S2T5 extras

NSAID V acetaminophen

Both acetaminophen and NSAIDs reduce fever and relieve pain caused by muscle aches and stiffness, but only NSAIDs can reduce inflammation (swelling and irritation) You may prefer acetaminophen over NSAIDs if you have high blood pressure or stomach ulcers or bleeding. That's because acetaminophen drugs such as Tylenol are less likely to increase your blood pressure or cause stomach pain or bleeding than NSAIDs are

Which information would be included in the teaching plan for the older adult client with peptic ulcer disease who is taking an antacid and sucralfate?

Sucralfate works best in a low pH environment; therefore it should be given on an empty stomach either 1 hour before or 2 hours after meals. Sucralfate also should be administered no sooner than 30 minutes before or after an antacid.

what do HR and BP do with dehydration

decreased BP, fast HR weak pulse

what does orthostatic hypertension indicate

fluid loss

what causes exacerbations of symptoms in crohns

food, stress, anxiety

peptic ulcer disease causes damage to _ causing _

gastric mucosal which causes upper GI bleeding dyspepsia is a symptom

complications of PN

infection and sepsis metabolic complications and fluid overload mechanical complications refeeding syndrome (shallow respirations, confusion, seizures,weaknes, cardiac rhythm changes, fluid retention, acidosis pneumothorax - air in cath

why should atropine not be given to glaucoma patients

it dilates the pupil and increases IOP

foods to eat with diverticulitis

whole grains cooked fruits and veggies nuts seeds milk eggs

cholecystitis ppl at risk

women indian mexican

glaucoma is an excess production of

aqueous humor

Nursing actions after a client has had general anesthesia are directed at preventing which postoperative respiratory complication?

atelectasis

Famotidine is prescribed for a client with peptic ulcer disease. Which mechanism of action is a characteristic of this medication?

decreases gastric secretion by inhibiting histamine at H2 receptors.

Pain in the LLQ is associated with

diverticulitis

A client is scheduled for surgery to repair a retinal detachment. Which information would the nurse provide as part of the preoperative teaching?

familiarize the client with vital aspects of the environment, which provides for physical and emotional safety. Surgery usually takes approximately 2 hours, followed by a stay in the postanesthesia care unit. The health care provider should discuss the procedure and risks; informed consent is the primary health care provider's responsibility, not the nurse's.

Sensorineural hearing loss occurs as a result of damage to

he auditory nerve in the inner ear. Prolonged exposure to noise can cause damage to the cochlea.

sharp pain in eye after surgery indicates

hemorrhage

perforation

hole that completely penetrates a structure serious complication of chronic inflammation of the bowel

common side effect of an epidural

hypotension

Which is the first sign that would assist the nurse in suspecting malignant hyperthermia in a client?

increased CO2, then fast breathing, then fast HR

labs for exacerbated ulcerative colitis

increased bun hypokalemia leukocytosis anemia hyponatremia

foods with diverticulitis

low fiber with exacerbation and low fat high fiber after with low fat

Fistula management (crohn's)

needs at least 3000 calories/day low fiber high protein and vitamin wound vac antibiotics electrolyte therapy

While in the postanesthesia care unit, a client reports shortness of breath and chest pain. Which is the most appropriate initial response by the nurse?

oxygen Supplemental oxygen supports the body while the cause of the problem is identified; supplemental oxygen can be instituted without a prescription in an emergency.

hematemesis is associated with

peptic ulver disease

The nurse is caring for a client with chronic inflammation of the bowel. For which mostserious complication would the nurse monitor in this client?

perforation

perioperative

period of time that includes before, during, and after a surgical procedure

what kind of eye disorder causes pain

primary angle closure glaucoma

wet macular degeneration

progresses rapidly sudden loss in vision at any age

drug that is the preferred choice for acid-related disorders

proton pump inhibitor -prazole

Pantoprazole (Protonix)

proton pump inhibitor used for GERD prevent stress uclers during surgery administer through a seperate IV line, use an IV pump, use an in line filter

what type of hearing loss are hearing aids used for

sensory neural

In which position would the nurse place a client recovering from general anesthesia?

side lying Turning the client to the side promotes drainage of secretions and prevents aspiration, especially when the gag reflex is not intact. This position also brings the tongue forward, preventing it from occluding the airway when it is in the relaxed state. The risk for aspiration is increased when the supine position is assumed by a semi-alert client.

postural hypotension

sudden drop in blood pressure upon standing

Which finding is an indication of ulcer perforation in a client with peptic ulcer disease (PUD)?

tachycardia rigid abdomen N/V back and shoulder pain

when a patient with uclerative collitus has severe diarrhea, why is HR and rythm assessed first?

the client is most at risk for cardiac dysrhythmias secondary to potassium and magnesium loss from severe diarrhea

Which mechanism would the nurse attempt to increase to prevent postoperative deep vein thrombosis?

venous flow velocity should be increased through activity.

A client who is scheduled for a bowel resection is to receive antibiotics preoperatively. Which explanation would the nurse include when teaching the client about the purpose of the antibiotics?

"They are given to eliminate bacteria from the gastrointestinal (GI) tract."

Which client statement would cause the nurse to stop the health care provider from initiating epidural anesthesia?

"im not sure how it works"

Midazolam (Versed)

*class*: Benzodiazepine *Indication*: sedation, conscious sedation, anesthesia, status epilepticus *Action*: Acts to produce CNS depression, may be mediated by GABA. *Nursing Considerations*: - assess level of sedation during and for 2-6 hours following - monitor blood pressure, pulse, respirations during IV administration - The antidote for overdose is flumazenil

primary causes of glaucoma

-Aging -Hereditary

H2 receptor antagonist indication and ending

-idine famotidine for GERD reduces gastric acid secretion and provides for symptomatic improvement in GERD

normal iop

10-21 mmHg; however IOP outside of the range is not pathogenic for glaucoma; it is only simply a risk factor associated with the development or progression of glaucoma

HCO3 normal range

22-26 mEq/L

PaCO2 normal range

35-45 mm Hg

Sulfasalazine (Azulfidine)

5-aminosalicylate, Decrease inflammation by inhibiting prostaglandin synthesis Used for IBD (Crohn's, UC), RA

PaO2 normal range

80-100 mm Hg

Proton Pump Inhibitors (PPIs)

A group of drugs whose main action is a pronounced and long-lasting reduction of gastric acid production. They are the most potent inhibitors of acid secretion available today.

Which items would the nurse include in assessment of the integumentary system for a preoperative client?

Assess the skin turgor for signs of dehydration. Correct3 Examine the skin for rashes or lesions. Correct4 Question the client about any skin disorders

A postoperative client has these changes in heart rate (HR) and blood pressure (BP) with position changes: Lying HR = 70 beats/minute, BP = 110/70 mm Hg; Sitting HR = 78 beats/minute, BP = 106/66 mm Hg; Standing HR = 85 beats/minute, BP = 108/64 mm Hg. Which collaborative intervention will the nurse anticipate?

Because the assessment findings do not indicate postural hypotension (decrease of more than 20 mm Hg of systolic pressure or more than 10 mm Hg of the diastolic pressure), there is no indication that a change in the current therapeutic plan is needed.

Lorazepam (Ativan)

Benzodiazepine antianxiety

A client is admitted via the emergency department with a tentative diagnosis of diverticulitis. The nurse anticipates that which test will be prescribed?

CT

palliative care

Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family.

what can lead to a conductive hearing loss

Cerumen in the ear can cause obstruction in the ear Foreign bodies can cause infection and inflammation in the ear, Perforation of the tympanic membrane leads to an increased risk for ear infections,

Which functions of leukocytes are involved in the inflammation process?

Destruction of bacteria and cellular debris and Release of vasoactive amines during allergic reactions

The gold standard for diagnosing disorders of the stomach is an

EGD

The nurse is caring for a postoperative client who had general anesthesia. Which independent nursing intervention would prevent an accumulation of secretions?

Frequent changes of position

ambivalent

Having mixed feelings

A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding would the nurse expect the client to report?

Nausea and vomiting, accompanied by diffuse abdominal pain, commonly occur in clients with small bowel obstruction; the vomiting may be projectile and may contain bile or fecal material

A client is scheduled for skin cancer surgery and has not signed the consent form. Which situation will cause the nurse to legally delay signing the operative consent?

Sedation may interfere with the client's knowledge of the consent form. Many clients face contradictory feelings regarding their impending surgery, but their consent is legal unless they withdraw the consent. A complete history and physical examination are needed before surgery, but they do not affect the legality of consent. A second opinion is not required for a consent to be legal.

Which priority interventions would the nurse follow when caring for a client with malignant hyperthermia?

The client should be ventilated with 100% oxygen using the highest possible flow rate when malignant hyperthermia is evident. The client should be intubated immediately with an endotracheal tube. All inhalation anesthetic agents should be stopped immediately as the client's condition may worsen.

medication for glaucoma

Timolol maleate is a beta-adrenergic antagonist that decreases aqueous humor production and increases outflow, thereby reducing intraocular pressure.

Lubiprostone (Amitiza)

Used for IBS-C and chronic constipation Increases fluid secretion in intestine, promotes motility Can cause diarrhea, nausea (take w/ food) oral laxative - take with food and water

dry macular degeneration

accounts for 90% of these cases, is caused by the slow deterioration of the cells of the macula caucasian

pneumothorax

air in the pleural cavity

duodenal ulcer

an ulcer, or erosion, in the wall of the duodenum of the small intestine often have melena - black tarry stool

Bradycardia in the immediate postoperative client can indicate

anesthesia effect or hypothermia take temperature

How is mild diverticulitis treated?

antibiotics

An absent red reflex may indicate

cataracts

Where is ulcerative colitis found?

colon and rectum

what does BP do with dehydration

decrease

Decreasing blood pressure postoperatively may indicate

hemorrhage - increase fluids, transfusions, go back to OR

what can cholecystitis be triggered by

high fat and high volume meals