTANT ABOUT THE LEVEL OF THE URINARY DRAINAGE BAG? | NEVER HAVE THE BAG AT A HIGHER LEVEL THAN THE BLADDER |
HOW IS THE CATHETER TAPED IN A MALE CLINET? | TO THE LATERAL THIGH OR ABDOMEN |
HOW IS THE CATHETER TAPED IN A FEMALE CLIENT? | TO THE UPPER THIGH |
WHAT URINARY pH PREVENTS UTI? | ACIDITY, LOW pH |
SHOULD THE DRAINAGE BAG EVER TOUCH THE FLOOR? | NO |
IS IT OKAY TO ROUTINELY IRRIGATE INDWELLING CATHETERS? | NO |
WHAT AGENTS ARE BEST FOR CATHETER CARE? | SOAP AND WATER |
WHAT IS THE MOST EFFECTIVE WAY TO DECREASE UTI WITH CATHETERS? | KEEP THE DRAINAGE SYSTEM CLOSED, DO NOT DISCONNECT JUNCTIONS OF TUBING |
GIVE SOME SIGNS OF INFECTION IN A FOLEY CATHETER? | CLOUDY URINE, FOULD SMELLING URINE HEMATURIA |
IS URINARY INCONTINENCE AN INDICATION FOR CATHERIZATION? | NO |
GIVE 3 APPROPRIATE INDICATIONS FOR BLADDER CATHERIZATION? | URINARY RETENTION, TO CHECK FOR RESIDUAL, TO MONITOR HOURLY OUTPUT |
WHAT ARE THE TOP 2 DIAGNOES FOR A CLIENT WITH A CATHETER? WHICH ONE IS #1? | #1 - POTENTIAL FOR INFECTION; POTENTIAL IMPAIRMENT OF URETHRAL TISSUE INTEGRITY |
WHAT IS SYSTOLE? | THE MAXIMAL FORCE OF THE BLOOD ON ARETERY WALLS(THE TOP NNUMBER) |
WHAT IS DIASTOLE? | THE LOWEST FORCE OF BLOOD ON ARTERY WALLS (THE BOTTOM NUMBER) |
ACCURATE BLOOD PRESSURE IS OBTAINED BY USING A CUFF THAT HAS A WIDTH OF ________ OF THE ARM. | TWO-THIRDS |
WHICH ARTERY IS MOST COMMONLY USED TO MEASURE BLOOD PRESSURE? | BRACHIAL |
CAN THE THIGH EVER BE USED TO OBTAIN A BLOOD PRESSURE? | YES, BUT THIS IS RARE |
WHEN PRESSURE IS AUSCULTATED THE FIRST SOUND HEARD IS THE _________ MEASUREMENT. | SYSTOLIC |
THE CHANGE IN THE CHARACTER OF THE SOUNDS IS KNOWN AS THE _________. | FIRST DIASTOLIC SOUND |
WHEN 2 VALUES ARE GIVEN IN A BLOOD PRESSURE (EX. 120/80), THE 80 STANDS FOR THE CHANGE IN SOUNDS OR CESSATION OF SOUNDS? | CESSATION OF SOUNDS |
WHAT IS THE NORMAL ADULT BLOOD PRESSURE? | 120/80 |
ABNORMALLY HIGH BLOOD PRESSURE IS CALLED_______. | HYPERTENSION |
WHAT IS THE PULSE PRESSURE? | THE DIFFERENCE BETWEEN THE SYSTOLIC AND THE DIASTOLIC BLOOD PRESSURE |
THE CESSATION OF SOUNDS IS KNOWN AS THE ___________. | SECOND DIASTOLIC SOUND |
WHEN 2 VALUES ARE GIVEN IN A BLOOD PRESSURE THE FIRST IS THE ________ MEASUREMENT. | SYSTOLIC |
IF U DEFLATE THE CUFF TOO SLOWLY, THE READING WILL BE TOO HIGH OR LOW? WHY? | HIGH, VENOUS CONGESTION MAKES THE ARTERIAL PRESSURE HIGHER (INCREASE RESISTANCE) |
IF U USE TOO NARROW OF A CUFF THE READING WILL BE TOO HIGH OR LOW? | HIGH |
VASOCONSTRICTION WILL _____ BLOOD PRESSURE. | INCREASE |
VASODILATATION WILL _______ BLOOD PRESSURE. | DECREASE |
SHOCK WILL _______ BLOOD PRESSURE. | DECREASE |
INCREASED INTRACRANIAL PRESSURE WILL _______ THE PULSE PRESSURE. | INCREASE OR WIDEN |
IF MY BLOOD PRESSURE IS 190/110, WHAT IS MY PULSE PRESSURE? | 80 mm Hg |
WHAT BLOOD TEST MUST BE DONE BEFORE A TRANSFUSION? | TYPE AND CROSS MATCH |
WHAT DOES A TYPE AND CROSS MATCH INDICATE? | WHETHER THE CLIENTS BLOOD AND DONOR BLOOD ARE COMPATIBLE |
WHAT SHOULD THE NURSE MEASURE BEFORE STARTING A TRANSFUSION? | THE VITAL SIGNS |
WITH WHAT SOLUTION SHOULD BLOOD BE TRANSFUSED? | 0.9 NORMAL SALINE |
HOW MANY NURSES ARE REQUIRED TO CHECK THE BLOOD? | 2 |
WHAT HAPPENS WHEN BLOOD IS ADMINISTERED WITH DEXTROSE IV'S? | THE CELLS CLUMP TOGETHER AND DONT FLOW FLOW WELL |
IF A TRANSFUSION REACTION OCCURS WHAT SHOULD THE NURSE DO FIRST? | STOP THE BLOOD FLOW, START RUNNING THE SALINE |
HOW LONG CAN UNIT OF BLOOD BE ON THE UNIT BEFORE IT MUST BE STARTED? | LESS THAN 1/2 HOUR |
WHAT SHOULD THE NURSE DO WITH THE IV LINE IF TRANSFUSION REACTION IS SUSPECTED? | KEEP IT OPEN WITH SALINE |
IF A TRANSFUSION REACTION IS SUSPECTED, WHAT TWO SAMPLES ARE COLLECTED AND SENT TO THE LAB? | URINE AND BLOOD |
IF A UNIT OF BLOOD IS INFUSED THROUGH A CENTRAL LINE IT MUST BE___________. | WARMED |
WHICH OF THE FOLLOWING ARE SIGNS OF TRANSFUSION REACTION? BRADYCARDIA, FEVER, HIVES, WHEEZING, INCREASED BLOOD PRESSURE, LOW BACK PAIN | LOW BACK PAIN, WHEEZING, FEVER, HIVES |
WHAT ARE THE 3 TYPES OF TRANSFUSION REACTIONS THAT CAN OCCUR? | HEMOLYTIC, FEBRILE, AND ALLERGIC |
WHAT WOULD U DO FIRST IF U SUSPECTED TRANSFUSION REACTION? | STOP THE BLOOD AND START THE SALINE |
WHAT ARE THE SIGNS AND SYMPTOMS OF A FEBRILE TRANSFUSION REACTION? | LOW BACK PAIN, SHAKING, HA,SAME AS HEMOLYTIC--INCREASING TEMPS, CONFUSION, HEMOPTYSIS |
WHAT ARE THE S&S OF A HEMOLYTIC TRANSFUSION REACTION? | SHIVERING, HA, LOW BACK PAIN, INCREASED PULSE AND RESPIRATION, DECREASING BP, OLIGURIA, HEMATURIA |
WHAT ARE THE S&S OF AN ALLERGIC REACTION TO A TRANSFUSION? | HIVES--UTICARIA, WHEEZING, PRURITUS, JOINT PAIN(ARTHRALGIA) |
GIVE 3 REASONS FOR A BLOOD TRANSFUSION? | RESTORE BLOOD VOLUME SECONDARY TO HEMORRHAGE, MAINTAIN HEMOGLOBIN IN ANEMIA, REPLACE SPECIFIC BLOOD COMPONENTS |
WHAT DOES BLOOD-TYPING MEAN? | CHECK FOR SURFACE ANTIGEN ON THE RED BLOOD CELL |
WHEN DOES TYPING AND CROSS MATCHING NEED TO BE DONE? | WHENEVER A CLIENT IS TO GET A BLOOD PRODUCT. IT IS ONLY GOOD FOR 24 HRS |
WHAT DOES BLOOD CROSS MATCHING MEAN? | MIXING A LITTLE OF THE CLIENTS BLOOD WITH THE DONOR BLOOS AND LOOKING FOR AGGLUTINATION |
WHEN ARE HEMOLYTIC TRANSFUSION REACTIONS LIKELY TO OCCUR? | IN THE FIRST 10 - 15 MIN |
WHEN IS A FEBRILE REACTION LIKELY TO OCCUR? | WITHIN 30 MIN OF BEGINNING THE TRANSFUSION |
WHAT TEST IDENTIFIES Rh FACTOR? | COOMBS TEST DETECTS ANTIBODIES TO Rh |
WHAT IS THE DIFFERENCE BETWEEN WHOLE BLOOD AND PACKED CELLS? | PACKED CELLS DONT HAVE NEARLY AS MUCH PLASMA OR VOLUME AS WHOLE BLOOD DOES |
WHAT WOULD U DO IF THE CLIENT HAD AN INCREASING TEMP AND WAS TO GET BLOOD? | CALL THE MD BECAUSE BLOOD IS OFTEN HELD WITH AN ELEVATED TEMP |
HOW LONG SHOULD IT TAKE FOR ONE UNIT OF BLOOD TO INFUSE? | FROM 1 HR TO 3 HRS |
HOW LONG SHOULD U STAY WITH THE PT AFTER BEGINNING A TRANSFUSION? | AT LEAST 15 - 30 MIN |
WHAT BLOOD TYPE IS THE UNIVERSAL RECIPIENT? | AB |
WHAT BLOOD TYPE IS THE UNIVERSAL DONOR? | O |
WHAT IS THE ROUTINE FOR VITAL SIGN MEASUREMENT WITH A TRANSFUSION? | ONCE BEFORE ADMINISTRATION AND Q 15 MIN X2 AFTER ADMINISTRATION IS BEGUN, THEN Q HR X1 AFTER TRASFUSION HAS STOPPED |
WHAT IV SOLUTION IS HUNG WITH A BLOOD TRANSFUSION? | 0.9 NORMAL SALINE, NO GLUCOSE |
WHAT GUAGE NEEDLE IS USED WITH A BLOOD TRANSFUSION? | LARGE GUAGE, 18 GUAGE |
WHAT OTHER THINGS ARE APPROPRIATE TO DO AFTER A REACTION? | CALL MD, GET A BLOOD SAMPLE, GET URINE SAMPLE, MONITOR VITALS, SEND BLOOD TO LAB |
CAN BLOOD BE GIVEN IMMEDIATELY AFTER REMOVAL FROM REFRIGERATION? | NO, IT HAS TO BE WARMED FIRST FOR ONLY ABOUT 20-30 MIN |
WITH WHAT SOLUTION AND WHEN SHOULD A BREAST FEEDING MOTHER CLEANSE THE AREOLA? | PLAIN WATER, BEFORE AND AFTER EACH FEEDING |
FOR A WOMAN WHO DOESN'T HAVE RETRACTED NIPPLES, IS TOWEL DRYING OR AIR DRYING BETTER? | AIR DRYING OF THE NIPPLES IS BEST |
THE GOAL IS FOR THE INFANT TO BREAST FEED FOR ______ MIN PER SIDE. | 20 MIN |
HOW DOES A MOTHER BREAK THE SUCTION OF THE BREAST FEEDING INFANT? | SHE INSERTS HER LITTLE FINGER INTO THE SIDE OF THE INFANTS MOUTH |
WHEN SHOULD THE BREAST FEEDING INFANT BE BURPED? | AFTER FEEDING FROM EACH BREAST |
ASSUMING NO MASTITIS, ON WHICH SIDE SHOULD BREAST FEEDING BEGIN? | BEGIN NURSING ON THE SIDE THAT THE BABY FINISHED ON THE LAST FEEDING |
HOW LONG CAN BREAST MILK BE REFRIGERATED? | 24 HRS |
HOW LONG CAN BREAST MILK BE FROZEN? | 6 MTHS |
IN WHAT TYPE OF CONTAINER SHOULD BREAST MILK BE STORED? | SEALED PLASTIC BAGS |
CAN U MICROWAVE FROZEN BREAT MILK IN ORDER TO WARM/THAW IT? | NEVER |
WHICH 2 NUTRIENTS IS BREAST MILK LOWER IN? | FLOURIDE AND IRON |
WHAT SHOULD U TELL A BREAST FEEDING MOTHER ABOUT HER MILK SUPPLY WHEN SHE GOES HOME FROM THE HOSPITAL? | MILK SHOULD COME IN BY POSTPARTUM DAY 3. BREASTFEED EVERY 2-3 HRS TO ESTABLISH GOOD MILK SUPPLY |
CAN A WOMAN ON ORAL CONTRACEPTIVES BREAST-FEED? | SHOULD NOT USE OCP DURING FIRST 6 WKS AFTER BIRTH BECAUSE THE HORMONES MAY DECREASE MILK SUPPLY. ESTROGEN IS NOT RECCOMMENDED. NON-HORMONAL METHODS ARE RECCOMMNEDED. REMEMBER BREASTFEEDING IS AN UNRELIABLE CONTRACEPTIVE |
WHAT IS ANOTHER NAME FOR BUERGER'S DISEASE? | THROMBOANGIITIS OBLITERANS |
WHICH EXTREMITIES ARE AFFECTED BY IT? | LOWER ONLY |
WHICH SEX DOES IT AFFECT MOST OFTEN? | MALES |
THE GROUP WITH THE HIGHEST INCIDENCE OF BUERGER'S DISEASE IS________. | SMOKERS |
UPON WALKING THE PT WITH BUERGER'S DISEASE EXPERIENCES __________ ___________. | INTERMITTENT CLAUDICATION |
WHAT IS INTERMITTENT CLAUDICATION? | PAIN IN CALF UPON WALKING |
A FIRST DEGREE BURN IS PALE OR RED? | RED |
A FIRST DEGREE BURN HAS VESICLES (T/F). | FALSE |
A SECOND DEGREE BURN IS PALE OR RED? | RED |
A SECOND DEGREE BURN IS DULL OR SHINY? | SHINY |
A SECOND DEGREE BURN HAS VESICLES (T/F). | TRUE |
A SECOND DEGREE BURN IS WET OR DRY? | WET |
A THIRD DEGREE BURN IS WHITE OR RED? | WHITE |
A THIRD DEGREE BURN IS WET OR DRY? | DRY |
A THIRD DEGREE BURN IS HARD OR SOFT? | HARD |
OF FIRST, SECOND AND THIRD DEGREE BURNS WHICH HAS LESS PAIN? WHY? | THIRD DEGREE BURNS, NERVE DAMAGE HAS OCCURRED |
FOR WHAT PURPOSE DO U USE THE RULE OF NINES? | TO ESTIMATE THE PERCENTAGE OF BODY SURFACE BURNED; IS NOT USED FOR CHILDREN |
IN THE RULE OF NINES, THE AND NECK RECEIVE ___________; EACH ARM RECEIVES________. | 9%, 9% |
IN THE RULE OF NINES, THE FRONT TRUNK GETS ________, THE POSTERIOR TRUNK GETS_______, EACH LEG GETS_________, AND THE GENITALIA GETS______. | 18%, 18%, 18%, 1% |
WHAT IS THE ONLY IM GIVEN TO A BURN PT? | TETANUS TOXOID--IF THEY HAD A PREVIOUS IMMUNIZATION; TETANUS ANTIOXIN--IF THEY HAVE NEVER BEEN IMMUNIZED BEFORE (OR IMMUNE GLOBULIN) |
IN THE EMERGENT PHASE DO U COVER BURNS? (IN THE FIELD). | YES, WITH ANYTHING CLEAN AND DRY |
SHOULD U REMOVE ADHERED CLOTHING? | NO |
NAME THE 3 PHASES OF BURN. | SHOCK, DIURETIC, RECOVERY |
FLUID MOVES FROM THE _______ TO THE ______ ______ IN THE SHOCK PHASE. | BLOODSTREAM, INTERSTITIAL SPACE |
THE SHOCK PHASE LASTS FOR THE FIRST ______ TO _______ HRS AFTER A BURN. | 24 - 48 HRS |
DURING THE SHOCK PHASE OF A BURN IS POTASSIUM INCREASED OR DECREASED? | INCREASED, BECAUSE OF ALL THE CELLS DAMAGED. THE K+ IS RELEASED FROM DAMAGED CELLS |
WHAT ACID-BASE DISORDER IS SEEN IN THE SHOCK PHASE OF A BURN? | METABOLIC ACIDOSIS |
WHAT IS THE #1 THERAPY IN THE SHOCK PHASE? | FLUID REPLACEMENT/RESUCITATION |
WHAT IS THE SIMPLE FORMULA FOR CALCULATING FLUID REPLACEMENT NEEDS IN THE FIRST 24 HRS AFTER A BURN? | 3CC X Kg X % BURNED PER DAY EX. 70Kg WITH 50% BURN 3 X 70 X 50 = 10,500 CC |
IF THE MD ORDERS 2,800 CC OF FLUID IN THE FIRST 24 HOURS AFTER A BURN, ONE-_______ OF IT MYST BE INFUSED IN THE FIRST EIGHT HOURS. | HALF (OR 1,400CC) |
WHAT BLOOD VALUE WILL DICTATE IV FLOW RATE? | THE HEMATOCRIT |
HOW WILL U KNOW THE PT HAS ENTERED THE FLUID MOBILIZATION OR DIURETIC PHASE? | THE URINE OUTPUT WILL INCREASE |
HOW LONG DOES THE FLUID MOBILIZATIONOR DIURETIC PHASE OF A BURN LAST? | 2 - 5 DAYS |
IN THE DIURETIC PHASE, K+ LEVELS FALL OR RISE? | FALL--REMEMBER DIURESIS ALWAYS CAUSES HYPOKALEMIA |
IF THE NURSE ACCIDENTALLY RUNS THE IVS AT THE SHOCK PHASE REATE DURING THE DIURETIC PHASE THE PT WILL EXPERIENCE ________ ________. | PULMONARY EDEMA |
THE BURN PT WILL BE ON _______ URINE OUTPUT AND DAILY ________. | HOURLY, WEIGHT |
SULFAMYON CREAM ________. | BURNS |
SILVER NITRATE CREAM _______ THE ________. | STAINS, SKIN |
PAIN MEDS SHOULD BE ADMINISTERED ________ MIN BEFORE ________ CARE. | 30 MIN, WOUND CARE |
WHEN USING SILVER NITRATE, THE DRESSINGS MUST BE KEPT __________. | WET |
WHAT IS CURLINGS ULCER? WHY IS IT A PROBLEM IN BURN PTS? WHAT DRUG PREVENTS IT? | IT IS A STRESS GI ULCER, U GET THESE WITH ANY SEVERE PHYSICAL STRESS. TAGAMENT, ZANTAC, PEPCID(ANY H2 RECEPTOR ANTAGONIST), PROTONIX PRILOSEC |
NEOPLASM REFERS TO BENIGN AND MALIGNANT TUMORS. (T/F) | TRUE |
WHICH TYPE OF TUMOR IS MORE MALIGNANT? DIFFERENTIATED OR UNDIFFERENTIATED? | UNDIFFERENTIATED IS WORSE TO HAVE(HIGHLY DIFFERENTIATED IS BETTER TO HAVE) |
WHEN CANCER SPREADS TO A DISTANT SITE IT IS CALLED __________. | METASTASIS |
THE CAUSE OF CANCER IS KNOWN. (T/F) | FALSE |
A PERSON SHOULD HAVE A YEARLY WORK UP EXAM FOR CANCER DTECTION OVER THE AGE OF _________. | 40 |
IN GENERAL, CANCER DRUGS HAVE SIDE EFFECTS IN WHICH 3 BODY SYSTEMS? | GI, HEMATOLOGIC(BLOOD), INTEGUMENTARY |
WHAT ARE THE 3 MOST COMMON CHEMOTHERAPEUTIC GI SIDE EFFECTS? | NAUSEA AND VOMITING, DIARRHEA, STOMATITIS(ORAL SORES) |
CLIENTS RECEIVING CHEMOTHERAPY MUST BE NPO. (T/F) | FALSE |
IT IS PERMISSABLE TO GIVE LIDOCAINE VISCOUS AC (BEFORE MEALS) IF THE PT HAS CHEMOTHERAPEUTIC STOMATOSIS. (T/F) | TRUE |
WITH WHAT SOLUTION SHOULD THE CLIENT WITH CHEMOTHERAPEUTIC STOMATISITS RINCE PC( AFTER MEALS)? | H2O2---HYDROGEN PEROXIDE |
WHAT LUBRICANT CAN SAFELY BE APPLIED TO THE CRACKED LIPS OF CHEMOTHERAPY STOMATITIS? | K-Y JELLY |
NAME THE 3 HEMATOLOGIC SIDE EFFECTS OF CHEMOTHERAPY. | THROMBOCYTOPENIA, LEUKOPENIA, ANEMIA |
WHICH CELLS ARE LOW IN THROMBOCYTOPENIA? | PLATELETS |
WHAT DRUG SHOULD NOT BE GIVEN TO THE PT WITH CHEMOTHERAPEUTIC THROMBOCYTOPENIA? | ASA(ASPIRIN) |
WHEN SHOULD THE NURSE WITHHOLD IM INJECTIONS IN THE CLIENT ON CHEMOTHERAPY? | ONLY WHEN THEIR PLATELET COUNT IS DOWN |
WHAT ARE THE 3 OBJECTIVE SYMPTOMS/SIGNS OF THROMBOCYTOPENIA? | EPISTAXIS, ECCHYMOSIS, PETECHIAE |
WHAT IS EPISTAXIS? | NOSE BLEEDS |
WHAT IS ECCHYMOSIS? | BRUISING |
WHAT IS PETECHIAE? | QSMALL DOT-LIKE PINPOINT HEMORRHAGES ON THE SKIN |
WHAT BLOOD CELL IS LOW IN LUEKOPENIA? | WBC |
WHEN THE ABSOLUTE NEUTROPHIL COUNT (ANC) IS BELOW ____ THE PERSON ON CHEMOTHERAPY WILL BE PLACED ON REVERSE ISOLATION? | 500 |
WHAT IS THE # 1 INTEGUMENTARY SIDE EFFECT OF CHEMOTHERAPY? | ALOPEICA |
WHAT IS ALOPECIA? | HAIR LOSS |
THE HAIR LOSS DIE TO CHEMOTHERAPY IS USUALLY TEMPORARY. (T/F) | TRUE |
CAN SCALP TOURNIQUETS PREVENT CHEMOTHERAPY ALOPECIA? | IN SOME CASES YES |
CAN ICE PACKS TO THE SCALP PREVENT CHEMOTHERAPY ALOPECIA? | IN SOME CASES YES |
CD(CARDIOVASCULAR DISEASE) RANKS _____ AMONG THE LEADING CAUSES OF MATERNAL DEATH. | FOURTH |
WHAT IS THE #1 CAUSE OF CD OF PREGNANCY? | RHEUMATIC HEART DISEASE |
PREGNANCY REQUIRES A __________ INCREASE IN THE CARDIAC OUTPUT. | 30 - 50% |
WHAT IS THE #1 CAUSE OF MATERNAL DEATH IN CD OF PREGNANCY? | DECOMPENSATION |
WHAT IS MEANT BY DECOMPENSATION? | FAILURE OF THE HEART TO MAINTAIN ADEQUATE CIRCULATION |
WHAT WILL U SEE WHEN U OBSERVE THE NECK OF A CLIENT WITH CD OF PREGNANCY? | MURMURS |
WHAT WILL U HEAR WHEN U AUSCULTATE THE HEART OF THE CLIENT WITH CD OF PREGNANCY? | CRACKLES-RALES |
IF THE CLIENT WITH CD OF PREGNANCY EXPERIENCES SUDDEN HEART FAILURE WHAT IS THE MOST COMMON THING U WILL SEE? | SUDDEN ONSET OF SHORTNESS OF BREATH---DYSPNEA |
WHAT IS THE #1 TREATMENT OF CD DURING PREGNANCY? | REST |
WHAT ARE THE 3 MOST COMMON DRUGS GIVEN TO WOMEN WITH CD IN PREGNANCY? | DIURETICS, HEPARIN, DIGITALIS |
WHY ARE DIURETICS GIVEN TO WOMEN WITH CD OF PREGNANCY? | TO PROMOTE DIURESIS, WHICH WILL LOWER CIRCULATION BLOOD VOLUME, DECREASE PRELOAD, DECREASE THE AMOUNT OF BLOOD THE HEART PUMPS |
WHY ARE ANTICOAGULANTS (HEPARIN ONLY) GIVEN TO WOMEN WITH CD OF PREGNANCY? | TO PREVENT THROMBOPHLEBITIS DUE TO VENOUS CONGESTION, USUALLY IN THE LEGS |
WHY IS DIGITALIS GIVEN TO WOMEN WITH CD OF PREGNANCY? | TO INCREASE THE STRENGTH OF THE HEART AND TO DECREASE THE RATE, RESTS THE HEART WHILE MAKING IT MORE EFFICIENT |
CAN A WOMAN WITH CD OF PREGNANCY BE GIVEN ANALGESICS DURING LABOR? | YES, IN FACT THEY SHOULD BE GIVEN ANALGESICS, MAY GET TOO ANXIOUS WHICH IS BAD FOR THE HEART |
CAN MORPHINE BE GIVEN TO A WOMAN WITH CD DURING LABOR? | YES, EVEN THOUGH IT NEGATIVELY AFFECTS THE FETUS, REMEMBER MORPHINE DECREASES PRELOAD AND PAIN WHICH RESTS THE HEART |
WHAT IS THE COMMON DIETARY MODIFICATION FOR THE WOMAN WITH CD WHO SHOWS SIGNS OF DECOMPENSATION? | DECREASED SODIUM, DECREASED WATER(RESTRICTION) |
IS A C-SECTION MADATORY FOR DELIVERY OF A WOMAN WITH CD OF PREGNANCY? | NO |
SECOND TO REST, WHAT IS VERY IMPORTANT TREATMENT FOR CD OF PREGNANCY? | WEIGHT CONTROL |
HOW LONG MUST THE WOMAN WITH CD OF PREGNANCY BE ON BED REST AFTER DELIVERY? | AT LEAST ONE WEEK |
WHAT NUTRIENTS SHOULD BE SUPPL;IED IN THE DIET OF THIS WOMAN? | IRON, FOLIC ACID, PREVENT ANEMIA(ANEMIA ALWAYS MAKES THE HEART WORK MORE) |
WHAT ARE THE TWO MOST COMMON SUBJECTIVE COMPLAINTS OF THE WOMAN WHO IS DEOMPENSATING DURIN LABOR? | SOB, PALPITATIONS |
IN ADDITION TO THE THINGS U ASSESS FOR IN EVERY WOMAN DURING LABOR, WHAT ADDITIONAL ASSESSMENT MUST U MAKE FOR A WOMAN WITH CD? | U MUST ASSESS LUUNG SOUNDS FREQUENTLY |
HOW OFTEN MUST U ASSESS THE LUNG SOUNDS DURING THE FIRST STAGE OF LABOR? DURING ACTIVE LABOR? DURING TRANSITIONS LABOR? | EVERY 30 - 10 MIN |
IN WHICH POSITION SHOULD A WOMAN WITH CD LABOR BE? | SEMI RECUMBENT, HOB UP |
THE NURSE SHOULD LIMIT THE CLIENTS EFFORTS TO ________ _______ DURING THE LABOR WHEN CD IS PRESENT. | BEAR DOWN |
WHAT IS THE BIG DANGER TO STAFF WHEN CARING FOR A CLIENT WITH CESIUM IMPLANT? | RADIATION HAZARD |
WHAT ARE THE 3 PRINCIPLES TO PROTECT YOURSELF FROM RADIATION HAZARD | TIME, DISTANCE, SHIELDING |
WILL THE WOMAN WITH A CESIUM IMPLANT HACE A FOLEY? | YES |
FROM WHERE SHOULD THE NURSE PROVIDE CARE TO THE CLIENT WITH CESIUM IMPLANT? | THE HEAD OF THE BED |
HOW CAN THE WOMAN WITH CESIUM IMPLANT MOVE IN BED? | ONLY FROM SIDE TO SIDE |
WHAT FOUR SYMPTOMS SHOULD BE REPORTED TO THE PHYSICIAN? | PROFUSE CAGINAL DISCHARGE, ELEVATED TEMP, NAUSEA, VOMITING(THESE INDICATE INFECTION AND PERFORATION) |
SHOULD PREGNANT STAFF CARE FOR A CLIENT WITH A CESIUM IMPLANT? | NO |
CAN THE WOMAN WITH A CESIUM IMPLANT HAVE THE HOB ELEVATED? | YES, ONLY TO 45 DEGREE MAXIMUM |
FROM WHERE SHOULD THE NURSE TALK TO THE CLIENT? | THE ENTRANCE TO THE ROOM |
IS BED REST NECESSARY WHEN A WOMAN HAS CESIUM IMPLANT IN PLACE? | YES, ABSOLUTE BED REST |
WHAT TYPE OF DIET IS THIS WOMAN ON? | LOW RESIDUE |
NO NURSE SHOULD ATTEND THE CLIENT MORE THAN ______ HRS PER DAY. | ONE HALF HOUR |
WHAT WOULD U DO IF THE IMPLANT CAME OUT? | PICK IT UP WITH FORCEPS ONLY--NEVER TOUCH WITH HAND EVEN IF U ARE WEARING GLOVES |
SHOULD THE NURSE PROVIDE PEINEAL CARE FOR THE CLIENT WITH AN IMPLANT? | NO, RISK OF RADIATION HAZARD |
WHAT PART OF UR HAND DO U USE TO HANDLE A WET CAST? | THE PALM |
UPON WHAT DO U SUPPORT A CAST WHILE IT DRIES? | PILLOWS (NO PLASTIC COVERS) |
HOW LONG DOES IT TAKE A CAST TO DRY? | 24 HRS |
SHOULD U COVER A WET CAST? | NO |
SHOULD U USE A HEAT LAMP OR HAIR DRYER OR FAN TO HELP DRY A CAST? | NO--HEAT LAMP AND HAIR DRYER YES--FAN |
WHAT S%S WOULD U REPORT IF THEY WERE PRESENT AFTER CAST APPLICATION? | NUMBNESS, TINGLING, BURNING, PALLOR, UNEQUAL OR ABSENT PULSES, UNEQUAL COOLNESS |
IF THERE IS INFLAMMATION UNDER A CAST, IT WILL BE EVIDENT IN A _____ SPOT. | HOT |
TO PREVENT IRRITATION OF THE SKIN NEAR THE EDGES OF A CAST THE EDGES SHOULD BE________. | PETALED |
WHAT TYPE OF CAST CAUSES CAST SYNDROME? | A BODY CAST |
WHAT CAUSES CAST SYNDROME? | ANXIETY AND STRESS LEADING TO SYMPATHOADRENAL SHUT-DOWN OF THE BOWEL |
WHAT IS THE #1 SYMPTOM OF CAST SYNDROME? | NAUSEA AND VOMITING DIE TO BOWEL OBSTRUCTION |
WHAT IS THE # 1 TREATMENT OF CAST SYNDROME? | NPO, AND NG TUBE FOR DECOMPRESSION |
A DRY CAST IS GRAY OR WHITE? | WHITE |
A DRY CAST IS DULL OR SHINY? | SHINY |
A DRY CAST IS FULL RO RESONANT TO PERCUSSION? | RESONANT |
TRACTION IS USED TO ______ A FRACTURE, RELIEVE _________ _________ AND PREVENT DE-________. | REDUCE AND IMMOBILIZE, MUSCLE SPASMS; DEFORMITIES |
CAN SKIN TRACTION BE REMOVED FOR SKIN CARE? | YES |
CAN THE CLIENT BE REMOVED FROM SKELETAL TRACTION? | NO |
NAME 3 TYPES OF SKIN TRACTION. | BUCKS, BRYANTS, PELVIC |
NAME 3 TYPES OF SKELETAL TRACTION. | CRANIAL TONGS, THOMAS SPLINTS WITH PEASON ATTACHMENTS, 90 DEGREES TO 90 DEGREES |
WHAT TUPE OF TRACTION IS MOST COMMONLY USED FOR HIP FRACTURE IN ADULTS? | BUCKS |
WHAT TYPE OF TRACTION IS MOST COMMONLY USED FOR HIP FRACTURE IN CHILDREN? | BRYANTS |
IN WHAT POSITION SHOULD THE BED BE IF THE PT IS IN PELVIC TRACTION? | SEMI-FOWLERS WITH KNEE GATCHED |
TO INSURE THE BRYANTS TRACTION IS WORKING THE CHILDS HIP/SACRUM SHOULD BE__________. | OFF THE BED ENOUGH TO SLIP A HAND BETWEEN THE SACRUM AND THE BED |
PATIENTS IN RUSSELLS TRACTION ARE PARTICULARLY PRONE TO __________ | THROMBOPHLEBITIS |
WHEN A PATIENT IS IN A BUCKS TRACTION THEY MAY TURN TO THE ________ SIDE? | UNAFFECTED |
DEFINE CATARACT? | OPACITY OF THE CRYSTALLINE LENS |
IS SURGERY DONE IMMEDIATELY UPON DIAGNOSIS OF CATARACT? | NO, THEY USUALLY WAIT UNTIL IT INTERFERES WITH ACTIVITIES OF DAILY LIVING |
WHAT 3 MOST COMMON VISUAL DEFECTS OCCUR WITH CATARACT | CLOUDINESS, DIPLOPIA(DOUBLE VISION), PHOTOPHOBIA(SENSITIVITY TO LIGHT) |
WHAT ARE THE 2 COMMON TREATMENTS OF CATARACT? | LASER, SURGICAL REMOVAL. SURGERY CALLED INTRAOCULLAR OR EXTRAOCULAR LENS EXTRACTION |
WHAT DOES THE EYE LOOK LIKE WHEN A CLIENT HAS CATARACTS? | CLOUDY, MILKY-WHITE PUPIL |
WHAT WILL THE CLIENT BE WEARING AFTER CATARACT REMOVAL? | A PROTECTIVE PATCH/SHIELD ON THE OPERATIVE EYE FOR 24 HRS, THEN A METAL SHIELD (AT NIGHT ONLY) FOR 3 WEEKS |
WHEN THE CLIENT ASKS ABOUT THE USE OF GLASSES OR CONTACTS AFTER CATARACT SURGERY WHAT WOULD YOU SAY? | IF AN INTRAOCULAR LENSE IS IMPLANTED THEY WILL NOT NEED GLASSES. IF NO LENSE IS IMPLANTED, THEN CONTACTS WILL BE FITTED 3 MONTHS POST-OPERATIVELY, TEMPORARY THICK GLASSES GIVEN IMMEDIATELY BUT WILL GET A DIFFERENT PRESCRIPTION IN 2 - 3 MONTHS |
WHAT WILL BE A HIGH PRIORITY NURSING DIAGNOSIS FOR A CLIENT POST CATARACT SURGERY? | SAFETY |
SHOULD THE CLIENT AMBULATE INDEPENDANTLY AFTER CATARACT SURGERY? | NO, DEPTH PERCEPTION IS ALTERED |
WHAT POSITIONS ARE TO BE AVOIDED AFTER CATARACT SURGERY? | LYING FACE DOWN. ALSO, DO NOT LIE ON OPERATIVE SIDE FOR A MONTH |
WHAT ARE THE POST-OP SIGNS OF HEMORRHAGE INTO THE EYE? | SEVERE PAIN, RESTLESSNESS |
WHAT MOVEMENTS ARE TO BE AVOIDED AFTER CATARACT SURGERY? | COUGHING, SNEEZING, BENDING AT THE WAIST, STRAINING AT STOOL, RUBBING OR TOUCHING EYES, RAPID HEAD MOVEMENTS |
WHAT POSITIONS ARE OKAY AFTER CATARACT SURGERY? | DO NOT LIE ON OPERATIVE SIDE; DO NOT LIE ON BACK |
SHOULD U USE TALCUM POWDER WITH A POST-OPERATIVE CATARACT CLIENT? | NO, MAY CAUSE SNEEZING; ALSO SHOULD AVOID PEPPER |
WHAT ARE THE 3 SIGNS OF INCREASED INTRAOCULAR PRESSEURE? | [AIN(MODERATE TO SEVERE), RESTLESSNESS, INCREASED PULSE RATE |
WHAT IS A MAJOR OBJECTIVE IN CARING FOR A CLIENT AFTER SURGICAL CATARACT REMOVAL? | TO PREVENT PRESSURE IN OR ON THE EYES |
WHEN THE LENS IS TO BE EXTRACTED FOR CATARACT WHAT DRUGS ARE GIVEN PRE-OP? | MYDRIATICS, DILATORS, ANTIBIOTIC DRUGS(GTTS) |
WHAT 3 DRUGS ARE GIVEN POST-OP? | STOOL SOFTENERS, ANTIEMETICS, ANALGESICS(MILD TO MODERATE) |
GIVE 5 CAUSES OF CATARACTS? | INJURY, CONGENITAL, EXPOSURE TO HEAT, HEREDITY, AGE |
CELIACS DISEASE IS A ___________ DISEASE. | MALABSORPTION |
THE CLIENT WITH CELIACS CANNOT TOLERATE _________. | GLUTEN |
GLUTEN IS A ___________. | PROTEIN |
WHAT DOES GLUTEN DO TO THE INTESTINES OF THE CLIENT WITH CELIACS DISEASE? | IT DESTROYS THE LINING OF THE INTESTINE |
THE STOOLS OF A CLIENT WITH CELIACS DISEASE ARE _____, ________, AND _______ ________. | LARGE, GREASY, FOUL-SMELLING |
CLIENTS WITH CELIACS DISEASE DO NOT ABSORB WHAT MINERAL? | IRON |
CLIENTS WITH CELIACS DISEASE DONT ABSORB FATS; THEREFORE THE DONT ABSORB _______ _______ _______. | FAT SOLUBLE VITAMINS |
WHAT ARE THE 4 FAT SLOUBLE VITAMINS? | A, D, E, K |
MALABSORPTION OF WHICH VITAMIN LEADS TO BLEEDING DISORDER? | VITAMIN K, REMEMBER DO NOT MIX UP POTASSIUM WITH VITAMIN K |
WHAT WILL THE ABDOMEN OF CLIENTS WITH CELIACS DISEASE LOOK LIKE? | DISTENDED WITH FLATUS |
WHAT IS THE #1 TREATMENT OF CELIACS DISEASE? | GLUTEN-FREE DIET |
VEGGIES ARE ALLOWED OR NOT ALLOWED? | ALLOWED |
FRUITS ARE ALLOWED OR NOT ALLOWED? | ALLOWED |
GRAINS OF ALL KINDS ARE PROHIBITED. (T/F) | FALSE |
WHAT GRAINS ARE ALLOWED IN A GLUTEN-FREE DIET? | RICE AND CORN |
WHAT GRAINS ARE NOT ALLOWED IN A GLUTEN-FREE DIET? | WHEAT, OATS, RYE, ALFALFA, BARLEY |
ARE FOODS MADE WITH WHEAT, OAT, OR RYE FLOUR ALLOWED? | NO |
IS MILK ALLOWED ON A GLUTEN-FREE DIET? | YES |
ARE MEATS ALLOWED ON A GLUTEN-FREE DIET? | YES, BUT WATCH FOR BREADED MEATS AND HOT DOGS/LUNCH MEATS---MAY HAVE GRAIN IN THEM AND ARE NOT ALLOWED |
ARE EGGS ALLOWED ON A GLUTEN-FREE DIET? | YES |
IS COMMERCIAL ICE CREAM ALLOWED ON A GLUTEN-FREE DIET? | NO, EVEN THOUGH IT IS A MILD PRODUCT, COMMERCIAL ICE CREAM HAS GRAIN IN IT |
ARE PUDDINGS ALLOWED ON A GLUTEN-FREE DIET? | NO, FOR THE SAME REASON ICE CREAM ISNT |
WHICH SOUPS ARE NOT ALLOWED ON A GLUTEN-FREE DIET? | CREAMED SOUPS--THESE OFTEN HAVE FLOUR |
THE #1 PROBLEM WITH CENTRAL LINES IS ______. | INFECTION |
HOW OFTEN SHOULD CENTRAL LINE DRESSINGS BE CHANGED? | QOD--EVERY OTHER DAY |
WHAT TYPE OF DRESSING IS APPLIED TO A CENTRAL LINE INSERTION SITE? | |
CAN DRUGS BE PIGGYBACKED INTO CENTRAL---TPN? | NO, USE ANOTHER LUMEN |
WHEN CHANGING CENTRAL LINE TUBING THE PATIENT SHOULD BE TOLD TO _________. | TURN HIS HEAD AWAY FROM SITE, HOLD BREATH, AND PERFORM THE VALSALVA MANEUVER |
IF A CENTRAL LINE IS FOUND ACCIDENTALLY OPEN THE PATIENT SHOULD BE POSITIONED ON HIS ______ _______. | LEFT SIDE |
A CVA IS A _______ OF BRAIN CELLS DUE TO DECREASED ________ _________ AND ______. | DESTRUCTION; BLOOD FLOW AND OXYGEN |
WOMEN HAVE A (HIGHER/LOWER) INCIDENCE OF STROKE THAN MEN? | LOWER |
NAME THE 3 TYPES OF CVA. | EMBOLUS, THROMBUS, HEMORRHAGE |
USE OF ORAL CONTRACEPTIVES INCREASE THE RISK OF CVA. (T/F) | TRUE |
CHRONIC ABUSE OF ALCOHOL INCREASES RISK OF CVA. (T/F) | FALSE |
OBESITY INCREASES THE RISK OF CVA. (T/F) | TRUE |
SMOKING INCREASES THE RISK OF CVA. (T/F) | TRUE |
ATRIAL FIBRILLATION INCREASES THE RISK OF CVA. (T/F) | TRUE, EMBOLI PARTICULARLY |
WHAT IS A TIA? | TRANSIENT ISCHEMIC ATTACK, WARNING SIGN OF IMPENDING CVA (TRANSIENT NEUROLOGIC DEFICITS OF ANY KIND CAN LAST 30 SEC TO 24 HRS) |
DO PTS EXPERIENCING A CVA HAVE A HEADACHE? | YES |
THE FIRST SIGN OF CVA IS USUALLY A _______. | CHANGE IN LOC |
THE ACTIVITY ORDER IN EARLY MANAGEMENT OF CVA IS ____________. | ABSOLUTE BED REST |
THE PT WITH A RECENT CVA IS MOST LIKELY TO HAVE FLUIDS RESTRICTED OR FORCED? | RESTRICTED |
HOW FAR SHOULD THE HOB BE UP AFTER A CVA? | 30 DEGREES |
CAN THE STROKE VICTIM BE TURNED SID-TO-SIDE? | YES |
HOW OFTEN SHOULD THECVA PT BE TURNED AND REPOSITIONED? | EVERY 2 HRS |
THE CVA PT SHOULD BE TURNED ONTO HIS PARALYZED SIDE NO LONGER THAN 2 HRS. (T/F) | FALSE, THE PT SHOULD NOT BE ON THEIR PARALYZED SIDE FOR MORE THAN 20 MIN. |
ROM EXERCISES SHOULD OCCUR EVERY 2 HRS. (T/F) | FALSE--EVERY FOUR HRS OR THREE TIMES A DAY IS ENOUGH |
TO PREVENT URINARY INCONTINENCE, THE CVA PT SHOULD BE CATHERIZED. (T/F) | FALSE--REMEMBER INCONTINENCE WILL NEVER BE ALLOWED AS A REASON FOR CATHERIZATION |
WHICH TYPE OF PARALYSIS IS TYPICAL OF CVA--PARAPLEGIA, HEMIPLEGIA OR QUADRIPLEGIA? | HEMIPLEGIA |
WHAT ANATOMICAL FACT ACCOUNTS FOR THE LEFT SIDE OF THE BODY BEING CONTROLLED BY THE RIGHT BRAIN? | THE MOTOR--PYRAMIDAL--TRACTS CROSS OVER TO THE OTHER SIDE (DECUSSATE IN THE MEDULLA) |
IF THE PT HAS RIGHT HEMIPLEGIA, HE CANNOT MOVE HIS _____ AND ________ THE STROKE WAS ON THE ________ SIDE OF THE BRAIN. | RIGHT ARM, RIGHT LEG, LEFT |
WHAT IS HEMIANOPSIA SHOULD BE TAUGHT TO _________. | SCAN |
WHAT IS SCANNING? | MOVING THE HEAD FROM SIDE TO SIDE TO SEE THE WHOLE FIELD OF VISION. |
IF THE CLIENT HAS RIGHT HOMONYMOUS HEMIANOPSIA, THE FOOD ON THE ______ SIDE OF THE TRAY MAY BE IGNORED. | RIGHT |
AFTER MEALS THE NURSE MUST ALWAYS CHECK ______ OF THE CVA CLIENT FOR __________. | MOUTH(OR CHEEK); FOOD |
SHOULD A CVA PT HAVE ALL 4 SIDE RAILS UP AT ALL TIMES? SHOULD THEY BE RESTRAINED? | SIDE RAILS YES. RESTRAINTS NO--UNLESS THEY ARE A DANGER TO SELF OR OTHERS |
WHEN A PT DOES NOT UNDERSTAND INCOMING LANGUAGE HE IS SAID TO HAVE _______ APHASIA. | RECEPTIVE |
WHEN THE CVA CLIET UNDERSTANDS YOUR QUESTION BUT CANT RESPOND VERBALLY CORRECTLY, HE IS SAID TO HAVE ________ APHASIA. | EXPRESSIVE |
WHAT IS GLOBAL APHASIA? | BOTH RECEPTIVE AND EXPRESSIVE |
APHASIA IS MOST COMMON IF THE STROKE OCCURRED IN THE (DOMINANT/NON-DOMINANT) HEMISPHERE OF THE BRAIN. | DOMINANT |
HOW DO U TELL WHICH SIDE OF THE PERSONS BRAIN IS DOMINANT? | IT IS THE SIDE THAT CONTROLS THEIR DOMINANT HAND, EX. A LEFT HANDED PERSON HAS A DOMINANT RIGHT HEMISPHERE AND CONVERSELY A RIGHT HAND PERSON HAS A DOMINANT LEFT HEMISPHERE |
FOR WHICH TYPE APHASIA ARE SLOW, SHORT, SIMPLE DIRECTIONS MOST USEFUL? | EXPRESSIVE |
THE LOSS OF THE ABILITY TO PERFORM PURPOSEFUL, SKILLED ACTS, EX. BRUSHING TEETH, IS CALLED _________. | APRAXIA |
CYTOXAN CYCLOPHOSPHAMIDE | HEMORRHAGIC CYSTITIS |
CISPLATIN | PERIPHERAL NEUROPATHY, CONSTIPATION, OTOTOXICITY |
DTIC-DOME | FLU-LIKE SYMPTOMS |
BLEOMYCIN | PULMONARY FIBROSIS |
ADRIAMYCIN | CARDIOTOXICITY |
VINCRISTINE | PERIPHERAL NEUROPATHY, CONSTIPATION |
METHOTREXATE | TOXIC TO JUST ABOUT EVERY ORGAN EXCEPT TO HEART, TOXICITY MADE WORSE WITH ASPIRIN |
THE INFANT FEARS ______ MOST WHEN HOSPITALIZED. | SEPARATION FROM LOVE OBJECT |
THE TODDLER FEARS _______ MOST WHEN HOSPITALIZED. | SEPARATION FROM FAMILY |
THE PRESCHOOLER FEARS SEPARATION AS WELL AS _______ WHEN HOSPITALIZED. | MUTILATION--REMEMBER PRESCHOOLERS HAVE VIVID IMAGINATIONS .....FANTASY |
THE TODDER AND PRESCHOOLER WILL THINK THAT ILLNESS IS CAUSED BY _____________. | SOMETHING THEY DID WRONG |
THE SCHOOL-AGED HOSPITALIZED CHILD IS AFRAID OF SEPARATION FROM_________. | AGE GROUP |
THE SCHOOL-AGED CHILD PERCEIVES THE CAUSE OF ILLNESS TO BE EXTERNAL OR INTERNAL? | EXTERNAL, SHE KNOWS THE ILLNESS IS NOT A RESULT OF BAD BEHAVIOR |
THE ADOLESCENT WHO IS HOSPITALIZED FEARS SEPARATION _______ FROM AND LOSS OF _______. | PEERS, INDEPENDENCE |
PRESCHOOLERS MAY REQUIRE PHYSICAL RESTRAINT DURING PAINFUL PROCEDURES. (T/F) | TRUE |
WHICH AGE GROUP ENGAGES IN STALLING TACTICS BEFORE PAINFUL PROCEDURES? | SCHOOL-AGED |
WHICH AGE GROUPS ARE MOST LIKELY TO PHYSICALLY RESIST THE NURSE DURING PROCEDURES? | SCHOOL-AGED, ADOLESCENTS |
TODDLERS MAY REQUIRE PHYSICAL RESTRAINT FOR PAINFUL PROCEDURES. (T/F) | TRUE |
THE MEATS THAT ARE HIGHEST IN CHOLESTEROL ARE ________ MEATS. | ORGAN MEATS, LIVER, HEART, BRAIN, KIDNEYS |
EGG WHITE IS (HIGH/LOW) IN CHOLESTEROL? | LOW |
THE MEATS THAT ARE SECOND HIGHEST IN CHOLESTEROL ARE THE ________. | SHELL SEAFOOD----SHRIMP, CRAB, LOBSTER |
EGG YOLK IS (HIGH/LOW) IN SHOLESTEROL? | HIGH |
THE 3 MEATS LOWEST IN CHOLESTEROL ARE _______, _________ AND ________. | CHICKEN, PORK, MUTTON |
MILK IS (HIGH/LOW) IN CHOLESTEROL. | LOW |
IS CHEESE HIGH IN CHOLESTEROL? | ONLY MODERATE, NOT REALLY THAT HIGH |
WHICH OILS ARE HIGH IN CHOLESTEROL? | ANIMAL OILS |
IS CHOLESTEROL A TRIGLYCRIDE? | NO |
DO PLANT FOODS CONTAIN ANY CHOLESTEROL? | NO, NOT MANY |
WHAT IS OTITIS MEDIA? | CHRONIC INFECTIOUS/INFLAMMATORY DISEASE OF THE MIDDLE EAR |
IS OTITIS A DISEASE OF THE ADULT OR CHILD? | USUALLY THE CHILD |
WHAT PART OF THE EAR IS INVOLVED IN OTITIS MEDIA? | MIDDLE EAR |
WHAT ARE THE 2 COMMON SUBJECTIVE SIGNS OF OTITIS MEDIA? | HEARING LOSS, FEELING OF FULLNESS IN THE EAR |
WHAT ARE THE 2 OBJECTIVE SIGNS OF OTITIS MEDIA? | HYPERPYREXIA(FEVER), DRAINAGE FROM EAR |
WHAT COMMONLY HAPPENS SECONDARY TO OTITIS MEDIA? | PERFORATION OF THE EAR DRUM |
DO ALL THE CHILDREN WITH OTITIS MEDIA NEED TUBES IN THEIR EARS? | NO |
WHAT ARE THE TWO MOST COMMON MEDICAL TREATMENTS FOR OTITIS MEDIA? | SYSTEMIC ANTIBOTICS, ANTIBIOTIC EAR DROPS |
WHAT IS THE MOST SEVERE COMPLICATION OF OTITIS MEDIA? | MENINGITIS OR MASTOIDITIS |
WHAT IS CHOLESTEATOMA? | AN EPIDEMIAL CYST IN THE EAR HIGHLY ASSOCIATED WITH OTITIS MEDIA |
WHAT ARE THE RESTRICTIONS TO BE FOLLOWED WHEN TUBES ARE IN A CHILDS EAR? | NO SWIMMING, NO SHOWERING, NO DIVING |
WHAT IS CLEFT LIP? | THE LIP IS OPEN TO THE NARES |
WHAT IS CLEFT PALATE? | THE ROOF OF THE MOUTH IS OPEN TO THE NASOPHARYNX |
IS IT POSSIBLE TO HAVE ONLY ONE: CLEFT LIP OR CLEFT PALATE? | YES, YOU CAN HAVE ONE OR THE OTHER OR BOTH |
WHEN WILL THE CLEFT LIP BE REPAIRED? | BETWEEN 10 WEEKS AND 6 MONTHS |
WHEN IS CLEFT PALATE REPAIRED? | BETWEEN 1 AND 5 YEARS OF AGE |
WHY IS CLEFT LIP REPAIRED EARLY? (2 REASONS) | FEEDING IS EASIER AFTER REPAIR AND APPEARANCE AFTER REPAIR IS MORE ACCEPTABLE TO PARENTS |
DESCRIBE THE NIPPLES ON BOTTLES USED TO FEED BABIES WITH CLEFT LIP. | LARGE-HOLED, SOFT NIPPLES |
THE INFANT WITH CLEFT LIP/CLEFT PALATE NEEDS MORE FREQUENT ___________. | BUBBLING/BURPING |
CHILDREN WITH CLEFT LIP/CLEFT PALATE SHOULD BE FED IN WHAT POSITION? | AN ALMOST UPRIGHT POSITION |
WHAT IS THE #1 COMPLICATION OF CLEFT LIP/PALATE? | ASPIRATION |
CHILDREN WITH CLEFT LIP AND CLEFT PALATE HAVE LONG TERM PROBLEMS WITH _________, ______, AND ________. | HEARING, SPEECH, TEETH |
IN HOW MANY SURGERIES IS CLEFT PALATE REPAIRED? | TWO SURGERIES--ONE AT 12-18 MTHS, THE LAST AT 4 TO 5 YEARS |
WHY IS FINAL REPAIR OF THE PALATE DELAYED INTIL 4 TO 5 YRS OF AGE? | EARLIER SURGERY WOULD INTERFERE WITH TOOTH DEVELOPMENT |
HOW ARE CLEFT LIP AND CLEFT PALATE PRIMARILY TREATED? | SURGICAL REPAIR |
IS THE INFANT RESTRAINED BEFORE REPAIR? | NO, JUST AFTER REPAIR |
SHOULD CHILDREN WITH CLEFT PALATE BEFORE SURGERY BE ALLOWED TO CRY? TO BREAST FEED? | YES, THEY CAN CRY; MAY BREAST-FEED WITH SIMPLE CLEFT LIP HOWEVER PALATE INTERFERES WITH FEEDING |
AFTER REPAIR OR CLEFT LIP IS THE INFANT ALLOWED TO CRY? TO BREAST-FEED? | NO, THE INFANT WHOULD BE HELD TO PREVENT CRYING; THE INFANT IS NOT ALLOWED TO BREAST-FEED BECAUSE SUCKING IS NOT GOOD AFTER LIP REPAIR |
AFTER CLEFT LIP REPAIR, WHAT DEVICE WILL THE BABY WEAR? | A LOGAN BOW |
WHAT IS THE PURPOSE OF A LOGAN BOW? | TO PREVENT STRESS ON THE SUTURE LINE |
WITH WHAT DEVICE WILL THE INFANT BE RESTRAINED AFTER REPAIR? | ELBOW RESTRAINTS |
HOW DO U CARE FOR AN INFANT WITH A LOGAN BOW? | REMOVE THE GAUZE BEFORE FEEDING AND CLEASE AFTER FEEDING WITH PEROXIDE AND SALINE |
CAN CLEFT LIP/PALATE BABIES SLEEP ON THEIR BACKS? | YES |
WHAT POSITION IS CONTRAINDICATED AFTER CLEFT LIP REPAIR? | NEVER LIE ON THEIR ABDOMEN |
WHAT WILL BE USED TO FEED THE INFANT AFTER CLEFT LIP REPAIR? | A DROPPER/SYRINGE WITH RUBBER TIP DISCOURAGE SUCKING |
WHAT MUST THE MOTHER DO AFTER FEEDING THE BABY WHO HAS HAD CLEFT LIP/PALATE REPAIR? | RINSE THE INFANTS/CHILDS MOUTH WITH WATER |
WHAT IS A COLOSTOMY? | A SURGICALLY CREATED OPENING OF THE COLON OUT ONTO THE ABDOMEN WALL |
NAME THE 3 MOST COMMON REASONS FOR A COLOSTOMY? | CANCER, DIVERTICULITIS, ULCERATIVE COLITIS |
WHAT IS MEANT BY THE TERM TEMPORARY COLOSTOMY? | A COLOSTOMY THAT IS NOT INTENDED TO BE PERMANENT--THE BOWEL WILL BE RECONNECTED AT A LATER DATE AND THE CLIENT WILL DEFECATE NORMALLY |
WHAT IS MEANT BY THE TERM DOUBLE-BARREL COLOSTOMY? | A PROCEDURE WHERE THE COLON IS CUT AND BOTH ENDS ARE BROUGHT OUT ONTO THE ABDOMEN |
COLOSTOMIES PERFORMED FOR CANCER TEND TO BE (TEMPORARY/PERMANENT). | PERMANENT |
COLOSTOMIES PERFORMED FOR A GUNSHOT ARE USUALLY (TEMPORARY/PERMANENT). | TEMPORARY |
IN A DOUBLE-BARREL COLOSTOMY, FROPM WHICH STOMA(BARREL) WILL THE STOOL COME OUT? | PROXIMAL |
A FRESH NEW STOMA IS _____, _______, AND ______. | RED, LARGE, NOISY |
WHEN A CLIENT VOICES EMBARRASSMENT OVER THE NOISES THEIR COLOSTOMY MAKES ON THE FIRST POST-OP DAY, WHAT WOULD U SAY? | THE NOISE WILL GO AWAY IN A FEW DAYS TO A WEEK |
WHAT BEHAVIOR ON THE PART OF THE CLIENT IS THE BEST INDICATOR THAT THEY HAVE ACCEPTED THEIR STOMA? | WHEN THEY DO THEIR OWN STOMA CARE |
BY WHAT DAY POST-OP SHOULD THE CLIENT BEGIN TO TAKE CARE OF THEIR OWN STOMA? | BY THE 3RD TO 4TH DAY, THEY SHOULD BE LOOKING AT IT AND ASKING QUESTIONS BY DAY 2 |
THE MORE COLON IS REMOVED THE MORE ______ THE STOOL | LIQUID |
WHAT TECHNIQUE IS USED TO REMOVE FECES AND FLATUS FROM THE BOWEL THROUGH A COLOSTOMY? | COLOSTOMY IRRIGATION |
HOW MANY TIMES PER DAY WILL THE CLIENT IRRIGATE A COLOSTOMY? | ONCE |
WHICH SOLUTION IS USED TO IRRIGATE A COLOSTOMY? | TAP WATER |
HOW WARM SHOULD THE IRRIGATION SOLUTION BE? | WARMER THAN BODY TEMPATURE, EX. 99-100 |
IN WHAT POSITION SHOULD THE CLIENT BE WHEN THEY IRRIGATE THEIR COLOSTOMY? | SITTING |
CHF CAN BE RIGHT SIDED, LEFT SIDED, OR BOTH SIDED. (T/F) | TRUE--LEFT SIDED USUALLY COMES FIRST |
WHAT DOES RIGHT SIDED CHF MEAN? | RIGHT VENTRICLE HAS DECOMPENSATED |
WHAT DOES LEFT SIDED CHF MEAN? | LEFT VENTRICLE HAS DECOMPENSATED |
CHF CAN RESULT FROM MI. (T/F) | TRUE |
WHEN CARDIAC OUTPUT FAILS, NAME THREE WAYS THE HEART WILL TRY TO COMPENSATE. | VENTRICLE WILL HYPERTROPHY, DILATE AND HEART RATE WILL INCREASE |
WHAT IS MEANT BY CARDIAC DECOMPENSATION? | IT MEANS THAT THE COMPENSATORY MECHANISMS-HYPERTROPHY, DILATION, TACHYCARDIA ARE NOT WORKING AND THE HEART HAS FAILED |
NAME THE 3 GROUPS OF DRUGS USED TO TREAT CHF? | DIURETICS, DIGITALIS,VASODILATORS |
WHYAT IS THE ACTIVITY ORDER FOR CLIENTS WITH CHF? | BED REST |
WHAT SPECIAL ITEM DO CLIENTS WITH CHF HAVE TO WEAR TO DECREASE VENOUS STASIS IN THE LEGS? | TED HOSE |
HOW OFTEN SHOULD ANTI-EMBOLISM HOSE(TED) BE REMOVED? | DAILY |
WHEN DURING THE DAY SHOULD TED HOSE BE APPLIED? | BEFORE THE CLIENT GETS OUT OF BED |
IS IT OKAY TO USE POWDER WITH TED HOSE? | YES |
SHOULD U MASSAGE THE CALVES OF THE CLIENT WITH CHF? | NEVER |
BEFORE YOU GIVE DIGITALIS, WHAT ACTION MUST YOU TAKE? | MEASURE THE APICAL PULSE |
IF THE ADULT CLIENTS APICAL PULSE IS BELOW 60, WHAT SHOULD YOU DO? | DO NOT GIVE DIGITALIS--FOR A CHILD DONT GIVE IF PULSE UNDER 70; FOR AND INFANT DONT GIVE FOR PULSE UNDER 90 |
WHAT DAILY MEASUREMENT BEST INDICATES THE AMOUNT OF FLUID THE CLIENT IS RETAINING? | DAILY WEIGHT |
SHOULD CLIENTS WITH CHF HAVE A FOLEY? | YES, ON DIURETICS AND FLUID BALANCE IS IMPORTANT |
WHAT COMPLICATION IS COMMON IN CHF? | PULMONAY EDEMA |
WHEN THE CLIENT IS TAKING DIURETICS WHAT MINERAL IS THE CHF CLIENT MOST LIKELY TO LOSE? | POTASSIUM-----K+ |
YOU SHOULD TELL THE CLIENT WITH CHF TO IMMEDIATELY REPORT TO HIS DOCTOR IF HE GAINS _________ POUND IN ONE WEEK. | 3 LBS |
NAME THE 4 MOST COMMON TOXIC EFFECTS OF DIGITALIS. | ANOREXIA, N & V---VERY COMMON YELLOW VISION, ARRHYTHMIA |
SHOULD HEARING AIDS BE REMOVED BEFORE GOING FOR SURGERY? | YES, BUT JUST BEFORE SURGERY |
HEARING AIDS ARE MORE USEFUL IN SENSORY OR CONDUCTIVE HEARING LOSS. | CONDUCTIVE |
SOME WOMEN EXPERIENCE DISCOMFORT WHEN WEARING CONTACT LENSES DURING PREGNANCY OR MENSTRUAL PERIODS. (T/F) | TRUE |
SHOULD A CLIENT SLEEP WITH THE HEARING AID IN PLACE | NO |
WHAT ARE THE 2 MOST COMMON CAUSES OF WHISTLING AND SQUEALING OF A HEARING AID? | LOOSE EARMOLD, LOW BATTERY |
WHAT SOLUTION SHOULD BE USED TO CLEAN A HEARING AID? | SOAP AND WATER |
WHAT SOLUTION IS BEST TO USE IF YOU INTEND TO REMOVE A CLIENTS CONTACT LENSES | STERILE SALINE |
HEARING AIDS MAKE SOUNDS MORE DISTINCT AND CLEAR. (T/F) | FALSE, THEY ONLY AMPLIFY---MAKE IT LOUDER, THEY DO NOT CLARIFY |
CAN YOU USE ALCOHOL ON THE EARMOLD OF A HEARING AID? | NO, IT DRIES AND CRACKS IT |
THE CONNECTING TUBE OF A HEARING AID CAN BE CLEANSED WITH ___________. | A PIPE-CLEANER |
WHAT IS THE MOST COMMON COMPLICATION OF MALPOSITIONED LENSES IN THE COMATOSE OR CONFUSED PT? | CORNEAL ULCERATION |
IN AN EMERGENCY SITUATION WHEN HARD CONTACT LENSES ARE UNABLE TO BE REMOVED WHAT SHOULD THE NURSE DO? | SLIDE THE LENS ENTIRELY OVER THE SCLERA--GET IT OFF THE CORNEA |
1 KG = ______CC | 1000 |
1 INCH = ________CM | 2.5 |
1 ML = ________CC | 1 |
1 TSP = ________CC | 4 TO 5 |
1 G = ______MG | 1000 |
1 L = __________CC | 1000 |
1 OZ = _________CC | 30 |
1 KG = _________LB | 2.2 |
1 TBS = ________CC | 15 |
1 TBS = ________TSP | 3 |
1 GM = _________GR | 15 |
1 GR = ________MG | 60 |
CUSHINGS SYNDROME IS _______ SECRETION OF _______, _______ AND ________ _______ BY THE _______ ________. | OVER SECRETION; GLUCOCORTICOIDS, MINERALCORTICOIDS, ANDROGENIC HORMONES ADRENAL GLAND |
IS CUSHINGS THE BLOOD SUGAR IS (INCREASES/DECREASED). | INCREASED |
IN CUSHINGS THE SODIUM LEVEL IS (INCREASED/DECREASED). | INCREASED |
IN CUSHINGS SYNDROME, THE CLIENT DEVELOPS ___________ FACE. | MOON |
IN CUSHINGS SYNDROME, THE TRUNK IS _________ AND THE EXTREMITIES ARE__________. | OBESE, THIN |
WHAT IS SEEN ON THE ABDOMEN OF THE PATIENT WITH CUSHINGS? | STRIAE----PURPLE HORIZONTAL LINES |
MEN WITH CUSHINGS DEVELOP ___________. | GYNECOMASTIA |
WHAT IS GYNECOMASTIA? | FEMALE TYPE BREASTS |
WOMEN WITH CUSHINGS DEVELOP _________. | HIRSUTISM, AMENORRHEA |
WHAT IS HIRSUTISM? | HAIR WHERE YOU DONT WANT IT |
THE CUSHINGS SYNDROME PATIENT WILL HAVE A _________ ___________ ON THEIR UPPER BACK. | BUFFALO HUMP |
THE CUSHINS SYNDROME PATIENT WILL HAVE (INCREASED/DECREASED? BLOOD PRESSURE. | INCREASED, REMEMBER RETAINING WATER AND SODIUM |
CUSHING CLIENTS WILL HAVE (INCREASED/DECREASED) RESISTANCE TO INFECTION. | DECREASED |
THE CUSHINGS SYNDROME PATIENT WILL HAVE ________ NATREMIA, ________ KALEMIA, ________ GLYCEMIA. | HYPER, HYPO, HYPER |
CHRONIC _________ THERAPY IMITATES CUSHINGS. | STEROID |
CUSHINGS MAN--MOON FACE WITH INFECTION AND BUFFALO HUMP ON BACK, BIG TRUNK, THIN EXTREMITIES, LOSES POTASSIUM, KEEPS GLUCOSE, SALT, HAS STRIATIONS ON ABDOMEN, AND BREASTS. (T/F) | TRUE |
IS CF(CYSTIC FIBROSIS) HEREDITARY? | YES |
WHAT GLANDS ARE AFFECTED IN CF? | EXOCRINE GLANDS |
WHAT IS THE APPEARANCE OF THE STOOL IN A CLIENT WITH CF? | FAT, FROTHY, FOUL-SMELLING, FLOATING, STEATORRHEA |
WHAT ARE THE TOP 2 NURSING DIAGNOSES FOR A CLIENT WITH CF? | DECREASED AIRWAY CLEARANCE;ALTERATION IN NUTRITION OR ALTERATION IN ABSORPTION |
WHAT IS THE CLASSIC TEST FOR CF? | IONTOPHORESIS---SWEAT TEST |
IN WHICH TWO SYSTEMS/ORGANS ARE THE MOST PROBLEMS IN CF? | LUNGS, PANCREAS |
HOW DOES THE CLIENT EVALUATETHE ACTIVITY OF THEIR PANCREAS? | OBSERVE STOOLS FOR STEATORRHEA |
WHAT IS THE TYPICAL DIET FOR THE CF CLIENT? | HIGH CALORIES, HIGH PROTEIN, MODIFIED FAT |
THE MAJOR PROBLEM IN CF IS ________. | INCREASED VISCOSITY OF THE SECRETIONS OF EXOCRINE GLANDS LEAD TO OBSTRUCTION |
THE MOST COMMON INTERVENTION FOR THE CF CLIENTS WITH A DIAGNOSIS OF DECREASED AIRWAY CLEARANCE IS ______________. | POSTURAL DRAINAGE |
WHAT VITAMINS NEED TO BE REPLACED IN CF? | FAT SOLUBLE IN WATER SOLUBLE FORM---A, D, E, K |
WHAT DO CF CLIENTS NEED TO DO (INGEST) IN HOT WEATHER? | TAKE NaCl TABLETS |
THE CHILD WITH A DIAGNOSIS OF CF PROBABLY HAD A HISTORY OF _________ __________ AT BIRTH. | MECONIUM ILEUS---BOWEL OBSTRUCTION DUE TO THE THICKNESS OF THE STOOL |
WHY IS THE CHILD WITH CF RECEIVING PANCREAS/CIOKASE/PANCREATIN? | THEY ARE ENZYMES WHICH AID ABSORPTION OF NUTRIENTS |
WHEN SHOULD THE CHILD WITH CF TAKE HIS PANCREATIN/VIOKASE/PANCREAS? | WITH MEALS, SO IT IS IN THE GUT WHILE THE FOOD IS PRESENT, THE WHOLE PURPOSE IS TO INCREASE THE ABSORPTION OF INGESTED FOOD |
DEFINE CYSTOSCOPY? | DIRECT VISUALIZATION OF THE URETHRA AND BLADDER THROUGH A CYSTOSCOPE |
WHAT WOULD U DO IF THE CLIENT HAD ANY ONE OF THE FOLLOWING AFTER CYSTOSCOPY: BLADDER SPASM, BURNING, FREQUENCY? | RECORD IT BUT NO NEED TO CALL THE MD |
WHAT WOULD U DO IF THE CLIENTS URINE HAD RED BLOOD IN IT AFTER SURGERY? | CALL THE MD |
WHAT WOULD U DO IF THE CLIENTS URINE WAS PINK TINGED AFTER CYSTOSCOPY? | RECORD IT IN THE NOTES, NO NEED TO CALL MD |
IS THE CLIENT NPO BEFORE CYSTOSCOPY? | NO, NOT UNLESS A CHILD WITH A GENERAL ANESTHETIC---IN FACT WITH ADULTS U SHOULD ENCOURAGE FLUIDS |
ARE ENEMAS REQUIRED BEFORE CYSTOSCOPY? | NO, BUT MAY BE ORDERED |
SHOULD YOU ENCOURAGE FLUIDS AFTER CYTOSCOPY? | YES |
IS A SIGNED INFORMED CONSENT REQUIRED FOR CYTOSCOPY? | YES |
WHAT VITAL SIGN CHANGES ARE MOST OMNIOUS AFTER CYTOSCOPY? | A FALL IN THE BP AND INCREASE IN THE PULSE--INCREASING HEMMORRHAGE |
IS THE CLIENT SEDATED FOR CYTOSCOPY? | IT IS DONE UNDER LOCAL ANESTHESIA. GENERAL ANESTHESIA MAY BE USED FOR A CHILD |
WHAT DRUGS ARE MOST COMMONLY GIVEN BEFORE CYTOSCOPY? | VALIUM OR DEMEROL |
THE GOAL OF NURSIING INTERVENTION IN THE OF THE VIOLENT CLIENT IS TO PREVENT LOSS OF _________ OR TO RESTORE _________. | CONTROL, CONTROL |
USE OF ALCOHOL AND/OR DRUGS (DECREASES/INCREASES) RISK OF VIOLENT BEHAVIOR. | INCREASES |
PACING CAN BE A WARNING SIGN OF POTENTIAL VIOLENCE. (T/F) | TRUE, AS IS IN ANY OTHER FOR OF INCREASED MOTOR ACTIVITY |
IF THE CLIENT IS BECOMING VIOLENT YOU SHOULD MOVE IN CLOSE TO THEM TO PROVIDE A SENSE OF SECURITY. (T/F) | FALSE, ALLOW THEM SPACE OR ELSE THEY CAN GET WORSE |
IF THE CLIENT IS NOT YET OUT OF CONTROL, WHAT IS THE # 1 STRATEGY TO TREAT BEGINNING VIOLENCE? | DECREASE ENVIRONMENT STIMULI |
WHEN APPROACHING A VIOLENT CLIENT THE THING YOU SAY IS..... | MY NAME IS ______ AND I AM A NURSE |
AFTER IDENTIFYING YOURSELF WHAT DO YOU SAY NEXT? | WHAT YOU ARE GOING TO DO AND ASK IF THERE ARE ANY QUESTIONS |
WHEN THE CLIENT IS HAVING AN OVERT VIOLENT OUTBURST YOU SHOULD NEVER BE ALONE WITH THEM. (T/F) | TRUE |
WHEN U SEEK ASSISTANCE TO DEAL WITH THE VIOLENT CLIENT, U SHOULD OBTAIN _________ PERSONNEL. | TRAINED |
SHOULD U EVER ASK FAMILY OR OTHER PATIENTS TO HELP U PHYSICALLY OVERCOME A VIOLENT CLIENT? | NEVER |
WHEN A CLIENT IS OVERTLY AND ACTIVELY VIOLENT, THEY ARE GIVEN A CHANCE TO CALM DOWN THEMSELVES BEFORE BEING SUBDUED. (T/F) | TRUE, ONCE ENOUGH TRAINED PERSONNEL ARE PRESENT THE CLIENT IS TOLD THAT IF THEY DONT I CONTROL THEMSELVES THEY WILL BE CONTROLLED BY US |
TO PROMOTE EFFICIENT AND SAFE ACCOMPLISHMENT OF PHYSICALLY-CONTROLLING A VIOLENT CLIENT IT IS EXTREMELY IMPORTANT THAT..... | ONLY ONE PERSON TALK DURING THE PROCEDURES |
WHEN A CLIENT IS LOSING CONTROL IT IS VERY FRIGHTENING TO THEM IF THE NURSE SHOWS _______. | FEAR |
THE BEST STAFF APPROACH TO CONTROL IMPULSIVE OUTBREAKS OF VIOLENCE IS ...... | SETTING LIMITS AND DOING IT CONSISTENCY |
PURPOSE OF DENFENSE MECHANISMS IS TO REDUCE _________. | ANXIETY |
WHEN A PERSON IS CONSCIOUSLY CHOOSING TO DISBELIEVE THE TRUTH, THE ARE USING______. | |
DEFENSE MECHANISMS ARE ALWAYS UNHEALTHY? (T/F) | FALSE, IN FACT DEFENSE MECHANISMS ARE OFTEN AND MOST ALWAYS HEALTHY BECAUSE THEY REDUCE ANXIETY |
WHEN A PATIENT HATES SOMEONE BUT THEN EXPRESSES THE OPPOSITE EMOTION, IT IS CALLED _________. | REACTION FORMATION--YOU FORM THE OPPOSITE REACTION, EX. U LOVE A PERSON AND THAT MAKES U ANXIOUS SO U FORM THE OPPOSITE REACTION AND U IGNORE THEM |
WHEN AN ANGRY PATIENT SAYS, " I AM NOT MAD, HE IS, THEY ARE USING __________. | PROJECTION |
WHEN A PERSON IS UNCONSCIOUSLY CHOOSING TO DISBELIEVE THE TRUTH, THEY ARE USING________. | REPRESSION |
WHEN THE PATIENT MAKES AN EXCUSE ABOUT SOMETHING BAD THAT HAPPENED, THEY ARE________. | RATIONALIZING |
WHEN A PATIENT BECOMES DEMANDING AND SELF CENTERED AND ATTENTION-SEEKING, THE DEFENSE MECHANISM USED IS ______________. | REGRESSION |
DEFENSE MECHANISMS ARE WAYS TO LIE TO YOURSELF. (T/F) | TRUE, THEY ALL INVOLOVE SELF DECEPTION |
WHEN A PATIENT TELLS ALL KINDS OF DETAILS ABOUT VERY UPSETTING EVENTS BUT ACTS VERY COOL AND CALM, THEY ARE USING __________. | INTELLETUALIZATION |
WHEN A PATIENT EXPRESSES THEIR EMOTIONS TOWARD ANOTHER OBJECT THEY ARE USING ____________. | DISPLACEMENT |
THE DEFENSE MECHANISM MOST SUSPECTED OF CAUSING PSYCHOSOMATIC ILLNESS IS __________. | REPRESSION |
WHAT IS THE MOST IMPORTANT THING TO DO IMMEDIATELY WHEN RETINAL DETACHMENT IS SUSPECTED? | BEDREST |
DEFINE DETACHED RETINA. | SEPARATION OF THE RETINA FROM THE BACK OF THE EYE--THE CHOROID |
WHAT IS THE MOST COMMON COMPLICATION OF RETINAL REATTACHMENT? | HEMMORRHAGE |
WHAT GROUP OF DRUGS ARE GIVEN TO PEOPLE WITH RETINAL DETACHMENT? | TRANQUILIZERS |
WHAT IS THE MOST COMMON VISUAL DEFECT WITH RETINAL DETACHMENT? | A VEIL OR CURTAIN IN THE LINE OF SIGHT |
GIVE 3 COMMON CAUSES OF RETINAL DETACHMENT. | TRAUMA, AGING, CATARACT SURGERY |
DOES THE CLIENT ALWAYS NEED SURGERY FOR RETINAL DETACHMENT? | NO, LASERS CAN BE USED, AS CAN FREEZING PROBES |
WILL THE CLIENTS EYES BE BANDAGED AFTER RETINAL SURGERY? | BOTH WILL BE, ALSO BEFORE SURGERY AS WELL |
CAN THE CLIENT RETURN TO WORK AFTER RETINAL SURGERY? | NOT FOR 3 WEEKS---AND MAY NOT BE ABLE TO GO BACK TO ACTIVE JOBS 6-8 WEEKS AFTER THAT |
WHAT ENVIRONMENTAL CHANGE IS MOST APPROPRIATE FOR CLIENTS AFTER RETINAL REATTACHMENT? | DIMMED LIGHTING |
WHAT ARE THE TWO NON SURGICAL TREATMENTS DONE FOR RETINAL REATTACHMENT? | LASER PHOTO COAGULATION CRYOSURGERY--FREEZING |
GIVE TWO ODD VISUAL SENSATIONS THAT THESE CLIENTS HAVE. | FLASHES OF LIGHT--FLOATERS |
NAME A SURGICAL PROCEDURE DONE FOR RETINAL DETACHMENT. | SCLERAL BUCKLING |
WHEN DOES ANTERIOR FONTANEL CLOSE? | 18 - 24 MONTHS |
INFANTS BIRTHWIEGHT SHOULD _______ IN 6 MONTHS. | DOUBLE |
INFANTS BIRTHWEIGHT SHOULD ______ IN 1 YR. | TRIPLE |
INFANTS RESPIRATORY RATE IS ______ TO ______ BREATHS PER MINUTE | 30 - 60 |
UNFANTS HEART RATE IS _____ TO ______ PER MIN. | 110 - 160 |
WHICH ARE THE FIRST TEETH TO ERUPT? | LOWER CENTRAL INCISORS |
WHEN DOES INFANTS TEETH FIRST ERUPT? | 4 TO 6 MONTHS |
WHAT AGE CAN INFANT FOLLOW AN OBJECT WITH ITS HEAD? | 2 MONTHS |
WHAT AGE ARE CHILDREN FIRST AFRAID OF STRANGERS? | 6 - 7 MONTHS |
WHAT AGE DOES AN INFANT WALK ALONE? | 14 - 15 MONTHS |
WHAT AGE DIES AN INFANT HAVE A PINCER GRASP? | 12 - 13 MONTHS |
WHAT AGE CAN AN INFANT ROLL OVER? | 4 - 5 MONTHS |
WHAT AGE CAN AN INFANT SIT UP UNASSISSTED? | 6 - 8 MONTHS |
WHAT AGE DOES AN INFANT STAND ALONE? | 12 - 13 MONTHS |
WHAT AGE DOES AN INFANT CRAWL? | 8 - 9 MONTHS |
WHAT AGE DOES AN INFANT WALK HOLDING ONTO FURNITURE? | 10 - 11 MONTHS |
WHAT VISUAL EXPERIENCES WILL PATIENTS WITH DIGITALIS TOXICITY HAVE? | YELLOW/GREEN HALOS AROUND LIGHTS |
THE SIGNS OF LITHIUM TOXICITY ARE ______ (MUSCLE SYMPTOM), ________ (ABDOMINAL SIGN), AND THIRST. | TREMOR, NAUSEA AND VOMITING |
LITHIUM CARBONATE IS GIVEN FOR _______ DISORDER. | BIPOLAR(MANIC-DEPRESSIVE) |
WHEN A PATIENT IS ON LITHIUM YOU MUST WATCH FOR A DECREASE IN ________. | SODIUM |
THEOPHYLLINE IS A BRONCHO-_______ USED TO TREAT _______. | DILATOR, ASTHMA |
DIGITALIS TOXICITY EXISTS WHEN BLOOD LEVELS EXCEEDS ________. | 2.0 ng/dl |
THE EARLIEST SIGN OF DIGITALIS TOXICITY IS ..... | NAUSEA AND VOMITING WITH HEADACHE |
IS THEOPHYLLINE TOXIICITY LIFE-THREATENING? | YES |
LITHIUM TOXICITY OCCURS WHEN BLOOD LEVELS ARE HIGHER THAN __________mEq/L. | 2.0 |
THE SIGNS OF THEOPHYLLINE TOXICITY ARE ________ (GI), ________(HEART), AND _______(MUSCLE). | NAUSEA AND VOMITING (COFFEE GROUND EMESIS) TACHYCARDIA, TREMORS |
WHAT IS THE THERAPEUTIC BLOOD LEVEL OF THEOPHYLLINE? | 10 - 20 |
DIGITALIS IS A CARDIAC _______, USED TO ______ THE CONTRACTION OF CARDIAC MUSCLE. | GLYCOSIDE, INCREASE |
THEOPHYLLINE TOXICITY EXISTS WHEN THE BLOOD LEVEL IS ABOVE _______. | 20 |
ECTOPIC PREGNANCY IS IMPLANTATION OF A FERTILIZED OVUM _______ THE ______. | OUTSIDE, UTERUS |
THE MOST COMMON SITE FOR ECTOPIC PREGNANCY IS IN THE ______ _______. | FALLOPIAN TUBE--90% |
HAVE INTRAUTERINE DEVICES TO PREVENT PREGNANCY EVER BEEN LINKED TO ECTOPIC PREGNANCY? | YES, SO HAVE PELVIC INFECTION |
WHAT IS THE MOST COMMON SIGN OF FALLOPIAN TUBE ECTOPIC PREGNANCY? | UNILATERAL PELVIC PAIN |
WHAT IS THE MOST DANGEROUS SIDE EFFECT/COMPLICATION OF FALLOPIAN ECTOPIC PREGNANCY? | RUPTURE OF THE FALLOPIAN TUBE |
IF THE FALLOPIAN TUBE RUPTURES DUE TO ECTOPIC PREGNANCY, NURSING CARE IS THE SAME AS THAT FOR ____________________. | SHOCK AND PERITONITIS |
THE UTERUS FEELS ______ AFTER RUPTURE OF A FALLOPIAN ECTOPIC PREGNANCY. | BOGGY--TENDER, ALSO |
THE FIRST SIGN THAT A FALLOPIAN ECTOPIC PREGNANCY HAD RUPTURED IS.... | SHARP ABDOMINAL PAIN |
ECTOPIC PREGNANCY IS (USUALLY/ALMOST NEVER? CARRIED TO TERM. | ALMOST NEVER |
THE MOST COMMON MEDICAL-SURGICAL TREATMENT FOR ECTOPIC PREGNANCY IS _______. | SURGICAL REMOVAL OF FETUS AND SOME SURROUNDING TISSUE |
NAME THE SURGERY PERFORMED FOR ECTOPIC PREGNANCY. | EXPLORATORY LAPAROTOMY |
WHAT IS ECT(ELCTRO-SHOCK(CONVULSIVE)THERAPY)? | THE USE OF ELECTRICAL SHOCK CURRENT DELIVERED TO THE BRAIN TO UINDUCE A SEIZURE THAT TREATS DEPRESSION |
THE CLIENT IS (AWAKE/UNDER LOCAL ANESTHESIA/UNDER GENERAL ANESTHESIA) DURING ECT. | UNDER GENERAL ANESTHESIA---MUST BE ARTIFICIALLY VENTILATED |
WHAT CONDITIONS DOES ECT TREAT? | DEPRESSION PRIMARILY |
IS AN INFORMED CONSENT NECESSARY FOR ECT? | YES |
NAME THE 3 MOST COMMON COMPLICATIONS OF ECT. | ASPIRATION OF EMESIS(MOST COMMON) INTO THE LUNG, DISLOCATIONS OF JOINTS, FRACTURES DUE TO CONVULSION--RARE TODAY |
WHAT CLASS OF DRUGS IS GIVEN WITH ECT? | MUSCLE RELAXANT--SUCCINYLCHOLINE |
WHAT INTELLECTUAL ABILITY IS IMPAIRED AFTER ECT? | MEMORY |
HOW LONG WILL A CLIENTS MEMORY BE IMPAIRED AFTER ECT? | TWO TO THREE WEEKS |
IMMEDIATELY AFTER ECT, HOW WILL THE CLIENT NORMALLY ACT? | DROWSY, DULL, APATHETIC |
IN WHAT POSITION SHOULD THE CLIENT BE IMMEDIATELY AFTER ECT? | ON THEIR SIDE--TO PREVENT ASPIRATION |
WHAT TYPICAL PRE-OP TYPE OF ORDERS WILL BE ORDERED BEFORE ECT? | NPO AFTER MIDNIGHT-- REMOVE DENTURES, CLIENT TO VOID BEFORE SURGERY, SIDE RAILS UP |
THE CONCULSION (SEIZURE) THAT THE ELECTRICAL CURRENT PRODUCED IS VIOLENT. (T/F) | FALSE, IT USED TO BE, BUT IT ISNT ANY MORE WITH THE USE OF MUSCLE RELAXANTS |
WHAT DOES EEG(ELECTROENCEPHALOGRAM) MEASURE? | MEASURES ELECTRICAL ACTIVITY GENERATED BY THE BRAIN |
SHOULD THE CLIENT WASH HIS HAIR BEFORE AN EEG? | YES |
WHEN ARE THERE ACTIVITY RESTRICTIONS AFTER AN EEG? | ONLY WHEN SEDATIVES ARE USED, AND THEN ITS ONLY NECESSARY TO KEEP SIDE RAILS UP |
WHAT WOULD U TELL A CLIENT WHO SAYS WHAT IF I GET SHOCKED DURING MY EEG? | THAT IS IMPOSSIBLE SINCE THE TEST MEASURES ELECTRICAL ACTIVITY COMING FROM HIM, NEVER TO HIM |
DOES A CLIENT HAVE TO BE NPO BEFORE AN EEG? | NO, THEY SHOULD NEVER BE NPO, IT COULD CAUSE HYPOGLYCEMIA AND ALTER THE EEG RESULTS |
WHAT INSTRUCTIONS ARE MOST IMPORTAN TO GIVE A CLIENT DURING AN EEG? | TRY NOT TO MOVE |
WHAT SHOULD THE CLIENT DO AFTER AN EEG? | WASH THEIR HAIR |
SHOULD SEDATIVES BE GIVEN BEFORE AN EEG? | ONLY IF ORDERED AS A PRE-TEST MEDICATION |
HOW MUCH SLEEP SHOULD THE CLIENT GET THE NIGHT BEFORE AND EEG? | AT LEAST 4 - 5 HOURS---UNLESS IT IS A SLEEP DEPRIVATION EEG |
DO U NEED A SIGNED INFORMED CONSENT FOR AN EEG? | NO |
SHOULD CAFFEINE BE LIMITED BEFORE AN EEG? | YES. IT SHOULD BE ELIMINATED FOR 24 HOURS BEFORE THE TEST |
WHAT WILL EXCESSIVELY FATTY STOOL BE LIKE? | LARGE, PALE, FOUL-SMELLING, GREASY |
WHAT ARE LARGE, PALE, FOUL-SMELLING, GREASY STOOLS CALLEd? | STEATORRHEA |
NAME 3 TYPES OF PARASITES ABNORMALLY FOUND IN STOOL. | ROUNDWORM, TAPEWORM, PINWORM |
WHAT DOES OCCULT BLOOD IN FECES MEAN? | BLEEDING SOMEWHERE IN THE GI TRACT |
ARE FATS A NORMAL CONSTITUENT OF FECES? | YES, BUT IT SHOULD BE WNL |
A DECREASE IN UROBILIN IN STOOL RESULTS IN A STOOL THAT IS __________ _________. | CLAY-COLORED |
NAME TWO THINGS FOR WHICH STOOL SPECIMENS ARE TESTED. | OCCULT BLOOD, FAT, OVA AND PARASITES |
IS BLOOD A NORMAL CONSTITUENT OF FECES? | NO |
WHAT IS MELENA? | A BLACK, TARRY STOOL INDICATING A GI BLEED |
WHAT POSITION IS BEST FOR CLIENTS WITH EMPHYSEMA UNDER NORMAL CIRCUMSTANCES? | SEMI-FOWLERS OR HIGHER |
WHAT FLOW RATES OF O2 ARE APPROPRIATE FOR THE CLIENT WITH EMPHYSEMA? | LOW FLOW--<2.5L/MIN; NEVER EXCEED 2.5L IN COPD |
IF A CLIENT WITH EMPHYSEMA HAS A SEVERE DYSPNEIC EPISODE WHAT POSITION IS BEST? | SITTING UPRIGHT WITH ARMS FOLDED ON THE OVERBED TABLE |
WHAT WILL U OBSERVE ON THE HANDS OF THE CLIENT WITH EMPHYSEMA? | CLUBBING OF THE FINGERNAIL BEDS |
IN EMPHYSEMA, THE ALVEOLI ARE OVER-______ AND UNDER-_______. | OVER-ENLARGED, UNDER-VENTILATED SO THAT AIR IS TRAPPED IN ALVEOLI |
THE DEVELOPMENT OF EMPHYSEMA IS MOST ASSOCIATED WITH A HISTORY OF _____________. | SMOKING |
IN EMPHYSEMA, THE APPETITE ________ THE WEIGHT ________ AND THE ANTERIOR-POST DIAMETER OF THE CHEST _________. | DECREASES, DECREASES, INCREASES |
WHAT IS THE INCREASE IN ANTERIOR-POSTERIOR DIAMETER OF EMPHYSEMA CALLED? | BARREL CHEST |
THE PERSONS WITH EMPHYSEMA HAVE ________, ____________ LIP AND (SLOW/RAPID) BREATHING. | GRUNTING, PURSED, RAPID |
WHAT DIETARY PRESCRIPTION IS MOST APPROPRIATE FOR THE CLIENT WITH EMPHYSEMA? | FREQUENT SMALL MEALS TO PREVENT TIRING |
WHAT FLUID ORDER SHOULD THE EMPHYSEMA CLIENT HAVE? | 3 LITERS OF FLUID PER DAY(THIS IS AN INCREASE) |
THE CLIENT WITH EMPHYSEMA IS (RUDDY/PALE/CYANOTIC). | CYANOTIC |
GIVE ANOTHER NAME FOR HYPERTHYROID. | GRAVES DISEASE |
GIVE ANOTHER NAME FOR HIGH GROWTH HORMONE IN A CHILD. | GIGANTISM |
GIVE ANOTHER NAME FOR OVER SECRETION OF MINERALOCOTICOIDS ONLY. | CONNS DISEASE |
GIVE ANOTHER NAME FOR LOW GROWTH HORMONE. | PITUITARY DWARFISM |
GIVE ANOTHER NAME FOR HIGH GROWTH HORMONE IN AN ADULT. | ACROMEGALY |
GIVE ANOTHER NAME FOR UNDERSECRETION OF ADRENAL CORTEX. | ADDISONS DISEASE |
GIVE ANOTHER NAME FOR HYPOTHYROID IN AN ADULT. | MYXEDEMA |
GIVE ANOTHER NAME FOR OVER SECRETION OF ADRENAL CORTEX. | CUSHINGS SYNDROME |
GIVE ANOTHER NAME FOR OVER SECRETION OF ADRENAL MEDULLA. | PHEOCHROMOCYTOMA |
GIVE ANOTHER NAME FOR HYPOTHYROID ID A CHILD. | CRETINISM |
GIVE ANOTHER NAME FOR OVER SECRETION OF ACTH. | CUSHINGS DISEASE |
WHAT IS ENDOMETRIOSIS? | GROWTH OF ENDOMETRIAL TISSUE OUTSIDE OF THE UTERUS |
ENDOMETRIOSIS MOST COMMONLY OCCURS IN WOMEN BETWEEN AGES OF _______ AND ______. | 25 - 40 |
AFTERM MENOPAUSE, ENDOMETRIOSIS (DECREASES/INCREASES) | DECREASES |
WHAT IS THE MOST COMMON SIDE EFFECT OF ENDOMETRIOSIS? | DYEMENORRHEA, PAINFUL MENSTRUATION |
WHAT IS THE MAJOR COMPLICATION OF ENDOMETRIOSIS? | INFERTILITY |
WHAT DIAGNOSTIC PROCEDURE CONFIRMS THE DIAGNOSIS OF ENDOMETRIOSIS? | LAPAROSCOPY |
WHAT CLASS OF DRUG IS MOST COMMONLY USED TO TREAT ENDOMETRIOSIS? | ANDROGENS |
WHICH ANDROGEN DRUG IS MOST COMMONLY USED TO TREAT ENDOMETRIOSIS? | DANAZOL |
WOMEN WITH ENDOMETRIOSIS SHOULD BE COUNSELED TO USE (TAMPONS/PADS)DURING MENSTRUATION. | PADS ONLY |
WILL CLIENT DIE OF ENDOMETRIOSIS? WHAT WOULD U SAY? | NOT LIFE THREATENING |
WHAT ADVICE IS BEST FOR WOMEN WITH ENDOMETRIOSIS WHO WANT TO HAVE CHILDREN? | DO NOT POSTPONE PREGNANCY, MAY NOT BE ABLE TO HAVE CHILDREN |
WHAT IS THE #1 DANGER OF EPIGLOTTIS? | AIRWAY OPBSTRUCTION |
EPIGLOTTIS MOST COMMONLY OCCURS IN CHILDREN FROM AGE _____ TO ______. | 1 - 8 YRS OLD |
WHAT ORGANISM CAUSES EPIGLOTTIS? | HEMOPHILUS INFLUENZA B |
WHAT LEVEL OF FEVER IS PRESENT IN EPIGLOTTIS? | OVER 102 |
WHAT SYMPTOMS ARE CLASSIC EPIGLOTTIS? | MUFFLED VOICE, DROOLING, STRIDOR |
WILL A CHILD WITH EPIGLOTTIS COUGH? | NO, THERE WILL BE A LACK OF SPONTANEOUS COUGH |
HOW WILL THE CHILD WITH EPIGLOTTIS BREATHE? | LEANED FORWARD WITH FLARING NOSTRILS |
IF A CHILD IS SUSPECTED HAVING EPIGLOTTIS SHOULD U PUT A TONGUE DEPRESSOR IN THEIR MOUTH TO LOOK? | NO, NEVER PUT ANY INSTRUMENT IN THE CHILDS MOUTH UNLESS U ARE PREPARED TO DO AN IMMEDIATE INTUBATION |
WOULD U DO A THROAT CULTURE? | NO, NEVER PUT ANYTHING IN THEIR MOUTH |
IF EPIGLOTTIS IS SUSPECTED, WHAT SHOULD THE PARENTS BE TOLD? | TO TAKE THE CHILD TO THE ER AS SOON AS POSSIBLE |
WHAT DRUG IS USED TO FIGHT EPIGLOTTIS? | PENICILLIN, AMPICLLIN |
CHILDREN WITH EPIGLOTTIS OFTEN NEED A TRACHEOTOMY, WHAT BEHAVIOR WOULD INDICATE THE NEED FOR A TRACHEOTOMY? | RESTLESSNESS, INCREASED HEART RATE, AND RETRACTIONS |
WHAT IS RECOMMENDED FOR PREVENTION OF IT? | ALL CHILDREN TWO MONTHS AND OVER SHOULD RECEIVE AN H. INFLUENZA B VACCINE |
AUTONOMY VS. SHAME AND DOUBT(NAME THE STAGE) | TODDLER |
INDUSTRY VS INFERIORITY(NAME THE STAGE) | SCHOOL AGE |
18 - 25 YRS(NAME THE STAGE) | YOUNG ADULT |
SAYS NO(NAME THE STAGE) | TODDLER |
ENCOURAGE CREATIVITY AND COLLECTING THINGS(NAME THE STAGE) | SCHOOL AGE |
GIVE CHOICES(NAME THE STAGE) | TODDLER |
CENTERS ON HAVING BASIC NEEDS MET (NAME THE STAGE) | INFANCY |
18 MONTHS - 3 YRS (NAME THE STAGE) | TODDLER |
3 - 6 YEARS (NAME THE STAGE) | PRE-SCHOOLER |
12 - 20 (NAME THE STAGE) | ADOLESCENT |
INTIATIVE VS GUILT (NAME THE STAGE) | PRE-SCHOOLER |
6 - 12 YRS OLD (NAME THE STAGE) | SCHOOL AGE |
TRUST VS MISTRUST (NAME THE STAGE) | INFANCY |
PEER GROUP IMPORTANT (NAME THE STAGE) | ADOLESCENT |
ENCOURAGE FANATASY (NAME THE STAGE) | PRE-SCHOOLER |
IDENTITY VS ROLE CONFUSION (NAME THE STAGE) | ADOLESCENT |
INTIMACY VS ISOLATION (NAME THE STAGE) | YOUNG ADULT |
BIRTH - 18 MONTHS (NAME THE STAGE) | INFANCY |
DEFINE EGD(ESOPHAGOGASTRO-DUODENOSCOPY). | INSERTION OF A FIBER OPTIC SCOPE TO VISUALIZE THE ESOPHAGUS, STOMACH AND DUODENUM |
WHAT CAN BE DONE DURING AN EGD BESIDES VISUALIZATION? | REMOVE POLYPS, TAKE SPECIMENS, COAGULATE BLEEDING VESSELS |
CAN EGD BE DONE ON AN UNCOOPERATIVE CLIENT? | NO |
DOES CLIENT NEED TO HAVE THE SIDE RAILS UP AFTER EGD? | YES, UNTIL SEDATIVE EFFECTS OF VALIUM HAVE WORN OFF |
CAN AN EGD BE DONE ON CLIENTS WITH GI BLEEDING? | YES |
IS THE CLIENT SEDATED BEFORE EGD? | YES, WITH VALIUM(DIAZEPAM) OR ANOTHER SEDATIVE |
WHAT PRE-TEST ACTIVITES MUST BE PERORMED BEFORE THE EGD? | REMOVE DENTURES, EYEGLASSES, SIGN CONSENT, NPO AFTER MIDNIGHT |
IS AND EGD A FASTING PROCEDURE? | YES, AFTER MIDNIGHT |
WHEN CAN AN EGD CLIENT BEGIN TO EAT AFTER THE TEST? | WHEN GAG REFLEX RETURNS (KNOCKED OUT WITH XYLOCAINE) |
WHAT DRUG IS GIVEN TO ANESTHETIZE THE PHARYNX? | XYLOCAINE( A LOCAL ANESTHETIC) |
WHAT ARE COMPLICATIONS OF EGD? | PERFORATION OF GUT, ASPIRATION SECONDARY TO EMESIS, REPIRATORY ARREST (DUE TO VALIUM) |
WHAT 2 DISCOMFORTS ARE COMMON DURING AN EGD? | VOMITING AND GAGGING |
WHAT IS THE MOST DANGEROUS COMPLICATION OF AN EGD? | SECONDARY RESOPIRATORY ARREST (VALIUM) |
WHAT IS THE MOST COMMON COMPLAINT AFTER AN EGD? | SORE THROAT |
WHICH 2 GROUPS OF THESE DRUGS CAUSE PHOTOPHOBIA?(CARBONIC ANHYDRASE INHIBITORS, ANTICHOLINERGICS, MIOTIC, MYDRIATIC) | MYDRIATICS--ANTICHOLINERGICS |
WHICH OF THESE CLASSES OF DRUGS CAUSES CONTACT DERMATITIS? | MIOTICS |
WHAT DO MYDRIATICS DO FOR THE EYE? | DILATE THE PUPIL(MY D RIATIC----D FOR DILATE) |
WHAT DO MIOTICS DO FOR THE EYE? | CONSTRICT THE PUPIL |
WHAT DOES CARBONIC ANHYDRASE INHIBITORS DO TO THE EYE? | DECREASE PRODUCTION OF AQUEOUS HUMOR AND THUS DECREASES INTRAOCULAR PRESSURE |
NAME THE MOST COMMON SIDE EFFECT OF CARBONIC ANHYDRASE INHIBITORS? | DIURESIS |
WHAT DO MIOTICS DO FOR THE EYE? | CONSTRICT THE PUPIL |
NAME ONE MYDRIATIC? | NEO SYNEPHRINE OR ATROPINE |
WHAT DO ANTICHOLINERGICS DO FOR THE EYE? | DILATE THE PUPIL, CYCLOPEGIA, PARALIZES ACCOMMODATION |
WHYAT IS CYCLOPLEGIA? | PARALYSIS OF THE IRIS/PUPIL |
WHICH TWO OF THESE CLASSES OF DRUGS CAUSE TACHYCARDIA? | MYDRIATICS, ANTICHOLINERGICS (SYMPATHETIC EFFECTS) |
WHAT IS THE MOST COMMON USE FOR ANTICHOLINERGICS IN THE EYE? | TO CAUSE CYCLOPLEGIA, DILATION, ALLOWING EYE EXAM |
HOW SHOULD EYE OINTMENTS BE GIVEN? | PLACED ON THE LOWER INNER EYE LID, THEN HAVE CLIENT CLOSE EYES |
NAME TWO ANTICHOLINERGICS USED IN THE EYES? | CYCLOGEL, ATROPINE |
NAME ONE CARBONIC ANHYDRASE INHIBITOR. | DIAMOX |
HOW SHOULD EYE DROPS BE GIVEN? | PLACE DROPS INTO THE LOWER CONJUNCTIVAL SAC |
HOW IS THE FLOW OF THE EYE IRRIGATIONAL FLUID DIRECTED? | FROM INNER CANTHUS TO OUTER CANTHUS |
NAME 2 MOITICS. | PILOCARPINE, TIMPOTIC ( OR ANY DRUG ENDING IN -LOL) |
DEFINE NUCLEAR FAMILY. | A FAMILY OF PARENTS AND THEIR OFFSPRING |
WHEN DOES A NUCLEAR FAMILY BECOME AN EXTENDED FAMILY? | WHEN AUNTS AND UNCLES OR GRANDPARENTS LIVE WITH THE FAMILY |
IN AMERICA, THE FAMILY IS THE BASIC UNIT OF SOCIETY. (T/F) | TRUE |
GIVE THE 2 MAJOR ROLES OF THE FAMILY IN SOCIETY. | TO PROTECT AND SOCIALIZE |
WHAT PERCENTAGE OF NORTH AMERICAN FAMILIES ARE SINGLE-PARENT? | 50% |
90% OF SINGLE-PARENT FAMILIES ARE HEADED BY A __________. | FEMALE |
IN WHAT STEP OF NURSING PROCESS DOES THE NURSE ASK THE FAMILY ABOUT THEIR BELIEFS ON ILLNESS? | ASSESSMENT PHASE |
WHAT IS THE FIRST THING A NURSE MUST DO TO HELP FAMILIES IN CRISIS? | NURSE MUST FIRST EXAMINE HER OWN VALUES |
INCREASING DIETARY FIBER INTAKE LOWERS THE RISK OF _________ OF THE __________. | CANCER, COLON |
FOODS LOSE SOME OR ALL OF THEIR FIBER WHEN THEY ARE _______, _______, _______, OR _______. | PROCESSED, COOKED, PEELED, REFINED |
WHOLE GRAINS AND GRAIN PRODUCTS ARE (HIGH/LOW) IN FIBER. | HIGH |
FRUITS ARE (HIGH/LOW) IN FIBER. | HIGH |
VEGGIES ARE (HIGH/LOW) IN FIBER | HIGH |
MILK AND MILK PRODUCTS ARE (HIGH/LOW) IN FIBER. | LOW |
MEATS ARE (HIGH/LOW) IN FIBER. | LOW |
NUTS, SEEDS, AND LEGUMES ARE (HIGH/LOW) IN FIBER. | LOW |
WHICH HAS THE HIGHEST FIBER? GRAINS, FRUITS, VEGGIES OR NUTS. | GRAINS, ESPECIALLY BRAN |
WHEN A PERSON INCREASES FIBER IN THE DIET THEY SHOULD DO SO _________. | SLOWLY |
SIDE EFFECTS OF A HIGH FIBER DIET INCLUDE ___________ AND THE MALABSORPTION OF _______. | GAS(FLATUS), MINERALS |
OF MILLED BREAD, ENRICHED BREAD, FORTIFIED BREAD, AND WHOLE GRAIN BREAD; WHICH IS THE HIGHEST IN FIBER? | WHOLE GRAIN |
WHAT TYPES OF HERPES VIRUS CAUSES GENITAL HERPES? | HEPRES SIMPLEX II |
NAME THE 2 MOST COMMON WAYS GENITAL HERPES IS TRANSMITTED? | SEXUAL INTERCOURSE/CONTACT; THROUGH BIRTH |
HOW LONG IS THE INCUBATION PERIOD OF GENITAL HERPES? | 3 - 7 DAYS (ABOUT THE SAME FOR GONORRHEA) |
WHAT DO LESION OF HERPES LOOK LIKE? | FLUID FILLED VESICLES |
WHAT ARE THE 2 MOST COMMON SITES FOR HERPES? | ON THE GENITALS AND THE MOUTH |
WHAT DRUG IS USED TO TREAT HERPES? | ACYCLOVIR(OR GANCYCLOVIR, FAMCICLOVIR, PENCICLOVIR, CLALCYCLOVIR) |
THE CLIENT SHOULD KEEP THE LESIONS (DRY/MOIST). | DRY |
WHAT PRECAUTTIONS SHOULD THE PERSON WITH HERPES TAKE IN REGARD TO SEXUAL INTERCOURSE? | NO INTERCOURSE WHILOE THE VESICLES AER EVIDENT |
WHEN IS C-SECTION DELIVERY INDICATED IF THE MOTHER IS INFECTED WITH HERPES? | IF THE VESICLES ARE PRESENT, THEN C-SECTION IS INDICATED |
HOW LONG WILL IT TAKE FOR THE VESICLES TO HEAL? | 2 - 4 WEEKS |
GLAUCOMA IS AN EYE DISORDER IN WHICH THERE IS _______ INTRAOCULAR PRESSURE IN THE ______CHAMBER. | INCREASED, ANTERIOR |
THE INCREASE IN PRESSURE IS DUE TO AN IMBALANCE IN THE FORMATION AND DRAINAGE OF _______ HUMOR FROM THE ANTERIOR CHAMBER. | AQUEOUS |
GLAUCOMA AFFECTS (ONE/BOTH) EYES, USUALLY. | BOTH(IT IS A BILATERAL DISEASE) |
THE MOST COMMON VISUAL FIELD DEFECT IN GLAUCOMA IS ___________. | CENTRAL VISION (LOSS OF PERIPHERAL VISION--ALSO CALLED TUNNEL VISION) |
WHAT ARE THE TWO TYPES OF GLAUCOMA? | OPEN-ANGLE, CLOSED ANGLE |
WHICH ONE IS THE TYPICAL TYPE AND THE ONE U SHOULD KNOW WELL? | OPEN-ANGLE---90% OF ALL CASES |
OPEN-ANGLE GLAUCOMA IS SEEN MOST COMMONLY IN _______ LIFE. | LATER |
OPEN-ANGLE GLAUCOMA IS (PAINLESS/PAINFUL); WHEREAS CLOSED-ANGLE IS (PAINLESS,PAINFUL). | OPEN IN PAINLESS; CLOSED IS PAINFUL |
WHAT DRUGS (CLASS) ARE GIVEN TO TREAT GLAUCOMA? | MIOTICS--THESE CONSTRICT THE PUPIL (REMEMBER: IN GLAUCOMA DO NOT DILATE THE PUPIL) |
NAME TWO MIOTICS. | PILOCARPINE, TIMOPTIC, (OR ANY OTHER FRUG ENDING IN - LOL) |
WHY IS DIAMOX GIVEN TO GLAUCOMA PATIENTS? | IT IS A DIURETIC THAT DECREASES AQUEOUS HUMOR PRODUCTION THUS LOWERING INTROCULAR PRESSURE |
WHAT TYPE OF DRUGS ARE CONTRAINDICATED FOR GLAUCOMA PATIENTS? | ANY DRUGS THAT DILATE THE PUPILS ARE BAD (EX. MYDRIATICS) |
CAN SURGERY BE DONE FOR GLAUCOMA? | YES |
WHAT DO U DO IF THE PT COMPLAINS OF SEVERE OCULAR PAIN AFTER SURGERY? | CALL THE MD---HEMORRHAGE INTO EYE IS MORE LIKELY |
GONORRHEA IS THE MOST COMMON VENERAL DISEASE NEXT TO CHLAMYDIA. (T/F) | TRUE |
GONORRHEA CAN INFECT THE EYES. (T/F) | TRUE |
GONORRHEA CAN LEAD TO STERILITY. (T/F) | TRUE, IN WOMEN |
GONORRHEA OCCURS MOST COMMONLY IN PEOPLE ______ TO ________ YEARS OF AGE. | 19 - 35 YRS OF AGE |
THE ALMOST EXCLUSIVE WAY GONORRHEA IS TRANSMITTED TO AN INFANTS EYES IS THROUGH ___________. | THE BIRTH PROCESS, FROM MOTHER TO INFANT EYES |
WHAT IS THE NAME FOR THE GONORRHEA CONJUCTIVITS THAT NEONATES GET DURING BIRTH? | OPHTHALMIA NEONATORUM |
IN MALES, WHAT IS THE MOST COMMON SIGN OF GONORRHEA INFECTION? | DYSURIA OR PURULENT DISCHARGE |
HOW LONG IS THE INCUBATION PERIOD OF GONORRHEA? | 2 - 8 DAYS |
WHICH SEX IS MOST LIKELY TO BE ASYMPTOMATIC WITH GONORRHEA? | WOMEN |
WHAT IS THE MOST COMMON SYMPTOM OF GONORRHEA IN FEMALES? | GREENISH--YELLOW DISCHARGE FROM THE VAGINA |
WHEN DOES THE PURULENT DISCHARGE OF OPHTHALMIA NEONATORUM BEGIN? | 2 - 3 DAYS AFTER BIRTH |
WHAT IS THE MOST SERIOUS COMPLICATION OF OPHTHALMIA NEONATORUM? | BLINDNESS |
GONORRHEA IS CAUSED BY A GRAM (NEGATIVE/POSITIVE) ORGANISM? | NEGATIVE |
THE DRUG OF CHOICE FOR GONORRHEA IS ___________. | PENECILLIN--IF RESISTANT ORGANISM, CIPROFLOXACIN |
WHY IS PROBENECID GIVEN BEFORE ADMINISTRATION OF PENECILLIN? | TO PREVENT THE EXCRETION OF PENECILLIN AND THEREBY PROLONG ITS ACTION |
OW IS THE PENECILLIN GIVEN (WHAT ROUTE)? | IM |
WHAT IS PELVIC INFLAMMATORY DISEASE? | INFECTION OF THE REPRODUCTIVE TRACT IN THE FEMALE, USUALLY BUT NOT ALWAYS AN ADVANCED STAGE OF GONORRHEAL INFECTION |
HOW IS PELVIC INFLAMMATORY DISEASE TREATED? | BY IV PENECILLIN |
IN WHAT POSITION SHOULD A PT WITH PELVIC INFLAMMATORY DISEASE BE POSITIONED? | SEMI- TO HIGH- FOWLERS TO KEEP THE INFECTION IN THE PELVIS |
WHAT DRUG IS GIVEN TO NEONATETO PREVENT GONORRHEAL CONJUNCTIVITIS? | ERYTHROMYCIN OR TETRACYCLINE DROPS IN THE EYES |
THE SEQUENCE OF GRWOTH AND DEVELOPMENT IS PREDICTABLE. (T/F) | TRUE |
THE RATE OF GROWTH AND DEVELOPMENT IS EVEN. (T/F) | FALSE, IT GOES IN SPURTS AND IS OFTEN VERY UNEVEN |
GROWTH AND DEVELOPMENT IS A PEDIATRIC CONCERN ONLY. (T/F) | FALSE |
HEREDITY DETERMINES MOST GROWTH. (T/F) | TRUE |
ENVIRONMENT DETERMINES MOST DEVELOPMENT. (T/F) | TRUE |
THE RATE A PERSON GROWS AND DEVELOPS IS PREDICTABLE. (T.F) | FALSE, THE SEQUENCE IS MORE PREDICTABLE THAN THE RATE |
HEREDITY HAS NO INFLUENCE ON DEVELOPMENT. (T/F) | FALSE, IT IS A SECONDARY INFLUENCE (IT IS NOT THE PRIMARY INFLUENCE--ENVIRONMENT IS) |
THE HEART IS A (FAST/SLOW)GROWING ORGAN. | SLOW |
WHICH COMPONENT OF GROWTH AND DEVELOPMENT IS PREDICTABLE: TIME OF ONSET, LENGTH OF STAGE, EFFECT OF STAGE, AND SEQUENCE OF STAGE? | SEQUENCE |
WHAT IS MEANT BY THE PHRASE--GROWTH AND DEVOLPMENT IS CEPHALOCAUDAL? | GROWTH AND DEVELOPMENT STARTS WITH THE HEAD AND MOVES TO THE EXTREMITIES. |
GROWTH AND DEVELOPMENT OCCURS FIRST IN _______ BODY PARTS AND PROGRESSESS TO _____ BODY PARTS. | PROXIMAL, DISTAL |
IN WHICH PHASE IS GROWTH AND DEVLOPMENT MOST RAPID--INFANCY OR ADOLESCENCE. | INFANCY |
THE PROPORTION OF THE BODY THAT IS WATER (RISES/FALLS) WITH AGE? | FALLS, IN INFANTS IS 70% WATER AND ADULT IS 58% |
AN INFANTS STOMACH IS (MORE/LESS) ACID THAN ADULTS. | LESS |
LYMPHOID TISSUE MEANS GROWS STEADILY THROUGHOUT LIFE. (T/F) | FALSE, IT DECREASES IN MASS AFTER ADOLESCENCE |
AN ADULTS HEIGHT BEGINS TO DECLINE AFTER THE AVERAGE AGE OF __________. | 30 |
THE BRAIN IS FULLY MATURE IN SIZE AT BIRTH. (T/F) | FALSE, BUT BY THE END OF THE FIRST YEAR OF LIFE YOU WILL HAVE ALL THE BRAIN CELLS U WILL EVER HAVE |
BY WHAT AGE DO MOST CHILDREN HAVE ALL THEIR DECIDUOUS TEETH? | BY THE END OF THE SECOND YR OF LIFE |
WHAT IS THE #1 FINDING WITH GUILLIAN-BARRE? | PROGRESSIVE ASCENDING PARALYSIS |
WHAT CAUSES THE PARALYSIS OF GB? | DEMYELINATION OF PERIPHERAL NERVES( UNKNOWN CAUSE) |
WHAT KIND OF INFECTION PRECEDES GUILLIAN-BARRE? | VIRAL |
THE PATIENT COMPLETELY RECOVERS FROM GUILLIAN-BARRE. (T/F) | FALSE, THERE ARE USUALLY RESIDUAL EFFECTS BUT THEY DO RECOVER MOST OF WHAT WAS LOST |
RECOVERY USUALLY OCCURS WITHIN _______ TO _____MONTHS. | 4 - 6 MONTHS |
WHAT IS THE FIRST SYMPTOM OF GUILLIAN-BARRE? | CLUMSINESS IN AMBULATION(FUNCTION IN LEGS AND FEET IS LOST FIRST) |
WHAT IS THE BIGGEST DANGER OF GUILLIAN-BARRE? | RESPIRATORY ARREST SECONDARY TO DIAPHRAGMATIC PARALYSIS |
IN THE SCUTE PHASE IT IS VERY IMPORTANT TO ASSESS ______ _____ EVERY 2 HOURS. | MOTOR FUNCTION OF ALL MUSCLES (ESPECIALLY THE DIAPHRAGM |
BEFORE FEEDING THE PT WITH GUILLIAN-BARRE U MUST __________. | CHECK THE GAG REFLEX |
WHAT IS THE MOST AGGRESSIVE MEDICAL THERAPY FOR GBS? | PLASMA PHORESIS---TO REMOVE ANTIBODIES FROM THE BLOOD |
WHAT INFORMATION DOES MEASUREMENT OF SKIN FOLD THICKNESS YIELD? | THE AMOUNT OF BODY FAT |
IN GENERAL, MALES HAVE A HIGHER RISK OF HEART DISEASE THAN FEMALES. (T/F) | TRUE |
POST-MENOPAUSAL FEMALES HAVE A LOWER RISK OF HEART DISEASE THAN MALES AGED 25 - 40. (T/F) | FALSE. THEY HAVE A HIGHER RISK |
FAMILY HISTORY OF DIABETES INCREASES THE RISK OF HEART DISEASE. (T/F) | TRUE |
FAMILY HISTORY OF LIVER DISEASE INCREASES THE RISK OF HEART DISEASE. (T/F) | FALSE |
CIGARETTE SMOKING INCREASES THE RISK OF HEART DISEASE. (T/F) | TRUE |
ORAL CONTRACEPTIVES DECREASES THE RISK OF HEART DISEASE. (T/F) | FALSE, USE INCREASES THE RISK |
ROUTINE EXERCISE DECREASES THE RISK OF HEART DISEASE. (T/F) | TRUE |
WHAT IS DONE IN A GRAFT FOR HEMODIALYSIS? | A BLOOD VESSEL IS SUTURED BETWEEN AN ARTERY AND A VEIN |
WHAT IS DONE IN AN AV FISTULA? | A SURGICAL ANASTOMOSIS IS MADE BETWEEN THE ARTERY AND A VEIN |
DOES ANYTHING EXIT THE SKIN IN AN AV FISTULA? | NO |
HOW LONG CAN AN AV FISTULA BE USED? | INDEFINITELY |
WHO IS MOST LIKELY TO RECEIVE A GRAFT FOR DIALYSIS? | PEOPLE WITH DIABETES MELLITUS |
HOW OFTEN DO CLIENTS WITH RENAL FAILURE UNDERGO DIALYSIS? | 3 TIMES PER WEEK |
IS HEMODIALYSIS SHORT TERM OR LONG TERM? | BOTH--BUT MOST SHORT TERM DIALYSIS IS ACHIEVED BY HEMODIALYSIS |
HOW LONG DOES THE AVERAGE DIALYSIS LAST? | 4 - 6 HOURS |
WHAT ARE THE 3 WAYS TO GAIN ACCESS TO THE CIRCULATION IN HEMODIALYSIS? | AV SHUNT, AV FISTULA, AV GRAFT |
WHAT IS THE MOST COMMON SITE FOR AN AV SHUNT? | RADIAL ARTERY TO RADIAL VEIN |
WHAT SHOULD BE AVOIDED IN THE ARM OF THE CLIENT WITH AN AV SHUNT? | NO VENIPUNCTURE OR BLOOD PRESSURE ALLOWED IN THE ARM WITH A SHUNT,GRAFT, OR FISTULA |
WHAT SYNDROME RESULTS WHEN TOO MUCH FLUID IS EXCHANGED DURING HEMODIALYSIS TOO QUICKLY? | DISEQUILIBRIUM SYNDROME |
WHAT ARE THE SYMPTOMS OF DISEQUILIBRIUM SYNDROME? | CHANGE IN LOC, NAUSEA, VOMITING, HEADACHE, AND TWITCHING |
DOES ANYTHING EXIT THE SKIN IN AN AV SHUNT? | YES, THE PLASTIC TUBE THAT CONNECTS THE ARTERY AND VEIN IS OUTSIDE THE ARM |
HOW LONG CAN AN AV SHUNT BE USED? | JUST FOR A FEW WEEKS |
HEMOPHILIA IS A _______ DISORDER. | BLEEDING |
HEMOPHILIA A IS A DEFICIENCY OF FACTOR # ______. | VIII |
DURING AN ACUTE BLEEDING EPISODE, YOU SHOULD APPLY _______ FOR 15 MINTUES AND APPLY _______. | PRESSURE, ICE |
THE INHERITANCE PATTERN FOR HEMOPHILIA IS: | SEX-LINKED RECESSIVE |
IN HEMOPHILIA, THE PTT IS (UP/DOWN); THE COAGULATION OR CLOTTING TIME IS (UP/DOWN); AND THE PLATELET COUNT IS (UP/DOWN). | UP (INCREASED OR LONGER); UP(INCREASED OR LONGER); NEITHER(HEMOPHILIA DOES NOT AFFECT PLATELETS) |
WHAT DOES HEMARTHROSIS MEAN? | BLEEDING INTO THE JOINTS |
DURING BLEEDING INTO THE JOINTS YOU SHOULD (MOBILIZE/IMMOBILIZE) THE EXTREMITY. | IMMOBILIZE TO PREVENT DISLODGING IN CLOTS THAT DO FORM |
TO TREAT HEMARTHROSIS YOU SHOULD ______ THE EXTREMITY ABOVE THE ______. | ELEVATE, HEART |
WHAT IS THE NAME OF FROZEN FACTOR VII GIVEN TO HEMOPHILIACS? | CRYOPRECIPITATE |
ONCE U HAVE STOPPED THE BLEEDING INTO THE JOINT HOW LONG SHOULD THE PT WAIT BEFORE BEARING WEIGHT OR DOING RANGE OF MOTION? | 48 HRS |
WHAT DRUG CAN U APPLY TOPICALLY TO STOP BLEEDING? | EPINEPHRINE, OR THE TOPICAL FIBRIN FOAM |
WHICH OF THESE SYMPTOMS ARE NOT SEEN IN HEMOPHILIA? PROLONGED BLEEDING, PETECHIA, ECCHYMOSIS OR HEMATOMA? | PETECHIA |
HEPATITIS IS AN _______, ________ DISEASE OF THE _____________. | ACUTE, INFLAMMATORY, LIVER |
HEPATITIS A, B, C AND D ARE ALL (BACTERIAL/VIRAL) DISEASES. | VIRAL |
AN EARLY SIGN OF HEPATITIS A IS _______. | ANOREXIA OR FATIGUE |
EARLY STAGE HEPATITIS OFTEN LOOKS LIKE THE ________. | FLU |
IN LATER STAGES OF HEPATITIS, THE ________ TURNS DARK. | URINE |
WHAT DOES PRE-ICTERIC MEAN? | THE STAGE BEFORE THE PATIENT EXHIBITS JAUNDICE |
WHAT IS THE ICTERIC STAGE? | WHEN THE PT EXHIBITS JAUNDICE |
WHAT SKIN SYMPTOMS DO U SEE IN HEPATITIS? (GIVE 2) | PRURITIS(ITCHING), JAUNDICE(BOTH ARE DUE TO BILIRUBIN ACCUMULATION) |
WHICH DISEASE HAS MORE SEVERE SYMPTOMS HEPATITIS A OR HEPATITIS B? | HEPATITIS B |
PATIENTS WITH HEPATITIS HAVE AN AVERSION TO __________. | CIGARETTES |
IN HEPATITIS THE ________ ARE LIGHT COLORED. | STOOLS: REMEMBER THE URINE IS DARK AND STOOLS ARE LIGHT. (BILIRUBIN ENDS UP IN THE SKIN AND URINE INSTEAD OF THE STOOL WHERE IT SHOULD HAVE GONE.) |
IS HEPATITIS A IMMUNIZATION GIVEN BEFORE OR AFTER EXPOSURE? | AFTER (PROPHYLAXIS, 1 SHOT) |
IS HEPATITIS B VACCINE GIVEN BEFORE OR AFTER EXPOSURE? | BEFORE( IN 3 SEPARATE DOSES) |
WHAT IS THE COMMON NAME FOR HERPES ZOSTER? | SHINGLES |
WHAT TYPE OF RASH OCCURS WITH SHINGLES? | A VESICULAR RASH OVER THE PATHWAY OF A SENSORY NERVE |
HOW LONG DOES IT TAKE FOR SHINGLES TO HEAL? | 30 DAYS |
WHO IS MOST AT RISH FOR GETTING SHINGLES? | PEOPLE WHO HAVE NEVER HAD CHICKENPOX |
WHAT IS THE MOST COMMON SUBJECTIVE SYMPTOM OF SHINGLES? | PAIN,PAIN,PAIN |
WHAT 3 DRUGS ARE GIVEN FOR SHINGLES? | ACYCLOVIR(ANTI-INFECTIVE);TEGRETOL(ANTICONVULSANT--GIVEN TO STABILIZE NERVE CELL MEMBRANES); STEROIDS (ANTI-INFLAMMATORY) |
WHAT OTHER DISEASE IS RELATED TO SHINGLES? | CHICKENPOX |
WHAT ORGANISM CAUSES SHINGLES? | VARICELLA--HERPES ZOSTER |
WHAT IS THE #1 NURSING DIAGNOSIS WITH SHINGLES? | ALTERATION IN COMFORT; PAIN; #2 IMPAIRED SKIN INTEGRITY |
WHICH TYPES OF CLIENT SHOULD HAVE THEIR TOENAILS TRIMMED ONLY BY AN MD? | DIABETICS, PERIPHERAL CASCULAR DISEASE, VERY THICK NAILS |
TWO PURPOSES OF BED BATH ARE? | CLEANSE THE SKIN, PROVIDE COMFORT |
THE TYPICAL HOSPITAL CLIENT (CHOULD/SHOULD NOT) WEAR THEIR DENTURES. | SHOULD |
WHAT TYPE OF MOVEMENT SHOULD BE USED FOR CLEANSING EYES? | INNER TO OUTER CANTHUS |
BEFORE APPLYING ELASTIC HOSE THE NURSE SHOULD....... | ELEVATE THE CLIENTS LEGS FOR 3 TO 5 MIN TO DECREASE VENOUS STASIS |
CLIENTS ON WHAT CLASS OF DRUGS SHOULD USE AN ELECTRIC RAZOR? | ANTICOAGULANTS(HEPARIN/COUMADIN/LOVENOX) |
WHEN A CLIENT IS UNABLE TO HOLD HIS DENTURES FIRMLY IN HIS MOUTH, THE NURSE SHOULD..... | LEAVE THEM OUT |
HOW OFTEN SHOULD MOUTH CARE BE PERFORMED FOR THOSE CLIENTS ON OXYGEN? | EVERY 2 HRS |
SHOULD LINENS BE SHAKEN OR PATTED INTO PLACE DURING BED MAKING? WHY OR WHY NOT? | NO, BOTH SHAKING AND PATTING SPREAD MICRO-ORGANISMS |
HOW SHOULD A CLIENTS TOENAILS BE TRIMMED? | STRAIGHT ACROSS |
ARE NURSES PERMITTED TO GIVE PERINEAL CARE TO CLIENTS OF THE OPPOSITE SEX? | ES |
CLIENTS ON WHAT TYPE OF THERAPY MUST USE A SAFETY BLADE RAZOR(NON ELECTRIC)? | OXYGEN THERAPY, SINCE AN ELECTRIC RAZOR COULD CAUSE SPARKS |
HOW SHOULD A NURSE CARRY SOILED LINEN? | IN A NEAT BUNDLE HELD AWAY FROM THE BODY |
WHEN GICING A BED BATH, ON WHICH BODY PART SHOULD THE NURSE BEGIN? | THE EYES |
GIVE 3 REASONS FOR GIVING A BACK RUB. | COMFORT, STIMULATE CIRCULATION, RELAXATION, STIMULATE MUSCLES |
THE GREATEST DANGER IN PLACING WATER IN THE MOUTH OF THE UNCONSCIOUS PATIENT DURING ORAL HYGIENE IS..... | ASPIRATION |
WHEN SHAVING A CLIENT, WATER USED SHOULD BE MORE (HOT/COLD) THAN BATH WATER? | HOT |
WHAT DOES EVENING OR HOUR OF SLEEP(HS) CARE CONSIST OF? | ORAL HYGIENE, WASHING FACE/HANDS, BACK RUB, AND TIGHTENING LINENS |
WHAT IS DENTRIFICE? | AGENTS WHICH PROMOTE ADHERENCE OF DENTURES TO GUMS, EX. POLYGRIP |
WHAT IS SORDES? | CRUSTS ON THE TONGUE AND GUMS DUE TO IMPROPER ORAL HYGIENE |
WHAT ACTION WILL FACILITATE THE TRIMMING OF BRITTLE TOENAILS? | SOAKING IN WARM WATER |
SHOULD THE CLIENT ROLL THE ELASTIC STOCKING DOWN TO WASH LEGS? WHY OR WHY NOT? | NO, IT CAN CAUSE A CONSTRICTING BAND ABOUT THE ANKLE/FOOT |
ELASTIC STOCKINGS SHOULD BE REMOVED FOR THE BATH. (T/F) | TRUE |
WHEN SHOULD A PT PUT ON TED HOSE? | BEFORE GETTING OUT OF BED (BEFORE THE SWELLING OCCURS) |
HYPEREMESIS GRAVIDARUM IS _________ AND __________ VOMITING THAT PERSISTS INTO THE ________ TRIMESTER. | SEVERE AND PROLONGED; 2ND TRIMESTER(NORMAL VOMITING SHOULD BE GONE BEFORE 2ND TRIMESTER) |
GIVE 3 POSSIBLE CAUSES OF HYPEREMESIS GRVIDARUM. | PANCREATITIS, MULTIPLE PREGNANCY, HYDATIDIFORM, MOLE |
HAS HYPEREMESIS GRAVIDARUM EVER BEEN ASSOCIATED WITH MIXED FEELINGS ABOUT PREGNANCY. | YES, INCREASED INCIDENCE OF IT IN WOMEN WHO ARE AMBIVALENT ABOUT PREGNANCY |
WHAT ARE THE TWO MOST COMMON COMPLICATIONS OF HYPEREMESIS GRAVIDARUM? | ELECTROLYTE IMBALANCE( DEHYDRATION), STARVATION |
WHAT IS THE INITIAL DIET ORDER FOR CLIENTS WITH HYPEREMSIS GRAVIDARUM? | NPO |
WHAT ARE DOCTORS CAUTIOUS IN USING ANTIEMETICS TO TREAT HYPEREMESIS GRAVIDARUM? | THEY DONT WANT TO HARM THE FETUS |
WHAT ARE THE INSTRUCTIONS GIVEN TO CLIENTS RECOVERING FROM HYPEREMESIS GRAVIDARUM IN RELATION TO MEALTIME? | REMAIN SEATED UPRIGHT FOR 45 MIN AFTER EACH MEAL |
WHAT IS THE BIGGEST CHALLENGE IN NURSING CARE OF THE CLIENT WITH HYPEREMESIS GRAVIDARUM? | GETTING THEM TO EAT |
HYPERTENSION IS AN ________ OR SUSTAINED ELEVATION IN THE (SYSTOLIC/DIASTOLIC)________. | INTERMITTENT, DIASTOLIC BLOOD PRESSURE |
HYPERTENSION IS OFTEN FATAL IF UNTREATED.(T/F) | TRUE |
HYPERTENSION IS MORE COMMON IN BLACKS OR WHITES? | BLACKS |
AGING DECREASES THE RISK OF HYPERTENSION. (T/F) | FALSE, IT INCREASES THE RISK |
OBESITY INCREASES THE RISK OF HYPERTENSION. (T/F) | TRUE |
ORAL CONTRACEPTIVES (INCREASE/DECREASE/DOES NOT EFFECT) THE BLOOD PRESSURE | INCREASE |
WHAT FOUR ORGANS DOES HYPERTENSION AFFECT MOST? | BRAIN(STROKE), EYES(BLINDNESS), HEART(MI), KIDNEY(RENAL FAILURE) |
HOW MANY MEASUREMENTS MUST BE MADE BEFORE U CAN SAY A PERSON HAS HYPERTENSION? | AT LEAST THREE |
WHAT BP IS CONSIDERED TO BE HYPERTENSION? | ANYTHING GREATER THAN 140/90MM Hg |
WHICH PRESSURE IS MOST DAMAGING, AN INCREASED (SYSTOLIC, DIASTOLIC)? | AN INCREASED DIASTOLIC |
WHEN A DR TAKES THREE DIFFERENT BP READINGS AT DIFFERENT TIMES, HOW FAR APART MUST THE MEASUREMENT BE MADE? | AT LEAST ONE WEEK |
CAN HYPERTENSION BE CURED? | NO, JUST TREATED |
WHAT CLASS OF DRUG IS USED FIRST TO TREAT HYPERTENSION? | DIURETICS |
NAME THE TWO MOST COMMON DIETARY PRESCRIPTIONS USED TO TREAT HYPERTENSION. | CALORIE REDUCTION FOR WEIGHT LOSS, AND SODIUM RESTRICTION |
WHAT TWO NON-DIETARY LIFESTYLE CHANGES ARE USED COMMONLY TO TREAT HYPERTENSION? | DECREASE STRESS, INCREASE ACTIVITY |
WJEM U TAKE THE BP OF THE CLIENT WITH HYPERTENSION U WOULD MEASURE ________, WITH THE CLIENT _______, _______ AND ________/ | BOTH ARMS, LYING, SITTING, AND STANDING |
WHAT DO CAFFEINE AND SMOKING DO TO BP? | INCREASE IT |
WHAT IS THE #1 SIDE EFFECT OF ANTIHYPERTENSIVES? | OTHOSTATIC HYPOTENSION(MEANS U FEEL EERAK WHEN U RISE TO A STANDING POSITION BECAUSE YOUR BP FALLS) |
WOULD VASODILATORS OR VASOCONSTRICTORS TREAT HYPERTENSION? | VASODILATORS(DECREASES RESISTANCE) |
WOULD SYMPATHETIC STIMULATORS OR SYMPATHETIC BLOCKERS TREAT HYPERTENSION? | SYMPATHETIC BLOCKERS( DECREASE CARDIAC OUTPUT AND DECREASE RESISTANCE) |
IN HYPOVOLEMIC SHOCK THERE IS A _____ IN THE CIRCULTATING _________ VOLUME--THIS _______ TISSUE PERFUSION WITH ____________. | DECREASE; BLOOD; DECREASES; OXYGEN |
WJAT GAUGE CATHETER WOULD U USE TO START AN IV IN HYPOVOLEMIC SHOCK? | 16 OR LARGER |
WHAT IS THE #1 CAUSE OF HYPOVOLEMIC SHOCK? | ACUTE BLOOD LOSS |
WHAT HAPPENS TO THE BP IN HYPOVOLEMIC SHOCK? | IT DECREASES |
WHAT HAPPENS TO THE PULSE PRESSURE IN HYPOVOLEMIC SHOCK? | IT NARROWS (BECOMES A SMALLER NUMBER) |
HOW DO U CALCULATE THE PULSE PRESSURE? | U SUBTRACT THE DIASTOLIC FROM THE SYSTOLIC |
IF J.DOES BP IS 100/60. WHAT IS HIS PULSE PRESSURE? | 40 (100-60) |
WHAT IS THE NORMAL PULSE PRESSURE? | 40 + OR - 10 |
IN HYPOVOLEMIC SHOCK THE LEVEL OF CONSCIOUSNESS(LOC) IS (INCREASED/DECREASED). | DECREASED |
WHICH HEART RATE IS ASSOCIATED WITH HYPOVOLEMIC SHOCK, BRADYCARDIA OR TACHYCARDIA? | TACHYCARDIA |
IN HYPOVOLEMIC SHOCK THE OUTPUT OF URINE WILL BE LESS THAN ______ CC PER HOUR. | 25 TO 30CC |
THE CLIENTS SKIN WILL BE _______, _______, AND ________. | COOL, PALE, CLAMMY (DUE TO ARTERIAL CONSTRICTION TO SHUNT BLOOD FROM SKIN TO VIRAL ORGANS) |
WHICH ACID-BASE DISORDER IS MOST COMMONLY ASSOCIATED WITH HYPOVOLEMIC SHOCK? | METABOLIC ACIDOSIS( DUE TO LACTIC ACID ACCUMULATION--NO OXYGEN=ANEROBIC METABOLISM) |
OF ALL OF THE FOLLOWING, WHICH ONES INCREASE IN HYPOVOLEMIC SHOCK? BP, OUTPUT, HEART RATE, pH, LOC, PULSE PRESSURE, RESPIRATORY RATE? | ONLY THE HEART RATE AND THE RESPIRATORY RATE |
WHAT ARE THE FIRST TWO SIGNS OF HYPOVOLEMIC SHOCK? | CHANGE IN LOC AND TACHYCARDIA |
WHAT IS THE #1 MEDICAL TREATMENT OF HYPOVOLEMIC SHOCK? | REPLACE BLOOD AND FLUIDS |
WHAT ARE MAST TROUSERS? | PNEUMATIC DEVICE PLACED AROUND THE LEGS AND LOWER BODY THAT IS INFLATED TO FORCE BLOOD CENTRALLY |
DO CLIENTS WITH HYPOVOLEMIC SHOCK HAVE TO HAVE A FOLEY INSERTED? | YES, TO MEASURE URINE OUTPUT( WHEN OUTPUT IS < 30 CC PER HR THE SHOCK HAS RESOLVED |
IN WHAT POSITION WOULD U PLACE A CLIENT IN SUSPECTED HYPOVOLEMIC SHOCK? | ON BACK WITH ARMS AND LEGS ELEVATED |
HOW OFTEN ARE VITAL SIGNS MEASURED IN HYPOVOLEMIC SHOCK? | EVERY 15 MIN |
IF THE BP (SYSTOLIC) FALLS BELOW 80 MMHg WHAT WOULD U DO FIRST IN HYPOVOLEMIC SHOCK? | INCREASE THE OXYGEN FLOW RATE |
WHAT IS A HYSTERECTOMY? | IT IS A SURGICAL REMOVAL OF THE UTERUS |
HOW LONG MUST A WOMAN WAIT BEFORE HAVING INTERCOURSE AFTER A HYSTERECTOMY? | 4 TO 6 WEEKS |
ARE ENEMAS COMMON BEFORE A HYSTERECTOMY? | YES |
IS THE WOMAN LIKELY TO HAVE A FOLEY IN AFTER A HYSTERECTOMY? | YES |
WHAT WOULD U DO IF THE CLIENT COMPLAINS OF FLANK PAIN(BACK PAIN) AFTER HYSTERECTOMY? | CALL THE MD, PROBABLY HAD A URETER TIED OFF ACCIDENTALLY IN SURGERY |
WHAT ARE 2 COMMON PSYCHOLOGICAL REACTIONS TO HYSTERECTOMY? | GRIEF, DEPRESSION |
WHAT CAUSES THROMBOPHLEBITIS AFTER HYSTERECTOMY? | VENOUS STASIS IN THE ABDOMEN ( THE WOMAN WAS IN THE VAGINAL LITHOTOMY POSITION FOR HOURS) |
WHAT SIGN WOULD INDICATE THE PRESENCE OF THROMBOPHLEBITIS? | A HARD, RED SWELLING IN THE POSTERIOR CALF |
SHOULD U ASSESS FOR HOMANS SIGN? | NO HOMANS SIGN IS NO LONGER RECOMMENDED AS A TEST FOR THROMBOPHLEBITIS BECAUSE IT CAN CAUSE A CLOT TO EMBOLIZE |
HOW LONG DOES THE WOMAN HAVE TO BE OFF ORAL CONTRACEPTIVES BEFORE HYSTERECTOMY? | ORAL CONTRACEPTIVES SHOULD BE DISCONTINUED 3 TO 4 WEEKS PREOPERATIVELY |
HOW LONG SHOULD A WOMAN WAIT BEFORE LIFTING HEAVY OBJECTS AFTER A HYSTERECTOMY? | 2 MONTHS |
HOW LONG DOES A LADY HAVE TO WAIT BEFORE DRIVING AFTER A HYSTERECTOMY? | 3 TO 4 WEEKS |
IF THE CLIENT COMPLAINS OF ABDOMINAL GAS AFTER A HYSTERECTOMY, THE BEST INTERVENTION IS ..... | AMBULATION |
WHAT ARE TWO MAJOR COMPLICATIONS OF A HYSTERECTOMY BESIDES HEMORRHAGE? | THROMBUS AND PULMONARY EMBOLUS, URINARY RETENTION |
WHAT BODY POSITION SHOULD BE AVOIDED AFTER HYSTERECTOMY? WHY? | KNEE FLEXION( BECAUSE IT INCREASES THE CHANCE OF THROMBOPHLEBITIS) |
WHEN WILL BOWEL SOUNDS RETURN AFTER A HYSTERECTOMY? | AFTER 2 HRS BUT BEFORE 72 HRS |
WHAT IS IDIOPATHIC THROMBOCYTOPENIA PURPURA? | IT IS A BLOOD DISEASE IN WHICH THERE IS A SEVERE DECREASE IN PLATELETS (UNKNOWN REASON) |
WHAT IS THE SPECULATED CAUSE OF ITP? | AUTOIMMUNE |
WHAT TWO THINGS DO THE CLIENTS WITH ITP COMPLAIN OF BEFORE CLINICAL DIAGNOSIS? | BLEEDING GUMS AND EPISTAXIS (NOSE BLEED) |
WHAT 2 OBSERVABLE SKIN SIGNS ARE COMMON WITH ITP? | ECCHYMOSIS, BRUISES, PETECHIA(SMALL-DOT LIKE HEMORRHAGES) |
WHAT ORGAN IS MOST FREQUENTLY REMOVED IN ITP? | THE SPLEEN |
WHY IS THIS ORGAN REMOVED IN ITP? | THE SPLEEN DESTROYS OLD PLATELETS SO IF U REMOVE THE ORGAN THAT DESTROYS PLATELETS, U INCREASE UR PLATELET COUNT |
WHAT LAB VALUE IS MOST DECREASED IN ITP? | PLATELET COUNT |
BECAUSE THESE CLIENTS ARE ON STEROIDS THEY HAVE AN INCREASED RISK OF ...... | INFECTION (FUNGAL AND VIRAL PRIMARILY) |
TRANSFUSION WITH WHAT PRODUCT ARE COMMON IN ITP? | PLATELETS |
WHAT IS THE MOST LIFE THREATENING COMPLICATION OF ITP? | HEMORRHAGE |
NAME THE CLASS OF DRUGS MOST COMMONLY GIVEN TO CLIENTS WITH ITP? | STEROIDS(DECADRON, PREDNISONE,HEXADROLSOLUCORTEF); IMMUNOSUPRRESSIVE AGENTS ( IMMURAN) |
UNTREATED INCREASED INTRACRANIAL PRESSURE (ICP) CAN LEAD TO BRAIN _______ AND ________. | HERNIATION, DEATH |
ICP INCREASES WHENEVER ANYTHING UNUSUAL OCCUPIES __________ IN THE CRANIUM. | SPACE |
THE EARLIEST SIGN OF INCREASED ICP IS ...... | CHANGE IN LOC |
THE PULSE PRESSURE ________ WHEN ICP IS INCREASED. | WIDENS |
WHENEVER THERE IS INCREASED ICP THE ________ BP RISES. | SYSTOLIC |
WHEN THERE IS INCREASED ICP THE ________ BP REMAINS THE SAME. | DIASTOLIC |
WHICH PULSE RATE IS MOST COMMONLY ASSOCIATED WITH INCREASED ICP? | BRADYCARDIA |
IN INCREASED ICP THE TEMPERATURE (RISES/FALLS). | RISES |
DESCRIBE THE RESPIRATORY PATTERN SEEN IN INCREASED ICP. | FIRST, CENTRAL HYPERVENTILATION(VERY EARLY ON) AND AT THE END, CHEYNE-STOKES |
WHEN ICP IS INCREASED, THE PUPILS FIRST SHOW.... | UNILATERALO DILATION WITH SLUGGISH REACTION |
EVENTUALLY IN INCREASED ICP THE PUPILS BECOME __________ AND ___________. | FIXED AND DILATED |
WILL THE CLIENT WITH INCREASED ICP HAVE A HEADACHE? | YES |
WHAT TYPE OF VOMITING IS PRESENT IN INCREASED ICP? | PROJECTILE |
WHY DOES HYPERVENTILATION TREAT INCREASED ICP? | IT REDUCES CO2 RESULTING IN VASOCONSTRICTION. CO2 IS A CASODILATOR IN THE BRAIN, VASODILATATION WOULD OCCUPY MORE SPACE AND THUS INCREASE ICP MORE |
WHEN ICP INCREASES THE PT IS MORE LIKELY TO HAVE FLUIDS (ENCOURAGED/RESTRICTED) | RESTRICTED TO DECREASE EDEMA IN THE BRAIN |
WHAT IS PAPILLEDEMA AND HOW IS IT RELATED TO INCREASED ICP? | IT IS EDEMA OF THE OPTIC DISC, IT IS PRESENT WHEN INCREASED ICP PUSHES BRAIN TISSUE THROUGH THE OPTIC FORAMEN. (U SEE IT WITH AN OPTHALMOSCOPE |
WHAT ENVIRONMENTAL CHANGES ARE NECESSARY WHEN THERE IS INCREASED ICP? | DARK, CALM, QUIET ENVIRONMENT |
WHEN THERE IS INCREASED ICP THE NURSE SHOULD FIRST _______ THE _______ OF THE BED TO ______ DEGREES. | POSITION, HEAD, 10-30 DEGREES |
AFTER POSITIONING THE HOB THE NURSE SHOULD THEN ..... | CALL THE DOCTOR |
WHAT ACTIVITIES/ACTION MUST BE AVOIDED IN THE CLIENT WITH INCREASED ICP? | SNEEZING, COUGHING (NON PRODUCTIVE), STRAINING AT STOOL OR DOIN ANYTHING WHICH REQUIRES THE CALSALCA MANEUVER |
WHEN A PT HAS INCREASED ICP THE NURSE SHOULD (HYPER/HYPO) VENTILATE THE PT? | HYPERVENTILATE |
THE MOST COMMON OSMOTIC DIURETIC USED TO DECREASE ICP IS..... | MANNITOL |
THE MOST COMMON LOOP DIURETIC GIVEN TO DECREASE ICP IS ..... | LASIX |
THE MOST COMMON ANTI-INFLAMMATORY DRUG GIVEN TO DECREASE ICP IS ..... | DECADRON |
IF ANALGESIA IS NECESSARY FOR THE PT WITH INCREASED ICP THE DOCTOR SHOULD ORDER ________. | CODEINE |
WHY IS CODEINE ALONE USED FOR ANALGESIA IN INCREASED ICP? | BECAUSE IT DOES NOT DEPRESS RESPIRATION OR LOC AS MUCH AS OTHER NARCOTICS, AND IT SUPPRESSES COUGH |
WHAT BODY SYSTEM IS ATTACKED BY MONONUCLEOSIS? | LYMPHATIC |
WHAT BLOOD COUNT WILL BE ELEVATED IN MONONUCLEOSIS? | LYMPHOCYTES INCREASE, MONOCYTES INCREASE, GRANULOCYTES DECREASE |
HOW LONG IS THE AVERAGE RECOVERY FROM MONONUCLEOSIS? | THREE WEEKS |
WHAT TWO MEDICATIONS ARE GIVEN TO CLIENTS WITH MONONUCLEOSIS? | ASA---STEROIDS IF A BAD CASE |
WHAT ORGANISM CAUSES MONONUCLEOSIS? | EPSTEIN-BARR HERPES VIRUS |
GIVE 4 SYMPTOMS OF MONONUCLEOSIS? | SORE THROAT, MALAISEM STIFF NECK(NUCHAL RIGIDITY) AND NAUSEA |
GIVE 3 NURSING MEASURES FOR CARE OF CLIENTS WITH MONONUCLEOSIS? | REST, ASA, FLUIDS |
WHAT AGE GROUP MOST COMMONLY GETS MONONUCLEOSIS? | 15 TO 35 |
WHAT ORGAN SHOULD DNOT BE PALPATED IN THE CLIENT WITH MONONUCLEOSIS? | THE SPLEEN, IT COULD RUPTURE WHICH MAY LEAD TO SHOCK AND DEATH |
HOW IS MONONUCLEOSIS TRANSMITTED? | RESPIRATORY DROPLETS |
UPON PHYSICAL EXAM OF A CLIENT WITH MONONUCLEOSIS, U FIND ..... | INCREASED TEMPERATURE, ENLARGED LYMPH NODES, SPLENOMEGALY |
NAME 2 COMPLICATIONS OF MONONUCLEOSIS? | HEPATITIS, RUPTURED SPLEEN, MENINGOENCEPHALITIS |
SHOULD U SHAMPOO THE SCALP AND HAIR OF THE PT BEFORE CRANIAL SURGERY? | YES |
WHAT SHOULD U DO WITH THE HAIR SHAVED FROM THE SCALP PRE-OPERATIVELY? | SAVE IT FOR THE PT |
IF SURGERY WAS SUPRATENTORIAL (CEREBRAL, PITUITARY) POSITION THE PT ________ POST-OP. | ON BACK OR NON OPERATIVE SIDE, WITH HOB UP |
IF THE SURGERY WAS INFRATENTORIAL (CEREBRAL,BRAINSTEM) POSITION THE CLIENT.... | KEEP HOB FLAT |
SHOULD THE CLIENT TURN, COUGH, DEEP BREATHE AFTER A CRANIOTOMY? | TURN EVERY 2 HRS, DEEP BREATHE EVERY HR, NO COULD ( COULD CAUSE INCREASED ICP) |
SHOUL THE CLIENT WITH CRANIAL SURGERY HAVE FLUIDS FORCED OR RESTRICTED? | RESTRICTED TO 1500CC |
WHAT ARE THREE COMMON COMPLICATIONS OF CRANIOTOMY? | DIABETES INSIPIDUS (FRONTAL CRANIOTOMY), INCREASED ICP, MENINGITIS |
IF THE POST-OP CRANIOTOMY PT HAS A HIGH TEMP IN THE FIRST 48 HRS POST-OP, IT IS PROBABLY DUE TO____________. | INCREASED ICP, ESPECIALLY HYPOTHALMUS(REMEMBER SURGICAL WOUND INFECTIONS DONT) OCCUR INTIL DAY 3 OR 4, POST OP INFLAMMATORY TEPS ARE NOT USUALLY OVER 100.8 |
WHAT DRUG WILL BE USED FOR POST-OP ANALGESIA? | CODEINE |
WHY IS THE PT TAKING DILANTIN POST-CRANIOTOMY? | PREVENT SEIZURES |
DESCRIBE TWO WAYS TO DETERMINE IF DRAINAGE POST-CRANIOTOMY IS CSF? | TEST FOR GLUCOSE (IF POSSITIVE THEN CSF), WATCH FOR HALO EFFECT ON GAUZE (IF PRESENT THEN CSF) |
WHAT PAINFUL PROCEDURE MUST OCCUR AS PART OF IVP (INTRAVENOUS PYELOGRAM)? | IV PUNCTURE |
DOES THE CLIENT NEED TO EMPTY HIS OR HER BLADDER BEFORE AN IVP? | YES |
IS THE CLIENT NPO FOR AN IVP? | YES AFTER MIDNIGHT |
WHAT SUBJECTIVE EXPERIENCES WILL THE CLIENT HAVE AT THE BEGINNING OF AN IVP? | HOT FLUSH, SALTY TASTE IN MOUTH 9THESE ARE TRANSITORY AND WILL PASS QUICKLY) |
DOES THE CLIENT NEED TO HAVE A CATHETER INSERTED FOR AN IVP? | NO |
IS A DYE ALWAYS USED DURING AN IVP? | YES |
WHAT STRUCTURES ARE VISUALIZED DURING AN IVP? | KIDNEY, RENAL PELVIS, UTERUS, AND BLADDER |
IF THE CLIENT IS ALLERFIC TO IODINE DYE AN IVP CANNOT BE DONE. (T/F) | FALSE, THEY WILL JUST GIVE BENADRYL OR STEROIDS FOR A FEW DAYS PRE-TEST |
WHAT ? SHOULD BE ASKED TO ASSESS A CLIENTS RISK OF ALLERGIC REACTION E?TO IVP DY | IF THE CLIENT IS ALLERGIC TO IODINE OR SHELLFISH |
WHAT IS REQUIRED THE EVENING BEFORE AND IVP? | AN ACTIVE BOWEL PREP WITH LAXATIVES (OPTIONAL IN INFANTS AND CHILDREN) |
WHAT ARE IMPORTANT POST TEST MEASURES AFTER AN IVP? | ENCOURAGE FLUIDS, AMBULATE WITH ASSISTANCE |
PERFORMANCE OF AN IVP ON WHAT GROUP OF CLIENTS IS MOST DANGEROUS? | DEHYDRATED ELDERLY (CAN GET RENAL FAILURE) |
INTUSSUSCEPTION IS A CONDITION IN WHICH THE BOWEL _________ INTO ITSELF. | TELESCOPES |
INTUSSUSCEPTION IS MORE COMMON IN (BOYS/GIRLS). | BOYS |
NAME 2 WAYS TO CORRECT INTUSSUSCEPTION. | BARIUM ENEMA (THE BARIUM PUSHES THE BOWEL STRAIGHT), OR SURGICAL REPAIR |
THE MAJOR COMPLICATION OF INTUSSUSCEPTION IS __________ OF THE BOWEL. | NECROSIS |
INTUSSUSCEPTION OCCURS MOST COMMONLU AT AGE _______ MONTHS. | 6 |
INTUSSUSCEPTION IS COMMONLY SEEN IN CHILDREN WHO HAVE ________ __________. | CYSTIC FIBROSIS |
DESCRIBE THE CRY OF THE INFANT WITH INTUSSUSCEPTION. | PIERCING CRY |
IN ADDITION TO EXPERIENCING SEVERE ABDOMINAL PAIN TELL WHAT POSITION THE INFANT WILL ASSUME. | PULL LEGS UP TO THE CHEST/ABDOMEN |
DESCRIBE THE STOOL OF A CHILD WITH INTUSSUSCEPTION. | CURRENT-JELLY STOOL, BLOODY MUCOUS. IF SURGERY IS SCHEDULED AND THE INFANT HAS A NORMAL BOWEL MOVEMENT, SURGERY MAY BE CANCELED. CALL MD |
DESCRIBE THE VOMITUS OF A CHILD WITH INTUSSUSCEPTION. | BILE STRAINED |
WHAT IS THE PRIMARY DIETARY PRESCRIPTION FOR CALCIUM NEPHROLITHIASIS? | LOW CALCIUM DIET |
FOR THE CLIENT WITH CALCIUM NEPHROLITHIASIS THE DIET SHOULD BE __________ ASH. | ACID |
IF THE KIDNEY STONE IS CALCIUM PHOSPHATE THE DIET MUST BE LOW IN _______ TOO. | PHOSPHORUS |
THE PRIMARY DIET TREATMENT FOR URIC ACID NEPHROLITHIASIS IS ___________ _________. | LOW PURINE |
THE CLIENT WITH URIC ACID NEPHROLITHIASIS SHOULD HAVE A DIET LOW IN __________. | METHIONINE |
WHAT IS METHIONINE? | THE PRESURSOR OF THE AMINO ACID CYSTINE (PRECURSOR=MATERIAL OUT OF WHICH SOMETHING IS MADE) |
NAME TWO FOODS HIGH IN METHIONINE. | MILK, EGGS |
CLIENTS WITH CYSTINE NEPHROLITHIASIS SHOULD HAVE A(N) ________ ASH DIET. | ALKALINE |
INCREASING FLUIDS OVER 3000CC PER DAY IS MORE EFFECTIVE IN TREATING RENAL CALCULI (KIDNEY STONES) THAN ANY DIETARY MODIFICATIONS (T/F) | TRUE, ITS MORE IMPORTANT TO FLUSH THE URINARY TRACT THAN WORRY ABOUT WHAT YOU'RE EATING |
WHAT IS THE COMMON NAME FOR LTB(LARYGOTRACHEOBRONCHITIS--LTB)? | CROUP |
ARE ANTIBIOTICS HELPFUL FOR CROUP? FOR EPIGLOTTIS? | FOR CROUP NO. FOR EPIGLOTTIS YES |
IS CROUP VIRAL OR BACTERIAL? | VIRAL |
WITH WHICH CONDITION IS CROUP MOST OFTEN CONFUSED? | EPIGLOTTIS |
CAN CROUP BE MANAGED AT HOME? CAN EPIGLOTTIS BE MANAGED AT HOME? | YES. NO, EPIGLOTTIS IS A MEDICAL EMERGENCY |
ARE SEDATIVES USED FOR CHILDREN WITH CROUP? | NO, BECAUSE THIS WOULD MASK THE SIGNS OF RESPIRATORY DISTRESS |
WHAT CAUSES EPIGLOTTIS? A VIRUS OR BACTERIA? | H. INFLUENZA BACTERIA |
WHAT IS THE BEST TREATMENT FOR CROUP? | COOL MOIST AIR |
WHAT SHOULD NEVER BE DONE TO A CHILD WITH EPIGLOTTIS? | NEVER PUT ANYTHING IN THE CHILDS MOUTH, EX. A TONGUE BLADE CAN LEAD TO OBSTRUCTION |
WHAT ARE THE TYPICAL SIGNS AND SYMPTOMS OF CROUP? | BARKING COUGH, INSPIRATORY STRIDOR, LABORED RESPIRATORY PATTERN |
WHAT 3 SIGNS TILL U THAT THE CHILD HAS EPIGLOTTIS INSTEAD OF CROUP? | MUFFLED VOICE, DROOLING, INCREASED FEVER |
WHEN IS CROUP BAD ENOUGH TO BE EVALUATED BY A DOCTOR? | WHEN RETRACTIONS, AND HIGH PITCHED STRIDOR ARE PRESENT |
WHAT LEAD LEVEL NEEDS INTERVENTION? | 50 - 60 MICROGRAMS/DL |
WITH WHICH CLASS OF DRUGS WILL A CHILD WITH LEAD POISIONING BE TREATED? | CHELATING AGENTS |
WHAT DO CHELATING AGENTS DO? | THEY INCREASE THE EXCRETION OF HEAVY METALS |
THE MOST FREQUENT CAUSE OF LEAD POISIONING IS.... | INGESTION OF LEAD-BASED PAINT CHIPS |
NAME 3 COMMON CHELATING AGENTS FOR LEAD POISIONING. | EDTA, DESFERAL, BAL INOIL |
LIST SPECIFIC SYMPTOMS OF LEAD POISIONING SHOW UP IN THE __________ SYSTEM. | DROWSINESS, CLUMSINESS, ATAXIA, SEIZURES, COMA, RESPIRATORY ARREST |
SYMPTOMS OF LEAD POISIONING SHOW UP IN THE ______ SYSTEM. | NEUROLOGICAL |
LEUKEMIA IS CANCER OF THE ________-FORMING TISSUES. | BLOOD |
THE TYPE OF CELL THAT IS MOST COMMON AND PRBLEMATIC IN LEUKEMIA IS _________. | IMMATURE WBC |
IN LEUKEMIA THE RBC COUNT IS (HIGH/LOW). | LOW, BECAUSE THE BONE MARROW IS GOING WILD PRODUCING ALL THOSE IMMATURE WBC'S NO ENERGY OR NUTRIENTS TO MAKE PLATELETS |
IN LEUKEMIA, THE PLATELET COUNT IS (HIGH,LOW). | LOW, BECAUSE THE BONE MARROW IS GOING WILD PRODUCING ALL THOSE IMMATURE WBC'S--NO ENERGY OR NUTRIENTS TO MAKE PLATELETS |
BECAUSE THE RBC'S ARE LOW THE PATIENT WILL EXHIBIT_______ AND _______. | PALLOR AND FATIGUE |
BECAUSE OF THE IMMATURE WBC'S THE PATIENT IS AT RISK FOR___________. | INFECTION |
BECAUSE OF LOW PLATELETS, THE PATIENT IS AT RISK FOR ______, ______ AND ______. | BRUISING,ECCHYMOSIS,BLEEDING, PETECHIAE |
WHAT CAUSES LYMPH GLAD ENLARGEMENT IN LEUKEMIA? | ALL THOSE SMALL IMMATURE WBC'S CLOG THE LYMPHATIC SYSTEM |
SHOULD U TAKE A RECTAL TEMP ON A CHILD WITH LEUKEMIA? | NO |
SHOULD U TAKE AN ORAL TEMP ON A CHILD WITH LEUKEMIA? | YES, AS LONG AS THEY ARE OVER 4 YRS OLD, IN REMISSION, AND HAVE NO SORES IN THEIR MOUTH |
SHOULD THE CHILD WITH ACTIVE LEUKEMIA USE STRAWS, FORKS, CUPS? | NO STRAWS, SO FORKS, YES, THEY CAN USE CUPS |
THE NURSES PRIORITY IN TRATING A CHILD WITH NEWLY DIAGNOSED LEUKEMIA IS.... | DECREASING RISK OF INFECTION |
WHEN THE LEUKEMIA CHILD'S PLATELETS AND WBC'S ARE LOW, HIS ACTIVITIES SHOULD BE.... | LIMITED |
WHEN THE PLATELET AND WBC'S ARE LOW THE NURSE SHOULD NOT INSERT A ...... | SUPPOSITORY |
ARE IM INJECTIONS AND IV STICKS PERMITTED ON A CHILD WITH LEUKEMIA? | WHEN THE PLATELETS AND WBC'S ARE LOW, IM'S ARE TO BE AVOIDED; IV STICKS ARE TO BE LIMITED,AND ONLY DONE WHEN ABSOLUTELY NECESSARY(EX. TO GIVE CHEMOTHERAPY OR MEASEURE BLOOD COUNTS) |
WHY ARE CHILDREN ON CHEMOTHERAPY ALSO ON ZYLOPRIM(ALLOPURINOL)? | TO PREVENT URIC ACID KIDNEY STONES (REMEMBER WHEN CHEMOTHERAPY KILLS CANCER CELLS, PURINES AND URIC ACID BUILD UP AND COULD CAUSE KIDNEY STONES) |
WHY DO SOME CHILDREN WITH LEUKEMIA HAVE JOINT PAIN? | THE IMMATURE WBC'S INFILTRATE THE JOINT AND CAUSE INFLAMMATION |
WHAT IS ALOPECIA? | HAIR LOSS |
IF THE PLATELET COUNT IS LOW WHAT DRUG SHOULD THE CHILD NOT TAKE? | ASPIRIN |
IS THE ALOPECIA OF CHEMOTHERAPY PERMANENT? | NO, IT WILL GROW BACK (REMEMBER, THE ALOPECIA OF RADIATION THERAPY IS PERMANENT BECAUSE THE FOLLICLE IS DESTROYED TOO) |
WHAT DOES ANC STAND FOR? | ABSOLUTE NEUTROPHIL COUNT |
WHAT IS THE ANC USED FOR IN LEUKEMIA? | IF THE ANC IS BELOW 500, THEN THE PATIENT WILL BE ON PROTECTIVE ISOLATION |
WHICH IS USED MORE COMMONLY TO DECIDE IF THE PATIENT SHOULD BE ON ISOLATION: THE WBC OR THE ANC? | THE ANC IS MORE RELIABLE AND VALID |
BY THE END OF THE FIRST SIX MONTHS OF LIFE AN INFANTS BIRTHWEIGHT SHOULD _________. | DOUBLE |
BY THE END OF THE FIRST YR OF LIFE AN INFANTS BIRTHWEIGHT SHOULD _________. | TRIPLE |
THE IDEAL FOOD FOR INFANTS IS _________. | BREAST MILK |
BREAST MILK CONTAINS SUBSTANCES THAT INCREASE IMMUNITIES. (T/F) | TRUE |
BOTTLE-FED INFANTS DO NOT BOND WELL WITH THEIR MOTHERS. (T/F) | FALSE |
THE ONE NUTRIENT THAT COMMERCIAL FORMULAS ARE TYPICALLY LOW IN IS ________. | IRON |
BREAST MILK DOES NOT CONTAIN IRON. (T/F) | FALSE, HOWEVER, IT DOES NOT CONTAIN ENOUGH IRON--SO THEY SHOULD BE FED IRON FORTIFIED CEREAL STARTING AT 6 MONTHS |
AT WHAT AGE SHOULD THE INFANT BE FED COWS/GOATS MILK? | NOT BEFORE 12 MONTHS |
WHAT IS THE MAJOR PROBLEM WITH FEEDING AN INFANT SKIM MILK? | THEY DONT GET ENOUGH CALORIES AND DONT GROW. DEHYDRATION FROM EXCESSIVE SOLUTE LOAD AND INABILITY TO CONCENTRATE URINE |
WHEN SHOULD THE INFANT BE INTRODUCED TO TEXTURED SOLID FOOD? (WHAT AGE?) | 4 TO 6 MONTHS |
WHAT IS THE FIRST FOOD THAT AN INFANT SHOULD BE INTRODUCED TO? | IRON FORTIFIED RICE CEREAL |
WHEN FORCED TO EAT, THE PRESCHOOL CHILD WILL.... | REBEL |
PARENTS OF PRESCHOOL CHILDREN SHOULD BE TAUGHT THAT AS LONG AS THE CHILDS EATS ______ GOOD NUTRITIOUS MEALS PER DAY, THEY SHOULD NOT MAKE EATING FOOD AN ISSUE. | ONE |
REFUSAL TO EAT IS COMMON IN PRESCHOOLERS. (T/F) | TRUE, BUT STILL OFFER A VARIETY |
YOUNGSTERS DEVELOP FOOD PREFERENCES BY.... | OBSERVING SIGNIFICANT PEOPLE IN THEIR ENVIRONMENT |
SCHOOL-AGE CHILDREN GROW AT A SLOWER RATE THAN INFANTS, TODDLERS OR ADOLESCENTS. (T/F) | TRUE |
WHAT DIETARY STRATEGY IS MOST APPROPRIATE FOR THE INDUSTRIOUS SCHOOL-AGE CHILD? | WHOLESOME SNACKS, BECAUSE THEY ARE OFTEN TOO BUSY TO EAT |
GIRLS IN ADOLESCENCE NEED MORE CALORIES THAN ADOLESCENT BOYS. (T/F) | FALSE, BOYS NEED MORE CALORIES |
ADOLESCENTS SHOULD TAKE VITAMIN SUPPLEMENTS. (T/F) | TRUE |
MASTITIS AND BREAST ENGORGEMENT ARE MORE LIKELY TO OCCUR IN (PRIMIPARA/MULTIPARA). | PRIMIPARA |
WHERE DOES THE ORGANISM THAT CAUSES MASTITIS COME FROM? | THE INFANTS NOSE OR MOUTH |
WHICH ORGANISM MOST COMMONLY CAUSES MASTITIS? | STAPH |
PROLONGED INTERVALS BETWEEN BREAST FEEDING (DECREASE/INCREASE) THE INCIDENCE OF MASTITIS. | INCREASE |
CAN TOO-TIGHT BRAS LEAD TO MASTITIS? | YES, BY PREVENTING EMPTYING OF DUCTS |
MASTITIS USUALLY OCCURS AT LEAST ______ DAYS AFTER DELIVERY. | 10 |
WHEN MASTITIS IS PRESENT THE BREASTS ARE ______, _______, AND ______. | HARD, SWOLLEN, WARM |
MASTITIS IS ACCOMPANIED BY A FEVER OVER ________. | 102 |
IF MASTITIS IS CAUSED BY AN ORGANISM, WHAT CAUSES BREAST ENGORGEMENT? | TEMPORARY INCREASE IN VASCULAR AND LYMPH SUPPLY TO THE BREAST IN PREPARATION FOR MILK PRODUCTION |
IF MASTITIS OCCURS 1+ WEEKS AFTER DELIVERY, WHEN DOES BREAST ENGORGEMENT OCCUR? | 2 - 5 DAYS AFTER DELIVERY |
DOES BREAST ENGORGEMENT INTERFERE WITH NURSING? | YES, THE INFANT HAS A DIFFICULT TIME LATCHING ON (GETTING NIPPLE IN ITS MOUTH) |
WHAT CLASS OF DRUGS IS USED TO TREAT MASTITIS? | ANTIBIOTICS |
ANTIBIOTICS ARE USED TO TREAT BREAST ENGORGEMENT. (T/F) | FALSE |
APPLICATION OF (WARM H2O COMPRESSES/ICE PACKS) IS PREFERRED TREATMENT FOR BREAST ENGORGEMENT. | ICE PACKS TO DECREASE SWELLING |
THE MOTHER HAS AN OPEN ABSCESS ON HER BREAST, SHE MUST NOT BREAST FEED. (T/F) | TRUE |
THE MOTHER WITH MASTITIS SHOULD STOP BREAST FEEDING. (T/F) | FALSE, THE MOTHER MUST KEEP BREAST FEEDING. (OFFER UNAFFECTED BREAST FIRST) |
FOR BREAST ENGORGEMENT, THE NON-BREASTFEEDING MOTHER SHOULD BE TOLD TO EXPRESS BREAST MILK (T/F) | NO, THAT WOULD INCREASE MILK PRODUCTION AND WOULD MAKE THE PROBLEM WORSE (WARM COMPRESSES OR A WARM SHOWER TO LET MILK "LEAK" IS OKAY--ICE IS BEST) |
WHAT IS THE BEST TREATMENT FOR BREAST ENGORGEMENT? | BREAST FEEDING--IT WILL BALANCE SUPPLY AND DEMAND |
WHAT IS MASTOIDITIS? | INFLAMMATION/INFECTION OF THE MASTOID PROCESS |
WHAT IS THE MOST COMMON CAUSE OF MASTOIDITIS? | CHRONIC OTITIS MEDIA |
WHAT ARE THE 4 SIGNS AND SYMPTOMS OF MASTOIDITIS? | DRAINAGE FROM EAR, HIGH FEVER, HEADACHE AND EAR PAIN, TENDERNESS OVER MASTOID PROCESS |
WHAT UNUSUAL POST-OP COMPLICATION CAN RESULT FROM MASTOIDECTOMY? | FACIAL NERVE PARALYSIS DUE TO ACCIDENTAL DAMAGE DURING SURGERY (LAW SUIT TIME) |
WHAT SHOULD U DO TO ASSESS FOR FACIAL NERVE PARALYSIS POST-MASTOIDECTOMY? | HAVE THE PT SMILE AND WRINKLE FOREHEAD |
WHAT IS THE MEDICAL TREATMENT OF MASTOIDITIS? | SYSTEMIC ANTIBIOTICS |
WHAT IS THE SURGERY FOR MASTOIDITIS CALLED? | SIMPLE OR RADICAL MASTOIDECTOMY |
WILL A SIMPLE MASTOIDECTOMY WORSEN HEARING? | NO, A RADICAL MASTOIDECTOMY MAY |
SHOULD THE NURSE CHANGE THE POST-MASTOIDECTOMY DRESSING? | NO, REINFORCE IT. PHYSICIAN CHANGES FIRST POST-OP DRESSING |
WHAT IS A COMMON SIDE EFFECT OF MASTOIDECTOMY? | DIZZINESS(VERTIGO) |
WHAT IS A MAJOR NURSING DIAGNOSIS POST-MASTOIDECTOMY? | SAFETY |
IN THE CHAIN OF INFECTION, HAND WASHING BREAKS THE MODE OF ________. | TRANSMISSION |
THE BEST WAY TO DECREASE NOSOCOMIAL INFECTION IS STERILE TECHNIQUE. (T/F) | FALSE, HAND WASHING IS THE BEST WAY |
STERILE GLOVED HANDS MUST ALWAYS BE KEPT ABOVE THE WAIST.(T/F) | TRUE |
WHEN PUTTING ON THE SECOND OF A SET OF STERILE GLOVES, U SHOULD GRASP THE CUFF. (T/F) | FALSE, REACH UNDER THE CUFF WITH THE TIP OF THE GLOVED FINGERS |
WHEN PUTTING ON THE FIRST GLOVE OF A SET OF STERILE GLOVES, U SHOULD GRASP THE CUFF. (T/F) | TRUE |
WHEN PUTTING ON THE SECOND GLOVE OF A SET OF STERILE GLOVES, U MUST NOT USE THE THUMB OF THE FIRST HAND. (T/F) | TRUE |
AIRBORNE MICROORGANISMS TRAVEL ON _________ OR _________ PARTICLES. | DUST OR WATER |
ANOTHER NAME FOR MEDICAL SEPSIS IS ..... | CLEAN TECHNIQUE |
SESITIVITY (SUSCEPTIBILITY) MEANS.... | THE SUSCEPTIBILITY OF AN ORGANISM TO THE BACTERIAL ACTION OF A PARTICULAR AGENT |
WHEN UNWRAPPING A STERILE PACK HOW SHOULD U UNFOLD THE TOP POINT? | AWAY FROM U |
VIRULENCE MEANS.... | ABILITY OF AN ORGANISM TO PRODUCE DISEASE |
ANOTHER NAME FOR A SURGICAL ASEPSIS IS..... | STERILE TECHNIQUE |
WHAT IS THE BEST LOCATION IN A CLIENTS ROOM TO SET UP A STERILE FIELD? | ON THE OVER-BED TABLE |
MEDICAL ASEPTIC TECHNIQUES ARE AIMED AT REDUCING THE NUMBER OF ORGANISMS (T/F) | TRUE, DOESNT ELIMINATE ALL IT JUST DECREASES THE NUMBER |
WHAT DOES BACTERIOSTATIC MEAN? | HAVING THE CAPABILITY TO STOP THE GROWTH OF BACTERIA |
WHAT DOES BACTERIOCIDAL MEAN? | HAVING THE CAPABILITY TO KILL BACTERIA |
WHAT DOES NOSOCOMIAL MEAN? | INFECTION AQUIRED THROUGH CONTACT WITH CONTAMINATION IN THE HOSPITAL |
WHEN POURING LIQUID ONTO A STERILE FIELD U SHOULD POUR FROM A HEIGHT OF ________ TO _______ INCHES ABOVE THE FEILD. | 6 TO 8 |
WHEN U PLAN TO USE GLOVES FOR A PROCEDURE U DO NOT NEED TO WASH HANDS BEFORE IT. (T/F) | FALSE, ALWAYS WASH EVEN IF U PLAN TO USE GLOVES |
CULTURE MEANS.... | GROWING A COLONY OF ORGANISMS, USUALLY FOR THE PURPOSE OF IDENTIFYING THEM. |
SURGICAL ASEPTIC TECHNIQUES RENDER AND KEEP ARTICLES FREE FROM ALL ORGANISMS. (T/F) | TRUE |
U MUST NEVER TURN YOUR BACK TO A STERILE FEILD. (T/F) | TRUE |
WHAT MUST U DO IF U REACH ACROSS A STERILE FEILD? | CONSIDER THE AREA CONTAMINATED AND NOT USE THE ARTICLES IN THE AREA |
MICRO-ORGANISMS GROW BEST IN A _______, _______, _________ PLACE. | WARM, DARK, MOIST |
IT IS COMMON PRACTICE TO REGARD THE EDGES OF ANY STERILE FIELD AS CONTAMINATED. (T/F) | TRUE, THE OUTER 1 INCH IS CONSIDERED CONTAMINATED. U MUST NOT TOUCH IT WITH UR STERILE GLOVES |
IMMEDIATELY AFTER OPENING A BOTTLE OF STERILE WATER, CAN U POUR IT DIRECTLY INTO A STERILE BASIN? | NO, U MUST POUR A FEW CC'S OUT OF A BOTTLE INTO A WASTE CONTAINER BEFORE U POR INTO THE STERILE BASIN.(THIS IS CALLED "LIPPING" THE BOTTLE) |
WHICH IS THE BEST METHOD FOR IDENTIFYING CLIENTS ACCURATELY? | BY ID NAME BAND |
AN EMULSION IS A MIXTURE OF ______ AND _____. | OIL AND H2O |
SYRUPS AND ELIXIRS ARE OF PARTICULAR CONCERN TO DIABETIC CLIENTS BECAUSE..... | THEY CONTAIN SUGARS |
ORAL MEDICATIONS HAVE A (FASTER/SLOWER) ONSET OF ACTION THAN IM DRUGS. | SLOWER |
ORAL MEDICATIONS HAVE A (SHORTER/LONGER) DURATION OF ACTION THAN IM MEDICATIONS. | LONGER |
HOW SHOULD DRUGS THAT STAIN THE TEETH BE ADMINISTERED? | BY A STRAW |
A DRUG GIVEN BY A PARENTAL ROUTE ACTS OUTSIDE THE GI TRACT. (T/F) | TRUE |
NAME THE 4 MOST COMMON PARENTAL ROUTES OF ADMINISTRATIONS. | SQ, IM, IV, ID(INTRADERMAL) |
WHEN BLOOD IS ADMINISTERED BY IV THE NEEDLE/CATHETER SHOULD BE ________GAUGE. | 18 GAUGE |
U CAN ADMINISTER UP TO ________ CC OF A DRUG PER SITE BY IM INJECTION IN ADULTS. | 3CC |
CHILDREN SHOULD RECEIVE NO MORE THAN ______CC PER SITE BY IM INJECTION. | 2CC |
THE PREFERRED IM INJECTION SITE FOR CHILDREN UNDER 3 IS THE ________ ________. | VASTUS LATERALIS |
WHY IS THE DORSOGLUTEAL SITE NOT RECOMMENDED FOR IM INJECTION IN CHILDREN UNDER 3 YRS OLD? | BECAUSE THE MUSCLE IS NOT WELL DEVELOPED YET |
CAN 3 CC OF FLUID BE ADMINISTERED PER IM INTO THE DLETOID OF AN ADULT? | NO, MAXIMUM OF 1 CC |
THE #1 DANGER WHEN USING THE DORSOGLUTEAL SITE FOR IM INJECTION IS.... | DAMAGE TO THE SCIATIC NERVE |
THE PREFERRED ANGLE OF INJECTION TO BE USED FOR IM ADMINISTRATION IS _________. | 90 DEGREES |
THE PREFERRED LENGTH OF NEEDLE TO ADMINISTER AN IM INJECTION IS..... | 1 - 2 INCH |
THE PREFERRED GAUGE OF NEEDLE FOR IM INJECTION IS.... | 21 - 22 GAUGE |
WHICH TYPE OF MEDICATIONS ARE GIVEN BY Z-TRACT INJECTION? | IRRITATING, STAINING |
HOW LONG IS THE NEEDLE KEPT INSERTED DURING Z-TRACT INJECTION? | 10 SEC |
WHAT MUST BE DONE TO THE EQUIPMENT BEFORE INJECTING BY Z-TRACK METHOD? | CHANGE THE NEEDLE |
WHEN GIVING A Z-TRACK INJECTION, THE OVERLYING SKIN IS PULLED (UP/DOWN/MEDIALLY/LATERALLY). | LATERALLY |
SUBCUTANEOUSNINJECTION MUST BE GIVEN AT 45 DEGREES> (T/F) | TRUE (FOR BOARDS), FALSE ---WHATEVER ANGLE GETS IT SQ WITHOUT GOIN IM |
THE PREFERRED GAUGE OF NEEDLE FOR INJECTION FOR SQ INJECTION IS_________. | 25 GAUGE |
THE PREFERRED LENGTH OF NEEDLE FOR SQ INJECTION IS _________. | 5/8 INCH |
THE INTRADERMAL ROUTE IS PRIMARILY USED FOR _______ _______. | SKIN TESTING |
NAME THE 2 SITES USED FOR INTRADERMAL INJECTION. | INNER FOREARM, UPPER BACK |
IN GENERAL, THE NURSE SHOULD WEAR GLOVES WHEN APPLYING SKIN PREPARATIONS SUCH AS LOTIONS. (T/F) | TRUE |
AFTER USING NOSE DROPS, THE CLIENT SHOULD REMAIN _______ FOR _______ MIN. | SUPINE, 5 |
STRICT ASEPTIC TECHNIQUES IS REQUIRED WHEN ADMINISTERING A VAGINAL MEDICATION. (T/F) | FALSE--ONLY CLEAN TECHNIQUE OR MEDICAL ASEPSIS IS NECESSARY |
BEFORE ADMINISTERING VAGINAL MEDICATIONS THE CLIENT IS MORE COMFORTABLE IF U ASK THEM TO _______. | VOID |
AFTER ADMINISTRATION OF A VAGINAL DRUG THE CLIENT SHOULD REMAIN _______ FOR ______MIN. | SUPINE, 10 |
RECTALO SUPPOSITORIES WITH AN OIL BASE SHOULD BE KEPT REFRIGERATED. (T/F) | TRUE |
STRICT STERILE TECHNIQUE IS REQUIRED WHEN ADMINISTERING A DRUG PER RECTUM. (T/F) | FALSE, CLEAN OR MEDICAL ASEPSIS |
THE BEST WAY TO ENSURE EFFECTIVENESS OF A RECTAL SUPPOSITORY IS TO..... | PUSH THE SUPPOSITORY AGAINST THE WALL OF THE RECTUM |
A RECTAL SUPPOPSITORY IS INSERTED _____ INCHES IN AN ADULT AND _______ INCHES IN ACHILD. | 4, 2 |
THE SHOULD REMAIN SUPINE FOR 5 MINUTES AFTER HAVING RECEIVED A RECTAL SUPPOSITORY. (T/F) | FALSE--THEY SHOULD BE LYING ON THEIR SIDE FOR 5 MIN NOT SUPINE |
A SUPPOSITORY GIVEN RECTALLY MUST BE LUBIRCATED WITH A WATER SOLUBLE LUBRICANT. (T/F) | TRUE, LUBRICATE FINGERS ALSO |
EYE MEDICATIONS CAN BE GIVEN DIRECTLY OVER THE CORNEA. (T/F) | FALSE, INTO THE CONJUCTIVAL SAC, NEVER THE CORNEA; HOLD THE DROPPER 1/2 INCH ABOVE THE SAC |
EYE DROPS SHOULD BE PLACED DIRECTLY INTO THE _______ _______. | CONJUNCTIVAL SAC |
TO PREVENT EYE MEDICATIONS FROM GETTING INTO THE SYSTEMIC CIRCULATION U APPLY PRESSURE TO THE _______ FOR ______ SECONDS. | NASOLACRIMAL SAC, 10 (PRESS BETWEEN THE INNER CANTHUS AND THE BRIDGE OF THE NOSE) |
THE EYE SHOULD BE IRRIGATED SO THAT THE SOLUTION FLOWS FROM OUTER TO INNER CANTHUS. (T/F) | FALSE, IT MUST FLOW FROM INNER TO OUTER (ALPHABETICAL) |
IF EAR MEDICATIONS ARE NOT GIVEN AT ROOM TEMP THE CLIENT MAY EXPERIENCE..... | DIZZINESS, NAUSEA |
TO STRAIGHTEN THE EAR CANAL IN THE ADULT THE NURSE SHOULD PULL THE PINNA _____ AND ______. | UP AND BACK |
TO STRAIGHTEN THE EAR CANAL IN THE YOUNG CHILD UNDER 3 THE PINNA SHOULD BE PULLED _________ AND ________. | DOWN, BACK |
AFTER RECEIVING EAR DROPS THE CLIET SHOULD REMAIN IN ________ POSITION FOR ________ MINUTES. | SIDE LYING, 5 |
HOW FAR ABOVE THE EAR CANAL SHOULD U HOLD THE DROPPER WHILE ADMINISTERING EAR DROPS? | 1/2 INCH |
LIQUID DOSES OF MEDICATIONS SHOULD BE PREPARED AT ________ LEVEL | EYE |
LIQUID DRUGS SHOULD BE POURED OUT OF THE SIDE (OPPOSITE OF/THE SAME AS) THE LABEL. | OPPOSITE OF |
IT IS SAFE PRACTICE TO ADMINISTER DRUGS PREPARED BY ANOTHER NURSE. (T/F) | FALSE |
IN ORDER TO LEAVE DRUGS AT THE BEDSIDE U MUST HAVE A PHYSCIANS ORDER. (T/F) | TRUE |
YOUNG INFANTS ACCEPT MEDICATION BEST WHEN GIVEN WITH A ______________. | DROPPER |
IT IS SAFE PRACTICE TO RE CAP NEEDLES AFTER INJECTION. (T/F) | FALSE, NEVER RE-CAP |
WHAT DO U DO IF U GET BLOOD IN THE SYRINGE UPON ASPIRATION? | REMOVE THE SYRINGE IMMEDIATELY AND APPLY PRESSURE, U MUST DISCARD THE SYRINGE AND REDRAW MEDICATION IN A NEW SYRINGE |
WHEN DO U GIVE TAGAMENT? | GIVE WITH MEALS, REMEMBER ZANTAC DOES NOT HAVE TO BE GIVEN WITH MEALS |
WHEN DO U GIVE CAPOTEN? | GIVE ON EMPTY STOMACH, ONE HOUR BEFORE MEALS (ANTIHYPERTENSIVE) |
WHEN DO U GIVE APRESOLINE? | GIVEN WITH MEALS (ANTI-HYPERTENSIVE) |
WHEN DO U GIVE IRON WITH NAUSEA? | GIVE WITH MEALS |
WHEN DO U GIVE SULFONAMIDES? | TAKE WITH LOTS OF WATER REGARDLESS OF WHETHER U GIVE IT AT MEALTIME OR NOT---BACTRIM, SEPTRA, GANTRICIN, EX. USED TO TREAT UTI |
WHEN DO U GIVE CODEINE? | TAKE WITH LOTS OF WATER REGARDLESS OF MEALS--TO PREVENT CONSTIPATION |
WHEN DO U GIVE ANTACIDS? | GIVE ON AN EMPTY STOMACH 1 HR AC AND HS |
WHEN DO U GIVE IPECAC? | GIVE WITH 200-300 CC WATER--NOT RELATED TO MEALTIME--THIS IS AN EMETIC ( TO MAKE U VOMIT AFTER INJESTION OF POISONS--DONT GIVE IF THE POISONS WERE CAUSTIC, OR PETROLEUM BASED) |
WHEN DO U RIFAMPIN? | GIVE ON EMPTY STOMACH (ANTI TUBERCULOSIS) REMEMBER RIFAMPIN CAUSES RED URINE |
WHEN DO U GIVE A NON-STEROID ANTI-INFLAMMATORY DRUGS? | GIVE WITH FOOD (FOR ARTHRITIS) |
WHEN DO U GIVE ALDACTONE? | GIVE WITH MEALS (K - SPARING DIURETICS) |
WHEN DO U GIVE IRON WITHOUT NAUSEA? | GIVE ON EMPTY STOMACH WITH ORANGE JUICE TO INCREASE ABSORPTION |
WHEN DO U GIVE PENECILLIN? | GIVE ON EMPTY STOMACH |
WHEN DO U GIVE ERTHROMYCIN? | GIVE ON EMPTY STOMACH (ANTIBIOTIC) |
WHEN DO U GIVE STOOL SOFTENERS? | TAKE WITH LOTS OF WATER REGARDLESS OF MEALTIME |
WHEN DO U GIVE GRISEOFULVIN? | GIVE WITH MEALS--ESPECIALLY HIGH FAT MEALS (ANTI-FUNGAL) |
WHEN DO U GIVE TETRACYCLINE? | DO NOT GIVE WITH MILK PRODUCTS, DO NOT GIVE TO PREGNANT WOMEN OR CHILDREN BEFORE AGE 8 OR DAMAGE TO TOOTH ENAMEL OCCURS |
WHEN DO U GIVE THEOPHYLLINE DERIVATIVE? | GIVE WITH MEALS, EX. AMINOPHYLLINE, THEODUR---(ANTI-ASTHMATIC, BRONCHODILATOR) |
WHEN DO U GIVE STEROIDS? | GIVE WITH MEALS---REMEMBER TAPER THE PATIENT OFF THESE DRUGS |
WHEN DO U GIVE PANCREASE PANCREATIN ISOZYME? | GIVE WITH MEALS---THESE ARE ORAL ENZYMES USED WITH CHILDREN WITH CYSTIC FIBROSIS TO INCREASE THE ABSORPTION OF THE FOOD THEY EAT |
WHEN DO U GIVE PARA-AMINO SALICYLATE SODIUM (PAS)? | GIVE WITH MEALS/FOOD----ANTI TUBERCULOSIS |
WHEN DO U GIVE COLCHICINE? | GIVE WITH MEALS----ANTI-GOUT, REMEMBER IF DIARRHEA DEVELOPS, STOP THE DRUG |
WHEN DO U GIVE THORAZINE? | TAKE WITH LOTS OF WATER REGARDLESS OF MEALS TO PREVENT CONSTIPATION. ALL DRUGS THAT END IN -ZINE ARE MAJOR TRANQUILIZERS THAT ALSO CAUSE PSUEDO PARKINSON'S OR EXTRA-PYRAMIDAL EFFECTS |
WHEN DO U GIVE CARAFATE AND SULCRAFATE? | GIVE ON EMPTY STOMACH 1 HR BEFORE MEALS AND AT BETIME----REMEMBER THESE COAT THE GI TRACT AND INTERFERE WITH THE ABSORPTION OF OTHER MEDICATIONS (GIVE THEM BY THEMSELVES) |
WHEN DO U GIVE ALLOPURINOL? | GIVE WITH MEALS AND GIVE WITH LOTS OF WATER---ANTI0URIC ACID----USED TO TREAT GOUT AND THE PURINE BUILD UP SEEN IN CHEMOTHERAPY FOR CANCER |
DEFINE MENIERE'S DISEASE. | AN INCREASE IN ENDOLYMPH IN THE INNER EAR, CAUSING SEVERE VERTIGO |
WHAT IS THE FAMOUS TRIAD OF SYMPTOMS IN MENIERE'S? | PAROXYSMAL WHIRLING VERTIGO---SENSORINEURAL HEARING LOSS---TINNITUS (RINGING IN THE EARS) |
DOES MENIERE'S OCCUR MORE IN MEN OR WOMEN? | WOMEN |
WHAT SHOULD THE CLIENT DO IF THEY GET AN ATTACK? | BED REST |
WHAT SAFETY MEASURES SHOULD BE FOLLOWED WITH MENIERE'S? | SIDE RAILS UP X4, AMBULATE ONLY WITH ASSISTANCE |
WHAT AGE GROUP IN MENIERE'S HIGHEST IN? | 40-60 |
WHAT CAN PREVENT THE ATTACKS OF MENIERE'S? | AVOID SUDDEN MOVEMENTS |
WHAT ELECTROLYTE IS GIVEN TO PEOPLE WITH MENIERE'S? | AMMONIUM CHLORIDE |
WHAT IS THE SURGERY DONE FOR MENIERE'S? | LABYRINTHECTOMY |
WHAT DISEASE OFTEN FOLLOWS LABYRINTHECTOMY? | BELL'S PALSY----FACIAL PARALYSIS, WILL GO AWAY IN A FEW MONTHS |
WHAT IS THE ACTIVITY ORDER AFTER LABYRINTHECTOMY? | BED REST |
WHEN SURGERY IS PERFORMED FOR MENIERE'S WHAT ARE THE CONSEQUENCES? | HEARING IS TOTALLLY LOST IN THE SURGICAL EAR |
WHAT SHOULD THE CLIENT AVOID AFTER AFTER THE LAYRINTHECTOMY? | SUDDEN MOVEMENTS AND INCREASED NA FOODS |
WHAT TYPE OF DIET IS THE CLIENT WITH MENIERE'S ON? | LOW SALT |
WHAT TWO CLASSES OF DRUGS ARE GIVEN IN MENIERE'S? | ANTIHISTAMINES AND DIURETICS (DIAMOX) |
MENINGITIS IS AN INFLAMMATION OF THE ________ OF THE __________ AND SPINAL __________. | LININGS, BRAIN, CORD |
MENINGITIS CAN BE CAUSED BY _______, _______, AND ________. | VIRUSES, BACTERIA, CHEMICALS |
THE FOUR MOST COMMON ORGANISMS THAT CAUSE MENINGITIS ARE.... | PNEUMOCOCCUS,MENINGOCOCCUS, STREPTOCOCCUS, H. INFLUENZA |
THE CHILD WITH MENINGITIS IS MOST LIKELY TO BE (LETHARGIC/IRRITABLE) AT FIRST. | IRRITABLE |
WHAT VISUAL SYMPTOM WILL THE PATIENT WITH MENINGITIS HAVE? | PHOTOPHOBIA (OVER-SENSITIVITY TO LIGHT) |
WHAT IS THE MOST COMMON MUSCULO-SKELETAL SYMPTOM OF MENINGITIS? | STIFF NECK---NUCHAL RIGIDITY |
WILL THE PT WITH MENINGITIS HAVE A HEADACHE? | YES |
KERNIG'S SIGN IS POSITIVE WHEN THERE IS PAIN IN THE _______ WHEN ATTEMTING TO STRAIGHTEN THE LEG WITH THE ________ FLEXED. | KNEE, HIP |
WHAT TYPE OF VOMITING IS PRESENT IN MENINGITIS? | PROJECTILE |
WHAT IS THE DEFINITIVE DIANOSTIC TEST FOR MENINGITIS? | LUMBAR PUNCTURE WITH CULTURE OF CSF |
IF THE PT HAS MENINGITIS, THE CSF SHOWS _____ PRESSURE, ______WBC, ________ PROTEIN, _______ GLUCOSE. | INCREASED, INCREASED, INCREASED, DECREASED |
ON WHAT TYPE OF ISOLATION WILL THE PATIENT WITH MENINGITIS BE? | CONTACT AND RESPIRATORY PRECAUTIONS |
HOW LONG WILL TH PT WITH MENINGITIS BE ON THESE PRECAUTIONS? | UNTIL THEY HAVE BEEN ON AN ANTIBIOTIC FOR 48 HRS |
THE ROOM OF A PT WITH MENINGITIS SHOULD BE ______ AND ______. | DARK AND QUIET |
THE CLIENT WITH MENINGITIS CAN DEVELOP _______. | SEIZURES |
WHAT IS OPISTHOTONOS? | ARCHING OF BACK (ENTIRE BODY) FROM HYPEREXTENSION OF THE NECK AND ANKLES, DUE TO SEVERE MENINGEAL IRRITATION |
IF A PT HAS OPISTHOTONOS, IN WHAT POSITION WOULD U PLACE THEM? | SIDE-LYING |
AVERAGE DURATION OF MENSTRUAL FLOW IS ________. THE NORMAL RANGE IS ______ TO ______ DAYS. | 5 DAYS, 3-6 |
AVERAGE BLOOD LOSS DURING MENSTRUATION IS _______CC. | 50 - 60 CC |
NAME THE TWO PHRASES OF OVARIAN CYCLE. | FOLLICULAR PHRASE ( FIRST 14 DAYS), LUTEAL PHASE (SECOND 14 DAYS) |
IN THE MENSTRUAL CYCLE, DAY 1 IS THE DAY ON WHICH..... | MENSTRUAL DISCHARGE BEGINS |
HOW LONG DOES AN OVARIAN CYCLE LAST? | AVERAGE OF 28 DAYS |
HOW MANY DAYS AFTER OVULATION DOES MENSTRUATION BEGIN? | 14 DAYS |
WHAT HORMONES ARE ACTIVE DURING THE FOLLICULAR PHASE? | FSH AND ESTROGEN |
DURING THE LUTEAL PHASE OF OVARIAN CYCLE WHICH OF THE FOLLOWING HORMONES INCREASE: ESTROGEN, PROGESTERONE, OR LH? | PROGESTERONE AND LH |
WHAT IS THE MAJOR FUNCTION OF THE LUTEAL PHASE OF THE OVARIAN CYCLE? | TO DEVELOP AND MAINTAIN THE CORPUS LUTEUM WHICH PRODUCES PROGESTERONE TO MAINTAIN PREGNANCY UNTIL PLACENTA IS ESTABLISHED |
IF AN OVUM IS FERTILIZED DURING THE LUTEAL PHASE OF THE OVARIAN CYCLE. | HCG(HUMAN CHORIONIC GONADOTROPIN) |
DURING MENSTRUATION, THE AVERAGE DAILY LOSS OF IRON IS _______ MG. | 0.5 - TO 1.0 |
WHAT OCCURS DURING THE FOLLICULAR PHASE OF THE OVARIAN CYCLE? | IT ACCOMPLISHES MATURATION OF THE GRAAFIAN FOLLICLE WHICH RESULTS IN OVULATION |
WHAT TYPE OF ENVIRONMENTAL MODIFICATION IS BEST FOR A MIGRAINE? | ASSESSING THINGS THAT BRING ON STRESS AND THEN PLANNING TO AVOID THEM |
WHAT TYPE OF PAIN IS TYPICAL OF MIGRAINES? | THROBBING |
ARE MIGRAINES MORE OR LESS COMMON IN MEN? | LESS |
BESIDES PAIN, PEOPLE WITH MIGRAINES COMPLAIN OF WHAT OTHER SYMPTOMS? | NAUSEA AND VOMITING, AND VISUAL DISTURBANCES |
WHAT ARE THE PROCESSES OCCURRING IN MIGRAINES? | REFLEX CONTSTRICTION THEN DILATION OF CEREBRAL ARTERIES |
WHERE IS THE PAIN OF MIGRAINE MOST LIKELY LOCATED? | TEMPORAL, SUPRAORBITAL |
NAME A DRUG GIVEN TO TREAT MIGRAINE. | SANSERT (METHSERGIDE), CAFERGOT(PROPPHLAXIS: IMIPRAMINE) |
ARE MIGRAINE HEADACHES USUALLY UNILATERAL OR BILATERAL? | UNILATERAL |
WHEN INDERAL IS GIVEN IN MIGRAINE HEADACHE, IS IT USED TO PREVENT OR TREAT AN ATTACK? | TO PREVENT, IT DOES NOT TREAT |
MS (MULITPLE SCLEROSIS) IS A PROGRESSIVE ________ DISEASE OF THE CNS. | DEMYELINATING |
MYELIN PROMOTES _______, ______ _______ OF NERVE IMPULSES. | FAST, SMOOTH CONDUCTION |
WITH DEMYELINATION THE NERVE IMPULSES BECOME _________ AND _______. | SLOW, UNCOORDINATED |
MS AFFECTS MEN MORE THAN WOMEN. (T/F) | FALSE |
WHAT AGE GROUP USUALLY GETS MS? | 20 - 40 |
MS USUALLY OCCURS IN (HOT/COOL) CLIMATES. | COOL |
WHAT IS THE FIRST SIGN OF MS? | BLURRED OR DOUBLE VISION |
MS CAN LEAD TO URINARY INCONTINENCE. (T/F) | TRUE |
MS CAN LEAD TO IMPOTENCE IN MALES. (T/F) | TRUE |
PATIENTS WITH MS SHOULD BE TAUGHT TO WALK WITH A ___________ - __________ GAIT. | WIDE-BASED |
WHY ARE ADRENOCORTICOTROPIC HORMONE (ACTH) AND PREDNISONE GIVEN DURING ACUTE MS? | TO DECREASE EDEMA IN THE DEMYELINATION PROCESS |
FOR ACUTE EXACERBATIONS OF MS __________ PER IV IS OFTEN USED. | ACTH(CORTICOTROPIN) |
WHAT DRUG CAN BE GIVEN TO TREAT URINARY RETENTION IN MS? | URECHOLINE, BETHANOCOL |
WILL THE MUSCLES OF MS CLIENTS BE SPASTIC OR FLACCID. | SPASTIC |
WHAT 3 DRUGS CAN BE GIVEN FOR MUSCLE SPASMS? | CALIUM, BACLOFEN(LIORESAL), DANTRIUM |
PATIENTS WITH MS SHOULD HAVE (INCREASED/RESTRICTED) FLUIDS. | INCREASED TO DILUTE URINE AND REDUCE INCIDENCE OF UTI |
BACLOFEN CAUSES (CONSTIPATION/DIARRHEA). | CONSTIPATION |
DANTRIUM CAUSES (CONSTIPATION/DIARRHEA)/ | DIARRHEA (HINT: THE D'S GO TOGETHER, DANTRIUM AND DIARRHEA) |
THE DIET OF A PT WITH MS SHOULD BE _____-ASH. | ACID |
WHAT MAJOR SENSE IS AFFECTED MOST IN MS (BESIDES VISION)? | TACTILE(TOUCH)---THEY BURN THEMSELVES EASILY |
WHICH WILL BRING ON A MS EXACERBATION: OVER-HEATING OR CHILLING? | BOTH WILL; BUT THEY TEND TO DO BETTER IN COOL WEATHER (SUMMER WILL ALWAYS BE A BAD TIME FOR MS PATIENTS) |
IN MYASTHENIA GRAVIS (MG) THERE IS A DISTURBANCE IN TRANSMISSION OF IMPULSES AT THE ________ _______. | NEUROMUSCULAR JUNCTION |
THE #1 SIGN OF MG IS ________ _______ ________. | SEVERE MUSCLE WEAKNESS |
WHAT IS THE UNIQUE ADJECTIVE GIVEN TO DESCRIBE THE EARLY SIGN OF MG? | THE EARLY SIGNS(DIFFICULTY SWALLOWING, VISUAL PROBLEMS) ARE REFERRED TO AS BULBAR SIGNS. |
MG AFFECTS MEN MORE THAN WOMEN. (T/F) | FALSE, AFFECTS WOMEN MORE THAN MEN |
WHEN WOMEN GET MG THEY ARE USUALLY OLD OR YOUNG? | YOUNG |
WHEN MEN GET MG THEY ARE USUALLY OLD OR YOUNG? | OLD |
WHAT NEUROTRANSMITTER IS PROBLEMATIC IN MG? | ACETYLCHOLINE |
WHAT CLASS OF DRUG IS USED TO TREAT MG? | ANTICHOLINESTERASES |
WHAT ENDING DO ANTICHOLINESTERASES HAVE? | -STIGMINE |
ARE ANTICHOLINESTERASES SYMPATHETIC OR PARASYMPATHETIC? | PARASYMPATHETIC |
ANTICHOLINESTERASES WILL HAVE (SYMPATHETIC/CHOLINERGIC)SIDE EFFECTS. | CHOLINERGIC (THEY WILL MIMIC THE PARASYMPATHETIC NERVOUS SYSTEM) |
WHAT SURGERY CAN BE DONE FOR MG? | THYMECTOMY (REMOVAL OF THE THYMUS) |
THE SEVERE MUSCLE WEAKNESS OF MG GETS BETTER WITH EXERCISE. (T/F) | FALSE, IT IS WORSE WITH ACTIVITY |
WHAT WILL THE FACIAL APPEARANCE OF A PT WITH MG LOOK LIKE? | MASK-LIKE WITH A SNARLING SMILE(CALLED A MYSATHENIC SMILE) |
IF A PT HAS MG, WHAT WILL BE THE RESULTS OF THE TENSILON TEST? | THE WILL SHOW A DRAMATIC SUDDEN INCREASE IN MUSCLE STRENGTH |
BESIDES THE TENISLON TEST, WHAT OTHER DIAGNOSTIC TESTS CONFIRM A DIAGNOSIS OF MG? | ELECTROMYLOGRAM(EMG) |
WHAT IS THE MOST IMPORTANT THING TO REMEMBER ABOUT GIVING MESTINON AND OTHER ANTICHOLINESTERASES? | THEY MUST BE GIVEN EXACTLY ON TIME; AT HOME, THEY MIGHT NEED TO SET THEIR ALARM |
DO U GIVE ANTICHOLINESTERASES WITH OR WITHOUT FOOD? | WITH FOOD, ABOUT 1/2 HOUR AC; GIVING AC HELPS STRENGTHEN MUSCLES OF SWALLOWING |
WHAT TYPE OF DIET SHOULD THE PT WITH MG BE ON? | SOFT |
WHAT EQUIPMENT SHOULD BE AT THE BEDSIDE OF AN MG PT? | SUCTION APPARATUS (FOR MEALS), TRACHEOSTOMY/ENDOTUBE(FOR VENTILATION) |
NAME TWO TYPES OF CRISIS THAT A MG PT CAN HAVE? | CHOLINERGIC (TOO MUCH MESTINON) |
THE #1 DANGER IN BOTH MYASTHENIC AND CHOLINERGIC CRISIS IS _______ _______. | RESPIRATORY ARREST |
WHAT WORDS WILL THE CLIENT USE TO DESCRIBE THE PAIN OF AN MI? | CRUSHING, HEAVY, SQUEEZIN, RADIATING TO LEFT ARM, NECK, JAW, SHOULDER |
WHAT IS AN MI? | EITHER A CLOT, SPASM OR PLAQUE THAT BLOCKS THE CORONARY ARTERIES CAUSING LOSS OF BLOOD SUPPLY TO THE HEART AND MYOCARDIAL CELL DEATH |
WHAT IS THE #1 SYMPTOM OF AN MI? | SEVERE CLIENT PAIN UNRELIEVED BY REST AND NITROGLYCERINE |
MALES ARE MORE LIKELY TO GET AN MI THAN FEMALES. (T/F) | TRUE |
DEATH DUE TO MI OCCURS WITHIN _______ OF SYMPTOM ONSET IN 50% OF ALL PTS. | ONE HOUR |
WHAT PAIN MED IS GIVEN FOR THE PAIN OF AN MI? | MORPHINE, DEMEROL, NITROGLYCERINE |
WHAT IS THE REASON FOR GIVING POST MI PTS ASA? | TO PREVENT PLATELETS FROM FORMING CLOTS IN THE CORONARY ARTERIS |
NAME A NEW DRUG WITH ANTI-PLATELET ACTIVITY. | PLAVIX |
THE 3 MOST COMMON COMPLICATIONS AFTER MI ARE ______ _______, _______ AND ________. | CARDIOGENIC SHOCK, ARRHYTHMIA, CHF |
GIVE ANOTHER NAME FOR MI. | HEART ATTACK |
WHAT WILL THE ACTIVITY ORDER BE FOR A POST-MI CLIENT? | BED REST WITH BEDSIDE COMMODE |
WHAT IS THE MOST COMMON ARRHTHMIA AFTER A MI? | PREMATURE VENTRICULAR CONTRACTIONS (PVC'S) |
WHAT CARDIAC ENZYMES INDICATE AN MI? | ELEVATED CPK, LDH, SGOT |
WHAT SERUM PROTEIN RISES SOONEST AFTER MYOCARDIAL CELL INJURY? | TROPONIN |
DO PEOPLE WITHOUT CELL DAMAGE HAVE TROPONIN IN THEIR BLOOD? | NO, IT IS ONLY PRESENT WHEN MYOCARDIAL CELLS ARE DAMAGED |
HOW SOON AFTER CELL DAMAGE DOES TROPONIN INCREASE? | AS SOON AS 3 HRS (CAN REMAIN ELEVATED FOR 7 DAYS) |
WHEN WILL THE CLIENT WITH AN MI BE ALLOWED TO ENGAGE IN SEXUAL INTERCOURSE AFTER AN MI? | 6 WKS AFTER DISCHARGE |
WILL FLUID RESUSCITATION (ADMINISTERING LARGE AMOUNTS OF IV FLUID) TREAT CARDIOGENIC SHOCK? | NO, U MUST USE THE CARDIAC DRUGS (GIVING IV'S AND BLOOD WILL NOT HELP THIS KIND OF SHOCK) |
WILL THE CLIENT WITH A MI BE NAUSEATED? DIAPHORETIC? | YES, YES |
WHAT WILL THE EXTREMITIES OF THE CLIENT WITH A MI FEEL LIKE? | COLD, CLAMMY |
WHAT IS THE PERMANENT EKG CHANGE SEE POST MI? | ST WAVE CHANGES |
OF CPK AND LDH WHICH RISES EARLIEST? | CPK |
WHAT DRUG WILL BE USED TO TREAT PVC'S OF MI? | LIDOCAINE |
WILL THE CLIENT WITH A MI NEED 100% O2 FOR THEIR ENTIRE STAY IN THE HOSPITAL? | NO, JUST MODERATE FLOW (42% OR 3 - 5 LITERS FOR FIRST 48 HRS) |
VEGETABLES HISGHEST IN Na+ ARE _______. | CANNED VEGETABLES |
THE FRUIT FOOD THAT IS THE HIGHEST IN Na+ IS _______. | TOMATO SAUCE |
AS A RULE, FRESH MEATS ARE ______ IN Na+. | LOW |
AS A RULE, CANNED MEATS ARE ______ IN Na+. | VERY HIGH |
AS A RULE, SMOKED FOODS ARE _____ IN Na+. | VERY HIGH |
AS A RULE, FRUITS ARE ______ IN Na+. | LOW |
AS A RULE, VEGETABLES ARE ______ IN Na+. | LOW |
AS A RULE, WHICH ARE HIGHER IN SODIUM....VEGETABLES OR FRUITS? | VEGETABLES |
AS A RULE, WHICH ARE HIGHER IN SUGARS... VEGETABLES OR FRUITS? | FRUITS |
AS A RULE, BREADS/CEREALS ARE ______ IN Na+. | MODERATELY HIGH |
AS A RULE, PROCESSED MEATS AND CHEESES ARE _______ IN Na+. | VERY HIGH |
MARGARINE IS MUCH LOWER IN Na+ THAN BUTTER. (T/F) | FALSE IT IS THE SAME |
SALT SUBSTITUES CONTAIN POTASSIUM. (T/F) | TRUE, SO BEWARE |
AN NG(NASOGASTRIC) TUBE IS INSERTED INTO THE ______ VIA THE ______. | STOMACH, NARES |
U CAN FEED A CLIENT THROUGH A NG TUBE. (T/F) | TRUE |
WHEN AN NG TUBE IS BEING USED FOR DECOMPRESSION WHAT IS HAPPENING? | THE STOMACH IS BEING EMPTIED OF ITS CONTENTS BY SUCTION |
NG TUBES ARE USED TO PUMP THE STOMACH OF DRUG OVERDOSE CLIENTS. (T/F) | TRUE |
WHAT DOES GAVAGE MEAN? | FEED A CLIENT WITH A TUBE |
WHAT DOES LAVAGE MEAN? | TO CONTINOUSLY IRRIGATE THE STOMACH VIA A NG |
WHEN AN NG TUBE IS USED TO STOP GASTRIC HEMORRHAGE, IT IS IRRIGATED WITH _______ ______. | ICED TAP WATER |
HOW LONG DO U IRRIGATE AN NG WITH ICED TAP WATER WHEN THE STOMACH IS BLEEDING? | UNTIL THE IRRIGATING SOLUTION COMES BACK OUT CLEAR |
WHAT IS THE MAXIMUM SUCTION LEVEL USED TO DECOMPRESS THE GI TRACT VIA NG? | 25 mmHg |
WHY ARE SALEM SUMP TUBES BEST SUITED FOR SAFE GASTRIC SUCTIONING? | BECAUSE THEY HAVE VENTS THAT PREVENT DAMAGE TO THE GASTRIC MUCOSA |
WHEN A NG TUBE IS IN FOR A LONG TIME IT MUST BE REPLACED EVERY _____ TO ______ WEEKS. | 2 - 3 WEEEKS |
PEOPLE WITH A NG TUBE WILL BREATHE THROUGH THEIR ______. | MOUTH (MOUTH CARE IS IMPORTANT) |
THE BEST WAY THAT THE NURSE CAN CHECK IF THE NG IS IN THE STOMACH IS..... | TO ASPIRATE GASTRIC CONTENTS, AUSCULTATING THE GASTRIC AIR BUBBLE IS THE SECOND BEST WAY. |
BEFORE U PUT ANYTHING DOWN THE NG U MUST DO WHAT? | U MUST CHECK TO SEE IF THE NG PLACEMENT IS IN THE STOMACH |
IN WHAT POSITION SHOULD THE CLIENT BE WHEN A NG IS BEING INSERTED? | SITTING UP WITH HEAD SLIGHTLY EXTENDED UNTIL THE TUBE REACHES THE BACK OF THE THROAT THEN HAVE THEM MILDLY FLEX THE NECK TO PUSH THE TUBE IN ALL THE WAY |
HOW DO U DETERMINE HOW FAR TO PUT A NG TUBE IN? | MEASURE FROM THE TIP OF THE NOSE TO THE BACK OF THE EAR THEN TO THE XIPHOID PROCESS |
IN WHAT POSITION SHOULD THE CLIENT BE DURING A CONTINOUS NG TUBE FEEDING? | HEAD OF BED MUST BE ELEVATED 30 DEGRESS (SEMI-FOWLERS WOULD BE ACCEPTABLE) |
IS NEPHROTIC SYNDROME A DISEASE? | NO, IT IS NOT SPECIFIC DISEASE, IT IS A FROUP OF SYMPTOMS THAT CAN RESULT FROM MANY DISEASES |
IS THERE ANY HEMATURIA IN NEPHROSIS? | NO, THERE IS NO HEMATURIA IN THE -OSES, BUT THERE IS HEMATURIA IN THE ITIS'S. |
WHAT ARE THE DIETARY MODIFICATIONS FOR NEPHROSIS? | HIGH CARBOHYDRATES, MODERATE PROTEIN, LOW SODIUM |
WHAT IS THE #1 NURSING DIAGNOSIS IN NEPHROSIS? | GENERALIZED SEVERE EDEMA |
WHAT 2 CLASSES OF DRUGS ARE GIVEN FOR NEPHROSIS? | STEROIDS, DIURETICS |
IS BED REST COMMON IN TREATING NEPHROSIS? | IT IS OCCASIONALLY DONE, BUT NMOT NEARLY AS COMMON AS IN ACUTE GLOMERULO-NEPHRITIS, IT USUALLY IS MOST APPROPRIATE WHEN EDEMA IS SEVERE. |
IN NEPHROTIC SYNDROME, THE BLOOD PRESSURE WIL BE MOST LIKELY (HYPERTENSIVE/HYPOTENSIVE)? | HYPERTENSIVE: REMEMBER IN ACUTE GLOMERULONEPHRITIS, THE BLOOD PRESSURE IS HYPERTENSIVE AS WELL |
IN NEPHROTIC SYNDROME, THE URINE IS (FROTHY/VERY DARK OR TEA-COLORED)? | FROTHY: REMEMBER IN AGN, IT IS TEA-COLORED |
IS SCROTAL EDEMA COMMON IN NEPHROSIS? | YES |
WHAT IS DONE FOR SCROTAL EDEMA? | ELEVATE THE SCROTUM ON A SCROTAL SLING AND APPLY ICE |
NAME THE 3 SUB SCALES IN THE GLASGOW COMA SCALE (GCS). | BEST EYE OPENING (E), BEST VERBAL RESPONSE (V), AND BEST MOTOR RESPONSE(M) |
WHAT IS THE MAXIMUM SCORE ON THE GCS? | 15 |
WHAT IS THE MINIMUM SCORE ON THE GCS? | 3 |
A SCORE EQUAL TO OR BELOW _______ ON THE GCS IS CONSIDERED COMA. | 7 |
PUPILLARY REACTION TESTS CRANIAL NERVE #____. | 3 |
A RESPIRATRORY PATTERN IN WHICH THERE IS ALTERNATIN BETWEEN APNEA AND HYPERVENTILATION IS KNOWN AS ...... | CHEYENNE-STOKES |
A VALUE OF 20/80 ON CISUAL ACUITY MEANS THAT THE PATIENT CAN SEE AT ________ FEET WHAT NORMAL PEOPLE SEE AT _____ FEET. | 20, 80 |
BABINSKI'S REFLEX IS TESTED BY STROKING THE _______. | BOTTOM LATERAL SURFACES OF THE FOOT |
IT IS ALWAYS PATHOLOGIC IF A BABINSKI IS NEGATIVE. (T/F) | FALSE, NON-WALKING INFANTS NORMALLY HAVE A POSITIVE BABINSKI, WALKIN INFANTS, TODDLERS AND ALL OTHER PEOPLE SHOULD NORMALLY HAVE A NEGATIVE BABINSKI |
WHEN A BABINSKI IS POSITIVE THE _____ _____ _____ FLEXES AND THE OTHER ______ FAN OUT. | GREAT TOE DORSIFLEXES, TOES |
IN DECORTICATE POSTURING, THE LEGS ARE _____ AND THE NECK AND ARMS ARE _____ AND _____ ROTATED. | EXTENDED, FLEXED, INTERNALLY |
IN DECEBERATE POSTURING, THE LEGS ARE ______ AND THE ARMS, NECK AND BACK ARE ______. | EXTENDED, EXTENDED(PRONATED) |
A SCORE OF 4 FOR A REFLEX MEANS THAT IT IS __________. | HYPERACTIVE |
CEREBELLAR FUNCTION IS EVALUATED BY TESTING FOR _______, ______, ______, _____. | POSTURE, GAIT, BALANCE, COORDINATION (EX. ROMBERGS SIGN) |
DEFINE ASSAULT. | A THREAT OR AN ATTEMPT TO MAKE BODILY CONTACT WITH ANOTHER PERSON WITHOUT THAT PERSON CONSENT |
DEFINE BATTERY. | AN ASSAULT THAT IS CARRIED OUT |
DEFINE COMMON LAW. | LAW RESULTING FROM COURT DECISION THAT IS THEN FOLLOWED WHEN OTHER CASES INVOLVING SIMILAR CIRCUMSTANCES ARISE |
DEFINE MALPRACTICE. | AN ACT OF NEGLIGENCE---COMMONLY USED WHEN SPEAKING OF NEGLIGENT ACTS COMMITTED BY A PERSON WORKING IN A CERTAIN PROFESSION, SUCH AS MEDICINE OR NURSING |
DEFINE ETHICS. | A SYSTEM THAT DEFINES ACTIONS WITH RESPECT TO THEIR BEING JUDGED RIGHT OR WRONG |
DEFINE FALSE IMPRISONMENT. | UNJUSTIFIABLE RESTRAINT OR PREVENTION OF THE MOVEMENT OR A PERSON WITHOUT PROPER CONSENT |
DEFINE MISDEMEANOR. | A WRONG OF LESS SERIOUSNESS THAN A FELONY |
DEFINE GOOD SAMARITAN LAW. | LAW THAT GIVES CERTAIN PERSONS LEGAL PROTECTION WHEN GIVING AID TO SOMEONE IN AN EMERGENCY |
DEFINE FELONY. | A WRONG OF SERIOUS NATURE |
DEFINE NEGLIGENCE. | PERFORMING AN ACT THAT A REASONABLE AND COMPARABLE PERSON UNDER SIMILAR CIRCUMSTANCES WOULD NOT DO, OR FAILING TO PERFORM AN ACT THAT A REASONABLE AND COMPARABLE PERSON UNDER SIMILAR CIRCUMSTANCES WOULD DO |
DEFINE INVASION OF PRIVACY. | A WRONGFUL ACT THAT VIOLATES THE RIGHT OF A PERSON TO LET ALONE |
DEFINE LIABLE. | BEING ACCOUNTABLE, RESPONSIBLE , OR ANSWERABLE FOR AN ACT |
DEFINE LIBEL. | A WRITTEN UNTRUTHFUL STATEMENT ABOUT A PERSON THAT SUBJECTS HIM/HER TO RIDICULE OR CONTEMPT |
DEFINE SLANDER. | A SPOKEN UNTRUTHFUL STATEMENT ABOUT A PERSON THAT SUBJECTS HIM/HER TO RIDICULE OR CONTEMPT |
HOW COULD A NURSE BE CONVICTED OF ASSAULT? | IF THE CLIENT PERCEIVES THAT THE NURSE INTENDS TO DO A PROCEDURE WITHOUT CONSENT OR JUSTIFICATION |
HOW COULD A NURSE BE CONVICTED OF BATTERY? | IF THE NURSE WILLFULLY TOUCHED A CLIENT IN ANY MANNER THAT IS WRONG IN SOME WAY |
CLIENTS HAVE A RIGHT TO REFUSE NURSING INTERVENTIONS. (T/F) | TRUE |
UF A NURSE USES RESTRAINTS TO KEEP A CLIENT, WHO IS A DANGER TO HIMSELF IN BED, THE NURSE IS LIKELY TO BE CONVICTED OF FALSE IMPRISONMENT. (T/F) | FALSE, U CAN DETAIN/RESTRAIN A PERSON AGAINST THEIR WILL IF THEY ARE: 1. A THREAT TO SELF; 2. A THREAT TO OTHERS |
IN ORDER TO LEGALLY SIGN AS A WITNESS TO INFORMED CONSENT, THE NURSE MUST HAVE BEEN PRESENT WHEN THE PHYSCIAN AND CLIENT DISCUSSED THE PROCEDURE. (T/F) | FALSE. U ARE ONLY WITNESSING THAT THE PT WAS THE ONE WHO SIGNED THE CONSENT |
IT IS NOT NECESSARY FOR THE NURSE TO DETERMINE IF THE CLIENT UNDERSTANDS WHAT THE PHYSICIAN SAID IN ORDER TO WITNESS AN INFORMED CONSENT. | TRUE, U ARE ONLY WITNESSING A SIGNATURE |
CAN A PT LEGALLY SIGN AN INFORMED CONSENT AFTER THEY HAVE RECEIVED THE PREMEDICATION ANALGESIC FOR A PROCEDURE? | NO, THE PT WOULD BE CONSIDERED TO BE UNDER THE INFLUENCE OF A MIND-ALTERING DRUG. THE SONSENT WOULD BE INVALID |
NAME 3 GROUPS OF PEOPLE WHO CANNOT GIVE LEGAL CONSENT. | MINOR, UNCONSCIOUS CLIENT (EVEN UNDER INFLUENCE OF CNS DRUGS), MENTALLY ILL |
IN AN EMERGENCY SITUATION, WHEN CLIENT AND FAMILY CANNOT GIVE CONSENT, CONSENT IS ASSUMED AND TREATMENT PROCEEDS. (T/F) | TRUE |
THE LEGALITY OF NO CODE OR CLOW CODE ORDERS IS WELL-ESTABLISHED IN THE COURTS. (T/F) | FALSE--NO DIFINITIVE POLICY IN THE COURTS EXISTS AT THIS TIME--DEALT WITH ON A CASE-BY-CASE BASIS |
ANZIETY-PRODUCING THOUGHTS ARE CALLED______. | OBSESSIONS |
REPETITIVE ACTIONS DESIGNED TO REDUCE ANXIETY ARE CALLED ________. | COMPULSIONS---SUCH AS WASHING HANDS OVER AND OVER, DUSTING FURNITURE 3 HOURS PERDAY, REFUSING TO TURN UR BACK TO ANYONE |
WHICH DEFENSE MECHANISM IS MOST CLOSELY ASSOCIATED WITH OBSESSIVE-COMPULSIVE DISORDER? | DISPLACEMENT |
SHOULD U ALLOW AN OBSESSIVE-COMPULSIVE PERSON TO PERFORM THEIR COMPULSIVE BEHAVIOR? | YES, GIVE THEM TIME TO DO THEIR RITUAL AND TRY TO SET A TIME LIMIT AND REDIRECT |
SHOULD U EVER MAKE AN OBSESSIVE-COMPULSIVE PERSON STOP THEIR COMPULSIVE BEHAVIOR? | NO, THEY WILL BECOME VERY ANXIOUS |
IS THE PATIENT WITH OBSESSIVE-COMPULSIVE DISORDER NEUROTIC OR PSYCHOTIC? | NEUROTIC---THEY KNOW REALITY |
SHOULD U CONFRONT THE OBSESSIVE---COMPULSIVE PT WITH THE ABSURDITY OF THEIR BEHAVIOR? | NO, JUST SAY THINGS LIKE YOU WASHED UR HANDS FOR SO LONG U MUST HAVE BEEN VERY ANXIOUS |
WHAT SHOULD U DO IF AN OBSESSIVE-COMPULSIVE PT IS ALWAYS LATE DUE TO THEIR RITUALS? | GET THEM STARTED EARLIER--FOR EX. IF THEY WASH THEIR HANDS FOR 1/2 HR BEFORE MEALS AND ARE ALWAYS LATE FOR BREAKFAST, JUST GET THEM STARTED 1/2 HR EARLIER |
WHAT ARE THE 2 TYPES OF ORAL CONTRACEPTIVES? | PROGESTIN ONLY AND COMBINATION PROGESTERONE AND ESTROGEN |
HOW MANY DAYS OF THE MENSTRAUL CYCLE DO U TAKE THE PROGESTIN ONLY PILL? | ALL 28 DAYS |
HOW MANY DAYS OF THE MENSTRUAL CYCLE DO U TAKE THE COMBINATION PILL? | U TAKE IT ON DAYS 5-24, BUT NOT ON DAYS 24-28 AND 1-4(8 DAYS OFF) |
HOW LONG BEFORE SURGERY MUST U DISCONTINUE ORAL CONTRACEPTIVES? | ONE WEEK BEFORE SURGERY |
IF A WOMAN FORGETS TOT AKE THJE PILL ONE DAY, WHAT SHOULD SHE DO? | TAKE IT AS SOON AS SHE REMEMBERS IT, AND TAKE NEXT PILL AT REGULAR TIME |
WHAT IF A WOMAN FORGETS TO TAKE THE PILL FOR TWO DAYS IN A ROW? WHAT SHOULD SHE DO? | TAKE 2 PILLS A DAY FOR TWO DAYS IN A ROW AND THEN RESUME NORMAL SCHEDULE |
WHAT SHOULD A WOMAN DO IF SHE FORGETS TO TAKE HER PILL 3 DAYS OR MORE? | THROW AWAY PACK AND START NEW PACK SAME DAY---USE BACK UP CONTRACEPTIVE METHOD FOR 7 DAYS |
IF A WOMAN DOESNT STOP ORAL CONTRACEPTIVES ONE WEEK BEFORE SURGERY SHE IS AT RISK FOR DEVELOPING________. | THROMBOPHLEBITIS |
PEOPLE WHO SMOKE MORE THAN _______ CIGARETTES PER DAY SHOULD NOT BE ON ORAL CONTRACEPTIVES. | 15, BECAUSE IF U SMOKE U HAVE CONSTRICTION OF VESSELS AND THIS POTENTATES THE CHANCES THAT A WOMAN ON ORAL CONTRACEPTIVES WILL GET THROMBOPHLEBITIS |
IF A WOMAN ON ORAL CONTRACEPTIVES MISSES A PERIOD, SHOULD SHE STILL TAKE PILLS? | YES, HOWEVER IF 2 MISSED PERIOS OCCUR, STOP AND HAVE A PREGNANCY TEST |
WILL BREAKTHROUGH BLEEDING, NAUSEA AND VOMITING AND BREAST TENDERNESS GO AWAY WHEN A WOMAN IS ON ORAL CONTRACEPTIVES? | YES, AFTER ABOUT 3-6 MONTHS OF TREATMENT |
OSTEOARTHRITIS IS A __________ DISEASE OF THE __________. | DEGENERATIVE, JOINT |
OSTEOARTHRITIS IS MOST COMMONLY CAUSED BY THE WEAR AND TEAR OF LIFE. (T/F) | TRUE |
THE MOST COMMON SYMPTOM OF OSTEOARTHRITIS IS _________ _________. | JOINT PAIN |
WHAT 2 JOINTS ARE MOST COMMONLY AFFECTED IN OSTEOARTHRITIS? | KNEE AND HIP |
TO CONTROL THE PAIN OF OSTEOARTHRITIS ONE SHOULD USE HEAT OR COLD? | HEAT |
WHAT 3 MEDS ARE USED IN OSTEOARTHRITIS? | ASPIRIN, NON-STEROIDAL ANTI-INFLAMMATORY(INDOCIN, IBUPROFEN), STEROIDS |
WHAT DO U OBSERVE ON THE FINGERS OF THE CLIENT WITH OSTEARTHRITIS? | HEBERDENS NODES |
ARE HEBERDENS NODES PAINFUL? | NOT IN THE BEGINNING, CAN BE LATER AS SWELLING OCCURS |
ARE REST PERIODS AND RANGE OF MOTION EXERCISES APPROPRIATE IN THE CARE OF OSTEOARTHRITIS? | YES, REST IS PROBABLY THE MOST EFFECTIVE THING THEY CAN DO |
THE PAIN OF OSTEOARTHRITIS IS USUALLY BETTER OR WORSE WITH REST? WITH ACTIVITY? | BETTER WITH REST, WORSE WITH ACTIVITY |
WHAT AGE GROUP GETS OSTEOARTHRITIS? | 60 - 80 |
OSTEOARTHRITIS IS MORE COMMON IN FEMALES> (T/F) | FALSE, IT OCCURS WITH EAQUAL FREQUENCY |
FOR CERVICAL OSTEOARTHRITIS THE CLIENT SHOULD WEAR.... | A CERVICAL COLLAR |
WHAT IS ARTHROPLASTY? | JOINT REPLACEMENT |
WHAT IS ARTHRODEIS? | JOINT FUSION |
WHAT IS OTOSCLEROSIS? | OVERGROWTH OF SPONGY BONE IN THE MIDDLE EAR THAT DOESNT ALLOW THE BONES OF THE MIDDLE EAR TO VIBRATE |
WHAT WILL THE CLIENT WITH OTOSCLEROSIS COMPLAIN OF BESIDES HEARING LOSS? | BUZZING OR RINGING IN THE EARS(TINNITUS) |
DO PEOPLE HAVE A LOSS OF HEARING WITH THIS? | YES |
WHAT IS A CORRECTIVE SURGERY FOR OTOSCLEROSIS CALLED? | STAPEDECTOMY |
SHOULD SIDE RAILS BE UP AFTER STAPEDECTOMY? | YES, CLIENT MAY FEEL DIZZY |
WHAT SHOULD THE CLIENT AVOID POST-STAPEDECTOMY? | COUGHING, SNEEZING, BLOWIND NOSE, SWIMMING, SHOWERS, FLYING |
WHAT WARNING SHOULD U GIVE THE CLIENT ABOUT GETTING UP AFTER STAPEDECTOMY? | GET UP SLOWLY |
WHAT SHOULD THE CLIENT EXPECT REGARDING HEARING POST-STAPEDECTOMY? | AN INITIAL DECREASE WITH THE BENEFITS OF SURGERY NOTICEABLE IN 6 WEEKS |
WHAT SHOULD THE CLIENT DO IF HE MUST SNEEZE? | OPEN HIS MOUTH, THIS DE-PRESSURIZES THE MIDDLE EAR |
WHAT TYPE OF HEARING LOSS IS ASSOCIATED WITH OTOSCLEROSIS? | CONDUCTIVE |
WHICH SEX HAS A HIGHER INCIDENCE OF OTOSCLEROSIS? | WOMEN |
DO HEARING AIDS HELP HEARING IN OTOSCLEROSIS? | YES |
WHAT WILL BE THE RESULTS OF THE RINNE TEST IN OTOSCLEROSIS? | BONE CONDUCTION WILL BE BETTER THAT AIR CONDUCTION |
IS STAPEDECTOMY DONE UNDER GENERAL OR LOCAL ANESTHESIA? | LOCAL |
UF THE CLIENT COMPLAINS OF DECREASED HEARING AFTER STAPEDECTOMY WHAT WOULD U SAY? | IT IS NORMAL DUE TO EDEMA. THE HEARING WILL START TO IMPROVE WITHIN 6 WEEKS |
WHICH SIDE WILL THE CLIENT BE ALLOWED TO LIE UPON POST-STAPEDECTOMY? | DEPENDS ON MD; OPERATIVE SIDE PROMOTES DRAINAGE, UN-OPERATIVE SIDE PREVENTS GRAFT DISLODGEMENT. DONT MAKE A BIG DEAL OF POSITION POST-OP |
WHAT 2 DRUGS ARE COMMONLY GIVEN POST-STAPEDECTOMY? | CODEINE/DEMEROL FOR PAIN, DRAMAMINE FOR DIZZINESS |
CYSTS ON THE OVARIES ARE USUALLY MALIGNANT. | FALSE, USUALLY BENIGN |
WHAT IS THE #1 REASON WHY MD'S REMOVE OVARIAN CYSTS? | REMOVE BEFORE THEY TRANSFORM INTO MALIGNANT |
DO SMALL OVARIAN CYSTS CAUSE SYMPTOMS? | NO, ONLY LARGE ONES |
COMMON SIGNS OF LARGE OVARIAN CYSTS ARE.... | LOW BACK PAIN, PELVIC PAIN, ABNORMAL BLEEDING |
WHAT DOES TORSION OF OVARIAN CYST MEAN? | TWISTING OF CYST WITH INTERRUPTION OF ITS BLOOD SUPPLY |
WHAT IS THE BIG DANGER FROM TORSION? | NECROSIS AND RUPTURE OF OVARY |
WHAT OTHER DISORDERS RESEMBLE RUPTURE OF OVARIAN CYSTS? | APPENDICITIS, RUPTURE OF A FALLOPIAN TUBE PREGNANCY |
WHAT AFFECT DO ORAL CONTRACEPTIVES HAVE ON OVARIAN CYSTS? | THEY CAUSE IT TO STOP GROWING AND DECREASE IN SIZE |
WHAT ARE THE 3 MOST COMMON SIGNS OF OVARIAN CYSTS RUPTURE? | PAIN, ABDOMINAL DISTENTION, ABDOMINAL RIGIDITY |
COMPARE SIGNS OF NON-RUPTURED OVARIAN CYST. (GIVE 3 FOR EACH) | NON RUPTURED:LOW BACK PAIN, DULL PELVIC PAIN, ABNORMAL UTERINE BLEEDING ESPECIALLY WITH MENSTRUATION RUPTURED: ACUTE PAIN, ABDOMINAL DISTENTION, AND ABNORMAL RIGIDITY |
AFTER SURGERY TO REMOVE AN OVARIAN CYST THE WOMAN CAN RETURN TO NORMAL ACTIVITES BETWEEN ______ TO _____ WEEKS. | 4 - 6 WEEKS |
HOW SOON AFTER REMOVAL OF AN OVARIAN CYSTS CAN A WOMAN RESUME SEXUAL INTERCOURSE? | 4 - 6 WEEKS |
SHOULD A WOMAN DOUCHE AFTER SURGERY TO REMOVE AN OVARIAN CYST? | NO, IT IS NOT GOOD TO DOUCHE ON A REGLAR BASIS, IT DESTROYS NATURAL VAGINAL FLORA |
WHAT DOES LIGHTENING MEAN? | WHEN THE FETAL HEAD DESCENDS INTO THE PELVIS |
WHEN DOES IT OCCUR IN PREGNANCY? | 2-3 WEEKS BEFORE BIRTH FOR PRIMIP |
WHAT IS THE MOST COMMON POSITIVE EFFECT OF LIGHTENING? | AFTER IT OCCURS THE WOMAN CAN BREATHE MUCH EASIER |
NAME THE 2 EARLIEST SIGNS THAT A WOMAN IS LIKELY IN LABOR? | LOW BACK PAIN ABD SHOW (BLOOD TINGED MUCOUS PLUG IS PASSED) |
WHAT IS THE RELIABLE OR VALID INDICATION THAT A WOMAN IS IN LABOR? | THE ONSET OF REGULAR CONTRACTIONS THAT RESULT IN PROGRESSIVE DILATATION?EFFACEMENT OF THE CERVIX |
WHAT ARE THE 2 PROCESSES THAT OCCUR TO THE CERVIX DURING LABOR? | EFFACEMENT AND DILATION |
WHAT IS THE MEANING OF CERVIAL EFFACEMENT? | THE CERVIX THINS |
INTO HOW MANY STAGES IS LABOR AND DELIVERY DIVIDED? | 4 |
WHAT IS ACCOMPLISHED DURING THE FIRST STAGE OF LABOR AND DELIVERY? | FULL EFFACEMENT AND DILATION |
HOW LONG IS THE FIRST STAGE OF LABOR AND DELIVERY FOR A PRIMAGRAVIDA? FOR A MULTIGRAVIDA? | 12 HRS, 6 HRS |
THE CERVIX IS FULLY DILATED WHEN IT IS ______CM. | 10 |
THE 2ND STAGE OF LABOR AND DELIVERY BEGINS WITH _______ AND ENDS WITH _______ OF THE _______. | FULL DILATION, DELIVERY, INFANT |
THE 2ND STAGE OF LABOR AND DELIVERY LASTS ______ HRS FOR A PRIMAGRAVIDA AND _______HRS FOR A MULTIGRAVIDA. | 1 1/2 HRS, 1/2 HRS |
THE 3 STAGE OF LABOR AND DELIVERY ACCOMPLISHES..... | EXPULSION OF THE PLACENTA |
THE 3RD STAGE OF LABOR AND DELIVERY LASTS..... | LESS THAN 1 HR |
WHAT OCCURS DURING THE 4TH STAGE OF LABOR AND DELIVERY? | RECOVERY |
WHEN DOES THE 4TH STAGE OF LABOR AND DELIVERY ENHD? | 2 HRS AFTER EXPULSION OF THE PLACENTA |
WHAT IS THE AVERAGE BLOOD LOSS DURING LABOR? | 500 CC |
WHEN THE TERMINOLOGY THE THREE PHASES OF LABOR IS USED, WHAT DOES IT MEAN? | IF THE STATEMENT REFERS TO PHASES OF LABOR, IT MEANS THE 3 STEP PROCESSES OF LATENCY, FOLLOWED BY ACTIVE AND TRANSITIONAL |
NORMAL LENGTH OF PREGNANCY IS ________ TO _____DAYS. | 240, 300 |
PREGNANCY IS DIVIDED INTO ______TRIMESTERS. | 3 |
DURING THE FIRST TRIMESTER THE WOMAN EXPERIENCES DECREASED OR INCREASED VAGINAL SECRETIONS? | INCREASED |
WHEN ARE URINE PREGNANCY TESTS POSITIVE? | AT THE TIME OF THE FIRST MISSED PERIOD |
PRGNANCY TESTS TEST FOR THE PRESENCE OF WHAT HORMONE? | HCG (HUMAN CHORIONIC GONADOTROPIN HORMONE) |
URINE AND BLOOD PREGNANCY TESTS ARE ENOUGH EVIDENCE TO BE CERTAIN OF PREGNANCY. (T/F) | FALSE, THESE TESTS ONLY SUGGEST PREGNANCY |
WHAT IS HEGAR'S SIGN? | UTERINE SOFTENING |
WHAT IS CHADWICKS SIGN? | BLUE-TINT TO THE CERVIX |
THE FIRST TRIMESTER GOES FROM WEEK _____ TO WEEK _______. | 1, 13 |
THE SECOND TRIMESTER GOES FROM WEEK ______ TO WEEK _______. | 14, 27 |
WHICH WEEK CAN MOTHER FIRST FEEL THE FETUS MOVE? | 16TH TO 20TH WEEK, (THE END OF THE 4TH MONTH INTO THE 5TH MONTH) |
WHAT IS THE WORD USED TO IDENTIFY THE FEELING THAT THE MOTHER EXPERIENCES WHEN THE FETUS MOVES? | QUICKENING |
THE 3RD TRIMESTER GOES FROM WEEK _____ TO WEEK _______. | 28, 40 |
IN WHICH TRIMESTER DOES THE WOMAN MOST FEEL BACKACHE? | THIRD |
WHICH TRIMESTER IS THE FETUS MOST SUSCEPTIBLE TO EFFECTS OF OUTSIDE AGENTS? | FIRST |
WHAT IS THE NAME OF THE PROCESS IN WHICH OUTSIDE AGENTS CAUSE BIRTH DEFECTIN THE FETUS? | TERATOGENESIS |
WHICH TRIMESTER IS NAUSEA AND VOMITING MOST COMMON? | FIRST |
WHICH TRIMESTER DO BRAXTON-HICKS CONTRACTIONS BEGIN? | THIRD |
WHAT ARE BRAXTON HICKS? | USUALLY PAINLESS CONTRACTIONS THAT STRENGTHEN THE UTERUS FOR LABOR |
WHICH TRIMESTER DOES VENOUS CONGESTION IN THE LEGS OCCUR? | THIRD |
WHICH TRIMESTER DOES LINEA NIGRA APPEAR? | SECOND |
WHAT IS LINEA NIGRA? | SINGLE DARK VERTICAL LINE ON THE ABDOMEN |
WHICH TRIMESTER DO STRIATIONS OCCUR? | SECOND |
WHAT ARE STRIATIONS? | HORIZONTAL PIGMENTED LINES ON THE ABDOMEN |
WHAT IS CHLOASMA? | MASK OF PREGNANCY---PIGMENTED ARE ON THE FACE |
WHICH TRIMESTER IS CONSTIPATION MOST COMMON? | THIRD |
IN ADDITION TO THE NARES, WHERE ELSE SHOULD THE NURSE ASSESS FOR SKIN IRRITATION WHEN NASAL CANNULAE ARE IN USE? | BEHIND AND ON TOP OF THE EARS |
WHAT ARE THE 2 EARLY SIGNS OF HYPOXIA | RESTLESSNESS, TACHYCARDIA |
WHAT IS THE HIGHEST FLOW RATE APPROPRIATE FOR NASAL CANNULAE? | 6 L/MIN |
HOW OFTEN SHOULD THE NARES OF A CLIENT WITH O2 BY NASL CANNULAE BE ASSESSED FOR SKIN BREAKDOWN? | EVERY 6-8 HRS |
WHAT IS THE MAXIMAL O2 FLOW RATE FOR THE CLIENT WITH COPD? | 2L/MIN |
WHAT ARE THE SIGNS OF O2 TOXICITY? | CONFUSION, HEADACHE |
WHAT CAN HAPPEN IF THE CLIENT WITH COPD IS GIVEN HIGH FLOW RATE OF O2? | THEY MAY STOP BREATHING |
WHAT IS THE PROBLEM WITH GIVING HIGH FLOW RATES OF O2 BY NASAL CANNULAE? | DRIES THE MUCOUS MEMBRANES |
CAN A CLIENT SMOKE IN THE ROOM WHEN THE O2 IS TURNED OFF? | NO, THE O2 DELIVERY DEVICE MUST BE REMOVED FROM THE WALL OR THE TANK OUT OF THE ROOM BEFORE A CLIENT CAN SMOKE |
WHEN O2 IS ADMINISTERED, IT MUST BE...... | HUMIDIFIED |
MASKS DELIVER HIGHER OR LOWER CONCENTRATIONS OF O2 THAN NASAL CANNULAE? | HIGHER |
HOW OFTEN SHOULD THE NURSE CHECK THE FLOW RATE OF THE O2? | AT LEAST ONCE PER SHIFT |
O2 IS AN EXPLOSIVE. (T/F) | FALSE, IT DOES NOT EXPLODE--IT SUPPORTS COMBUSTION |
WHAT STRUCTURES IN THE BRAIN ARE MOST AFFECTED IN PARKINSONS? | BASAL GANGLIA |
THE NEUROTRANSMITTER IMBALANCE THAT CAUSES PARKINSONS IS A _________ IN _________ ________. | DECREASE, DOPAMINE ACTIVITY |
WHAT DRUGS CAN CAUSE PARKINSON-LIKE SYNDROME? | HALDOL, MAJOR TRANQUILIZERS--DRUGS THAT END IN -AZINE |
WHAT IS THE CLASSIC MOTOR MANIFESTATIONS OF PARKINSON'S? | PILL-ROLLING AND TREMORS |
WHAT TYPE OF RIGIDITY IS TYPICAL OF PARKINSON"S? | COGWHEEL |
PARKINSON'S PTS MOVE FAST OR SLOW? | SLOW |
WHAT TYPE OF GAIT IS SEEN IN PARKINSON'S? | SHUFFLE SLOW GAIT |
PTS WITH PARKINSON'S HAVE ________ SPEECH. | MONOTONE |
PTS WITH PARKINSON'S TEND TO HAVE CONSTIPATION OR DIARRHEA? | CONSTIPATION |
NAME FOUR DRUGS USED TO TREAT PARKINSON'S? | LEVODOPA, SINEMENT, SYMMETROL, COGENTIN, ARTANE, PARLODEL |
IN WHAT TYPE OF CHAIR SHOULD PARKINSON'S PTS SIT? | FIRM, HARD-BACKED |
WHAT TIME OF DAY CAN BE PARTICULARLY DANGEROUS FOR THE PARKINSON'S PT? | MEALTIME, DUE TO CHOKING |
WHEN A PT IS TAKING LEVODOPA HE SHOULD HAVE ASSISTANCE GETTING OUT OF BED BECAUSE..... | OF OTHOSTATIC HYPOTENSION |
WHAT VITAMIN SHOULD PTS ON LEVODOPA AVOID? | B6, PYRIDOXINE |
LEVODOPA SHOULD BE GIVEN WITH OR WITHOUT FOOD? | WITH |
WHAT MIGHT LEVODOPA DO TO PTS URINE? | MAKE IT VERY DARK |
THE REMORS OF PARKINSON'S WILL GET BETTER OR WORSE WHEN THEY PURPOSEFULLY MOVE OR PERFORM A TASK? | BETTER, THEY TRMOR MORE WHEN NOT PERFORMING AN ACTION |
THE CLIENT ON A PCA (PATIENT CONTROLLED ANALGESIA) PUMP IS LESS LIKELY TO HAVE POST-OP COMPLICATIONS THAN THE CLIENT WITHOUT A PCA PUMP. (T/F) | TRUE, BECAUSE THE COMFORTABLE PT MOVES AROUND MORE AND IS LESS LIKELY TO GET THROMBOPHLEBITIS, PULMONARY EMBOLUS, FATIGUE, ILEUS AND PNEUMONIA |
CLIENTS WITH COPD ARE NOT GOOD CANDIDATES FOR PCA PUMP. (T/F) | TRUE, DUE TO EFFECTS OF NARCOTICS ON CENTRAL RESPIRATORY CONTROL |
NAME THE 3 MOST COMMON USES OF PCA TECHNIQUES. | POST-OP PAIN, CANCER PAIN, SICKLE CELL CRISIS PAIN |
PCA PUMPS ALLOW A MORE CONSTANT LEVEL OF SERUM DRUG THAN CONVENTIONAL ANALGESIA. (T/F) | TRUE |
A MAJOR DISADVANTAGE OF PCA PUMP IS THAT THE CLIENT CAN TAKE TOO MUCH MEDICATION. (T/F) | FALSE, IT IS NOT POSSIBLE FOR THE CLIENT TO OVERDOSE TO THE LOCK-OUT FEATURE |
CLIENTS ON PCA PUMPS USE MORE MEDICATION THAN THOSE RECEIVING IM INJECTIONS. (T/F) | FALSE, THEY USE LESS |
A DISADVANTAGE OF PCA PUMPS IS THAT THE CLIENT DOES NOT AMBULATE AS EARLY DUE TO THE MACHINE. (T/F) | FALSE, PCA CLIENTS AMBULATE EARLIER AND THEY PULL THEIR MACHINE WITH THEM |
WHEN DISCONTINUING A PCA INFUSION IT IS ACCEPTABLE TO DISCARD THE DRUG CARTRIDGE. (T/F) | FALSE, THE WHOLE CARTRIDGE SYSTEM MUST BE RETURNED TO THE PHARMACY DUE TO FEDERAL NARCOTIC CONTROL LAWS |
COMFORT RANGE OF RELATIVE HUMIDITY IS..... | 30-60 % |
WHICH PTS SHOULD BE FORBIDDEN TO SMOKE? SMOKE ALONE? | THOSE WITH OXYGEN IN THE ROOM, CONFUSE, SLEEPY, DRUGGED CLIENTS |
WHEN APPLYING RESTRAINTS REMEMBER TO.... | AVOID BRUISING THE SKIN, CUTTING OFF CIRCULATION, ACCIDENTAL ENTANGLING |
LIST WAYS TO ENSURE PRIVACY.... | USE DRAPES AND SCREENS DURING CARE IN SEMI-PRIVATE ROOMS |
PLASTIC PILLOW CASES ARE _________(DISADVANTAGES) | HOT AND SLIPPERY |
WHEN USING RESTRAINTS WITH CLIENTS WHO OBJECT, DONT FORGET ABOUT _________ __________. | FALSE IMPRISONMENT |
INDIVIDUALS WHO ARE ILL ARE _________ SNESITIVE TO NOISE THEN INDIVIDUALS WHO ARE WELL. | MORE |
WHEN U ARE NOT AT THE BEDSIDE THE BED SHOULD ALWAYS BE..... | IN THE LOWEST POSITION |
CAN NURSES BE HELD LIABLE FOR AN ACCIDENT RESULTING FROM A CLIENT NOT BEING TOLD HOW TO USE THE CALL LIGHT? | YES |
DANGERS ASSOCIATED WITH DRAFTS ARE.... | CIRCULATION OF MICRO-ORGANISMS ON AIR CURRENTS |
THE FIRST THING A NURSE SHOULD DO WHEN A CLIENT OBJECTS TO SIDE RAILS IS.... | EXPLAIN WHY THEY ARE BEING USED |
THE COMFORT RANGE OF TEMP IS.... | 68-74 DEGREES |
IS HAVING THE CLIENT VERBALLY IDENTIFY HIMSELF CONSIDERED ADEQUATE FOR SAFETY? | NO, ONLY IDENTIFICATION BANDS ARE ACCEPTABLE |
BED SIDE RAILS SHOULD BE UP FOR THE FOLLOWING INDIVIDUALS.... | ELDERLY CLIENTS, UNCONSCIOUS, BABIES, YOUNG CHILDREN, RESTLESS, CONFUSED |
THE SYMPTOMS OF SENSORY OVERLOAD AND SENSORY DEPRIVATION ARE.... | FEAR, PANIC, DEPRESSION, INABILITY TO CONCENTRATE, RESTLESSNESS, AGITATION |
IF A FAMILY MEMBER ASKS TO HAVE THE SIDE RAILS DOWN WHILE THEY ARE IN THE ROOM U SHOULD..... | REMEMBER THAT U ARE RESPONSIBLE FOR THE CLIENTS SAFETY---NOT HIS FAMILY, IT MIGHT BE UNWISE TO PERMIT THIS |
PILLOWS ARE STERILIZED BETWEEN USES. (T/F) | FALSE |
WHAT IS THE COMMON NAME FOR PEDICULOSIS? | LICE |
WHAT IS A COMMON FINDING WITH PEDICULOSIS PUBIS? | REDDISH-BROWN DUST IN THE UNDERWEAR |
WHAT COMMON HOUSEHOLD SOLUTION IS USED TO REMOVE NITS? | VINEGAR. NITS ARE THE EGGS OF LICE THAT ADHERE TO THE HAIR SHAFT |
WHAT SHAMPOO IS USED FOR LICE? | KWELL |
WHERE ARE HEAD LICE MOST COMMONLY FOUND? | AT THE BACK OF THE HEAD AND BEHIND THE EARS |
ON WHAT DO LICE FEED? | BLOOD |
AFTER TREATMENT HOW LONG DO U HAVE TO INSPECT FOR LICE? | INSPECT FOR 2 WEEKS TO BE SURE THAT THEY ARE ALL GONE |
WHAT IS THE MOST COMMON SYMPTOM OF LICE? | ITCHING |
WHAT IS THE MOST DANGEROUS TOXICITY OF KWELL? | CNS TOXICITY |
WHAT IS TYPICAL OF THE LESIONS OF PEMPHIGUS? | FOUL-SMELLING, BLISTERS BREAK EASILY, SEEN IN THE ELDERLY, CAUSE UNKNOWN |
WHAT IS THE CHARACTERISTIC LESION OF PEMPHIGUS? | LARGE VESICULAR BULLAE |
WHAT ARE BULLAE? | LARGE BLISTERS |
WHAT CHEMICAL IS ADDED TO THE BATH WATER OF A CLIENT WITH PEMPHIGUS? | POTASSIUM PERMANGANATE |
WHAT PRECAUTION MUST BE TAKEN WITH POTASSIUM PERMANGANATE? | BE CAREFUL THAT NO INDISSOLVED CRYSTALS TOUCH THE CLIENT; IT WILL BURN THE SKIN |
WHAT IS THE TYPICAL SKIN CARE OF PEMPHIGUS? | COOL WET DRESSINGS |
WHAT UNSUAL NURSING DIAGNOSIS IS HIGH PRIORITY IN PEMPHIGUS? | ALTERATION IN FLUID AND ELECTROLYTE BALANCE |
WHAT ARE THE TOP THREE NURSING INTERVENTIONS IN PEMPHIGUS? | ORAL CARE, PROTECTION FROM INFECTION, ENCOURAGING HIGH FLUID INTAKE |
WHAT KINDS OF FLUIDS WILL CLIENTS WITH PEMPHIGUS DRINK BEST? | COLD FLUIDS |
WHAT DRUGS ARE MOST COMMONLY USED? | STEROIDS |
SHOULD STEROIDS BE GIVEN WITH MEALS? | ALWAYS |
WHAT IS THE #1 CAUSE OF DEATH IN PEMPHIGUS? | OVERWHELMING INFECTION |
DEFINE PERITONEAL DIAYLSIS. (PD) | THE REMOVAL OF WASTES, ELECTROLYTES AND FLUIDS FROM THE BODY USING THE PERITONEUM AS A DIALYZING MEMBRANE |
WHEN PD IS BEING USED THE CLIENT MUST BE ON HEPARIN. (T/F) | FALSE, U DO NOT NEED TO BE HEPARINIZED FOR PERITONEAL, BUT U DO NEED TO BE HEPARINIZED FOR HEMODIALYSIS |
HOW LONG DOES ONE EPISODE/COURSE OF PD LAST? | COULD BE 10 HRS |
WITH PD THERE IS A HIGH/LOW RISK OF PERITONITIS? | HIGH |
WHEN FLUID ACCUMULATES IN THE ABDOMEN DURING PD WHAT PROBLEM DOES THE CLIENT EXPERIENCE FIRST? | DYSPNEA--SOB OR DIFFICULTY BREATHING, DUE TO THE INABILITY OF THE DIAPHRGM TO DESCEND |
WHAT NUTRIENT IS LOST IN HIGHEST AMOUNTS DURING PD? | PROTEIN |
CAN A CLIENT WHO HAD RECENT BOWEL SURGERY GET PD? | NO |
SHOULD A CLIENT WHO IS HAVING BREATHING PROBLEMS RECEIVE PD? | NO |
WHAT BODY SURFACE MUST BE PUNCTURED TO ADMINISTER PD? | THE ABDOMEN |
THE SOLUTION INTRODUCED INTO THE PERITONEUM DURING PD IS CALLED? | DIALYSATE |
BEFORE ALLOWING THE DIALYSATE TO FLOW INTO THE PERITONEAL CAVITY IT MUST BE ________ TO __________ TEMPERATURE. | WARMED, BODY |
BEFORE PD IT IS IMPORTANT THE CLIENT BE...... | WEIGHED, TO ASSESS WATER LOSS OR GAIN |
WHAT FORCE IS USED TO INTRODUCE THE DIALYSATE INTO THE PERITONEUM? | GRAVITY ONLY, NO PUMPS |
HOW FAST DOES THE DIALYSATE USUALLY FLOW INTO THE PERITONEUM? | IN 10 MIN |
HOW LONG IS THE DIALYSATE ALLOWED TO REMAIN IN THE PERITONEUM BEFORE IT IS DRAINED OUT? | IN 15 - 30 MIN |
HOW LONG DOES IT USUALLY TAKE FOR THE DIALYSATE TO DRAIN OUT OF THE PERITONEUM? | 10 MIN (10 MIN FLOW IN, 30 MIN IN ABDOMINAL CAVITY, 10 MIN FLOW OUT=TOTAL OF 50 MIN) |
IF THE DIALYSATE DOES NOT DRAIN OUT WELL, U WOULD FIRST..... | HAVE THEM TURN SIDE TO SIDE |
WHAT COLOR IS THE DIALYSATE WHEN IT COMES OUT? | STRAW COLORED--CLEAR |
SHOULD U RAISE THE HOB TO INCREASE DRAINAGE OF THE DIALYSATE? | YES |
HOW OFTEN DO U MEASURE VITAL SIGNS DURING PD? | EVERY 15 MIN DURING THE FIRST CYCLE AND EVERY HR THERAFTER |
CAN A CLIENT ON PD: SIT IN A CHAIR? EAT? URINATE? DEFECATE? | YES TO ALL |
IF TOO MUCH FLUID IS REMOVED DURING PD, THE CLIENT WILL EXPERIENCE...... | DECREASED BLOOD PRESSURE (HYPOTENSION) |
IF THE CLIENT ABSORBS TOO MUCH OF THE DIALYSATE THE CLIENT WILL EXPERIENCE.... | INCREASED BP (CIRCULATORY OVERLOAD) |
IF THE CLIENT COMPLAINS OF DYSPNEA DURING PD U WOULD FIRST _________, THEN _________. | SLOW THE FLOW, ELEVATES HOB |
IF THE CLIENT COMPLAINS OF ABDOMINAL PAIN DURING THE PD U WOULD FIRST..... | ENCOURAGE THEM TO MOVE ABOUT |
CLOUDY DRAINAGE IN THE DIALYSATE MOST COMMONLY MEANS..... | PERITONITIS, (NOT GOOD, CALL MD) |
WHAT WOULD U DO IF U NOTICED A SMALL AMOUNT OF BLOOD COME OUT IN THE FIRST FEW BOTTLES THAT WERE INFUSED? | NOTHING, THIS IS NORMAL; THE BLOOD IS DIE TO THE INITIAL PUNCTURE OF THE ABDOMEN |
WHAT PRECAUTIONS ARE IMPORTANT IN THE CARE OF THE CLIENT RECEIVING PD? | YES |
HOW HIGH SHOULD THE DIALYSATE BAG BE WHEN ITS BEING INFUSED? | SHOULDER HEIGHT |
WHAT PRECAUTIONS ARE IMPORTANT IN THE CARE OF THE CLIENT RECEIVING PD? | SAFETY, BECAUSE THEY GET DIZZY |
IS I&O IMPORTANT TO RECORD DURING PD? | YES |
WHAT FACTOR DO CLIENTS WITH PERNICIOUS ANEMIA LACK? | INTRINSIC FACTOR. IT HAS NO OTHER NAME |
WHAT VITAMIN IS NOT ABSORBED IN A PT WITH PERNICIOUS ANEMIA? | B-12 |
WHAT IS ANOTHER NAME FOR VITAMIN B-12? | EXTRINSIC FACTOR |
WHY ISNT VIT B-12 ABSORBED IN PERNICIOUS ANEMIA? | BECAUSE THESE PTS LACK INTRINSIC FACTOR |
WHAT HAPPENS WHEN PTS WITH PERNICIOUS ANEMIA DONT ABSORB VITAMIN B-12? | THEIR RBC'S DO NOT MATURE AND THEY BECOME SERIOUSLY ANEMIC |
WHAT OTHER DISEASE CAN BE CONFUSED WITH PERNICIOUS ANEMIA? | ANGINA PECTORIS |
WHAT ARE SOME CLASSIC AND UNIQUE SIGNS OF PERNICIOUS ANEMIA? | BEEFY RED TONGUE, NUMBNESS AND TINGLING OF THE HANDS, SORES IN THE MOUTH AND CHEST PAIN |
WHAT IS THE MEDICAL TREATMENT FOR PERNICIOUS ANEMIA? | IM INJECTIONS OF VITAMIN B-12 |
HOW LONG MUST THE CLIENT RECEIVE THIS MEDICAL TREATMENT? | FOR THE REST OF LIFE |
CAN WE CURE PERNICIOUS ANEMIA? | NO, JUST TREAT THE SYMPTOMS |
WHAT UNIQUE URINE TEST IS DONE TO DIAGNOSE PERNICIOUS ANEMIA? | THE SCHILLING TEST |
IS IT OKAY TO GIVE B12 ORALLY TO A CLIENT WITH PERNICIOUS ANEMIA? | NO, IT WILL NEVER BE ABSORBED DUE TO A LACK OF INTRINSIC FACTOR |
WHAT NEUROLOGIC TEST DO THEY DO FOR THIS ANEMIA? | THE ROMBERG TEST ( A TEST FOR BALANCE), IN NORMAL PEOPLE THIS TEST IS NEGATIVE, IN THE CLIENT WITH PERNICIOUS ANEMIA THIS TEST IS POSITIVE |
WHAT IS CONSERVATION? IN WHAT STAGE DOES IT DEVELOP? | WHEN THE CHILD REALIZES THAT NUMBER, WEIGHT, VOLUME REMAIN THE SAME EVEN WHEN OUTWARD APPEARANCES CHANGE, CONCRETE OPERATIONAL |
WHAT IS THE AGE RANGE OF FORMAL OPERATION THINKING? | 12 - 15 |
WHAT IS THE SENSORI-MOTOR STAGE OF INTELLECTUAL DEVELOPMENT? | IT IS THE INTELLECTUAL STAGE OF CHILDREN FROM BIRTH TO 2 YRS |
WHAT IS THE AGE RANGE OF CONCRETE OPERATIONAL THINKING? | 7 - 11 |
WHAT IS THE AGE RANGE OF PRE-OPERATIONAL THINKING? | 3 - 6 |
WHAT IS THE CLASSIC PATTERN IN FORMAL OPERATIONAL THINKING? | ABSTRACT REASONING |
WHAT IS EGOCENTRICITY? IN WHAT AGE IS IT FOUND? | THE CHILD VIEWS EVERYTHING FROM HIS FRAME OF REFERENCE, COMMON IN PRE-OPERATIONAL THINKING |
IN PLACENTA PREVIA THE PLACENTA IN IMPLANTED _______ THAN IT SHOULD BE AND LAYS OVER THE ___________ _________. | LOWER, CERVICAL OS |
WHAT IS THE CLASSIC SYMPTOM OF PLACENTA PREVIA? | PAINLESS 3RD TRIMESTER BLEEDING (HINT PAINLESS PLACENTA PREVIA) |
IN WHOM IS PLACENTA PREVIA MOST LIKELY TO OCCUR? PRIMIGRAVIDA'S OR MULTIGRAVIDA'S? | MULTIGRAVIDA'S |
WHAT IS MEANT WHEN THE PHYSICIAN/NURSE USE THE TERMS TOTAL (COMPLETE)OR PARTIAL (INCOMPLETE) INREFERENCE TO PLACENTA PREVIA? | TOTAL OR COMPLETE: PLACENTA COVERS WHOLE CERVICAL OPENING PARTIAL OR INCOMPLETE: PLACENTA COVERS ONLY PART OF THE CERVICAL OPENING |
WHAT ARE THE 3 COMPLICATIONS OF PLACENTA PREVIA? | SHOCK, MATERNAL DEATH, FETAL DEATH |
WHAT IS THE BEST AND SAFEST WAY TO CONFIRM PLACENTA PREVIA? | ULTRASOUND |
SHOULD A WOMAN WITH PLACENTA PREVIA BE HOSPITALIZED? | YES, ALWAYS IF BLEEDING |
IF A SURGEON DELAYS DOING A C-SECTION FOR PLACENTA PREVIA IT IS DUE TO: (REASON FOR DELAY). | IMMATURITY OF THE FETUS ( THEY WILL WANT THE CHILD TO MATURE) |
AS SOON AS PLACENTA PREVIA IS DIAGNOSED, MOST PREGNANCIES WILL BE TERMINATED VIA C-SECTION IF THE FETUS IS MATURE. (T/F) | TRUE |
IF A WOMAN IS ADMITTED WITH ACTIVE BLEEDING WITH PLACENTA PREVIA U SHOULD MONITOR FETAL HEART TONES____________. | CONTINUOUSLY VIA FETAL MONITOR |
IT IS NOT NECESSARY TO USE ELECTRONIC FETAL MONITORING WHEN THERE IS ACTIVE BLEEDING IN PLACENTA PREVIA. (T/F) | FALSE, INFANT MUST ALWAYS BE MONITORED |
WILL A WOMAN WITH ACTIVE BLEEDING IN PLACENTA PREVIA BE GIVEN ANY SYSTEMIC PAIN RELIEF DURING LABOR? | NO, THEY DONT WANT TO DEPRESS THE FETUS |
IF U WERE TOLD TO START THE IV ON THE WOMAN ADMITTED FOR PLACENTA PREVIA, WHAT GAUGE NEEDLE WOULD U USE? | 18 GAUGE, OR ANY OTHER ONE LARGE ENOUGH TO ADMINISTER BLOOD |
PNEUMONIA IS AN __________ IN THE ___________ _____ ___________. | INFECTION, ALVEOLI OF LUNGS |
PNEUMONIA IS ONLY CAUSED BY BACTERIA. (T/F) | FALSE, IT CAN BE CAUSED BY VIRUSES AND ASPIRATION |
WHICH BLOOD GAS DISORDER IS MOST COMMON IN PNEUMONIA? | RESPIRATORY ALKALOSIS, BECAUSE THE HYPERVENTILATION BLOWS OFF MORE CO2 THAN THE CONSOLIDATION TRAPS IN THE BLOOD |
WHAT IS POLYCYTHEMIA VERA? | A BLOOD DISEASE IN WHICH THERE IS AN INCREASE IN ERYTHROCYTES, LEUKOCYTES AND PLATELETS |
WHAT IS THE TYPICAL COMPLEXION OF A CLIENT WITH POLYCYTHEMIA VERA? | RUDDY RED, ALMOST PURPLE |
WHAT PROCEDURE IS DONE TO RELIEVE SYMPTOMS IN POLYCYTHEMIA VERA? | PHLEBOTOMY |
WHAT IS PHLEBOTOMY? | DRAIN OFF 200-500 CC OF BLOOD FROM BODY (OPPOSITE OF TRANSFUSION) |
WHAT TYPE OF DIET WILL PEOPLE WITH POLYCYTHEMIA VERA BE ON? | LOW IRON |
WHAT ARE THE 3 SIGNS OF THIS DISEASE? | HEADACHE, WEAKNESS, ITCHING |
IS HEMOGLOBIN INCREASED OR DECREASED IN THIS DISEASE? | INCREASED |
WHAT ORAL PROBLEM WILL PEOPLE WITH POLYCYTHEMIA VERA HAVE? | BLEEDING MUCOUS MEMBRANES |
WHAT ORGAN WILL BE ENLARGED IN POLYCYTHEMIA VERA? | THE SPLEEN, BECAUSE IT IS DESTROYING THE EXCESSIVE RBC'S |
DUE TO INCREASED DESTRUCTION OF RBC'S SEEN IN THE POLYCYTHEMIA VERA WHAT BLOOD LEVEL WILL BE INCREASED? | URIC ACID LEVELS WILL BE HIGH (REMEMBER--URIC ACID LEVELS ARE ALWAYS HIGH WHEN CELLS ARE BEING DESTROYED AS IN HEMOLYSIS, CHEMO, OR RADIATION THERAPY) |
WHAT DRUG IS MOST COMMONLY USED IN POLYCYTHEMIA VERA? | MYLERAN--(THIS IS USUALLY USED FOR BONE MARROW CANCER) |
HOW OFTEN SHOULD THE CLIENT COUGH AND DEEP BREATHE POST-OP? | EVERY 2 HRS |
HOW OFTEN SHOULD THE POST-OP PT TURN? | EVERY 2 HRS |
HOW OFTEN SHOULD THE PT USE THE INCENTIVE SPIROMETER? | EVERY 1 - 2 HRS |
HOW OFTEN SHOULD THE NURSE AUSCULTATE THE LUNG SOUNDS POST-OP? | EVERY 4 HRS |
HOW OFTEN SHOULD THE BEDRIDDEN POST-OP PT DO LEG EXERCISES? | EVERY 2 HRS |
THE POST-OP PT SHOULD VOID BY ____ HRS POST-OP OR U MUST CALL THE MD. | 6-8 |
WILL THE TYPICAL POST-OP CLIENT HAVE LUNG SOUNDS? BOWEL SOUNDS? INCREASED TEMP? | LUNG--YES, BOWEL--NO, LOW GRADE TEMP---YES |
UNLESS CONTRAINDICATED THE PT SHOULD BE OUT OF BED NO LATER THAN ______ HRS POST-OP. | 24 |
DEEP VEIN THROMBOSIS IS MOST COMMON IN WHAT TYPE OF SURGERY? | LOW ABDOMINAL OR PELVIC |
THE MOST COMMON COMPLICATION OF DEEP VEIN THROMBOSIS IS ___________ ___________. | PULMONARY EMBOLISM |
THE BEST WAY TO PREVENT THROMBOPHLEBITIS IS TED HOSE. (T/F) | FALSE, AMBULATION/EXERCISE ARE THE BEST WAY |
WHAT IS PARALYTIC ILEUS? | PARALYSIS OF THE BOWEL DUE TO SURGERY (COMMON ESPECIALLY IN THE ABDOMINAL SURGERY) |
IF A POST-OP PT COMPLAINS OF GAS AND CRAMPING U SHOULD FIRST ________ THEN ________. | ASSESS THEN AMBULATE |
THE TYPICAL POST-OP INFLAMMATORY TEMP ELEVATION IS IN THE RANGE OF ____________. | 99.8 TO 101 |
THE ONSET OF POST-OP INFECTION IS ON THE ________ OR ________ DAY POST-OP DAY. | 2ND TO 3RD, NEVER BEFORE THAT (REMEMBER ELEVATED TEMP EARLIER THAN THE 2ND POST-OP DAY IS NOT INFECTION) |
DEFINE DEHISCENCE? | SEPARATION OF THE INCISIONAL EDGES |
DEFINE EVISCERATION? | PROTRUSION OF ABDOMINAL CONTENTS THRU A DEHISCENCE |
WHAT DO U DO FOR DEHISCENCE? | DECREASE HOB (BUT NOT FLAT); CAN STERI STRIP, THEN CALL MD |
WHAT DO U DO IN ORDER FOR EVISCERATION? | DECREASE HOB(BUT NOT FLAT), COVER WITH STERILE GAUZE MOISTENED WITH STERILE SALINE, CALL MD |
WHAT IS THE PREFIX ANTE- MEAN? | BEFORE IN TIME OR PLACE (EX. ANTPARTAL---BEFORE GIVING BIRTH) |
WHAT IS THE PREFIX IM-; IN- MEAN? | NOT OR INTO |
WHAT DOES THE PREFIX INTRA- MEAN? | OCCURRING WITHIN |
WHAT DOES THE PREFIX INTER- MEAN? | BETWEEN |
WHAT DOES THE PREFIX PER- MEAN? | THROUGHOUT, COMPLETELY, A LARGE AMOUNT |
WHAT DOES THE PREFIX EC- MEAN? | OUT OF |
WHAT DOES THE PREFIX E-; EX MEAN? | OUT FROM, AWAY FROM, OUTSIDE |
WHAT DOES THE PREFIX ISO- MEAN? | A COMBINING FORM MEANING EQUAL |
WHAT DOES THE PREFIX PARA- MEAN? | SIMILAR, BEDSIDE |
PREGNANCY (DECREASES/INCREASES) THE BODYS INSULIN REQUIREMENTS? | INCREASES |
CAN PREGNANCY CONVERT A NON-DIABETIC WOMAN INTO A DIABETIC WOMAN? | YES |
WHAT NAME IS GIVEN TO DIABETES THAT IS BROUGHT ON BY PREGNANCY? | GESTATIONAL DIABETES |
DIABETES WITH PREGNANCY IS (MORE/LESS)COMMON AS THE WOMAN AGES. | MORE |
WHAT IS THE #1 CAUSE OF INFANT ILLNESS WHEN THE MOTHER HAS DIABETES? | HYPOGLYCEMIA |
WHEN IS INFANT HYPOGLYCEMIA MOST LIKELY TO OCCUR DURING LABOR AND DELIVERY? | IN THE HOURS IMMEDIATELY FOLLOWING DELIVERY |
HORMONES OF PREGNANCY WORK AGAINST INSULIN. (T/F) | TRUE |
A SIGN OF GESTATIONAL DIABETES IS EXCESSIVE (WEIGHT GAIN/WEIGHT LOSS) | WEIGHT GAIN |
(OBESE/VERY THIN) WOMEN ARE MOST LIKELY TO BECOME DIABETIC DURING PREGNANCY. | OBESE |
IN GESTATIONAL DIABETES THE CLIENT EXPERIENCES A (DECREASE/INCREASE) IN THIRST. | INCREASE (POLYDIPSIA) |
IN GESTATIONAL DIABETES THE CLIENT EXPERIENCES A (DECREASE/INCREASE) IN URINE OUTPUT. | INCREASE (POLYURIA) |
GESTATIONAL DIABETES IS ASSOCIATED WITH (HYPERTENSION/HYPOTENSION). | HYPERTENSION |
GESTATIONAL DIABETES IS ASSOCIATED WITH WHAT OB HISTORY? | PREVIOUS LARGE BABY (OVER 9LBS), UNEXPLAINED STILLBIRTH, MUSCARRIAGE, CONGENITAL ANOMALIES |
WOMEN WHO HAVE GESTATIONAL DIABETES TEND TO DELIVER INFANTS WHO ARE (SMALL/LARGE). | LARGE FOR GESTATIONAL AGE |
FESTATIONAL DIABETES TEND TO GET _________ INFECTIONS. | MONILIAL (YEAST) INFECTIONS |
WHAT TEST CONFIRMS THE DIAGNOSES OF GESTATIONAL DIABETES? | 3 HR GLUCOSE TOLERANCE TEST |
WHAT ARE THE TWO MAIN TREATMENT METHODS IN GESTATIONAL DIABETES? | DIET, INSULIN |
HOW OFTEN SHOULD A WOMAN VISIT THE DOCTOR PRENATALLY IF DIABETES IS PRESENT? | TWICE A MONTH, THEN ONCE PER WEEK IN THE 3RD TRIMESTER |
HOW MANY POUNDS PER WEEK IS THE DIABETIC ALLOWED TO GAIN THE 2ND AND 3RD TRIMESTERS? | 1 LB PER WEEK |
IS SEVERE CARBOHYDRATE RESTRICTION REQUIRED IN GESTATIONAL DIABETES? | NO, IT COULD LEAD TO KETOSIS |
OF PROTEIN, FAT, AND CARBOHYDRATES, WHICH ONES (PERCENT-WISE) INCREASE IN THE DIET OF GESTATIONAL DIABETES? | PROTEIN, FAT |
WHEN IS INSULIN USED IN THE TREATMENT OF GESTATIONAL DIABETES? | WHEN DIETARY CONTROL DOES NOT KEEP THE BLOOD SUGAR WITHIN NORMAL LIMITS |
IF INSULIN IS USED, THE DOSE IS THE SAME IN ALL 3 TRIMESTERS. (T/F) | FALSE, IT VARIES |
ORAL HYPOGLYCEMICS SHOULD NEVER BE USED DURING PREGNANCY. (T/F) | TRUE, THEY CAUSE BIRTH DEFECTS (TERATOGENIC) |
WHEN SHOULD A DIABETIC BE DELIVERED? | BETWEEN 37 AND 39 WEEKS |
WHAT IV SOLUTION IS USED DURING LABOR FOR THE DIABETIC? | D5W |
THE MOTHER'S INSULIN REQUIREMENTS WILL (FALL/RISE) MARKEDLY AFTER DELIVERY. | FALL |
DURING PREGNANCY WHAT COMPLICATION IS MOST DANGEROUS FOR THE FETUS OF A DIABETIC? | KETOSIS |
IF KETOSIS IS A BIG PROBLEM FOR THE BABY DURING PREGNANCY WHAT IS THE BIG PROBLEM AFTER DELIVERY? | HYPOGLYCEMIA |
WHY IS HYPOGLYCEMIA SUCH A DANGEROUS PROBLEM? | BRAIN CELLS DIE WITHOUT GLUCOSE, BRAIN DAMAGE |
(MULTI,PRIMI) GRAVIDA CLIENTS ARE MOST LIKELY TO GET PIH(PREGNANCY-INDUCED HYPERTENSION). | PRIMIGRAVIDA |
WHICH AGE GROUP(S) ARE MOST LIKELY TO EXPERIENCE PIH? | PTS UNDER 18 OVER 35 |
WHEN DOES PRE-ECLAMPSIA USUALLY BEGIN IN PREGNANCY (WEEK)? | AFTER 20 WEEKS |
NAME THE 3 SYMTOMS OF PIH? | HYPERTENSION, WEIGHT GAIN(EDEMA), PROTEINURIA |
IF PRE-ECLAMPSIA IS MILD WILL THE WOMAN BE HOSPITALIZED? | NO, JUST REST AT HOME |
WHAT TYPE OF DIET IS INDICATED FOR A WOMAN WITH PRE-ECLAMPSIA? | INCREASED PROTEIN/NORMAL SALT INTAKE(NO RESTRICTION TYPICALLY) |
WHAT MEASUREMENT MUST THE WOMAN WITH PRE-ECLAMPSIA MAKE EVERY DAY? | SHE MUST WEIGH HERSELF |
WHAT IS THE ACTIVITY ORDER FOR A WOMAN WITH SEVERE PRE-ECLAMPSIA? | BED REST |
WHAT IS THE BEST POSITION FOR THE CLIENT WITH SEVERE PRE-ECLAMPSIA? | LEFT SIDE LYING |
WHAT IS THE DIETARY ORDER FOR THE WOMAN WITH SEVERE PRE-ECLAMPSIA? | LOW SALT, HIGH PROTEIN |
ARE DIURETICS USED FOR WOMEN WITH PE-ECLAMPSIA? | YES |
WHEN A WOMEN US HOSPITALIZED FOR SEVERE PRE-ECLAMPSIA THE SHOULD TEST THE..... | #1 REFLEXES, THE URINE FOR PROTEIN |
WHEN PRE-ECLAMPSIA GETS WORSE THE DEEP TENDON REFLEXES WILL BE (HYPER/HYPO)-REFLEXIA. | HYPER-REFLEXIA |
PRE-ECLAMPSIA MAKES THE NEUROMUSCULAR SYSTEM MORE OR LESS IRRITABLE? | MORE |
WHAT VISION PROBLEM DO WOMEN WITH PRE-ECLAMPSI HAVE? | BLURRED VISION |
WHAT TYPES OF PRECAUTIONS WILL BE IN EFFECT FOR A WOMAN WITH SEVERE PRE ECLAMPSIA? | SEIZURE PRECAUTIONS |
NAME 5 THINGS INCLUDED IN SEIZURE PRECAUTIONS. | SUCTION MACHINE IN ROOM, O2 IN ROOM, PADDED RAILS UP X4, MUST STAY ON UNIT, AMBULATION WITH SUPERVISION ONLY, NO MORE THAN 1 PILLOW |
WHEN IS PRE-ECLAMPSIA CALLED ECLAMPSIA? | ONCE CONVULSIONS HAVE OCCURRED |
IN ECLAMPTIC CLIENT WHAT OMINOUS SIGN ALMOST ALWAYS PRECEDED A SEIZURE? | SEVERE EPIGASTRIC PAIN |
WHAT ARE THE 3 MAJOR TREATMENT OBJECTIVES IN ECLAMPSIA? | DECREASE BLOOD PRESSURE, CONTROL CONVULSIONS, DIURETICS |
THE URINE OUTPUT OF THE ECLAMPTIC CLIENT WILL (DECREASE/INCREASE). | DECREASE |
HOW WOULD U PALPATE THE UTERUS TO SEE IF THE ECLAMPTIC WOMAN WAS HAVING CONTRACTIONS? | PLACE THE HAND FLAT ON THE ABDOMEN OVER THE FUNDUS WITH THE FINGERS APART AND PRESS LIGHTLY |
PREMATURE RUPTURE OF MEMBRANES (PROM) IS A ________ BREAK IN THE AMNIOTIC SAC ______ THE ______ OF CONTRACTIONS. | SPONTANEOUS, BEFORE, ONSET |
USUALLY LABOR STARTS WITHIN _______ HRS OF RUPTURE OF MEMBRANES. | 24 |
WHAT IS THE DANGER SIGN WITH PROM? | INFECTION |
HOW WOULD U TELL IF THE WOMAN WITH PROM HAD AN INFECTION? | MATERNAL FEVER, FETAL TACHYCARDIA, FOUL SMELLING VAGINAL DISCHARGE |
TO TEST FOR AMNIOTIC FLUID THE NURSE SHOULD CHECK THE __________ OF THE FLUID. | pH |
AMINOTIC FLUID IS (ACIDIC/ALKALINE) | ALKALINE |
BEING ALKALINE MEANS HAVING A (HIGH/LOW) pH? | HIGH |
AMNIOTIC FLUID TURNS NITRAZINE PAPER DEEP _________ (COLOR). | BLUE |
WHEN PROM OCCURS, THE AGE OF THE FETUS MUST BE DETERMINED. tHE BEST WAY TO ASSESS LUNG MATURITY IS TO CHECK THE ______ RATIO. | L/S (LECITHIN/SPHINGOMYELIN) |
AN L/S RATIO GREATER THAN _________ INDICATES LUNG MATURITY. | 2.0 |
IF LABOR DOES NOT BEGIN WITHIN _______ HRS AFTER PROM, LABOR WILL LIKELY INDUCED. | 24 |
IF PROM OCCURS BEFORE VIABILITY, WHAT IS THE TYPICAL MANAGEMENT? | TERMINATION OF PREGNANCY |
IF PROM OCCURS AFTER VIABILITY BUT BEFORE 36 WEEKS, WHAT IS THE TYPICAL MANAGEMENT? | HOSPITALIZE, WATCH FOR INFECTION, TRY TO GAIN TIME FOR THE INFANT TO MATURE |
IF THERE ARE ANY SIGNS OF INFECTION AFTER PROM, WHAT MUST OCCUR IMMEDIATELY? | DELIVERY OF THE FETUS |
PROM ALWAYS OCCURS IN A GUSH OF FLUID. (T/F) | FALSE |
THE WOMAN MUST AVOID SEXUAL INTERCOURSE IF PROM HAS OCCURRED. (T/F) | TRUE |
WHAT IS SELF-DISCLOSURE? | WHEN THE NURSE TELLS THE PT PERSONAL INFORMATION ABOUT SELF |
IS IT ALWAYS BAD FOR THE NURSE TO SELF-DISCLOSE? | NO, U CAN SELF-DISCLOSE AS LONG AS U DO IT CAUTIOUSLY AND U ARE 100% SURE IT IS THERAPEUTIC |
IF THE NURSE USES SELF-DISCLOSURE IT SHOULD BE __________ AND THE CONVERSATION SHOULD BE...... | SHORT, QUICKLY REFOCUSED BACK ON THE PT |
INSIGHT MEANS THE ABILITY OF THE PT TO _______ HIS PROBLEM. | UNDERSTAND |
DURING WHAT PHASE SHOULD THE NURSE EXAMINE HIS/HER OWN FEELINGS? | PRE-INTERACTION PHASE |
FLIGHT OF IDEAS IS WHEN THE PT CHANGES TOPICS OF CONVERSATION _________. | RAPIDLY |
THE BASIS FOR A THERAPEUTIC NURSE/PT RELATIONSHIP BEGINS WITH THE ______, SELF-_______ AND _______ _______. | NURSE'S, AWARENESS,SELF-UNDERSTANDING |
WHAT ARE THE STEPS OF THE NURSE/PT THERAPEUTIC RELATIONSHIP? | PRE-INTERACTION PHASE, ORIENTATION PHASE, WORKING PHASE, TERMINATION PHASE |
SHOULD THE NURSE SELF-DISCLOSE IF THE PT ASKS THE NURSE TO? | NO, NOT UNLESS IT IS SPECIFICALLY THERAPEUTIC |
THE NURSE SHOULD INTRODUCE INFORMATION ABOUT THE END OF THE NURSE/PT RELATIONSHIP DURING THE _________ PHASE. | ORIENTATION PHASE |
TEMINATION PHASE BEGINS IN THE ________ PHASE. | ORIENTATION |
PULMONARY EDEMA IS ACCUMULATION OF _______ IN THE LUNG. | FLUID |
PULMONARY EDEMA IS A COMMON COMPLICATION OF ________ DISORDERS. | CARDIVASCULAR |
PULMONARY EDEMA USUALLY RESULTS FROM ________ ______ FAILURE. | LEFT VENTRICULAR |
WHAT FORCE CAUSES THE PULMONARY EDEMA IN LEFT VENTRICULAR FAILURE? | INCREASED HYDROSTATIC PRESSURE IN THE PULMONARY CAPILLARIES |
CAN LETTING IV'S RUN IN TOO FAST CAUSE PULMONARY EDEMA? | YES, IN THE CLIENT WITH POOR CARDIOVASCULAR FUNCTION |
WHAT ARE THE FOUR CLASSIC SIGNS OF PULMONARY EDEMA? | DYSPNEA ON EXERTION, PAROXYSMAL NOCTURNAL DYSPNEA, ORTHOPNEA, COUGHING |
WHAT IS MEANT BY DYSPNEA ON EXERTION? | SHORTNESS OF BREATH WHEN ACTIVE |
WHAT IS MEANT BY PAROXYSMAL NOCTURNAL DYSPNEA? | SUDDEN EPISODES OF DIFFICULTY BREATHING |
WHAT IS MEANT BY ORTHOPNEA? | SHORTNESS OF BREATH WHEN LYING FLAT |
IS HEART RAST FAST OR SLOW IN PULMONARY EDEMA? | FAST, TACHYCARDIA |
WHAT WILL THE NURSE AUSCULTATE OVER THE LUNGS WHEN PULMONARY EDEMA OCCURS? | CRACKLES(RALES) |
WHEN PULMONARY EDEMA IS SEVERE WHAT DOES THE SPUTUM LOOK LIKE? | BLOODY AND FROTHY |
WHAT DRUG IS USED IN PULMONARY EDEMA TO REDUCE FLUID IN THE LUNGS? | A DIURETIC(LASIX) |
WHAT DRUG IS USED TO INCREASE VENTILATION IN CLIENTS WITH PULMONARY EDEMA? | AMINOPHYLLINE (BRONCHODILATOR) |
IS O2 GIVEN IN PULMONARY EDEMA? | YES |
SINCE PULMONARY EDEMA IS CAUSED BY LEFT VENTRICULAR FAILURE WHAT DRUG IS GIVEN? | DIGITALIS |
WHY IS MORPHINE GIVEN TO CLIENTS WITH PULMONARY EDEMA? | TO DECREASE APPREHENSION AND DECREASE PRELOAD, THIS RESTS THE HEART |
IF YOUR CLIENT SUDDENLY GOES INTO PULMONARY EDEMA WHAT WOULD U DO FIRST? | ELEVATE THE HOB, THEN INCREASE OXYGEN, THEN CALL MD |
PULMONARY EMBOLUS IS AN OBSTRUCTION OF THE PULMONARY ________ BED BY A DISLODGED ________ FOREIGN SUBSTANCE. | CAPILLARY, THROMBUS |
WHERE DO THE EMBOLI THAT CAUSE PULMONARY EMBOLUS USUALLY COME FROM? | THE LEGS |
BESIDES A THROMBUS WHAT ELSE CAN CAUSE AN EMBOLUS IN THE LUNG? | AIR, FAT, TUMOR CELLS |
WHAT TREATMENT MODALITY CAN LEAD TO PULMONARY EMBOLUS? | BED REST |
WHAT CLASS OF DRUGS CAN LEAD TO PULMONARY EMBOLUS? | ORAL CONTRACEPTIVES |
WHAT HEART PROBLEM CAN LEAD TO PULMONARY EMBOLUS? | ATRIAL FIBRILLATION (RIGHT ATRIAL FIBRILLATION CAUSES PULMONARY EMBOLUSD; ATRIAL FIBRILLATION CAUSES CEREBRAL EMBOLUS) |
WHAT GENETIC DISORDER CAN LEAD TO PULMONARY EMBOLUS? | SICKLE CELL ANEMIA |
WHAT IS THE FIRST SIGN OF PULMONARY EMBOLUS? | DYSPNEA |
THE DYSPNEA OF PULMONARY EMBOLUS IS ACCOMPANIED BY _________ _____________. | PLEURITIC PAIN |
DOES THE HR INCREASE OR DECREASE IN PULMONARY EMBOLUS? | INCREASE |
WITH SEVERE PULMONARY EMBOLUS THE CLIENT WILL LOOS AS THOUGH THEY ARE ___________. | IN SHOCK |
WHAT ARE THE TWO MAJOR TREATMENTS OF PULMONARY EMBOLUS? | O2 ANTICOAGULANTS |
NAME THE ANTICOAGULANT GIVEN FOR IMMEDIATE ANTICOAGULATION BY IV OR SQ ROUTE. | HEPARIN |
A DRUG FOR LONG TERM ANTICOAGULATION I ANY DISORDER WOULD BE? | COUMADIN |
WHAT 2 LAB TESTS MONITOR COUMADIN THERAPY? | PROTHROMBIN TIME(PT) AND THE INR |
WHEN COUMADIN IS THERAPEUTIC, THE INR SHOULD BE BETWEEN ______ AND _______. | 2.0 - 3.0 |
WHAT IS LOVENOX? | IT IS A LOW-DOSE HEPARIN USED FOR ANTICOAGULATION IN POST-OP THROMBOPHLEBITIS PREVENTION NOT USED FOR PULMONARY EMBOLUS |
HEPARIN THERAPY IS MONITORED BY DAILY MEASUREMENT OF THE ____________. | PTT(PARTIAL THROMBOPLASTIN TIME) |
EFFECTIVE HEPARIN THERAPY RAISES THE PTT TO APPROXIMATELY __________ TIMES NORMAL. | 2 1/2 |
CLIENTS ON HEPARIN SHOULD USE AN ELECTRIC RAZOR OR A SAFETY RAZOR? | ELECTRIC RAZOR |
WHAT IS THE BEST WAY TO PREVENT PULMONARY EMBOLUS IN POST-OP PTS? | EARLY AMBULATION |
IS IT APPROPRIATE TO MASSAGE THE LEGS OF THE CLIENT TO PREVENT PULMONARY EMBOLUS? | NO, NEVER |
HEPARIN IS USED IN THE ACUTE PHASE OF PULMONARY EMBOLUS. WHAT DRUG IS USED FOR 6 MONTHS AFTER PULMONARY EMBOLUS? | COUMADIN |
COUMADIN THERAPY IS MONITORED BY WHAT DAILY TEST? | PT (PROTHROMBIN TIME) |
WHAT IS PYELONEPHRITIS? | A BACTERIAL INFECTION OF THE KIDNEYS |
WHICH ORGANISM CAUSES MOST PYELONEPHRITIS? | E. COLI |
NAME THE SYMPTOMS THAT PYELONEPHRITIS AND CYSTITIS HAVE IN COMMON? | FREQUENCY, URGENCY, BURNING, CLOUDY, FOUL, SMELLING URINE |
WHAT MEDICAL INTERVENTION IS NECESSARY IN PYELONEPHRITIS? | IV ANTIBIOTICS FOR 1 OR 2 WEEKS, MUST GET URINE CULTURE 2 WEEKS AFTER ANTIBIOTIC THERAPY IS OVER |
HOW DOES PYELONEPHRITIS DIFFER FROM CYSTITIS IN MEANING? | CYSTITIS MEANS A BLADDER INFECTION; PYELONEPHRITIS MEANS AN INFECTION OF KIDNEY PELVIS |
WHAT CAUSES OR PRECEDES PYELONEPHRITIS? | CYSTITIS ALWAYS DOES |
WILL THE CLIENT WITH PYELONEPHRITIS HAVE DAILY WEIGHTS? | YES, AS WOULD ANY CLIENT WITH A KIDNEY PROBLEM |
NAME THE 5 SIGNS AND SYMPTOMS THAT PYELONEPHRITIS HAS THAT CYSTITIS DOES NOT HAVE? | FEVER, FLANK PAIN, CHILLS, INCREASED WBC, MALAISE |
WHAT IS THE BIG DANGER WITH PYELONEPHRITIS? | PERMANENT SCARRING AND KIDNEY DAMAGE |
HOW IS PYELONEPHRITIS PREVENTED? | BY PREVENTING OR TREATING ALL CYSTITIS(UTI'S) |
WILL THE CLIENT WITH PYELONEPHRITIS HAVE HEMATURIA? | IT IS COMMON BUT NOT ALWAYS PRESENT |
THE PT WITH PYELONEPHRITIS WILL HAVE (HYPERTENSION/HYPOTENSION)? | HYPERTENSION |
WHERE IS THE PYLORIC SPHINCTER? | AT THE DISTAL (DUODENAL) END OF THE STOMACH |
WHAT DOES STENOSIS MEAN? | NARROWED |
WHAT IS DONE TO CORRECT PYLORIC STENOSIS? | SURGERY (PYLOROMYOTOMY) |
IN WHAT POSITION SHOULD THE CHILD WITH PS BE DURING FEEDINGS? | HIGH FOWLER'S |
THE FEEDINGS FOR AN INFANT WITH PYLORIC STENOSIS SHOULD BE THICK OR THIN? | THICKENED |
WHAT TEST IS DOEN TO CONFIRM A DIAGNOSIS OF PYLORIC STENOSIS? | UPPER GI SERIES (BARIUM SWALLOW) |
THE INFANTS ARE PRONE TO DEVELOP ________ AND FAILURE TO _________. | DEHYDRATION, THRIVE |
WHY DOES THE PYLORIC VALVE BECOME STENOSED IN THIS DISEASE? | IT HYPERTOPHIES |
IN WHAT POSITION SHOULD A CHILD BE AFTER A FEEDING? | RIGHT SIDE WITH HOB UP |
THE INFANT APPEARS ______ EVEN AFTER VOMITING? | HUNGRY |
WHAT DO U SEE DURING AND AFTER FEEDING? | PERISTALTIC WAVES FROM LEFT TO RIGHT |
IS THE VOMITING PROJECTILE OR NON-PROJECTILE? IS THE VOMITING BILE-STAINED OR NOT BILE-STAINED? | PROJECTILE, NOT BILE STAINED |
WHAT ASSESSMENT FINDING IS FOUND UNDER THE RIGHT RIB CAGE? | AN OLIVE SIZED BULGE (THE HYPERTROPHIED PYLORUS) |
THE SYMPTOMS OF PYLORIC STENOSIS MOSTLY COMMONLY APPEAR AT AGE _____ TO _____. | 4 - 6 WEEKS |
DESCRIBE THE TYPICAL CHILD WITH PYLORIC STENOSIS? | FIRSTBORN, FULL TERM, WHITE BOYS |
WHAT IS THE #1 DIFFERENCE BETWEEN SEALED AND UNSEALED RADIATION? | BOTH ARE INTERNAL FORMS OF RADIOTHERAPY HOWEVER, IN SEALED, A SOLID OBJECT IS PLACED IN A BODY CAVITY; IN UNSEALED A RADIOACTIVE SUBSTANCE IS INJECTED IN LIQUID FORM INTO A VEIN |
WHAT ARE THE 3 PRINCIPLES THE NURSE USES TO PROTECT SELF WHEN CARING FOR A CLIENT WITH A SEALED RADIOACTIVE IMPLANT? | TIME, DISTANCE, SHIELDING |
WHAT IS ANOTHER NAME FOR EXTERNAL RADIATION THERAPY? | BEAM OR X-RAYS |
WHAT IS THE DIFFERENCE BETWEEN EXTRNAL RADIATION TREATMENT AND INTERNAL RADIATION TREATMENT? | IN EXTERNAL THE TUMOR IS BOMBARDED WITH X-RAYS AND NOTHING IS PLACED IN THE BODY; IN INTERNAL THERE IS SOME RADIOACTIVE SUBSTANCE INTRODUCED INTO THE BODY |
OF SEALED INTERAL, UNSEALED INTERNAL, AND EXTERNAL RADIATION TREATMENT, WHICH IS MOST DANGEROUS FOR THE NURSE? | SEALED INTERNAL THEN UNSEALED INTERNAL, EXTERNAL RADIATION TREATMENT IS OF NO DANGER TO THE NURSE UNLESS THE NURSE IS IN THE RADIATION TREATMENT ROOM DURING THE TREATMENT |
SHOULD PREGNANT NURSES PROVIDE CARE FOR A PT RECEIVING UNSEALED INTERNAL RADIOTHERAPY? | MAYBE, AS LONG AS THEY DONT CONTACT BODY SECRETIONS |
SHOULD PREGNANT NURSES CARE FOR A PT RECEIVING SEALED INTERNAL RADIOTHERAPY? | NEVER. (LAWSUIT TIME!) |
WHAT SKIN PRODUCTS SHOULD THE PT RECEIVING EXTERNAL RADIOTHERAPY AVOID? | NO OINTMENTS WITH METALS LIKE ZINC OXIDE, NO TALCUM POWDER |
DESCRIBE THE HYGIENE MEASURES THAT U TEACH THE PT RECEIVING EXTERNAL RADIOTHERAPY? | USE PLAIN WATER ONLY, NO SOAPS, PAT DRY, CAN USE CORNSTARCH FOR ITCH |
WHAT ARE THE MAJOR SIDE EFFECTS OF RADIOTHERAPY? | PRURITIS, ERYTHEMA, BURNING, SLOUGHING OF SKIN,ANOREXIA, NAUSEA AND VOMITING, DIARRHEA, BONE MARROW DEPRESSION |
WHEN THE PT IS RECEIVING RADIOACTIVE IODINE WHAT PRECUTIONS IS/ARE MOST IMPORTANT? | WEAR GLOVES WHILE IN POSSIBLE CONTACT WITH URINE, SPECIAL PRECAUTIONS TAKEN TO DISPOSE OF THE URINE |
RAPE IS A CRIME OF PASSION. (T/F) | FALSE, IT IS A VIOLENT ACT |
MOST RAPES OCCUR INVOLVING TWO PEOPLE OF DIFFERENT RACES. (T/F) | FALSE, USUALLY THE SAME RACE |
WHEN MUST PSYCHOLOGICAL CARE OF THE RAPE VICTIM BEGIN? | IN THE EMERGENCY ROOM |
NAME THE 2 PHASES OF RAPE TRAUMA SYNDROME? | DISORGANIZATION PHASE, RE-ORGANIZATION PHASE |
IMMEDIATELY AFTER RAPE, A WOMAN WHO IS CALM AND COMPOSED IS ADJUSTING WELL. (T/F) | FALSE, CALMNESS AND A COMPOSED ATTITUDE ARE SIGNS OF RAPE TRAUMA SYNDROME, (CALM PERSON IS JUST AS DISORGANIZED AS THE CRYING AND UPSET LADY) |
NAME THE 3 PHYSICAL SYMPTOMS OF RAPE TRAUMA SYNDROME. | GI IRRITABILITY, ITCHING OR BURNING ON URINATION, SKELETAL MUSCLE TENSION, *DONT FORGET PAIN |
VICTIMS OF RAPE OFTEN BLAME __________. | THEMSELVES |
IN THE LONG TERM REORGANIZATION PHASE THE WOMAN IS LIKELY TO CHANGE___________. | RESIDENCE OR/AND TELEPHONE NUMBER |
IN THE LONG-TERM REORGANIZATION PHASE THE WOMAN IS LIKLEY TO EXPERIENCE_______ DURING SLEEP. | NIGHTMARES |
IN THE LONG-TERM REORGANIZATION PHASE THE WOMAN HAS FOUR COMMON FEARS. NAME THEM.... | 1.INDOORS OR OUTDOORS (DEPENDING ON WHERE THE RAPE OCCURRED 2. BEING ALONE OR IN CROWDS 3. PEOPLE BEING BEHIND THEM 4. SEXUAL FEARS |
BEFORE EVIDENCE FROM THE WOMAN'S BODY CAN BE GATHERED FOR RAPE, _________ ________ MUST BE COMPLETED. | CONSENT FORMS |
SHOULD A FEMALE STAFF MEMBER BE PRESENT WHEN THE RAPE VICTIM IS BEING EXAMINED? | ALWAYS |
THE RAPE VICTIM REQUIRES ONLY A PELVIC EXAM AND A HEAD TO TOE EXAM IS NOT DONE, SO THE CLIENT IS NOT STRESSED. (T/F) | FALSE, THE EXAM IS A VERY LONG, INVASIVE HEAD TO TOE EXAM |
DURING EXAM THE VAGINAL SPECULUM IS LUBRICATED BEFORE IT IS PLACED IN THE VAGINA. (T/F) | FALSE, LUBRICATION COULD ALTER THE EVIDENCE |
WHAT DRUG IS OFTEN USED TO PREVENT PREGNANCY AFTER RAPE? | KITS APPROVED BY FDA: PREVEN (LEVONORGESTREL $ ETHINYL ESTRADIOL) OR PLAN B: LEVONORGESTREL (LESS N&V) |
WHEN WORKING WITH A RAPE VICTIM THEY SHOULD BE TREATED WITH _________ AND ________. | DIGNITY AND RESPECT |
AFTER RAPE, A WOMAN NEEDS FOLLOW-UP EXAM/TEST FOR _______ _______ ________. | SEXUALLY TRANSMITTED DISEASES (STD'S) |
AFTER DISCHARGE CONTACT WITH THE RAPE VICTIM IS MAINTAINED VIA THE ________. | TELEPHONE |
RAYNAUD'S IS AN ARTERIAL OR VENOUS DISEASE? | ARTERIAL DISEASE CHARCTERIZED BY SPASMS |
WHAT PART OF THE BODY IS MOST AFFECTED IN RAYNAUD'S? | THE FINGERS |
RAYNAUDS AFFECTS MALES OR FEMALES MOSTLY? | WOMEN (YOUNG) |
WHAT 3 THINGS PRECIPITATE A RAYNAUDS ATTACK? | EXPOSURE TO COLD, EMOTIONAL STRESS, TOBACCO USE |
THE DIGITS IN RAYNAUD'S ARE HOT OR COLD? | COLD |
WHAT WILL THE FINGERS LOOK LIKE? | PALE, SOMETIMES BLUE |
WHAT WILL U FIND WHEN U ASSESS THE LEGS OF THESE PTS? | WEAK/ABSENT PULSES, COOL, PALE, LOSS OF HAIR, SHINY THIN SKIN |
WHAT 3 SENSATIONS WILL THE CLIENT EXPERIENCE? | PAIN, NUMBNESS, TINGLING |
WHAT SHOULD THE CLIENT WITH RAYNAUD'S AVOID? | COLD WEATHER. (THEY SHOULD WEAR GLOVES AND STOP SMOKING) |
IN THE RECOVERY ROOM (PACU) THE PT SHOULD BE POSITIONED..... | ON EITHER SIDE |
WHAT REFLEX IS COMMONLY ROUTINELY TESTED IN THE RECOVERY ROOM? | GAG REFLEX |
WHEN WILL THE ARTIFICIAL AIRWAY BE REMOVED IN THE RECOVERY ROOM? | WHEN THE GAG REFLEX RETURNS |
VITAL SIGNS ARE MEASURED _____ IN THE RECOVERY ROOM. | EVERY 15 MIN |
IN THE RECOVERY ROOM THE HEAD SHOULD BE.... | TO THE SIDE WITH THE CHEEK AND NECK EXTENDED SLIGHTLY DOWN |
IN THE RECOVERY ROOM THE NECK SHOULD BE... | SLIGHTLY EXTENDED |
CAN POST-OP PAIN MEDS BE GIVEN IN THE RECOVERY ROOM? | YES |
GIVE 3 STAGES OF ACUTE RENAL FAILURE? | OLIGURIA, DIURETIC, RECOVERY |
DEFINE RENAL FAILURE? | INABILITY OF THE KIDNEY TO EXCRETE WASTES AND MAINTAIN FLUID AND ELECTROLYTE BALANCE |
WHAT IS THE BIG DANGER IN RENAL FAILURE? | HYPERKALEMIA AND ITS EFFECT ON THE HEART |
WHAT IS ANURIA? | LESS THAN 50CC OF URINE OUT IN 24 HRS |
WHAT IS OLIGURIA? | LESS THAN 500CC OF URINE OUT IN 24 HRS |
WHAT ARE THE DIETARY MODIFICATIONS FOR THE RECOVERY PHASE OF ACUTE RENAL FAILURE? | INCREASED CARBOHYDRATES, INCREASED PROTEIN |
WHAT ARE THE DIETARY MODIFICATIONS FOR THE DIURETIC PHASE OF ACUTE RENAL FAILURE? | INCREASED CARBOHYDRATES, PROTEIN. MODERATE POTASSIUM AND SODIUM. (MAY NEED TO INCREASE FLUIDS IF DIURESIS RESULTS IN DEHYDRATION) |
WHAT ARE THE DIETARY MODIFICATIONS FOR THE OLIGURIC PHASE OF ACUTE RENAL FAILURE? | INCREASED CARBOHYDRATES, DECREASED PROTEIN, DECREASED SODIUM, DECREASED POTASSIUM, DECREASED WATER |
WHAT IS THE FIRST PHASE IN ACUTE RENAL FAILURE? | THE OLIGURIC PHASE |
IN THE OLIGURIC PHASE, BLOOD VOLUME IS ________, SODIUM IS _______, AND POTASSIUM IS _________. | HIGH, HIGH, HIGH |
HOW LONG DOES THE OLIGURIC PHASE LAST? | 7 - 10 DAYS |
IN THE DIURETIC PHASE: BLOOD VOLUME IS ______, SODIUM IS________, AND POTASSIUM IS________. | LOW, LOW, LOW |
HOW LONG DOES THE DIURETIC PHASE USUALLY LAST? | 3 - 4 DAYS, MAXIMUM TIME IS 2 - 3 WEEKS |
IN THE DIURETIC PHASE: URINE OUTPUT CAN = ______ TO ______ LITERS/24HRS. | 4 - 5 LITERS PER 24 HRS |
WHICH IS MORE DANGEROUS, OLIGURIA, OR ANURIA? WHY? | OLIGURIA, BECAUSE SINCE U ARE LOSING MORE FLUIDS U ARE ACTUALLY HEMOP-CONCENTRATING THE HYPERKALEMIA MORE |
RESPIRATORY DISTRESS SYNDROME OCCURS IN FULL-TERM INFANTS. (T/F) | FALSE, IT OCCURS IN PREMATURE INFANTS |
RESPIRATORY DISTRESS SYNDROME HARDLY EVER OCCURS AFTER WEEK _____- OF GESTATION. | 37 |
RESPIRATORY DISTRESS SYNDROME IS ALSO KNOWN AS.... | HYALINE MEMBRANE DISEASE(HMD) |
THE CAUSE OF RDS IS A LACK OF ______. | SURFACTANT |
SURFACTANT _____ SURFACE TENSION INSIDE_____. | DECREASES, ALVEOLI |
SURFACTANT PREVENTS THE _______ OF THE ALVEOLI. | COLLAPSE |
LACK OF SURFACTANT CAUSES THE NRONATE TO LOSE LUNG CAPACITY WITH EACH _______. | BREATH |
DEATH FROM RESPIRATORY DISTRESS SYNDROME MOST COMMONLY OCCURS WITHIN _____ HRS OF BIRTH. | 96 |
WITHIN MINUTES OF BIRTH WHAT 3 RESPIRATORY DIFFICULTIES OCCUR? | RETRACTIONS, NASAL FLARING, AND GRUNTING |
WHAT MEDICATION IS GIVEN? BY WHAT ROUTE? | SURVANTA (SURFACTANT) VIA ET TUBE. REPEAT DOSES ARE OFTEN REQUIRED |
WHAT ACID/BASE DISORDER IS SEEN IN RESPIRATORY DISTRESS SYNDROME? | RESPIRATORY ACIDOSIS (CO2 IS RETAINED) |
WHAT WILL U AUSCULTATE OVER THE LUNGS OF THE NEONATE WITH RESPIRATORY DISTRESS SYNDROME? | DECREASED LUNG SOUNDS WITH CRACKLES |
WHAT LAB TEST ASSESSES THE RISK OF RESPIRATORY DISTRESS SYNDROME? | L/S RATION (LECITHIN/SPHINGOMYELIN RATIO) |
WHAT L/S RATIO INDICATES FETAL LUNG MATURITY? | 2/1 |
WHAT OTHER TEST IS USED TO CONFIRM FETAL LUNG MATURITY? | AMNIOTIC FLUID IS ANALYZED FOR PRESENCE OF PG |
SEVERE CASES OF RESPIRATORY DISTRESS SYNDROME REQUIRES VENTILATION WITH_______. | PEEP(PASITIVE AND EXPIRATORY PRESSURE) AND CPAP(CONTINUOUS POSITIVE AIRWAY PRESSURE), TO KEEP THE ALVEOLI OPEN WHILE ON THE VENTILATOR. HIGH FREQUENCY JET VENTILATION IS SOMETIMES USED. |
WHAT MAY BE ADDED TO THE IV TO CORRECT THE ACIDOSIS? | BICARBONATE |
HIGH FLOW RATES OF O2 DELIVERED IN RESPIRATORY DISTRESS SYNDROME CAN CAUSE _______ _______. | RETROLENTAL FIBROPLASIA ( AN EYE PROBLEM) |
RETROLENTAL FIBROPLASIA CAN RESULT IN ______. | BLINDNESS FROM RETINAL DAMAGE |
HIGH VENTILATORY PRESSURES RESULT IN WHAT CHRONIC LUNG PROBLEM? | BRONCHO-PULMONARY DYSPLASIA |
AT WHAT TIME OF YEAR DOES RHEUMATOID ARTHRITIS FLARE UP? | SPRING |
AS WITH ANY INFLAMMATORY DISEASE CLIENTS WITH RHEUMATOID ARTHRITIS HAVE A LOW-______. | GRADE FEVER |
WHAT FACTOR IS PRESENT IN THE BLOOD WHEN THE CLIENT HAS RHEUMATOID ARTHRITIS? | THE RHEUMATOID FEVER |
AS IN MOST INFLAMMATORY DISORDERS, THE WBC COUNT IS __________. THIS IS CALLED ________. | ELEVATED, LEUKOCYTOSIS |
AS IN MOST INFLAMMATORY DISEASES THE CLIENT HAS AN ____________ ERYTHROCYTE SEDIMENTATION RATE. | INCREASED |
DURING AN EXACERBATION (FLARE-UP) OF RHEUMATOID ARTHRITIS U SHOULD SPLINT THE JOINTS IN (EXTENSION/FLEXION) | EXTENSION |
WHAT TYPE OF CHAIR SHOULD BE USED FOR RHEUMATOID ARTHRITIS CLIENTS? | A CHAIR WITH A HIGH SEAT, ARMRESTS AND ONE IN WHICH THE KNEES ARE LOWER THAN THE HIPS |
IN RHEUMATOID ARTHRITIS THE CLIENT SHOULD AVOID POSITIONS OF ________ AND SOME POSITIONS OF _________. | FLEXION, EXTENSION |
WHENT HE CLIENT WITH RHEUMATOID ARTHRITIS IS IN REMISSION U SHOULD APPLY (HEAT/COLD) TO THE JOINT. | HEAT |
DURING AN EXACERBATION OF RHEUMATOID ARTHRITIS U SHOULD APPLY (HEAT/ICE). | ICE |
RHEUMATOID ARTHRITIS IS MORE COMMON IN FEMALES THAN IN MALES (T/F). | TRUE, UNLIKE OSTEOARTHRITIS, RHEUMATOID ARTHRITIS OCCURS THREE TIMES MORE COMMONLY IN WOMEN |
PEOPLE WITH RHEUMATOID ARTHRITIS (USUALLY/NEVER) EXPERIENCE REMISSION OF SYMPTOMS. | USUALLY |
RHEUMATOID ARTHRITIS IS A ________, _______ DISEASE. | CHRONIC INFLAMMATORY |
RHEUMATOID ARTHRITIS ATTACKS THE _______, _______, _______,_______, AND ________ _______. | JOINT, MUSCLES, TENDONS, LIGAMENTS, BLOOD VESSELS |
WHERE ARE THE NODULES OF WHEUMATOID ARTHRITIS FOUND IN CONTRAST TO THE HEBERDEN'S NODES OF OSTEOARTHRITIS? | THE NODES OF RHEUMATOID ARTHRITIS ARE SUBCUTANEOUS NODULES USUALLY ON THE ELBOWS (VENTRAL FOREARM), HERBEDEN'S NODES OF OSTEOARTHRITIS ARE ON THE FINGERS |
WHICH JOINTS OF THE FINGERS ARE MOST AFFECTED BY RHEUMATOID ARTHRITIS? | THE PROXIMAL INTERPHALANGEAL JOIN (PIP) |
CLIENTS WITH RHEUMATOID ARTHRITIS HAVE A DEFORMITY OF THE WRIST/HAND CALLED? | SWAN-NECK DEFORMITY |
THE MAINSTAY OF RHEUMATOID ARTHRITIS THERAPY IS THE DRUG __________/ | ASPIRIN |
ACTIVITY (INCREASES/DECREASES) THE PAIN OF RHEUMATOID ARTHRITIS. | DECREASES ( THIS IS TH EOPPOSITE OF OSTEOARTHRITIS WHERE ACTIVITY INCREASES THE PAIN.) |
REMISSIONS OF RHEUMATOID ARTHRITIS LAST FOR THE REST OF THE PTS LIFE. (T/F) | FALSE, THEY USUALLY HAVE RECURRENCE AND WHEN IT RE-OCCURS IT USUALLY COMES BACK WORSE |
DYSPNEA IS (LEFT/RIGHT) SIDED CHF. | LEFT |
COUGH IS (LEFT/RIGHT) SIDED CHF. | LEFT |
ASCITES IS (LEFT/RIGHT)SIDED CHF. | RIGHT |
POSITIVE HEPATOJUGULAR REFLUX IS (LEFT/RIGHT) SIDED CHF. | RIGHT |
LOW CARDIAC OUTPUT IS (LEFT/RIGHT)SIDED CHF. | LEFT |
S3 AND S4 GALLOPS IS (LEFT/RIGHT) SIDED CHF. | LEFT |
CRACKLES IS (LEFT/RIGHT) SIDED CHF. | LEFT |
PULSES ALTERNANS IS (LEFT/RIGHT)SIDED CHF. | LEFT--STRON PULSE THEN A WEAK PULSE ALTERNATIVELY |
PALPITATIONS IS (LEFT/RIGHT) SIDED CHF. | LEFT |
FATIGUE IS (LEFT/RIGHT) SIDED CHF. | LEFT |
WEIGHT GAIN IS (LEFT/RIGHT) SIDED CHF. | RIGHT |
DIAPHORESIS IS (LEFT/RIGHT) SIDED CHF. | LEFT |
JUGULAR VEIN PULSTATIONS IS (LEFT/RIGHT) SIDED CHF. | RIGHT |
NECK VEIN DISTENTION IS (LEFT/RIGHT) SIDED CHF. | RIGHT |
HEPATOMEGALY IS (LEFT/RIGHT) SIDED CHF. | RIGHT |
EDEMA IS (LEFT/RIGHT)SIDED CHF. | RIGHT |
ABDOMINAL DISTENTIONS IS (LEFT/RIGHT) SIDED CHF. | RIGHT |
SCOLIOSIS IS A _______ CURVATURE OF THE __________. | LATERAL, SPINE |
SCOLIOSIS IS MOST COMMON IN THE _______ AND ______ SECTIONS OF THE SPINAL COLUMN. | THORACIC AND LUMBAR |
SCOLIOSIS IN THE THORACIC SPINE IS USUALLY CONVEX TO THE (LEFT/RIGHT). | RIGHT |
SCOLIOSIS IN THE LUMBAR SPINE IS USUALLY CONVEX TO THE (LEFT/RIGHT). | LEFT (*HINT: CURVE LEFT IN LUMBAR) |
WITH WHICH OTHER TWO SPINE DEFORMITIES IS SCOLIOSIS ASSOCIATED? | KYPHOSIS(HUMPBACK) LORDOSIS(SWAYBACK) |
WHAT IS KYPHOSIS? | HUMPBACK IN THE THORACIC AREA |
WHAT IS LORDOSIS? | SWAYBACK IN THE LUMBAR REGION (LUMBAR, LORDOSIS) |
WHAT IS THE DIFFERENCE BETWEEN STRUCTURAL AND FUNCTIONAL SCOLIOSIS? | STRUCTURAL---U ARE BORN WITH; FUNCTIONAL--U GET FROM BAD POSTURE |
WHAT AGE GROUP SHOULD BE ROUTINELY SCREENED FOR SCOLIOSIS? | YOUNG TEENS |
WHAT ARE THE 3 SUBJECTIVE COMPLAINTS OF CLIENTS WITH SCOLIOSIS? | BACK PAIN, DYSPNEA, FATIGUE |
WHAT TEST/EXAM CONFIRMS THE DIAGNOSIS OF SCOLIOSIS? | X-RAYS OF THE SPINE |
WHAT TYPE OF BRACE IS MOST COMMONLY USED FOR SCOLIOSIS? | MILWAUKEE |
NAME 4 EXERCISES USED TO TREAT MILD SCOLIOSIS? | HEEL LIFTS, SIT-UPS, HYPEREXTENSION OF THE SPINE, BREATHING EXERCISES |
WHAT KIND OF TREATMENT IS DONE FOR SEVERE SCOLIOSIS? | SURGICAL FUSION WITH ROD INSERTION |
WHAT TYPE OF CAST IS USED POST-OP? | RISSER CAST |
WHAT KIND OF ROD IS USED TO FIX CURVATURE? | HARRINGTON ROD |
SCOLIOSIS MOST COMMONLY AFFECTS _________ _______ (TYPE OF CLIENTS.) | TEENAGE FEMALES |
HOW MANY HOURS A DAY SHOULD THE CLIENT WEAR A MILWAULKEE BRACE? | 23 |
WHAT SOLUTION SHOULD BE USED ON THE SKIN WHERE THE BRACE RUBS? | TINCTURE OF BENZOIN OR ALCOHOL NO LOTIONS OR OINTMENTS----U WANT TO TOUGHEN THE SKIN NOT SOFTEN IT |
CLIENTS WITH MILWAULKEE BRACE SHOULD AVOID VIGOROUS EXERCISE. (T/F) | TRUE |
HOW OFTEN SHOULD THE NEUROVASCULAR STATUS OF THE EXTREMETIES OF A CLIENT IN A RISSER CAST BE MEASURED? FRESH POST-OP? | EVERY 2 HRS |
WHAT IS A COMMON COMPLICATION OF A CLIENT IN A BODY CAST(LIKE THE RISSER CAST)? | CAST SYNDROME |
WHAT IS CAST SYNDROME? | NAUSEA, VOMITING, AND ABDOMINAL DISTENTION THAT CAN RESULT IN INTESTIONAL OBSTRUCTION |
WHAT GROUP OF PEOPLE GET CAST SYNDROME? | ANYONE IN A BODY CAST |
WHAT IS THE TREATMENT FOR CAST SYNDROME? | REMOVAL OF THE CAST, NG TUBE TO DECOMPRESS, NPO |
HOW WOULD U, THE NURSE ASSESS FOR DEVELOPING CAST SYNDROME? | ASK THE CLIENT IF THEY ARE EXPERIENCING ANY ABDOMINAL SYMPTOMS----KEEP TRACK OF BOWEL MOVEMENTS AND PASSING FLATUS(IF NOT HAVING BMS OR PASSING FLATUS, CAST SYNDROME IS SUSPECTED) |
WHAT CAUSES CAST SYNDROME , SPECIFICALLY IN A RISSER CAST? | HYPEREXTENSION OF THE SPINE BY A BODY CAST, THE HYPEREXTENSION INTERRUPTS THE NERVE AND BLOOD SUPPLY TO THE GUT |
THE INHERITANCE PATTERN OF SICKLE-CELL ANEMIA IS _____________ ____________. | AUTOSOMAL RECESSIVE |
WHAT DOES HETEROZYGOUS MEAN? | IT MEANS U ONLY HAVE ONE DEFECTIVE GENE FROM ONLY ONE PARENT |
PEOPLE WHO ARE (HETERO/HOMO) ZYGOUS HAVE SICKLE CELL TRAIT. | HETERZYGOUS |
WHAT DOES HOMOZYGOUS MEAN? | IT MEANS U HAVE THE DEFECTIVE GENE FROM BOTH PARENTS |
PEOPLE WHO ARE (HETERO/HOMO) ZYGOUS HAVE SICKLE CELL DISEASE. | HOMOZYGOUS |
PEOPLE WITH SICKLE CELL TRAIT ONLY CARRY THE DISEASE, THEY DO NOT HAVE SYMPTOMS. (T/F) | TRUE, USUALLY IT HAS OCCURRED THAT IN TIMES OF SEVER STRESS, THE TRAIT DOES CAUSE SOME SYMPTOMS BUT NOT USUALLY |
WHAT ARE THE #1 AND #2 CAUSES OF SICKLE CELL CRISIS? | HYPOXIA, DEHYDRATION |
THE MOST COMMON TYPE OF CRISIS THAT OCCURS IN A ___________-___________CRISIS. | VASO-OCCLUSIVE |
IN VASO-OCCLUSIVE THE VESSELS BECOME MORE OCCLUDED WITH __________ ___________. | ABNORMAL RBC'S |
THE ABNORMAL HEMOGLOBIN PRODUCED BY PEOPLE WITH SICKLE CELL ANEMIA IS CALLED Hgb ________. | Hgb S----IT SICKLES |
WHAT SHAPE DOES Hgb S MAKE THE RBC'S? | CRESCENT SHAPE |
WHY DO THE CRESCENT SHAPED RBC'S CAUSE OCCLUSION OF THE VESSELS? | THEY CLUMP TOGETHER AND CREATE A SLUDGE |
WHARE THE THE TOP 3 PRIORITIES IN CARE OF THE CLIENT WITH SICKLE-CELL CRISIS? | OXYGENATION, HYDRATION,AND PAIN CONTROL |
WHAT ACTIVITY ORDER WILL THE CLIENT WITH SICKLE CELL CRISIS HAVE? | BED REST |
OF TYLENOL, MORPHINE, DEMEROL, ASPIRIN, WHICH IS NEVER GIVEN TO SICKLE CELL PATIENTS? | ASPIRIN----IT CAN CAUSE ACIDOSIS WHICH MAKES THE CRISIS AND SICKLING WORSE |
AT WHAT AGE IS DEATH MOST LIKELY IN SICKLE CELL ANEMIA? | YOUNG ADULTHOOD |
SICKLE-CELL ANEMIA SYMPTOMS DO NOT APPEAR BEFORE THE AGE OF _______ MONTHS DUE TO THE PRESCENCE OF ________ _______. | 6; FETAL HEMOGLOBIN |
SICKLE CELL ANEMIA IS MOST COMMONLY SEEN IN (BLACKS/WHITES). | BLACKS |
SHOULD A CHILD IN SICKLE-CELL CRISIS WEAR TIGHT CLOTHES? | NO, IT CAN OCCLUDE VESSELS EVEN MORE |
SPINAL CORD INJURIES ARE MORE COMMON IN MALES. (T/F) | TRUE |
IN WHAT AGE RANGE IS SPINAL CORD INJURY MOST COMMON? | 15 TO 25 |
THE #1 GOAL IN EMERGENCY TREATMENT OF SPINAL CORD INJURY IS..... | IMMOBILIZATION OF THE SPINE |
WHEN HALO TRACTION IS BEING USED TO IMMOBILIZE THE SPINAL CORD THE CLIENT IS ALLOWED TO________. | AMBULATE |
WHEN THE PT WITH SPINAL CORD INJURY IS IN TONGS OR ON A STRYKER FRAME OR ON A CIRCOELECTRIC BED THEY ARE ON..... | ABSOLUTE BED REST |
THE TWO MOST COMMON SURGERIES USED TO TREAT SPINAL CORD ARE _______ AND _______ _______. | LAMINECTOMY AND SPINAL FUSION |
WHAT IS SPINAL SHOCK? | IT IS A COMMON OCCURRENCE IN THE SPINAL CORD INJURY IN WHICH THE SPINAL CORD SWELLS ABOVE AND BELOW THE LEVEL OF INJURY |
WHEN DOES SPINAL SHOCK OCCUR? | IMMEDIATELY OR WITHIN 2 HRS OF INJURY |
HOW LONG DOES SPINAL SHOCK LAST? | 5 DAYS TO 3 MONTHS |
WHEN THE SPINAL CORD INJURY IS AT LEVEL OF ______ TO _____ THE PT WILL BE QUADRIPLEGIC. | C1 TO C8 |
WHEN SPINAL CORD INJURY IS BETWEEN _______ AND _______, THERE IS PERMANENT RESPIRATORY PARALYSIS. | C1 AND C4 |
CAN THE PT WITH SPINAL CORD INJURY AT C7 LEVEL HAVE RESPIRATORY ARREST? | YES, BECAUSE EVEN THOUGH HIS INJURY WAS BELOW C4, SPINAL SHOCK CAN LEAD TO LOSS OF FUNCTION ABOVE THE LEVEL, HOWEVER HE WILL NOT BE PERMANENTLY VENTILATOR DEPENDENT--HE WILL BREATHE ON OWN ONCE SPINAL SHOCK GOES AWAY |
SPINAL CORD INJURY IN THE THORACIC/LUMBAR REGIONS RESULT IN _______ PLEGIA. | PARAPLEGIA |
IF AIRWAY OBSTRUCTION OCCURS AT THE ACCIDENT SITE AND U SUSPECT SPINAL CORD INJURY, WHAT MANEUVER IS USED TO OPEN THE AIRWAY? | MODIFIED JAW THRUST |
IN SPINAL CORD INJURY NEVER ________ THE NECK. | MOVE,HYPEREXTEND |
HOW SHOULD U CHANGE THE POSITION OF THE SPINAL CORD INJURY PT AFTER HE HAS AN ORDER TO BE UP? WHY? | SLOWLY, BECAUSE OF SEVERE ORTHOSTATIC HYPOTENSION (THEY USE A LIFT TABLE) |
FOR THE PT WITH A NEUROGENIC BLADDER U SHOULD STRAIGHT CATHETERIZE EVERY _________HOURS. | EVERY 6 HRS |
THE PT WITH SPINAL CORD INJURY WILL HAVE (FLACCID/SPASTIC) MUSCLES. | SPASTIC |
NAME 3 DRUGS USED TO TREAT SPASMS? | VALIUM, BACLOFEN, DANTRIUM |
WHAT IS AUTONOMIC DYSREFLEXIA OR HYPERREFLEXIA? | A COMMON COMPLICATION OF QUADRIPLEGICS IN RESPONSE TO A FULL BLADDER OR BOWEL |
WHAT ARE THE VITAL SIGN CHANGES SEEN IN AUTONOMIC DYSREFLEXIA? | SWEATING, HEADACHE, NAUSEA, AND VOMITING, GOOSEFLESH, AND SEVER HYPERTENSION |
WHAT DO U DO FIRST FOR THE CLIENT EXPERIENCING AUTONOMIC DYSREFLEXIA? | RAISE HOB |
WHAT DO U DO FOR SECOND IN THE PATIENT EXPERIENCING AUTONOMIC DYSREFLEXIA? | CHECK THE BLADDER, CHECK THE BOWEL |
DO U NEED TO CALL THE DR FOR AUTONOMIC DYSREFLEXIA? | NO, ONLY CALL THE DR IF DRAINING THE BLADDER AND REMOVING IMPACTION DOES NOT WORK |
WHAT IS THE #1 TREATMENT FOR AUTONOMIC DYSREFLEXIA? | DRAIN THE BLADDER, EMPTY THE BOWEL |
WHAT IS THE PURPOSE OF RESTRICTING ACTIVITY AFTER SPINAL TAP? | TO PREVENT HEADACHE DUE TO CSF LOSS |
SHOULD THE CLIENT DRINK AFTER A SPINAL TAP? | YES, ENCOURAGE FLUIDS TO REPLACE CSF |
DO U NEED AN INFORMED CONSENT FOR A SPINAL TAP? | YES |
SHOULD CSF CONTAIN BLOOD? | NO |
DOES THE CLIENT HAVE TO BE NPO BEFORE A SPINAL TAP? | NO |
WHAT IS THE NORMAL COLOR OF CEREBROSPINAL FLUID? | CLEAR, COLORLESS |
INTO WHAT SPACE IS THE NEEDLE INSERTED DURING A SPINAL TAP? | SUBARACHNOID SPACE |
CAN THE CLIENT TURN SIDE-TO-SIDE AFTER A SPINAL TAP? | YES |
IN WHAT POSITION SHOULD THE CLIENT BE DURING A SPINAL TAP. | LATERAL DECUBITUS(ON THEIR SIDE)POSITION AND KNEES TO CHEST |
IDENTIFY THE ACTIVITY RESTRICTION NECESSARY AFTER LUMBAR PUNCTURE? | LIE FLAT FOR 6 TO 12 HRS |
WHAT ARE THE TWO PURPOSES OF A SPINAL TAP? | TO MEASURE OR RELIEVE PRESSURE AND OBTAIN A CSF SAMPLE |
DOES THE CLIENT HAVE TO BE SEDATED BEFORE A SPINAL TAP? | NO |
DEFINE ANTIBIOTIC. | A DRUG THAT DESTROYS OR INHIBITS GROWTH OF MICO-ORGANISMS |
DEFINE ASEPSIS. | ABSCENCE OF ORGANISMS CAUSING DISEASE |
DEFINE ANTISEPTIC. | A SUBSTANCE USED TO DESTROY OR INHIBIT THE GROWTH OF PATHOGENS BUT NOT NECESSARILY THEIR SPORES (IN GENRAL SAFE TO USE ON PERSONS) |
DEFINE DISINDECTANT. | A SUBSTANCE USED TO DESTROY PATHOGENS BUT NOT NECESSARILY THEIR SPORES (IN GENERAL NOT INTENDED FOR USE OF PERSONS) |
DEFINE BACTERCIDE. | SUBSTANCE CAPABLE OF DESTROYING MICRO-ORGANISMS BUT NOT NECESSARILY THEIR SPORES |
DEFINE BACTERIOSTATIC. | SUBSTANCE THAT PREVENTS OR INHIBITS THE GROWTH OF MICRO-ORGANISMS |
DEFINE ANAEROBE. | MICRO-ORGANISMS THAT DO NOT REQUIRE FREE OXYGEN TO LIVE |
DEFINE AEROBE. | MICRO-ORGANISMS REQUIRING FREE OXYGEN TO LIVE |
DEFINE PATHOGEN. | MICRO-ORGANISMS THAT CAUSES DISEASE |
DEFINE CLEAN TECHNIQUE. | PRACTICES THAT HELP REDUCE THE NUMBER AND SPREAD OF MICRO-ORGANISMS (SYNONYM FOR MEDICAL ASEPSIS) |
DEFINE STERILE. | AN ITEM ON WHICH ALL MICRO-ORGANISMS HAVE BEEN DESTROYED |
DEFINE COAGULATE. | PROCESS THAT THICKENS OR CONGEALS A SUBSTANCE |
DEFINE HOST | AN ANIMAL OR A PERSON UPON WHICH OR IN WHICH MICRO-ORGANISMS LIVE |
DEFINE PORTAL OF ENTRY. | PART OF THE BOFY WHERE ORGANISMS ENTER |
DEFINE CONTAMINATE. | TO MAKE SOMETHING UNCLEAN OR UNSTERILE |
DEFINE SURGICAL ASEPSIS. | PRACTICES THAT RENDER AND KEEP OBJECTS AND AREAS FREE FROM ALL MICRO-ORGANISMS(SYNONYM FOR STERILE TECHNIQUES) |
DEFINE MEDICAL ASEPSIS. | PRACTICES THAT HELP REDUCE THE NUMBER AND SPREAD OF MICRO-ORGANISMS(SYNONYM FOR CLEAN TECHNIQUES) |
DEFINE SPORE. | A CELL PRODUCED BY MICRO-ORGANISMS WHICH DEVELOPS INTO ACTIVE MICRO-ORGANISMS UNDER PROPER CONDITIONS |
WHICH HAND SHOULD HOLD THE SUCTION CATHETER? WHICH SHOULD HOLD THE CONNECTING TUBE? | THE DOMINANT, THE NON-DOMINANT |
THE NURSE SHOULD USE (MEDICAL/SURGICAL) ASEPSIS DURING AIRWAY SUCTION? | SURGICAL ASEPSIS (STERILE TECHNIQUE) |
WHAT KIND OF LUBRICANT SHOULD BE USED ON THE SUCTION CATHETER? | STERILE WATER-SOLUBLE |
SHOULD THE SUCTION BE CONTINUOUS OR INTERMITTENT? | INTERMITTENT TO PREVENT MUCOSAL DAMAGE |
FOR HOW LONG SHOULD SUCTION BE APPLIED DURING ANY ONE ENTRY OF THE CATHETER? | 10 SECONDS |
HOW OFTEN SHOULD THE NURSE CLEAR THE TUBING DURING SUCTIONING? | AFTER EACH PASS/ENTRY/REMOVAL |
WHICH WAY WOULD U TURN THE CLIENT HEAD TO SUCTION THE RIGHT MAINSTREAM BRONCHUS? THE LEFT MAINSTREAM BRONCHUS? | TO THE LEFT, TO THE RIGHT |
THE BEST CLIENT POSITION DURING AIRWAY SUCTIONING IS ____________. | SEMI-FOWLERS |
THE SUCTION SHOULD BE DELIVERED WHILE (INSERTING/REMOVING) THE CATHETER. | WHILE REMOVING THE CATHETER |
WHAT OUTCOMES WOULD INDICATE THAT SUCTIONING WAS EFFECTIVE? | CLEAR EVEN LUNG SOUNDS, NORMAL VITAL SIGNS |
HOW OFTEN SHOULD THE CLIENTS AIRWAY BE SUCTIONED? | WHEN IT NEEDS TO BE, FOR EXAMPLE MOIST LUNG SOUNDS, TACHYCARDIA, RESTLENESS (HYPOXIA),INEFFECTIVE COUGH |
THE UNCONSCIOUS CLIENT SHOULD ASSUME WHAT POSITION DURING SUCTIONING? | SIDE-LYING FACING NURSE |
IF NOT CONTRAINDICATED, WHAT ACTION BY THE NURSE BEFORE SUCTIONING WOULD MOST LIKELY REDUCE HYPOXIA DURING SUCTIONING? | ADMINISTER A FEW BREATHS AT 100% OXYGEN BEFORE BREATHING |
WHAT SOLUTION SHOULD BE USED TO CLEAR THE TUBING DURING SUCTIONING? | STRERILE SALINE |
WITH WHAT SIZE CATHETER SHOULD AN ADULTS AIRWAY BE SUCTIONED? | 12 TO 16 FRENCH |
HOW MUCH SUCTION SHOULD BE USED FOR AN INFANT? | LESS THAN 80 MMHg |
HOW MUCH SUCTION SHOULD BE USED FOR A CHILD? | 80 - 100 mmHg |
HOW MUCH SUCTION SHOULD BE USED FOR AN ADULT? | 120 - 150 mmHg |
CHILDREN ARE AT ______ RISK FOR SUICIDE. | LOW |
ADOLESCENTS ARE (LOW/HIGH) RISK FOR SUICIDE. | HIGH |
YOUNG ADULTS ARE (LOW/HIGH) RISK FOR SUICIDE. | HIGH TO MODERATE |
PEOPLE BETWEEN 25-50 YRS ARE (LOW/MODERATE/HIGH) RISK FOR SUICIDE? | MODERATE |
PEOPLE OVER 50 YRS ARE (LOW/HIGH) RISK FOR SUICIDE. | HIGH |
THE PATIENT WHO HAS A DEFINITE PLAN IS (LOW/HIGH)RISK FOR SUICIDE. | MODERATE TO HIGH, DEPENDS UPON FEASIBILITY AND EASE OF PLAN |
THE USE OF PILLS MAKES THE PATIENT (LOW/MODERATE/HIGH) RISK FOR SUICIDE. | MODERATE |
THE PT WHO HAS NO DEFINITE PLAN IS (LOW/HIGH) RISK FOR SUICIDE. | LOW |
THE USE OF ________, ______ AND ______ TO KILL SELF, MAKE HIGH RISK SUICIDE. | GUNS, ROPES, KNIVES |
WHO IS AT HIGHER RISK FOR SUICIDE, A MAN OR A WOMAN? | MAN |
OF MARRIED, DIVORCED, SEPARATED, WHICH MARITAL STATUS IS HIGHEST RISK FOR SUICIDE? LOWEST RISK FOR SUICIDE? | HIGHEST----SEPARATED THEN DIVORCE LOWEST----MARRIED |
THE GOAL OF ACTION WHILE THE SUICIDAL PATIENT IS STILL ON THE PHONE IS TO GET ________ PERSON ______ THE _______. | ANOTHER PERSON ON THE SCENE( THIS IMMEDIATELY DECREASES RISK) REMEMBER: PEOPLE WHO ARE ALONE ARE ALWAYS HIGH RISK |
WHAT ARE THE 4 CLASSIC SUICIDE PRECAUTIONS? | SEARCH PERSONAL BELONGINGS FOR DRUGS AND ALCOHOL, REMOVE ANY SHARP OBJECTS, REMOVE ANY DEVICE FOR HANGING OR STRANGLING, MUST BE ON CONSTANT ONE ON ONE OBSERVATION (NEVER OUT OF SIGHT) |
ONCE THE PATIENT IS ADMITTED FOR ATTEMPTED SUICIDE SHOULD U EVER DISCUSS THE ATTEMPT WITH THEM? | NO, U SHOULD NOT FOCUS ON THE ATTEMPT, FOCUS ON THE PRESENT AND FUTURE. |
WHAT DOES THE SUFFIX -PATHY MEAN? | DISEASE, SUFFERING |
WHAT DOES THE SUFFIX -PENIA MEAN? | LACK, DEFICIENCY OF |
WHAT DOES THE SUFFIX -SECT MEAN? | PLASTIC SURGERY ON A SPECIFIED PART |
WHAT DOES THE SUFFIX -SCLEROSIS MEAN? | HARDENING OF A TISSUE BY; INFLAMMATION, DEPOSITION OF MINERAL SALTS; INFILTRATION OF CONNECTIVE TISSUE FIBERS |
WHAT DOES THE SUFFIX -CENTESIS MEAN? | PERFORATION OR PUNCTURE |
WHAT DOES THE SUFFIX -GENIC MEAN? | PRODUCE, ORIGINATE BECOME |
WHAT DOES THE SUFFIX -EMIA MEAN? | BLOOD |
WHAT DOES THE SUFFIX -OTOMY MEAN? | CUTTING |
WHAT DOES THE SUFFIX -PEXY MEAN? | FIXATION OF SOMETHING |
WHAT DOES THE SUFFIX -ATRESIA MEAN? | CONDITION OF OCCLUSION |
WHAT DOES THE SUFFIX -DESIS MEAN? | BINGING, FUSING |
WHAT DOES THE SUFFIX -CELE MEAN? | COMBINING FORM MEANING A TUMOR OR SWELLING OR A CAVITY |
WHAT DOES THE SUFFIX -CIS MEAN? | CUT, KILL |
WHAT DOES THE SUFFIX -RHAPY; -RRHAPY MEAN? | JOINING IN A SEAM, SUTURATION |
WHAT DOES THE SUFFIX -SCOPE; -SCOPY MEAN? | INSTRUMENT FOR OBSERVATION |
WHAT DOES THE SUFFIX -OSIS MEAN? | INDICATES CONDITION PROCESS |
WHAT DOES THE SUFFIX -OMA MEAN? | TUMOR |
WHAT DOES THE SUFFIX -OSTOMY MEAN? | SURGICAL OPENING |
WHAT DOES THE SUFFIX -STASIS MEAN? | STOPPAGE |
WHAT DOES THE SUFFIX -ITIS MEAN? | INFLAMMATION |
WHAT DOES THE SUFFIX -OLOGY MEAN? | STUDY OF; KNOWLEDGE, SCIENCE |
WHAT DOES THE SUFFIX -LYSIS MEAN? | BREAKING DOWN |
WHAT DOES THE SUFFIX -ECTOMY MEAN? | SURGICAL REMOVAL OF |
WHAT DOES THE SUFFIX -TRIPSY MEAN? | CRUSHING OF SOMETHING BY A SURGICAL INSTRUMENT |
WHAT DOES THE SUFFIX -ASE MEAN? | USED IN NAMING ENZYMES |
WHAT DOES THE SUFFIX -GRAM; -GRAPHY MEAN? | WRITE, RECORD |
SYPHILIS IS SEXUALLY TRANSMITTED. (T/F) | TRUE |
SYPHILIS FIRST INFECTS THE _______ ______. | MUCOUS MEMBRANES |
SYPHILIS IS A FATAL DISEASE IF UNTREATED. (T/F) | TRUE |
WHAT ARE THE STAGES OF SYPHILIS? | PRIMARY, SECONDASRY, LATENT, LATE |
WHAT ORGANISM CAUSES SYPHILIS? | TREPONEMA PALLADIUM |
WHAT IS THE LESION LIKE IN PRIMARY SYPHILIS? | THE CHANCRE(PRONOUNCED SHANKER) |
THE CHANCRES OF SYPHILIS ARE (PAINFUL,PAINLESS). | PAINLESS |
CHANCRES DISAPPEAR WITHOUT TREATMENT. (T/F) | TRUE |
LATE SYPHILIS ATTACKS WHICH 3 BODY ORGANS? | LIVER, HEART, BRAIN |
WHAT TEST CONFIRMS THE PRESCENCE OF SYPHILIS? | DARK-FIELD ILLUMINATION OF THE TREPONEMA PALLADIUM |
WHAT IS THE TREATMENT OF CHOICE FOR SYPHILIS? | PENICILLIN |
WHY IS PENICILLIN ADMINISTERED WITH PROCAINE? WITH PROBENECID? | PROCAINE MAKES THE SHOT LESS PAINFUL; PROBENECID BLOCKS THE EXCRETION OF PENECILLIN |
WHAT IS THE MOST COMMON CIGN OF NEUROSYPHILIS? | ATAXIA (GAIT PROBLEMS) |
WHAT DOES TENS STAND FOR? | TRANSCUTANEOUS ELECTRICAL NERVE STIMULATOR |
IS TENS AN INVASIVE PROCEDURE? | NO, THE SKIN IS NEVER BROKEN |
CAN IT BE USED FOR ACUTE OR CHRONIC PAIN? | BOTH |
TENS USE IS BASED UPON THE _______ _______ OF PAIN RELIEF? | GATE CONTROL |
TENS ELECTRODES STIMULATE (LARGE/SMALL) DIAMETER FIBERS. | LARGE--THIS IS THE BASIS OF THE GATE CONTROL THEORY |
TENS ELECTRODES ARE PLACED ONTO THE ...... | SKIN |
CAN TENS UNITS BE PLACED OVER AN INCISION TO DECREASE INCISIONAL PAIN? | NEVER |
PTS WITH WHAT OTHER MECHANIC DEVICE IN USE CANNOT USE TENS. | CADIAC PACEMAKER |
HOW OFTEN SHOULD THE PT BE TAUGHT TO CHANGE THE TENS ELECTRODES? | EVERY DAY |
HOW IS A DORSAL-COLUMN STIMULATOR DIFFERENT THAT A TENS UNIT? | DORSAL COLUMN STIMULATION ELECTRODES ARE SURGICALLY IMPLANTED BY THE SPINAL CORD, THE PT HAS TO UNDERGO A LAMINECTOMY TO PLACE THE DCS ELECTRODES |
IN WHAT GROUP OF CLIENTS IS THORACENTESIS CONTRAINDICATED? | UNCOOPERATIVE, BLEEDING DISORDERS |
WHAT INSTRUCTION IS MOST IMPORTANT TO GIVE THE CLIENT UNDERGOING THORACENTESIS? | DONT MOVE OR COUGH |
WHAT IS THORACENTESIS? | THE PLEURAL SPACE IS ENTERED BY PUNCTURE AND FLUID IS DRAINED BY GRAVITY INTO BOTTLES--ALLOWS THE LUNGS TO RE-EXPAND |
IF A CLIENT HAS A COUGH, WHAT SHOULD BE DONE BEFORE THORACENTESIS? | GIVE HIM A COUGH SUPPRESSANT |
DOES THORACENTESIS REQUIRE A SIGNED INFORMED CONSENT? | YES, IT INVADES A BODY CAVITY |
DESCRIBE THE POSITION THE CLIENT SHOULD ASSUME DURING A THORACENTESIS? | UPRIGHT WITH ARMS AND SHOULDERS ELEVATED, SLIGHTLY LEANING FORWARD |
WHAT IS EXOPHTHALMOS? | BULGING OUTWARD OF EYES |
TO CARE FOR THE PT WITH EXOPHTHALMOS THE PT SHOULD WEAR _______ _______ AND USE ______ _______. | DARK SUNGLASSES, ARTIFICIAL TEARS |
RADIOACTIVE IODINE IS GIVEN TO HYPERTHYROID PTS BECAUSE IT ______ ______ PLUS DECREASES PRODUCTION OF ______ ______. | DESTROYS TISSUE, THYROID HORMONE |
THE #1 PROBLEM WITH USING PROPYLTHIOURACIL IS _________. | AGRANULOCYTOSIS |
WHAT DO U TEACH TO ALL PTS ON DRUGS WHICH HAVE AGRANULOCYTOSIS AS A SIDE EFFECT? | REPORT ANY SORE THROAT IMMEDIATELY |
LUGOLS SOLUTION SHOULD BE GIVEN ______ A _______ TO PREVENT STAINING OF THE _______. | THROUGH A STRAW, TEETH |
LUGOLS SOLUTION DECREASES THE ______ OF THE THYROID GLAD. | VASCULARITY |
SSKI SHOULD BE GIVEN WITH ______ ______ TO DECREASE THE _______ _______. | FRUIT JUICES; BITTER TASTE (SSKI---SUPER SATURATED SOLUTION OF POTASSIUM IODINE) |
PTS WITH EITHER HYPO OR HYPER THYROID CAN GO INTO THYROID STORM. (T/F) | TRUE |
GIVE ANOTHER NAME FOR THYROID STORM? | THYROTOXICOSIS, THYROID CRISIS |
IN THYROTOXICOSIS, THE TEMP_______; THE HEART RATE ______ AND THE PT BECOMES ________. | INCREASES(106); INCREASES; DELIRIOUS/COMATOSE |
WHAT IS THE FIRST THING A NURSE DOES WHEN THYROID STORM OCCURS? | GIVE OXYGEN |
WHAT IS THE SECOND THING A NURSE DOES WHEN THYROID CRISIS OCCURS? | CALL MD, CAN PACK IN ICE OR USE HYPOTHERMIA BLANKET |
WHAT ARE THE SIDE EFFECTS OF THYROID REPLACEMENT DRUGS? | TACHYCARDIA, PALPITATIONS AND OTHER SIGNS SEEN IN HYPERTHYROIDISM |
WHY IS LUGOLS SOLUTION GIVEN PRE-OP THYROIDECTOMY? | TO DECREASE THE VASCULARITY OF THE GLAND AND MINIMIZE BLOOD LOSS |
AFTER THYROIDECTOMY U CHECK FOR WOUND HEMORRHAGE BY.... | SLIPPING YOUR HAND UNDER THE NECK AND SHOULDERS |
THE #1 COMPLICATION OF THYROIDECTOMY IN THE FIRST 8 TO 12 HRS IS _________. | HEMORRHAGE---OR MAYBE AIRWAY |
WHEN MOVING FRESH POST-OP THYROIDECTOMY PT U MUST TAKE CARE TO NEVER _____ ______ ______. | MOVE THE NECK |
POST-OP THYROIDECTOMY PTS WILL HAVE SAND BAGS ON EITHER SIDE OF THE _______ | NECK |
WHY DO U ASSESS THE POST-OP THYROIDECTOMY PTS VOICE FOR HOARSENESS PERIODICALLY? | BECAUSE DURING SURGERY THE SURGEON MAY HAVE NICKED THE RECURRENT LARYNGEAL NERVE. (THIS NERVE IS TESTED ON STATE BOARDS) |
WILL THE POST-OP THYROIDECTOMY PT BE ALLOWED TO TALK? | HE IS OPN VOICE REST UNLESS U ARE ASSESSING HIS VOICE |
WHAT 3 PIECES OF EMERGENCY EQUIPMENT MUST BE IN THE ROOM AFTER THYROID STORM? | SUCTION, TRACHEOTOMY SET, OXYGEN |
IN WHAT POSITION SHOULD THE POST-OP THYROIDECTOMY PT BE? | SEMI-FOWLERS WITH NECK SUPPORTED IN MIDLINE |
WHAT CALCIUM IMBALANCE IS COMMON IN THE POST-OP THYROIDECTOMY PT? | HYPOCALCEMIA--DUE TO ACCIDENTAL REMOVAL OF THE PARATHYROIDS |
WHEN IS HYPOCALCEMIA MOST LIKELY TO OCCUR AFTER THYROIDECTOMY? WHY? | THE SECOND AND THIRD POST-OP DAY---BECAUSE IT TAKES AWHILE FOR THE LEVEL TO DROP. |
HYPOCALCEMIA WILL CAUSE (TETANY/SEVER MUSCLE WEAKNESS). | TETANY |
WHAT DRUG IS USED TO TREAT DECREASED CALCIUM? | CALCIUM GLUCONATE |
WHAT IS CHVOSTEK'S SIGN? | A SIGN OF HYPOCALCEMIA, IT IS WHEN U TAP THE CHEEK, THE PT PUFFS OUT THE CHEEKS.(CHvostek AND CHeeks) |
WHAT IS TROUSSEAU'S SIGN? | IT IS A SIGN OF HYPOCALCEMIA---IT IS WHEN U GET A CARPOPEDAL SPASM OF THE HAND WHEN U APPLY A BLOOD PRESSURE CUFF TO THE LOWER ARM |
WHAT IS THE EARLIEST SIGN OF HYPOCALCEMIA? | TREMORS/TINGLING |
SHOULD U PALPATE THE THYROID OF THE HYPERTHYROID PT AFTER ECTOMY? | NO, IT COULD SEND THEM INTO THYROID STORM |
CAN DENTAL WORK SEND A HYPERTHYROID CLIENT INTO THYROID STORM? | YES, ANY STRESS CAN |
GIVE ANOTHER NAME FOR TPN(TOTAL PARENTERAL NUTRITION). | HYPERALIMENTATION |
HYPERALIMENTATION CONTAINS HYPERTONIC________, _______ ACIDS, ______, _______, AND _______. | GLUCOSE, AMINO ACIDS, WATER, MINERALS, VITAMINS |
TPN CAN BE SAFELY GIVEN VIA A CENTRAL LINE. (T/F) | YES, THIS IS THE PREFERRED ROUTE |
TPN CAN BE SAFELY INFUSED VIA A PERIPHERAL IV LINE (T/F). | IT CAN, BUT ONLY FOR A VERY SHORT PERIOD--48 TO 72 HRS MAXIMUM |
IF A TPN SOLUTION IS RUNNING TOO SLOW AND IS TWO HOURS BEHIND U CAN INCREASE THE RATE 20%. (T/F) | NO, NEVER EVER SPEED UP THE RATE |
IF A TPN INFUSION RUNS IN TOO FAST IT CREATES A _______OSMALAR IMBALANCE. | HYPEROSMALAR--BECUASE OF ALL THE SOLUTES |
IT IS OKAY HOWEVER TO SLOW THE RATE DOWN IF THE CLIENT LEAVES THE UNIT. (T/F) | FALSE, NEVER SLOW THE RATE DOWN---IT COULD CAUSE HYPOGLYCEMIA |
WHAT TESTS MUST THE NURSE PERFORM EVERY 6 HRS WHEN A PT IS ON TPN? | #1 ACCUCHECK, #2 URINE GLUCOSE/ACETONE |
IV LIPID EMULSIONS CAN BE GIVEN EITHER CENTRAL OR PERIPHERAL. (T/F) | TRUE |
BE CERTAIN TO SHAKE A LIPID EMULSION BEFORE ADMINISTRATION. (T/F) | FALSE, NEVER SHAKE IT, SHAKING DAMAGES THE MOLECULES |
INTO WHICH PORT OF A PERIPHERAL IV LINE CAN A LIPID INFUSION BE PIGGYBACKED? | THE PORT CLOSEST TO THE INSERTION CATHERTER SITE. MORE RECENTLY, LIPIDS ARE INCLUDED IN THE HYPERLIMENTATION BAG AND THERE IS NO SEPARATE ADMINISTRATION OF THE LIPIDS |
WHAT IS MEANT BY TRACHEO-ESOPHAGEAL MALFORMATION? | THESE ARE A GROUP OF EONGENITAL BIRTH DEFECTS IN WHICH THE ESOPHAGUS AND TRACHEA ARE MALFORMED |
HOW MANY TYPES OF TRACHEO-ESOPHAGEAL MALFORMATIONS ARE THERE? | FOUR |
WHAT ARE THE 3 MOST COMMON TRACHEOESOPHAGEAL MALFORMATIONS? | 1. ESOPHAGEAL ATRESIA--EA 2. TRACHEO-ESOPHAGEAL FISTULA--TEF 3. TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA--TEF W/EA |
WHAT IS THE DEFECT CALLED ESOPHAGEAL FISTULA? | AN OPENING BETWEEN THE ESOPHAGUS AND THE TRACHEA BUT THE ESOPHAGUS IS CONNECTED TO THE STOMACH AND TRACHEA IS CONNECTED TO THE LUNGS |
WHAT IS THE DEFECT CALLED TRACHEO-ESOPHAGEAL ATRESIA WITH FISTULA? | THE ESOPHAGUS ENDS IN A BLIND POUCH AND THERE IS NO CONNECTION TO THE STOMACH AND THERE IS A FISTULA BETWEEN THE ESOPHAGUS AND TRACHEA |
OF: TRACHEO-ESOPHAGEAL FISTULA, ESOPHAGEAL ATRESIA, AND TRACHEO-ESOPHAGEAL ATRESIA WITH FISTULA, WHICH ONE IS MOST COMMON? | TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA |
NAME--A BLIND END ESOPHAGUS: THE TRACHEA IS CONNECTED TO THE LUNGS. | SIMPLE ESOPHAGEAL ATRESIA |
NAME--THE TRACHEA IS CONNECTED TO THE LUNGS, THE ESOPHAGUS IS CONNECTED TO THE STOMACH, BUT THERE IS A HOLE CONNECTING THE TRACHEA AND THE ESOPHAGUS. | TRACHEO-ESOPHAGEAL FISTULA |
NAME--A BLIND END ESOPHAGUS, THE TRACHEA IS CONNECTED TO THE LUNGS, AND THE TRACHEA AND ESOPHAGUS ARE JOINED. | TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA |
IF AN INFANT HAS TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA WHAT THREE SIGNS WILL SHOW UP AT THE FIRST FEEDING? | THREE C'S---COUGHING, CHOKING, CYANOSIS |
IF AN INFANT CHOKES, COUGHS, OR GETS CYANTOIC DURING THE FIRST FEEDING WHAT SHOULD THE NURSE DOT TO ASSESS FOR TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA? | ATTEMPT TO GENTLY PASS A CATHETER INTO THE ESOPHAGUS IF U MEET RESISTANCE STOP, THERE MOST PROBABLY IS ESOPHAGEAL ATRESIA |
PRIOR TO SURGERY FOR REPAIR OF TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA, HOW IS THE CLIENT FED? | THEY ARE NPO BUT FED BY G-TUBE |
DOES TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ESOPHAGEAL ATRESIA HAVE TO BE REPAIRED IMMEDIATELY? | NO, CAN BE MAINTAINED WITH G-TUBE FEEDINGS AND SUCTIONING UNTIL THEY ARE OLD ENOUGH AND STABLE ENOUGH TO TOLERATE SURGERY |
THE #1 PROBLEM FOR INFANTS WITH UN-REPAIRED TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA IS.... | ASPIRATION, SECONDARY PROBLEM IS MALNUTRITION |
HOW DO U MEET THE ORAL SUCKING NEEDS THAT AN INFANT WITH UN-REPAIRED TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA? | USE PACIFIERS, EVEN THOUGH THEY DONT TAKE ANYTHING ORALLY, THEY SHOULD STILL BE ENCOURAGED TO SUCK |
HOW SHOULD AN INFANT WITH TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA BE POSITIONED? | HOB UP 30 DEGREES |
SHOULD U SUCTION THE BLIND ESOPHAGEAL POUCH OF ESOPHAGEAL ATRESIA? | YES, PRN, OTHERWISE THEY MAY ASPIRATE MUCOUS |
WHAT TYPE OF DIET IS ULCERATIVE COLITIS PT ON? | CLEAR LIQUID DIET |
WHAT TYPE OF REST IS THE ULERATIVE COLITIS PT ON? | BED REST |
WHO IS GETS ULCERATIVE COLITIS MORE (MEN/WOMEN). | WOMEN MOSTLY |
WHICH IS ON STEROIDS ULCERATIVE COLITIS OR CHRON'S DISEASE? | EITHER OF THEM |
WHICH NEEDS I&O MONITORED ULCERATIVE COLITIS OR CHRONS DISEASE? | EITHER OF THEM |
WHICH HAS BLOODY DIARRHEA ULCERATIVE COLITIS OR CHRONS DISEASE? | ULCERATIVE COLITIS |
WHICH OCCURS IN YOUNG ADULTS ULCERATIVE COLITIS OR CHRONS DISEASE? | ULCERATIVE COLITIS |
WHICH ONE HAS A SURGERY WITH ILEOSTOMY CHRONS DISEASE OR ULCERATIVE COLITIS? | EITHER OF THEM |
WHICH AFFECTS THE RECTUM AND SIGMOID COLON ULCERATIVE COLITIS OR CHRONS DISEASE? | EITHER OF THEM |
WHICH HAS AN ILEOSTOMY ULCERATIVE COLITIS OR CHRONS DISEASE? | EITHER OF THEM |
WHICH HAS LESIONS THROUGH ALL LAYERS OF THE BOWEL ULCERATIVE COLITIS OR CHRONS DISEASE? | CHRONS DISEASE |
WHICH IS TERMINAL-DISTAL-SMALL INTESTINE? (ULCERATIVE COLITIS OR CHRONS DISEASE) | CHRONS |
WHICH HAS LESIONS FROM PATCHES? (ULCERATVIE COLITIS OR CHRONS DISEASE) | CHRONS DISEASE |
WHICH USES SULFA DRUGS? (ULCERATIVE COLITIS AND CHRONS DISEASE) | CHRONS DISEASE |
WHICH HAS GRANULOMAS? (ULCERATIVE COLITIS OR CHRONS DISEASE) | CHRONS DISEASE |
WHICH HAS DIARRHEA? (ULCERATIVE COLITIS OR CHRONS DISEASE) | CHRONS DISEASE |
WHICH HAS PAIN AND CRAMPING? (ULCERATIVE COLITIS OR CHRONS DISEASE) | CHRONS DISEASE |
WHICH HAS A STRING SIGN ON BARIUM ENEMA? (ULCERATIVE COLITIS OR CHRONS DISEASE) | CHRONS DISEASE |
WHAT IS THE MOST COMMON CLEANSING SOLUTION USED DURING TRACHEOSTOMY CARE? | HYDROGEN PEROXIDE |
CUT THE OLD TRACH TIES(BEFORE/AFTER) U HAVE SECURED THE NEW TIES IN PLACE. | AFTER |
IS IT ACCEPTABLE TO SCRUB THE INSIDE OF THE TRACHEOSTOMY CANNULA WITH A BRUSH DURING TRACHEOSTOMY CARE? | YES, IT IS DESIRABLE |
WHAT ARE THE TWO MAJOR REASONS FOR PERFOMING TRACHEOSTOMY CARE? | TO KEEP THE AIRWAY PT, TO KEEP THE STOMA SITE CLEAN(DECREASE INFECTION) |
TIE THE ENDS OF THE TRACH TIES IN A (BOW/KNOT/DOUBLE KNOT). | ONLY AN DOUBLE KNOT |
TRACH CARE IS PERFORMED BY (CLEAN/STERILE) TECHNIQUE. | STERILE |
WHAT MUST U DO BEFORE PERFOMING TRACH CARE (BESIDES WASH HANDS). | SUCTION THE AIRWAY |
A PROPERLY SNUG SET OF TRACH TIES ALLOWS _______ FINGERS TO BE PLACED BETWEEN THE NECK AND TIES. | ONE |
BOTH HANDS MUST BE KEPT STERILE THROUGHOUT THE ENTIRE TRACH CARE PROCEDURE. (T/F) | FALSE, ONLY THE DOMINANT HAND REMAINS STERILE |
WHEN TRACH SUCTIONING AND CARE IS PERFORMED BY THE CLIENT AT HOME, STERILE TECHNIQUE MUST BE FOLLOWED. (T/F) | FALSE, CLEAN TECHNIQUE IS ADEQUATE |
WHAT IS ANOTHER NAME FOR TRIGEMINAL NEURALGIA? | TIC DOULOUREUX |
WHICH CRANIAL NERVE IS AFFECTED IN TRIGEMINAL NEURALGIA? | CRANIAL NERVE 5 |
WHAT IS THE #1 SYMPTOM OF TRIGEMINAL NEURALGIA? | EPISODIC, SEVERE ONE-SIDED FACIAL PAIN |
WHAT DRUG TREATS TRIGEMINAL NEURALGIA? | TEGRETOL |
WHAT TRIGGERS ATTACKS OF TRIGEMINAL NEURALGIA? | BREEZES, COLD OR HOT FOODS/FLUID, TOOTH BRUSHING, CHEWING, TOUCHING THE FACE, TALKING |
IS SURGERY DONE FOR TRIGEMINAL NEURALGIA? | YES, NERVE AVULSION(DESTROYING THE NERVE) |
WHAT ENVIRONMENTAL MODIFICATIONS ARE NECESSARY IN CARE OF THE PT WITH TRIGEMINAL NEURALGIA? | PREVENT DRAFTS OR TEPERATURE EXTREMES |
WHAT DIETARY MODIFICATIONS ARE NECESSARY IN THE CARE OF THE PT WITH TRIGEMINAL NEURALGIA? | LUKEWARM, SMALL FREQUENT SEMI-SOLIDS |
AFTER SURGERY FOR TRIGEMINAL NEURALGIA, THE PTS AFFECTED EYE WILL BE _____ AND THE PT SHOULD CHEW FOOD ON THE _____ SIDE. | PROTECTED, UNAFFECTED |
WHAT ORGANISM CAUSES PULMONARY TB? | MYCOBACTERIUM TUBERCULOSIS |
THE MODE OF TRANSMISSION OF THE MYCOBACTERIUM TUBERCULOSIS ORGANISM IS BY______ ______. | DROPLET NUCLEI |
WHAT LIVING CONDITIONS PREDISPOSE U TO TB? | CROWDED, POORLY VENTILATED |
THE INCUBATION PERIOD OF TB IS ...... | 4 TO 8 WEEKS |
WHAT IS THE TYPICAL LUNG LESION OF TB CALLED? | A TUBERCLE |
IN TB, THE APPETITE IS _____; THE CLIENT_____ WEIGHT AND THE TEMP ______ IN THE _____. | DECREASED, LOSES, ELEVATES, AFTERNOON |
WHAT IS MANTOUX TEST? | AN INTRADERMAL SKIN TEST TO SCREEN FOR TB---CALLED PPD |
WHEN SHOULD A MANTOUX TEST BE READ? | 48 - 72 HRS AFTER TEST INJECTION |
WHAT QUALIFIES AS A POSITIVE MANTOUX? | MORE THAN 10MM INDURATION (HARDNESS), REMEMBER REDNESS HAS NOTHING TO DO WITH THE TEST BEING POSITIVE |
NAME 3 DRUGS GIVEN TO TREAT TB? | ISONIAZID, RIFAMPIN, ETHAMBUTOL |
HOW OFTEN AND WHEN DURING THE DAY SHOULD ISONIAZID, RIFAMPIN, AND ETHAMBUTOL BE GIVEN? | EVERY DAY, ALL TOGETHER |
WHAT IS THE #1 SIDE EFFECT OF ISONIAZID? | PERIPHERAL NEURITIS---TAKE VITAMIN B6 TO PREVENT |
AFTER HOW MANY WEEKS OF DRUG THERAPY IS THE CLINET CONSIDERED NO LONGER CONTAGIOUS? | 2 - 4 WEEKS |
WHAT ISOLATION TECHNIQUES ARE REQUIRED FOR TB? | MASKS |
WHICH TEST IS MOST DIAGNOSTIC FOR TB? | SPUTUM FOR ACID-FAST BACILLI |
WHAT DOES THE SPUTUM LOOK LIKE IN TB? | PURULENT (PUS) FOR HEMOPTYSIS(BLOOD) |
WHEN SHOULD U OBTAIN A SPUTUM SPECIMENT FOR ACID FAST BACILLI TB? | EARLY AM |
THE PURPOSE OF AN UPPER GI SERIES IS TO DETECT _________. | ULCERATIONS |
WHAT 3 STRUCTURES DOES AN UPPER GI SERIES VISUALIZE? | ESOPHAGUS, STOMACH, DUODENUM |
DOES BARIUM COME IN DIFFERENT FLAVORS? | YES |
WHAT IS THE MOST UNCOMFORTABLE ASPECT OF AN UPPER GI SERIES. | LYING AND TURNING ON A HARD, FLAT X-RAY TABLE |
IS FASTING REQUIRED BEFORE AN UPPER GI SERIES? | YES, USUALLY NPO AFTER MIDNIGHT |
BARIUM IS _______ IN CONSISTENCY. | CHALKY---BITTER TASTE |
IF AN ULCERATION DOES NOT REDUCE BY 50 % ON UPPER GI IN 3 WEEKS OF MEDICATION TREATMENT THEN ____________ IS SUSPECTED. | MALIGNANCY |
WHAT ARE THE 3 CLASSIC VITAL SIGNS? | TEMPERATURE, PULSE, RESPIRATION |
MEASUREMENT OF VITALS REQUIRES A DR'S ORDERS. (T/F) | FALSE |
THE TEMP OF THE EXTREMITIES AND SKIN IS (HIGHER/LOWER) THAN THE CORE. | LOWER |
LIST THE 5 MOST COMMON SITES IN WHICH TO MEASURE THE TEMP. | ORAL, AXILLARY, RECTAL, TYMPANIC, TEMPORAL |
THE NORMAL ADULT TEMP VIA THE ORAL ROUTE IS..... | 98.6 |
THE NORMAL RECTAL TEMP IS..... | 99.6 |
THE NORMAL AXILLARY TEMP IS..... | 97.6 |
BODY TEMP IS (INCREASED/DECREASED) WITH ACTIVITY. | INCREASED |
WITH ANY ORAL TEMP DEVICE, THE METER MUST BE ON _______ THE _______, AND THE _______ MUST BE ________. | UNDER, TONGUE, MOUTH, CLOSED |
IF YOUR CLIENT IS 4 YRS OLD OR YOUNGER, SHOULD U TAKE AN ORAL TEMP? | NO |
CAN U MEASURE AN ORAL TEMP ON SOMEONE WITH AN NG TUBE IN PLACE? | NO |
CAN U MEASURE AN ORAL TEMP ON AN UNCONSCIOUS CLIENT? | NO |
IF THE CLIENT IS FOUND SMOKING, EATING OR DRINKING WHEN U ARE ABOUT TO TAKE A TEMP U SHOULD WAIT ______(AT LEAST). | 15 MIN |
SHOULD U USE ORAL ROUTE FOR MEASURING TEMP WHEN A CLIENT HAS OXYGEN PER NASAL CANNULAE? | YES |
PEOPLE ON SEIZURE PRECAUTIONSHOULD HAVE THEIR TEMP MEASURED BY WHICH ROUTE? | RECTAL AXILLARY, TYMPANIC OR TEMPORAL |
PEOPLE WITH FACIAL TRAUMA SHOULD HAVE THEIR TEMP MEASURED BY WHICH ROUTE? | RECTAL OR AXILLARY OR TYMPANIC |
CLIENTS AFTER RECTAL SURGERY, SHOULD HAVE THEIR TEMPS MEASURED BY WHICH ROUTE? | ORAL, AXILLARY, TYMPANIC OR TEMPORAL |
PEOPLE WITH HEART BLOCKS OR CONDUCTION PROBLEMS SHOULD NOT HEAVE THEIR TEMPS TAKEN PER ______. WHY? | RECTUM---VAGAL STIMULATION CAUSES MORE HEART BLOCK |
WHEN USING A GLASS THERMOMETER IT SHOULD REMAIN IN THE MOUTH FOR _______ MIN. | 3 TO 10 |
WHEN USING A GLASS THERMOMETER IT SHOULD REMAIN IN THE AXILLA FOR ______ MINS. | 8 TO 11 |
WHEN USING A GLASS THERMOMETER IT SHOULD REMAIN IN THE RECTUM FOR _____ MINS. | 2 TO 3 |
IN THE NORMAL ADULT, WHICH IS LONGER, INSPIRATON OR EXPIRATION? | EXPIRATION |
WHAT IS THE NORMAL RESPIRATORY RATE FOR AN ADULT? | 12 TO 20 |
WHAT IS BRADYPNEA? | ANY RESPIRATORY RATE BELOW 10 PER MIN |
WHAT IS TACHYPNEA? | ANY RESPIRATORY RATE ABOVE 24 PER MIN |
IS IT ACCEPTABLE PRACTICE TO COUNT THE NUMBER OF RESPIRATIONS IN 15 SECONDS AND MULTIPLY BY 4 TO GET THE RATE. (T/F) | YES, IF THE RESPIRATIONS ARE REGULAR |
WHAT IS THE PULSE? | THE SURGE OF BLOOD EJECTED FROM THE LEFT VENTRICLE |
WHAT IS THE AVERAGE PULSE RATE FOR AN ADULT? | 72 PER MIN (60 TO 100) |
WHAT RATE CLASSIFIES AS TACHY IN AN ADULT? | A RATE ABOVE 100 PER MIN |
WHAT RATE CLASSIFIES AS BRADY IN AN ADULT? | A RATE BELOW 60 PER MIN |
WILL PAIN ALONE INCREASE THE PULSE RATE? | YES |
WHICH FINGER SHOULD NEVER BE USED TO DETERMINE A PULSE? | THE THUMB |
WHAT DOES IT MEAN TO MEASURE AN APICAL PULSE? | TO AUSCULTATE WITH A STETHOSCOPE OVER THE CHEST TO HEAR THE HEART RATE |
IF A PULSE IS IRREGULAR HOW WOULD U DETERMINE THE RATE? | COUNT ONE FULL MIN |
IF AN APICAL/RADIAL PULSE IS IRREGULAR, HOW WOULD U DETERMINE THE RATE? | COUNT FOR 30 SECONDS AND MULTIPLY BY 2 |
WHAT IS AN APICAL-RADIAL PULSE BE MEASURED? | ALWAYS FOR 1 FULL MINUTE |
HOW MANY NURSES NEEDED TO MEASURE AN APICAL-RADIAL PULSE? | ALWAYS 2 (IT IS NEVER ACCEPTABLE FOR ONE NURSE TO MEASURE THE PULSE FOR A MIN AND THEN MEASURE THE RADIAL FOR A MIN) |
WHAT IS A VOIDING CYSTOGRAM? | IT IS A SERIES OF X-RAYS TAKEN AS THE PERSON WITH A FULL BLADDER IS ASKED TO VOID. tHE X-RAYS SHOW ANY REFLUX OF URINE BACK UP THE URETERS ( A DYE WAS INJECTED PRIOR TO THIS) |
DOES THE CLIENT SEDATED FOR A VOIDING CYSTOGRAM? | YES |
IS THE CLIENT SEDATED FOR A VOIDING CYSTOGRAM? | NO |
IS THE CLIENT NPO FOR A VOIDING CYSTOGRAM? | NO, JUST CLEAR LIQUID BREAKFAST |
WHAT PROBLEMS DOES A VOIDING CYSTOGRAM DIAGNOSE BEST? | BLADDER FILLING PROBLEMS, VESICOURETERAL REFLUX |
WHAT PRECAUTIONS ARE NECESSARY FOR MALES DURING A VOIDING CYSTOGRAM? | SHEILDING THE TESTICLES FROM THE X-RAYS |
IS THERE A BOWEL EVACUATION PREP FOR A VOIDING CYSTOGRAM? | NO |
FOR WHAT REASON ARE MONTGOMERY STRAPS USED? | PERMIT U TO REMOVE AND REPLACE DRESSINGS WITHOUT USING TAPE (PROTECTS SKIN) |
SUTURES IN GENERAL ARE REMOVED BY THE _____ DAY. | 7TH |
LEAVING A WOUND OPEN TO AIR DECREASES INFECTION BY ELIMINATING WHAT 3 ENVIRONMENTAL CONDITIONS? | DARK, WARM, MOIST |
TO REMOVE TAPE ALWAYS PULL (TOWARD/AWAY) FROM THE WOUND? | TOWARD (THIS WAY U DONT PUT PRESSURE/PULL ON THE SUTURE LINE) |
DEFINE CONTUSION? | BRUISE(INTERNAL) |
DEFINE DEBRIDEMENT? | REMOVAL OF NECROTIC TISSUE FROM A WOUND |
WHAT IS THE PURPOSE OF A WOUND DRAIN? | REMOVE SECRETIONS FROM THE AREA SO HEALING OCCURS |
TO PREVENT GERMS FROM GETTING INTO OR OUT OF A WOUND U SHOULD USE WHAT TYPE OF DRESSING? | AN OCCLUSIVE DRESSING |
WHAT SOLUTION IS PUT ONTO THE SKIN TO PROTECT IT FROM THE IRRITATING EFFECTS OF THE TAPE? | TINCTURE OF BENZOIN |
WITH WHAT IS A WOUND CLOSED IN FIRST INTENTION? | SUTURES OR STERI-STRIPS, STAPLES |
WHAT IS ANOTHER NAME FOR SECOND INTENTION? | GRANULATION |
WHEN SWABBING AN INCISION U SHOULD START AT THE INCISION OR 1 INCH AWAY FROM THE INCISION? | START AT THE INCISION AND MOVE OUTWARD |
AFTER U REMOVE SOILED DRESSNGS AND BEFORE U PUT ON THE STERILE DRESSINGS U MUST..... | WASH UR HANDS AND PUT ON STERILE GLOVES |
WHAT IS MEANT BY THE PHRASE "ADVANCE THE DRAIN 1 INCH"/ | U PULL THE DRAIN OUT 1 INCH |
AFTER ADVANCING A PENROSE DRAIN U (SHOULD/SHOULD NOT) CUT OFF THE EXCESS DRAIN? | SHOULD |
WHEN A DRESSING IS SATURATED, GERMS CAN ENTER THE WOUND FROMTHE OUTSIDE. (T/F) | TRUE, BY A PROCESS CALLED CAPILLARY ACTION |
WHEN IS A BAD TIME TO CHANGE DRESSINGS? | MEALTIME |
DEFINE LACERATION? | CUT |