RN Nclex study- Mark Klimek

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What drug should NOT be given to the patient with chemotherapeutic thrombocytopenia? 3 s/s of thrombocytopenia?

ASA epistaxis, ecchymosis & petechiae

OVER 40

AT WHAT AGE SHOULD A PERSON HAVE A YEARLY WORK UP EXAM FOR CANCER DETECTION

virulence means

Ability of an organism to produce disease

Piaget: 12-15 yrs old: formal operations. ____ thinking, teach like an ____. They can manage care.

Abstract, adult

What is dependancy

Abuser gets sig other to do things for them, harmless

What causes the itching seen in renal failure?

Accumulation of wasted in the blood and the associated signs. This occurs in the end stage renal failure.

Drug used to treat herpes

Acyclovir

Benzodiazepines: anti- _____. Mild tranquilizers. "zep" in name. "Zzzzz"= sleep (tranquilized). Ex: diazepam- valium, lorazepam. Works ___ but shouldn't be on for longer than 2-____ weeks

anxiety, quickly, 4

AWS room assignment

anywhere, semi private

artery widened in a thoracic aneurysm

aorta

auscultory areas of heart

aortic, pulmonic, erbs points, tricuspid mitral

INFLAMMATION, OBSTRUCTION

appendicitis is an _______ of the appendix due to ______

15-35

appendicitis occurs most in what age group?

hot spot RLQ

appendix, colon, ovary, fallopian tube, ureter

no - only those contaminated with secretions

are all articles used by AIDS patietns double bagged

Mongolian spots

areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a newborn

What does the cervical spinal cord control

arms & diaphragm

Cervical vertebrae/neuro damage: affects diaphragm and ____. Monitor respirations. Thoracic: monitor cough and ____. Lumbar monitor bladder and ____.

arms, bowels, legs

Ex: pt withdrawing from cocaine: Respirations < 12, difficult to ____, etc. Need ____

arouse, narcan

URETHRA , RETENTION

as the prostate enarlges it compresses the _____ and causes urianry _____

med surg if you dont know pick

assess LOC, establish airway

is sao2 is under 93

assess resp, give o2

begin nursing on the side that the baby finished on the last feeding

assuming no mastitis, on which side should the breastfeeding begin

lethal arrythmias

asystole

subtotal thyroidectomy

at risk for thyroid storm/crisis/thyroidtoxicosis stay with pt S&S of thyroid storm: 1-hyperpyrexia (high fever 104+) 2-really high VS (HR 200, BP 210/190) 3-psychotic delirium treatment: high flow rate O2, decrease temp with ice packs (5), spare the brain

2 years old

at what age are accidental poisonings most common

MEN OVER 50 YEARS OLD

at what age does BPH occur

P wave

atrial

V fib: you D fib (defibrillation). Asystole treatment: epinephrine first then _____.

atropine

AsystolE

atropine, epi

Clozapine is a .....

atypical tranq

Hallucinations: sensory, most common is ____- voices telling them to hurt self. Illusion: sensory, a referent in reality- something to which a person ____- actually something there

auditory, refers

The inheritance pattern of sickle-cell anemia is _____ _____.

autosomal recessive homozygous - has a defective gene from each parent

Antabuse/Revia is

aversion therapy

Tyramine foods: "BAR" B- bananas, A- ____, R- raisins (or dried fruit). Also, aged ____, yogurt, alcohol, ____

avocado, cheese, chocolate

Pt teaching antabuse

avoid all alcoholic products

MAOI

avoid tyramine foods like: avocado, smoked meats, cheeses, fruits and veggies with tyramine -- remember salad BAR --> Bananas, Avocados, Raisins no organ meats: liver, kidney, tripe, heart, etc no preserved meats: smoked, dried, cured, pickled, hot dogs no aged cheeses, no yogurt no alcohol, elixirs, tinctures, caffeine

which aminoglycosides are not mean old mycins

azithro, clarithro, erythro

what is milia, epstein pearls, mongolian spots, erythema toxicum

baby acne, spots on gums, blue bruises, rash

Compensated means pH is

back to normal

Permanent restrictions for a laminectomy?

Do not lift by bending at the waist No crazy activities... jerky rides, horseback riding

Draw trough 30 min before next ____. Draw peak: sublingual 5-10 min after drugs is _____. IV 15-30 min after drug is finished. IM 30-____ min

Dose, dissolved, 60

Acidosis pt goes... K goes

Down, Up, hypo, decreased, suppressed

s/s of lead poisoning

Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest

In males, what is the most common sign of gonorrheal infection?

Dysuria or purulent discharge

When weakness is distributes, use these gaits

EVEN (2/4)

FALSE

EVERYONE WITH ANGINA NEEDS BYPASS SURGERY T/F?

When stuck between two answers go ____ and read question. When you don't know what something is- Re- read question ____ what it is you don't know.

back, without

What happens to the kidney in AGN (acute glomerulonephritis)?

It becomes clogged with antigen-antibody complexes which then cause inflammation and loss of function.

What is a voiding cystogram? do you need a catheter?

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 if injected prior to this) YES

Hard plastic toys don't harbor ____, easy to clean. 0-6 months old: best toy is a mobile or something ____. 6-9 months: teaching object permanance, best toy- ____ uncover toys. Ex: jack in box, window books

bacteria, soft, cover

ALTERED BODY IMAGE

a major mental/ emotional nursing diagnosis seen in anorexia nervosa _____

Aminoglycoside is

a mean old mycin

What is pylonephritis? what organism often causes it? treatment?

bacterial infection of the kidneys E. coli treatment - IV antibiotics for 1-2 wks; urine culture 2 wks after antibiotics are over

FHR late decels, what to do

bad!, hr slows at end or after contr, LION

late decelerations

bad, HR slows at beginning of contraction

FHR low variability, what to do

bad, LION

Fetal HR monitoring, low hr <110, what to do

bad, LION

Low baseline variability? (aka heart rate not changing)

bad, lion

Chest tube: intermittent bubbling in suction control is ____, means suction is not high enough in container- turn suction ___. Never clamp a tube longer than ____ seconds without doctor order

bad, up, 15

what do if tube disconnected&on floor

bag tube, call resp for replacement, reconnect

Preschoolers: finger dexterity and ____. Cooperative play, ____ play. School age: 3 C's- creative (legos), _____, competitive (don't like losing). Adolescents: _____ and friends are main focus

balance, pretend, collective, socializing

tyramine is in what foods(not bad)

banana avocado raisins

2 ways to correct intussusception major complication of intussusception?

barium enema or surgery complication - necrosis

s/s of croup

barking cough, hoarseness, inspiratory stridor, labored respiratory pattern

HH why does acid come back

bc stomach herniates through diaphragm

activity order for pt w/severe pre-eclampsia? best position?

bed rest left side lying

haldol SE, ABCDEFG

anticholinergic, blurred vision, constipation, drowsiness, EPS(fake parkinsons), fotosensitivity, agranulocytosis

prozac SE ABCDE

anticholinergic, blurred vision, constipation, drowsiness, euphoria

tricyclic antideppresant SE, ABCDE, teaching

anticholinergic, blurred vision, contstipation, drowsiness, euphoria, takes 2-4 weeks to work

pts on what class of drugs should use an electric razor?

anticoagulants

SSRI Prozac is a

antidepressant

phenothiazine in low doses is a

antiemetic

AWS and DT get what med

antihypertensive and vit B1 to metabolize alcohol

CCB treats

antihypertensive, antianginal, anti atrial arythmias

drug class for pts w/an aneurysm

antihypertensives

CCBs treat

antihypertensives, antianginals, anti atrial, arrythmia

Deconoate is a , what form, used for

antipsychotic long acting, IM, court ordered

what causes cast syndrome? major s/s? treatment?

anxiety & stress leads to sympathoadrenal shutdown of the bowel s/s: N & V due to bowel obstruction treatment: NPO, NG tube for decompression

what are benzos used for

anxiety, preop anesthesia, relax muscles, seizures, aws,

most important intervention in treating AGN

bedrest can walk IF hematuria, edema & HTN are gone

classic & unique s/s of pernicious anemia

beefy red tongue, numbness & tingling of hands, sores in mouth, chest pain

PAIN MEDS, ENEMA LAXATIVE AND FOOD ! NPO

before the client with suspected appendicitis sees the physician what should be avoided?

OB: baby must have ID band on ____ leaves delivery area. Placental delivery (stage 3): make sure its ___ there, check for 3 vessel cord. "AVA"- two arteries one ____

before, all, vein

somatic delusion

belief that something highly unusual is happening to one's body or internal organs

Pregnancy: positive station- presenting part is ____ ischial spines. Negative station- part is above spines. 0 station- part is at ischial spines. ___: the position of babys spine to mothers spine

below, Lie

what principle states that it is right to take positive action to help others

beneficence

The tremors of Parkinson's will get better or worse when they purposefully move or perform a task?

beter, they tremor more when not performing an action

cornictorus means

bilirubin in CSF

lithium is for, its a

bipolar, antimania

nevus, nevi

birthmark

Vtach is

bizzarre and tachy wide QRS

What does the lumbar spincal cord control

bladder and legs

mustard gas

blisters

hemothorax, chest tube removes

blood

hep B is through

blood

routes of transmission of HIV AIDS

blood sexual contact breastfeeding placenta in utero

probable signs of pregnancy

blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign

what is idiopathic thrombocytopenia purpura? cause? 2 major complaints r/t ITP? which organ is often removed?

blood disease in which there is a severe decrease in platelets cause: autoimmune s/s: epitaxis & bleeding gums spleen is often removed; it destroys old platelets

what is polycythemia vera? complexion of pt? diet of pt?

blood disease in which there is an inc in erythrocytes, leukocytes & platelets complexion -- ruddy red, almost purple diet: low iron

if youre given anything related to _____, select calcemia

blood pressure

Probable/Presumptive signs(explkain)

blood/urine test, chadwicks(cervical color), goodells(cervix soft), hegars(soft uterus)

When pulmonary edema is severe what does the sputum look like?

bloody and frothy

Congenital heart defects: either trouble or no trouble. Remember TROUBLE- use consanants. T- trouble, R- right, B- ____, L- left. "Trouble, blue, shunts blood right to ____"

blue, left

first s/s of MS

blurred or double vision

Phenothiazines s/e: ABCDEFG. A-anticholingergic, dry mouth. B- _____ vision. C- constipation. D- drowsiness. E- ____. F- Fotosensitivity. G- agranulocytosis. At risk for ___

blurred, EPS, injury

Active Stage Labor

cm dilated = 5-7 cm Contraction frequency: 3-5 minutes duration: 30-60 seconds intensity: moderate

Transition Stage Labor

cm dilated: 8-10 cm contraction frequency: 2-3 min duration: 60-90 seconds

hot spot LLQ

colon, ovary, fallopian tube, ureter

what criteria of APGAR score will a baby get a 1 on?

color - most have acrocyanosis (blue extremities) on the 1 min test

Obtunded: almost _____. Calcemias do the _____

comatose, opposite

what is autonomic dysreflexia? Vital signs? what do you do first? then what do you check?

common complication of quad in response to a full bladder or bowel vs: sweating, headache, N/V, SEVERE HTN first- raise HOB next: check bladder & bowel

MacKussmaul is...P

compensatory

Dumping Syndrome

complication of p/o gastric surgery in which gastric contents dump too quickly into the duodenum

piaget 7-11yr, what period, focus, when what how teaching

concrete thinkers, rule oriented one way to do something, teach days before, what you are gna do with skills, audio/visual reading materials

Piaget: 7-11- ____ operations. Rule oriented, teach ___ ahead. Teach what your going to do plus ____, with age appropriate reading and demonstration.

concrete, days, skills

What type of hearing loss is associated with otosclerosis?

conductive

Hearing aids are more useful in sensory or conductive hearing loss?

conductive hearing aids only AMPLIFY sounds, do NOT clarify

dromotropic

conductivity

how to treat denial

confront it, point out difference bw what they say and do

Denial treatment- _____ (for abuse) Don't say "you" say "I" Ex: I'm having trouble interpreting this. Loss and grief: DABDA- denial, ____, bargaining, depression, acceptance. Treatment- ______

confrontation, anger, support

Signs of O2 toxicity

confusion headache

Flight of ideas: ideas all other the place, phrases are coherent but not tightly ____. By themselves they are coherent but together ____ coherent.

connected, not

downers

constricted pupils

isolation precautions for meningitis

contact & respiratory precautions

Syrups and elixirs are of particular concern to diabetic clients because....

contain sugar

Dumping syndrome what happens and when

content dumps too quickly, post op compl. after gastric surgery

treating wheezes

continuous, narrowing of the airways treated with bronchodilator, albuterol

When is bubbling good in the suction control chamber?

continuously

oxytoxic med methergine causes....to.... SE

contraction to stop bleeding, high BP

Late decelerations: heart rate slows down near the end or after _____- BAD. Do LION. Early decels: fetal heart rate slows ____ or at beginning of contraction- not bad

contraction, before

Sub total thyroidectomy/ thyroid storm treatment: get temp down- ice and ____ blanket. O2 at 10 liters. ____ with patient, wait till come out of it.

cooling, stay

blood test for rh factor

coombs test

Variable decels: VERY BAD. Prolapse ____- push baby head up, put mom in knee chest position. Fetal HR tracings that begin with letter "L" do ____, they are bad

cord, LION

VEAL CHOP- write vertical, next to each other. V- variable= ____ compression. E- Early decel= H- head compression. A- acceleration (high fetal HR)= O-___. L- Late decels= P-_____ insufficiency

cord, OK, placental

Important assessment of pre-op thoracic laminectomy

coughing & bowel sounds

what movements should be avoided post cataract surgery?

coughing, sneezing, bending at waist, straining at stool, rubbing or touching eyes, rapid head movements

if a chest tube comes out, then you...

cover the hole, put on Vaseline, dry sterile dressing

if chest tube comes out?

cover with gloved hand, put vaseline gauze on and tape on three sides

6-9mo what toy

cover/uncover

General guessing: When want to answer all of the above- choose an answer that ____ all others.

covers

to prevent UTIs, diet should be acidic. This includes:

cranberry juice, apple juice, breads & meats

school age 7-11

creative, collective, competitive

7-11y what kind of play

creative, competitive, collective

what is the common name for laryngotracheobronchitis? are antibiotics helpful?

croup NO; helpful for epiglottis

4 point gait

crutch, leg, opposite crutch, opposite leg

swing thru gait

crutches planted and swing thru

over secretion of ACTH know as

cushing's disease

difference between cystitis & pyelonephritis which precedes the other? 5 s/s that pyelo had that cystitis does NOT

cystitis involves the bladder/urethra, pyelonephritis involves the kidney cystitis precedes pyelo s/s of pyelo: fever, flank pain, chills, inc WBC & malaise

How do you assess fluid excess in the child with AGN?

daily weights

When a stump is wrapped, the bandage should be tightest _____________ and loosest _____________.

distally; proximally

what drug class is used first to treat HTN

diuretics

3 drugs classes used to treat CHF

diuretics digitalis vasodilators

Pediatric dose: always _____ by 2.2. Crutches: length of crutch- 2 to ____ finger-widths below the anterior ____ fold to a point lateral or slightly in front of the ____. Hand grip- elbow will be about ___ degrees

divide, 3, axillary, foot, 30

who do you NOT give tetracyclines to? and what can you NOT have it WITH

do NOT give to pregnant women or kids <8 NOT with milk products

what instruction is most important to give the pt undergoing thoracentesis

do NOT move or cough

psych and gift giving

do not give/receive gifts from patient

precaution with hypothyroid

do not sedate! & always need thyroid med before surgery

yes - vast majority of all clients recover completely from it

do people recover from AGN

haldol is a ...form(route, duration), same as the....

doconate form, im long, zines

yes - if wbc counts are low

does AIDS require a single room

does a first degree burn have vesicles

yes

does stress make acne worse

Aminophylline: airway antispasmotic. When bronchodilator _____ work give a phylline then bronchodilator. Range: 10-20. ____ is toxic

doesn't 20

sythetic/natural narcotics

done youre done with pain

pain medication rules in labor

dont administer a systemic pain medication if baby likely to be born when med is peaking

psychotics have narrow self concept so...

dont force them to do anything

infant's birthwt should _____ in 6 months & ______ in 12 months

double; triple

with downer things go?

down, hr, decreased, hypo

Magnesium sulfate: hypermagnesemia- does opposite, everything goes ____- heart rate, BP, Respirations, ____ and reflexes. Want +2 reflexes, if +1 need to ____ magnesium down, if + 3 need to increase it.

down, loc, slow

Crutches and stairs- up with the good, ____ with the bad. Hold cane on ____ side. Advance cane and bad leg at same time. Walkers- pick them up and set them down, then ____ to them.

down, strong, walk

Withdrawal from upper: not enough upper makes everything go ____. Not enough downer makes everything go ___. Boroborigmy: increased bowel sounds

down, up

constricted pupil

downer

#1 treatment for autonomic dysreflexia

drain the bladder & empty the bowel

phenothiazine teaching, Dx

drink, chew gum, safety, sunscreen, report infections, stool softeners, Safety!

Children at highest risk for seizure activity after ingestion are those who have swallowed _____________ and ______________.

drugs and insecticides

dub, closure of aortic and pulmonary valves

3 adult stages of development (w/age range)

early adulthood: 19-35: intimacy vs isolation middle adulthood: 35-65: generativity vs stagnation late adulthood: 65 to death: ego integrity vs. despair

Lantis is ...acting and ..... absorbed, no risk for, duration

fast, slowly, hypoglycemia, 10-24hr

Hiatal hernia treatment: you want the stomach to empty _____ so it doesn't regurgitate. Dumping syndrome treatment: want stomach to empty _____.

faster, slower

Delirium tremors: can be _____, unstable. NPO or clear ____, private room near nurses station. restricted bed ____, must be restrained. Very dangerous. Both Al with syndrom and delir trem get antihypertensive, tranquilizers and vit ____

fatal, liquids, rest, B1

A, D, E, K

fats carry vitamins

fats provide _____ Kcalories per 1 gram

Contact precautions: for anything interic- _____, oral. C-diff, Hep A (anus) and ____ infections, herpes. RSV is a droplet but kids touch everything so its ____.

fecal, staph, contact

Teach reality: 1st acknowledge ____. 2nd present reality, 3rd set a limit. Last ____ the limit. Ex: presenting reality- "I know that you see that demon but I don't see that demon" Setting a limit- "we're not gonna talk about that"

feelings, enforce

positive signs of pregnancy

fetal skeleton on xray, fetal heartrate, fetal US, fetal palpation/movement

top signs of rejection

fever/malaise

what principle claims that it is right to keep promises

fidelity

preschool 3-6 yrs

fine motor skills balance cooperative play pretend play

3-6y what work on, what kind of play

finger dexterity, balance, cooperative/pretend

Chest tubes: if tube comes out: 1st put gloved ____ over hole on patient. 2nd cover hole with vaseline ____.

finger, gauze

Nutrition: Toddlers- ____ foods even if not healthiest answer. Preschoolers- 1 meal a day is ____, leave them alone

finger, ok

postpartum uterus should be, fundus height is, what is involution

firm and midline, equal to day postpartum below belly button, contracting

L&D recovery fundus should be.....if not.....

firm and midline, if boggy massage, if displaced go to bathroom

in a patient with hypercalcemia which monitor pattern would be the most likely threat?

first degree heart block with decreased ST segment and inverted T waves

12-18 y what kind of play, not if....

group, not in post op, immunocompromised, contagious

what is endometriosis? most common s/s? major complications?

growth of endometrial tissue outside of uterus s/s: dysmenorrhea, painful menstruation complications: infertility

psychotic patients have

hallucinations, illusions, delusions

she inserts her little finger into the side of the infants mouth

how does the mother break the suction of the breast feeding infant

AT WHATEVER RATE IT TAKES TO KEEP THE URINE FLOWING AND FREE OF CLOTS

how fast do you run the CBI

c-section

how is an infant delivered when abruptio placenta is present

to the lateral thigh or abdomen

how is the Catheter taped in a male client

to the upper thigh

how is the catheter taped in a female client

2-3 weeks after initial infection

how long after strep infection does AGN develop

less than 1/2 hour

how long can a unit of blood be on the unit before it must be started

6 months

how long can breast milk be frozen

24 hours

how long can breast milk be refrigerated

24 hours

how long does it take a cast to dry

7-14 DAYS

how long does it take for the umbilical stump to fall off

4-6 MONTHS

how long is complete recovery from the paralysis of bells palsy

at least 1 week

how long must women with CD of pregnancy be on bed rest after delivery

1-3 hours

how long should it take for one unit of blood to infuse

12-24 hours

how long should the stump be elevated to prevent post op swelling

15-30 mins

how long should you stay with the patient after beginning a transfusion

4-6 weeks

how long will it take for the person to see results when acne is being treated

how many nurses are required to check the blood

Q4H with blood pressure

how often are vital sign measurement taken in AGN

every 30 to 10 mins

how often must you assess the lung sounds during the first stage of labor? during active labor? during transition labor?

DAILY

how often should a stump be washed

BID

how often should the client with acne wash his face each day

Q8H

how often should the drainage bag be emptied?

Q5-15 minutes for bleeding, maternal VS and continuous fetal monitor

how often should you measure the VS, vaginal bleeding, fetal HR during abruptio placenta

DROPPING WATER ON INSIDE SURFACE OF YOUR FOREARM

how should the temperature of the water be tested if no thermometer is available

natremias do what

hypEr dehyration, hypO overload

tocolytic mag sulfate can cause, in which....

hypermagnesemia, everything goes down, resp depression, reduced LOC, reflexes depressed,

cushing pt will have ____ natremia, _____ kalemia & _____ glycemia

hypernatremia, hypokalemia & hyperglycemia

what do addisons pt have, they look....

hyperpigmentation, brown

NMS vs EPS

hyperpyrexia with NMS, 104-108

Symptoms of thyroid storm

hyperpyrexia, VS in 200s, psychotic delirium

Cushing's syndrome

hypersecretion of cortisol moon face hirsutism acne retain water buffalo hump central obesity osteoporosis irritability, high BP, high sugar

common electrolyte imbalance after thyroidectomy

hypocalcemia - due to accidental removal of parathyroids

total thyroidectomy at risk for? why?

hypocalcemia, no parathyroid

what is the #1 cause of infant illness when the mother has DM? when is it likely to occur? why is it a problem?

hypoglycemia most likely to occur in the hours following delivery brain cells die w/o glucose, brain damage

call for medical help

if a child swallows a potentially poisonous substance, what should be done first

urine and blood

if a transfusion reaction is suspected what two sample are collected and sent to the lab

sto blood flow and run saline

if a transfusion reaction occurs what should the nurse do first

warmed

if a unit of blood is infused through a central line it must be _____

PHANTOM LIMB SENSATION ( WHICH IS NORMAL)

if after a right BKA, the client c/o pain in his right toe, he is experiencing ______

what is umbrella strategy

if all answers are right, ppick most broad one

1:10 solution of bleach and wter

if an aids patients blood contaminated a counter top, with what do you clean

ALL SIGNS OF SHOCK - DECREASED LOC , RESTLESSNESS, TACHYCARDIA, HYPOTENSION

if an aneurysm is ruptured how would you know it

GET THEM TO THE OPERATING ROOM ASAP

if an aneurysm ruptures what is the #1 priority

how to you know if HH or GERD

if happens when you lie down after eating its gerd if not HH

staff management interventions

if its illegal --> tell supervisor if the pt or staff is in immediate danger or harm --> confront and take over if the behavior is simply innapropiate --> counsel them later on

80mmHg

if my BP is 190/110 what is my pulse pressure

protective (reverse) isolation

if the AIDS patient has leukpenia they will be on_____

sudden onset of SOB (dyspnea)

if the client with CD of pregnancy experience sudden heart failure what is the most common thing you will see

NO BED REST UNTIL THE CLIENT IS STABLE

if the client with aneurysm is physically unstable should you encourage turning coughing and deep breathing

PRONE ( TO PREVENT FLEXION CONTRACTURE)

if the patient had an AKA they should lie ______ several times a day

hot

if there is inflammation under a cast, it will be evident in a ____ spot

high venous congestion makes the arterial pressure higher

if you deflate a cuff too slowly the reading will be too high or too low ? why ?

consistency of stool for ileostomy, transverse & descending

ileostomy - liquid transverse - soft stool descending - formed stool

phenothiazines reduce

illusions, hallucinations, delusions

Piaget: 3-6 yrs- preoperational. _____, teach shortly before or after. Teach what you are ____ to do. Use ____

imaginative, going, play

the #1 goal in emergency treatment of spinal cord injury is....

immobilization of the spine

working phase nursing

implementing plan of care - focused ,directive, tough, stern, set limits

DECREASED

in BPH the force of the urinary stream is _____

INCREASED

in BPH, the man has _____, frequency of urinartion

TASTE

in addition to facial paralysis , what sense is also affected by bells palsy

gi , hematologic, integumentary

in general, cancer drugs have side effects in which three body systems

empathy question put yourself and then

in pt shoes and ask how you would feel, pick answer

If the bubbling is _______ in a chest tube, it is BAD.

in the water seal, bubbling continuously OR intermittently in suction control chamber

semi fowlers with knee gatched

in what position should the bed bed if the patient is in pelvic traction

third

in what trimester does abruptio placenta most commonly occur?

sealed plastic bags

in what type of container should breast milk be frozen

semi recumbent, head of bed up

in which position should a woman with CD in labor be

high

in you use too narrow of a cuff the reading will be too high or low

ENURESIS

inability to control the flow of urine and involuntary urination

define meniere's disease & its triad of s/s

inc in endolymph in the inner ear, causing severe vertigo s/s: vertigo, sensorineural hearing loss & tinnitus

If you see clots in the tubing (CBI) you would first ____________.

increase the flow rate

if the blood pressure falls below 80 systolic, what would you do first in hypovolemic shock?

increase the oxygen flow rate

As in most inflammatory diseases the client has an ____ erythrocyte sedimentation rate in rheumatoid arthritis

increased

What force causes the pulmonary edema in left ventricular failure?

increased hydrostatic pressure in the pulmonary capillaries

increase or widen

increased intracranial pressure will _____ the pulse pressure

what triggers high pressure vent alarms

increased resistance to air (caused by obstructions)

Pregnancy (decreases/increases) the body's insulin requirements.

increases

thoracic complications

ineffective cough, paralytic ileus

amount of suction for the following: -infant -child -adult

infant: <80 mmHg child: 80-100 adult: 120-150

danger with premature rupture of membranes? labor begins within how many hours?

infection labor within 24 hours

most common side effect of accutane

inflammation of the lips

PERITONITIS

inflammation of the peritoneum

what is mastoiditis? s/s? unusual post-op complication from mastoidectomy vs common side effect?

inflammation/infection of the mastoid process s/s: drainage from ear, high fever, headache & ear pain, tenderness over mastoid process facial nerve paralysis vs dizziness

plague

inhalation 3 H's: hematemesis, hemoptysis, hematochezia

anthrax

inhalation resp. failure treat w/ cipro, pcn, streptomycin

CCB is negative ___, ____, ____

inotropic(force), chronotropic(rate), Dromotropic(conductivity)

which are the Cs(8)

inr high,low/high K, low co2,low po2, low saO2, low Na, low WBC, low Plts

define EGD. is the pt sedated? discomforts common during procedure vs complications?

insertion of a fiber optic scope to visualize the esophagus, stomach & duodenum pt sedated w/valium discomforts: vomiting & gagging complications: perforation of gut, aspiration secondary to emesis & resp arrest (from valium)

remove ppe

inside, alpha order, gloves,goggles,gown,mask

A non psychotic person has

insight and is reality based

prozac can cause,,,, so take it,,,,

insomnia, in the morning

sertraline causes...but give at

insomnia, night

Prozac: s/e: ABCDE. Causes ____- do not give at bedtime. Adolescents and young adults watch for ____ ideation when change dose

insomnia, suicidal

Complications of diabetes: low sugar (glucose)- hypoglycemic shock. Causes: not enough food or too much ____ and too much exercise.

insulin

DM type 1

insulin dependant

type I diabetes

insulin dependent, ketosis prone

Exercise does the same thing as ____. In questions- replace exercise with insulin. Ex: pt went to store and exercised- Pt went to store and got another shot of insulin. More exercise ____ insulin, less exercise more insulin

insulin, less

suction control bubbling

intermittent bad need to increase suction, continous is good

bubbling in h2o seal?

intermittent good like soda, continuous bad

When is bubbling good in the water seal?

intermittently

newborn addiction/withdrawal

intoxicated at birth-24hrs withdrawl after 24 hrs

drug abuse in new borns, within first 24 hours always assume

intoxication

Downers: everything goes down. Every drug not an upper is downer. Drowsiness, _____, etc. Can go into respiratory ____.

lethargy, arrest

what is the first thing you assess in a med surg situation

level of consciousness do: evaluate airway, breathing, circulation

common name for pediculosis

lice

PVCs +VTACH treat with

lidocaine, amiodarone

treatment for vent arythmias

lidocaine, amiodarone

activity restriction after a lumbar puncture

lie flat for 6-12 hours

The MORE colon is removed the more _________ the stool.

liquid

humalog insulin

lispro

AMENORRHEA

list of the most common gynecologic symptoms of anorexia nervosa

Psych: Don't use slang- they take everything ____. Empathy: nurse excepts the pts ____. Never say "I know how you feel" Empathy questions always have a ___ in question part.

literally, feelings, quote

hot spots in RUQ

liver, gall bladder, pancreas, upper colon, kidney

aminoglycosides

mean old mycins, all end in this ex. cleomycin, clindamycin, gentamycin, etc BUT NOT "thros"

airborne is for

measles, chicken pox(varicella), tb, sars

addisons pt need a .... bc they can go into.... from .....

medic alert bracelet, crisis/shock, stress

Do not delegate these to an AID (UAP): charting about the pt- can chart what they did. Give ____- except for topical OTC skin barriers. Assessments- except vitals and ____. Treatments- except ____. Cannot evaluate

meds, accuchecks, enemas

What intellectual ability is impaired after ECT?

memory

at what age does BPH occur?

men over 50 years of age

droplet is for

meningitis, influenza, kid illness(mumps, pertussis, diptheria)

Droplet precautions: ____, H flu. Private room. Mask, gloves, handwashing. Pt wear ____ when leaving room, dedicated equipment, disposable supplies.

meningitis, mask

bilirubin is csf leads to

meningitis/encephalitis

If ph & bicarb and in same direction then

metabolic

If the pH and the BiCarb are both in the same direction then it is?

metabolic

Kussmaul respirations

metabolic acidosis

if it is NOT LUNG, and is NOT GASTRIC LOSS, always pick this

metabolic acidosis

the most common cause of ALL acid-base imbalances; this is like the liver in that if you don't know the answer and this is an option, pick this one!!!

metabolic acidosis

Which acid-base disorder is MOST commonly associated with hypovolemic shock?

metabolic acidosis due to lactic acidosis

ABG's: if not lung its ______. Prolonged vomiting, or gastric ____= metabolic alkalosis. "Alk, alk" noise when vomiting. If ph and bicarb are in same direction its _____

metabolic, suctioning, metabolic

sertraline messes with

metabolism of other meds

thyroid is responsible for what

metabolism regulation

fetal lung meds, 2 examples

metamethasone, survanta(beractant)

biguanides

metformin, oral hypoglycemic

What part of the ear is involved in otitis media? 2 subjective & objective s/s treatment?

middle ear subjective - hearing loss, feeling of fullness in ear objective - hyperpyrexia (fever), drainage from ear treatment - systemic antibiotics & antibiotic ear drops

tissues from live donors

middle ear, heart valve, skin, bonw, cartilage, tendons/ligaments.corneas

3 groups of people who cannot give legal consent

minor unconscious client mentally ill

benzodiazepines

minor tranquilizers always end in pam/lam prototype: diazepam indications: induction of anesthetic, muscle relaxant, alcohol withdrawal, seizures, facilitates mechanical ventilation

FHR early decels, what to do

mirrors cont, slows down before or at start of cont, document

what is an illusion

misinterpretation of reality they see same thing but think different

Illusion

misleading appearance; false impression; misconception SENSORY experience, reference to reality (unlike hallucination)

tricyclic antidepressants are.., 4 examples

mood elevators, elavil, decaril, torphanil, avantil

MAOIs are...., work on....

mood elevators, neurotransmitters

NSSRI's: ____ elevators. Ex: elevil, toprodil, avotil, desoril. Elevil- elevate. S/E: anticholingergic, blurred vision, constipation, drowsiness, ____. Take for 2-___ weeks to achieve full effects.

mood, euphoria, 4

cush man has

moon face, acne, retains h2o, muscle atrophy, hirsutism, irritable, immunocompromised, gynecomastia, buffalo hump, central obesity, straie, gynecomastia, stretch marks, easy bruising, loses K, glucose stays

Be concerned about PVCs when

more than 6 per minute, more than 6 in a row, PVC falls in T wave previous

Ventilators: high pressure alarm: when needs to pump ____. Could have a kink or ____. Low pressure alarm: could have _____. Respiratory alkalosis: ventilator setting too _____

more, blockage, disconnection, high

discomforts of pregnancy

morning sickness, urinary incontinence, dyspnea, back pain

What is cleft lip and cleft palate? #1 complication?

most common forms of cngential defect affectng the mouth, they occur alone or together lip - open to nares palate - open to nasopharynx complication - ASPIRATION

PI's (protease inhibitors)

most potent of antiviral med. inhibit cell protein synthesis that interferes with viral replication. does not cure but slow progression of AIDS. prolongs life, used prophylactically and used in AIDS to decrease viral load and opportunistic infections

tyramine is in what foods very bad

organ meats, no smoked pickkled etc, no aged chees, no alcohol/elixir, no caffiene, no OTCs

what is Prevner 13? who should get PVC13? type of immunity?

pneumococcal conjugated vaccine people over 60 active immunity

pneumonia of AIDS is caused by

pneumocystic carinii

cervical complications

pneumonia

When a pt hates someone but then expresses the opposite emotion, it is called ____

reaction formation you form the opposite reaction

if you dont know med question then

read without med

Psychotic patients lack

reality and insight

introductory orientation phases nurse/patient

should be tolerant, accepting, explorative probing, nosy, be warm and fuzzy

FORCED

should fluids be forced or restricted in BPH

no the patient should not ambulate independently depth perception is altered

should the client ambulate independently after cataract surgery

should the drainage bag ever touch the floor

no risk of radiation hazard

should the nurse provide perineal care for the client with a cesium implant

no - not for gas or any other petroleum products

should vomiting be induced after ingestion of gasoline

should you cover a wet cast

NO FOLD THE DIAPER DOWN

should you cover the unhealed umbilical site with the diaper

NO NOT UNTIL FORESKIN RETRACTS NATURALLY AND WITHOUT RESISTANCE -- THEN IT SHOULD BE RETRACTED, CLEANSED AND REPLACED

should you retract the foreskin of a 5 week old male uncircumcised infant to cleanse the area?

NO RECTAL TEMPERATURES, YES STOOL SOFTENERS

should you take a rectal temp after prostatectomy? give stool softeners?

fan

should you use a heat lamp, hair dryer or fan to help dry a cast

no it may cause sneezing also should avoid pepper

should you use talcum powder with a post operative cataract client

most common tested area in pharm

side effects - choose side effect in the same body system where drug acts

what is codependancy

sig other gets self esteem from it

what is the difference between structural and functional scoliosis

structural - born with it functional - get it from bad posture

FRUTIS, VEGGIES

sucrose is a sugar found in _____ and _____

what is meant by paroxysmal nocturnal dyspnea? what does orthopnea mean?

sudden episodes of difficulty breathing SOB while lying flat

psychotic delirium

sudden, dramatic, temporary loss of reality d/t chemical imbalance, acknowledge then reassure

key words to avoid in psych

suggest that... advise the patient tooo..... tell the patient to..... if i were you, i would.... you ought to.... you should... you should not do..... dont do.... recommend that.....

Inappropriate behavior from staff: are they doing anything illegal? if yes- tell ____. Is anyone in physical or psychological harm? if yes- ____ and take over. Is this legal, not harmful but simply inappropriate? if yes- talk later on with them. Never choose ____ it

supervisor, confront, ignore

Denial from loss

support

the cause of respiratory distress syndrome (infant) is lack of _______

surfactant

beractant (ACTANT)

surfactant -- give to baby, breathed in, after baby is born

trouble hear defects need

surgery, monitors, med,

ectomy

surgical removal

-ectomy

surgical removal of

pts with RA have a deformity of the wrist/hand called

swan-neck deformity

what is caput succedaneum, hyperbilirubinemia, vernix caseosa, acrocyanosis

swelling bw skin and skull, crosses suture line, jaundice for 1 week, cheeslike on baby, limbs blue

amputation needs what gait

swing thru

alkolitic, low potassium

tachy, hyper, exaggerated, rising

teaching for a pt on tetracycline

take on a empty stomach & avoid sunlight

auto graft

take tissue form self

MOA inhibitors

takes 2-4 weeks to work monoamine oxidase is the enzyme responsible for breaking down norep, dopamine, serotonin *IF IT DEALS WITH DEPRESSION and IT ASKS ABOUT DIET ---> ALWAYS MAOI

warfarin

takes days to work only oral antidote: vitamin K LABS: PT, PTT cannot give to pregnant women

Ideas of reference: think people are ____ about them.

talking

laminectomy

teats nerve root compression s/s: pain, presthesia, paresis locations: cervical, thoracic, lumbar

staff mgmt 3 things you can do for inappropriate behavior

tell supervisor, intervene and take over, discuss later

ACRPCYANOSIS

temporary cyanotic condition, usually in newborns resulting in a bluish color around the lips, hands, fingernails, feet, and toenails. may last for a few hours and disappear with warming

what is delirium

temporary episodic dramatic secondary onset of loss of reality due to chemical imbalance

2 ways to determine if drainage post craniotomy is CSF

test for glucose halo effect on gauze

FLEXION, HIP

the #1 contracture problem in AKA is _____ of the _____

T-lymphocytes (or CD4 cells)

the AIDS virus invades helper....

2nd diastolic sound

the cessation of sounds is known as

pulse pressure

the difference between the SBP and DBP

the goal is for the infant to breast feed for _____ minutes per side

off the bed enough to slop a hand between the sacrum and bed

to ensure bryants traction is working the childs hip/ sacrum should be in what position

why do you use a CBI after TURP? what solution do you use? How fast of a rate?

to keep the catheter clear of clots and to drain urine. use normal saline at whatever rate it takes to keep the urine flowing & free of clots

FOLWERS (A SITTING POSITION) (ALSO USE POST OP)

to lessen the pain, place the client with appendicitis in _____ position

call MD because blood is often held with an elevated temp

what would you do if the client had an increasing temperature and was to get blood

systolic

when 2 values are given in a blood pressure the first is the _____ measurement

cessation of sound

when 2 values are given in a blood pressure, the bottom number stands for the change in sounds or cessation of sounds

unaffected

when a patient is in bucks traction they may turn to the _____

DISTALLY (FAR FROM THE CENTER), PROXIMALLY (NEAREST TO THE POINT)

when a stump is wrapped, the bandage should be tightest _______ and loosest _____

Manipulation is

when abuser gets sig other to do things for them that are harmful

first 10-15 minutes

when are hemolytic transfusion reaction likely to occur

when to use 2-4 points gait

when both legs affected, 2 for mild, 4 for severe

swing thru when used

when both legs braced or amputation

FALSE INNER TO OUTER

when cleansing an infants eye, cleanse from outer to inner canthus? T/F

if you are going to get contaminated with secretions

when do you need a gown with aids ?

not unless they have an infection caused by an airborne bug

when do you need a mask with AIDS?

suctioning, central line start, arterial procedures

when do you need goggles with aids

whenever a client is to get a blood product. it is only good for 24 hours

when does typing and cross matching need to be done

Tips for pediatrics questions

when in doubt choose "this is normal behavior" when it doubt, pick the older age when in doubt, choose the easier task

within 30 minutes of beginning the transfusion

when is a febrile reaction likely to occur

3 point gait used when?

when one leg affected

systolic

when pressure is auscultated the first sound heard is the systolic measurement

after feeding from each breast

when should the breast feeding infant be burped

when you see bright thick blood, persistent clots, persistent urine on dressing ( dont call MD for transitory clots and urine on dressing)

when should you call the MD after TURP

98.6F

when sponge bathing with tepid water the correct temp is _____

suspected poison

when taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER

bleeding precautions; no IM;s no rectal temperatures, other bleeding precautions

when the AIDS patient has a low platelet count, what is indicated

PROTEIN, FAT

when the body does not recieve enough carbs it burns _____and _____

if an introcular lens is implanted they will not need glasses if no lens is implanted then contact will be fitted for 3 months post op, temporoary thick glasses given immediately but will get a different prescription in 2-3 months

when the client asks about the use of glasses or contacts after cataract surgery what would you say

mydriatics, dilator, antibiotic drugs

when the lens is to be extracted for cataracts what drugs are given preoperatively

wet

when using silver nitrate the dressings must be kept ______

IN A FEW MONTHS

when will phantom limb sensation subside

RLQ

where does the pain of appendicitis finally end up ?

head of bed

where should the nurse provide care to the client with cesium implant

THE ABDOMINAL IS MOST OFTEN "SILENT"

which aneurysm is mostly likely to have no symptoms

brachial

which artery is most commonly used to measure blood pressure

lower only

which extremities are affected by buergers disease

Prioritization

which patient or unstable answers have 4 parts: ignore age and gender the modifying phrase is more important than the diagnosis/surgery ACUTE VS CHRONIC

males

which sex does buergers disease affect the most often

fluoride and iron

which two nutrients is breast milk low in

undifferentiated is worse to have (highly differentiated is better to have)

which type of tumor is more malignant? differentiated or undifferentiated?

THE PULSE AND BLOOD PRESSUR

which vital signs are most important to measure in clients aneurysm

total thyroidectomy removes

whole thing

35-64

wht is the age range for middle adulthood

prevent thrombophlebitis due to venous congestion usually in legs

why are anticoagulants (heparin only) given to women with CD of pregnancy

to promote diuresis - lowers circulating blood volume, decrease preload, decrease the amount of blood the heart pumps

why are diuretics given to women with CD of pregnancy

to increase the strength of the heart and to decrease the rate, rest the heart while making it more efficient

why is digitalis given to women with CD of pregnancy

PVC are

wide bazzare periodic qrs

V-tach

wide bizzare qrs

HTN, because of fluid retention

will the client have hypo or hyper tension with AGN? why?

NOCTURIA AND MAYBE HEMATURIA, NOT ENURESIS

will the man with BPH have enuresis , nocturia or hematuria

will the patient with bells palsy be able to close their eye on the affected side

TURP-no impotence; PERINEAL PROSTATECTOMY- yes

will the post prostectomy patient be impotent

yes

will the woman with cesium implant have a foley

what time of day do you give NSAIDS

with meals

what time of day do you give steroids

with meals TAPER DOSE TOO

plain water, before and after each feeding

with what solution and when should a breast feeding mother cleanse the areola

EYES ALWAYS

with which body part do you begin when bathing an infant

Drug addiction in newborn: always assume intoxication not _____ at birth. After ____ hrs it can be withdrawal

withdrawal, 24

stand precautions or blood and body fluid precautions

without leukopenia the aids patient will be on _______

Empathy: Do not choose answer that reflects their ____, choose one that reflects what pt FELT. Ex: "your killers, you killed my mom" she feels scared, pick answer about her being scared.

words

heparin

works right away, IV and SQ antidote: protimean sulfate LABS: PTT can be given to pregnant women

If your not interrupting patients meal to give Lispro your doing it ____. Do not give it before, only with meals

wrong

HH which direction and rate

wrong direction right rate

SSRI antidepressant

x out depressions, xet/xep/pramine, xet, xep, pramine

if Vfib then...

Dfib

What is Chadwick's sign?

Blue-tint to the cervix

what do miotics do for the eye?

Constrict the pupil

2nd biggest problem in abuse

Dependancy/Codependancy

PLATELETS

WHICH CELLS ARE LOW IN THROMBOCYTOPENIA

asystole

a lack of QRS depolarizations (flat line)

treatment for cushings

adrenectomy

CD4 under _______ is associated with the onset of AIDS related s/s

500

Chadwick's sign

Bluish-purple coloration of the vaginal mucosa and cervix

Treatment for DM type 2

Diet, activity, oral hypoglycemic

trouble heart defects all start with .... and....

T left hyperplastic vent syndrome

ASA

WHAT DRUG SHOULD NOT BE GIVEN TO THE PATIENT WITH CHEMOTHERAPEUTIC THROMBOCYTOPENIA

NITROGLYCERIN

WHAT DRUG TREATS ANGINA PECTORIS

HAIR LOSS

WHAT IS ALOPECIA

BRUISING

WHAT IS ECCHYMOSIS

NOSE BLEEDS

WHAT IS EPISTAXIS

METASTASIS

WHAT IS IT CALLED WHEN CANCER SPREADS?

ALOPECIA

WHAT IS THE #1 INTEGUMENTARY SIDE EFFECT OF CHEMOTHERAPY

CD4 COUNT

WHICH TEST IS THE BEST INDICATOR OF THE PROGRESS OF HIV DISEASE

Paranoid/Persecutory Delusion

falsed, fixed belief that people are out to harm you

another name for hyperthyroid

grave's disease

aminoglycoside treats

mean old infections like life threatening, resistant

thyroidectomy

risk for hypocalcemia s/s hypocalcemia = TETANY, numbness, tingling,

homograft

tissue form another human

xeno graft

tissue from another species, only temporary

CRIES VIGOROUSLY

A HIGH SCORE OF 2 IS GIVEN FOR RESPIRATORY EFFORT IF THE NEWBORN ______

NO MOVEMENT LIMP

A NEWBORN RECEIVES A SCORE OF 0 ON MUSCLE TONE WHEN THERE IS 0 MOVEMENT

as the pH goes, so goes my patient. what does this mean?

-as the pH goes up, so do chemical rxn in the body (hyper) -as the pH goes down, so do chemical rxn in the body (hypo)

FEMALES, 25

ANOREXIA ARE USUALLY ____ UNDER THE AGE OF ______

milia

Distended sebaceous glands which appear as tiny white spots on the baby's face. NORMAL.

BENIGN PROSTATIC HYPERTROPHY

what does BPH stand for ?

TRANSURETHRAL RESECTION OF THE PROSTATE

what does TURP stand for ?

check for surface antigen on the red blood cell

what does blood typing mean

All congenital heart defects that are trouble start with a ?

T: tetralogy of fallot, etc

answers that are generally true are NEVER specifically wrong. what does this mean?

-do not run from general answers -run from specific answers

Unstable: acute illness, post op less than ___ hrs, general anesthesia, Newly ____- less than 24 hrs ago newly diagnosed, ____ assessment

12, admitted, changed

How do you remember aminoglycosides?

"A mean old mycin" all drugs will end in "mycin"

tricyclic antidepressants

"A trip" A trip makes you happy

intermittent claudication

what does the buergers patient experience upon walking

Sub Q: "S" looks like a "5" so pick answer with two ___'s in it. Ex: 25 guage 5/8 inch. Heparin: given ___ or sub q. Coumadin: given PO ONLY.

5, IV

3 types of obstructions that trigger high pressure vent alarms and their interventions IN ORDER

-kink in the tube (check for kink) -water in the tube (empty it out) -mucous in the airway (TCDB 1st) (suction-last resort NI)

cloudy, milky white pupil

what does the eye look like when a client has cataracts

active phase of labor, dilation, duration, strength, freq

5-7cm, 30-60sec, 3-5min, moderate

EGO INTEGRITY

"if i had to do it over agin, id live my life just about the same is an example of _____ -- the result of positive resolution of the final life crisis. viewed as the key to harmonious personality development; the individual view their whole life with satisfaction and contentment

PHRASES TO AVOID IN PSYCH QUESTIONS

"refer patient to" "have you spoken to your...about this?" why dont you talk to ____ about this?

preinteraction phase nurse right answer

"the nurse will explore his/her own feelings about"

Drugs that end in "mycin" that arent aminoglycosides have what?

"thro" in the middle of the name so you "thro" them out

antiviral

"virs"

Diabetic Ketoacidosis (DKA)

#1 cause is acute viral upper respiratory infection within the last week

When one leg is ODD, use these gaits

(1,3) ODDS

6-9 months life toys

(object permanence) best toy: cover/uncover toy second best: large and firm

postop care for spinal cord

*LOG ROLL for spinal cord!!!* dont dangle limit sitting 30 min

four defects in tetralogy of Fallot.

*VarieD PictureS Of A RancH* ventricular defect pulmonary stenosis overriding aorta right hypertrophy

DROPLET ISOLATION

*all influenzas, all meningitis, diptheria, purtussis, mumps* -private room, gloves, mask, handwashing, pt wears mask when leaving room, disposable supplies

CONTACT ISOLATION

*herpes, MRSA, VRE, C-diff (enteric), RSV (droplet also)* private room, gloves, gown, handwashing, disposable supplies

AIRBORNE ISOLATION

- Measles (Rubella) - Tuberculosis - Varicella virus chicken pox, HZV shingles - private room, mask, gloves, gown, handwashing, respirator for TB, negative air flow

the ONLY exception to the above rule and what it means

-potassium is the only exception to the rule -as pH goes up (alkalosis), K levels go down -as pH goes down (acidosis) K levels go up

if CO2 is the only value given, what do we know and what must we do?

-we know it is ALWAYS respiratory -just look at pH to determine alkalosis or acidosis

3 names for CCBs

-zem -dipines isoptin "Iso zam dipine in the calcium channel"

Pt med question: take each option and ask "if I didn't do this what's worse that could happen" choose the ____ outcome. Ex: which is highest priority for suicidal pt? Give tranquilizer, orientate to unit, put on suicide precautions, introduce to staff. If no suicide precautions they could die so best answer.

...

QRST: ventricular _____

...

engagement is station

latent phase of labor, dilation, contraction, duration, strength, freq

0-4cm, 15-30sec, 5-30min, mild

Therapuetic level & toxic level of Lithium

0.6 - 1.2 >2

creatinine level

0.6-1.2

lithium ther level, toxic level

0.6-1.2, >2

creatinine lab, which priority? if dye used?

0.6-1.2, A, B

Therapuetic level & toxic level of digitalis

1 - 2 >2

If a women forgets to take pill one day, what should she do? forgets 2 days? forgets 3 days?

1 day: take it as soon as she remembers 2 days: 2 pills for 2 days in a row then resume schedule 3 days: throw pack away & start new; use back up for 7 days

IM injection, how long, how thick

1&1, 1 inch, 1mm

Grief stages

1) Denial 2) Anger 3) bargaining 4) depression 5)Acceptance

Priorities maslow

1) Physiological 2)Safety 3)Comfort 4)Psychological 5)Socialogical 6)Spiritual

3 characteristics of wernickes

1) preventable (take Vit B1) 2) arrestable(can stop it by taking vit B and cut down drinking) 3)irreversible(cant fix dementia)

symptoms of wernickes

1) psychosis from vit B1/thiamine deficiency(dementia bc brain damaged) 2) amnesia with confabulation(making up stories)

hyperglycemia in type 2(HHNK)

1)hyperosmolar 2)dehydration

Regular insulin: big "R" on bottle. Onset ____ hour, peak 2 hrs, duration 4 hrs. Its _____ so its a solution, can IV drip. Rapid short acting. R-rapid and ____ (in IV)

1, clear, run

DKA: high glucose. In type ___ diabetic. Diabetic coma can occur. Causes: too much ____, not enough exercise, not enough medication

1, food

digoxin level

1-2

bilirubin in neonate?

1-20 is elevated

Maslow

1. Physiological 2. Safety 3. Comfort 4. Psychological 5. Social 6. Spiritual

best way the nurse can check if the NG is in the stomach (in order)

1. measure external length of tube 2. test pH of gastric contents 3. auscultate gastric air bubble

4 point gait

1. one crutch 2. opposite foot 3. other crutch 4. other foot

haldol and elderly...need... what can happen

1/2 of adult dose, can get NMS(neuroleptic malignant syndrom)

Therapuetic level & toxic level of phenytoin

10 - 20 > 20

Hyperbilirubinemia level & toxic level

10 - 20 >20

Therapuetic level & toxic level of aminophylline

10 - 20 >20

thyroid storm happens after

10 hrs

How fast does the dialysate usually flow into the peritoneum? how long does it remain in abd? how long does it take to drain? if it does not drain well, what do you do first?

10 min to flow IN 30 min STAYS in ABD 10 min OUT have pt turn side to side

what age does an infant walk holding onto furniture?

10 to 11 months

therapeutic blood level of theophylline? s/s of toxicity

10-20 s/s: N/V (coffee ground emesis), tachycardia & tremors

Things always unstable regardless of whether its expected or not: hemorrhage, high fevers over ____, hypoglycemia, pulselessness or ____

105, breathlessness

Low fetal heart rate: below ___ do LION- this is bad.

110

Low fetal heart rate: below ___ do LION- this is bad. High fetal heart rate: above ____- not bad, monitor it and take moms temp, probably has ____

110, 160, fever

Fundus isn't palpable until week

fundus not palpable until

12 weeks

what lead levels needs intervention drugs used to treat lead posioning

50-60 micrograms/dl chelating agents

Rules for prioritization: ACUTE BEATS CHRONIC. Fresh post op- up to ___ hrs after beats medical or other surgical. 2 hr post op ___. UNSTABLE BEATS STABLE.

12, highest

Thyroidectomy post op: first ___ hrs top priority is airway, second is hemorrhage. 12-48 hrs after: totals can get ____ (larangeal) due to low calcium. Sub totals (partial): can get ____.

12, tetany, storms

What age does an infant stand alone?

12-13 months

hemoglobin value

12-18

na value, if change in LOC priority , do , in hypo

135-145, D, assess dehyydration, assess overload

what age does an infant walk alone

14-15 months

When to draw PEAK levels for IV route

15 - 30 min after drug is finished

handwash for..., with...

15 sec,soap water

never clamp for more than

15 seconds without dr order

Dx of anorexia made w/wt loss of ____%

15% hospitalize if 30% wt loss

Lispro and Humalog insulin: FAST ACTING. Onset ___ min, peaks 30 mins, duration 3 hrs. Give with ____.

15, meals

Humalog(fast), onset peak duration, take with what

15min, 30min, 3h, with meals

gauge of needle to give blood

if your are the nurse starting the iv on the client with abruptio placenta, what gauze needle should you use

Hemoglobin: 12-____. If its 8-11 its low priority. If below 8 its ____ priority- assess for bleeding

18, high

When does the anterior fontanel close?

18-24 months

plt value <, then

19000, bleeding precaution

If an AIDS pt blood contaminants a counter top, with what do you clean?

1:10 solution of bleach & water

Regular insulin, onset,peak,duration, route

1hr, 2hr, 4hr, iv(rapid and run)

when and what to do urinary incontinence

1st & 3rd, void q2h

A first degree burn is pale or red? a second degree burn is pale or red? dull or shiny? has vesicles? wet or dry? a third degree burn is white or red? wet or dry? hard or soft?

1st - red 2nd- red & shiny; has vesicles & is wet 3rd- white, dry & hard

Nagele's Rule

1st day of last period + 7 days - 3 months

when and what to do for morning sickness

1st tri, eat dry carb before leaving bed

pregnancy dr visits time

1x a month til 28 weeks, 1x every two weeks til 36, 1x a week til delivery/42

2 point gait

2 things move at once, crutch and opposite leg

Onset and duration of disulfaram

2 weeks

antabuse onset and duration

2 weeks

Lithium: 0.6-1.2. ____ is toxic. Lanoxin (digoxin): treats A fib and congestive HF, range ____-2, toxic level is 2.

2, 1

Labor: Recovery (4th stage): first ___ hrs after placenta delivered. 4 things every 4 hrs in 4th stage: Vitals (look for signs of shock), Check fundus, Check ____, and Roll (to check bleeding under)

2, roll

how to measure for crutches

2-3 fingers below armpit to any point in front of foot

if NG is used for long period of time, it must be replaced every ________

2-3 weeks

INR value, used for,

2-3, coumadin,

prozac takes... to work, you use it how long

2-4 weeks, for life

sertraline takes.... to work and take it for

2-4 weeks, life

scrubbing hands for, with, above

2-7 mins, bact agent, elbow

digitalis toxicity exists when blood levels exceeds ______ earlies s/s of dig toxicity

2.0 mg/dl s/s: nausea & vomiting w/headache

When does pre-eclampsia usually begin in pregnancy (week)?

20 wks

Fundus reaches umbilical level at week

20-22

Fundus typically reaches the umbilical level at week ____

20-22

CD4 under _______ is associated with the onset of opportunistic infections

200

Ph: 7.35-7.45. Bicarb (HCO3): ____-28. PACO2: 35-____

22, 45

Bicarb

22-26

Al.With.Syn. happen after ___ hours

how long does it take a cast to dry

24 hours

Grave disease (hyperthyroidism): radioactive iodine- pt by themselves for ___ hrs, careful with urine (if spill call hazmat). PTU- "puts thyroid under", S/e: _____.

24, immunosuppresion

Stable: ready for discharge, admitted longer than ___ hrs ago, unchanged assessment, chronic illness, post op ___ than 12 hrs, local or regional anesthesia

24, longer

maximum suction level used to decompress the GI tract via NG?

25 mmHg

Weight gain during pregnancy

28 lbs plus or minus 3 lbs

Total weight gain during pregnancy

28 lbs plus or minus 3 pounds

Pregnancy weight gain: total- ___ pounds, plus or minus 3. ___ trimester: 1 lb a month- 3 months so gain 3 lbs. 2nd and third trimester: 1 lb a ___

28, first, week

when and what to do dyspnea

2nd &3rd, tripod position

when and what to do back pain

2nd and 3rd, pelvic tilt/rock, foot on stool

red

2nd degrees burn - red or pale?

weight control

2nd to rest what is very important for CD of pregnancy

Heart sounds: Aortic- 2nd intercoastal space, right side, Pulmonic- ____ intercoastal space on left side, Tricuspid- 4th intercoastal space, Mitral (apical)- ____ intercoastal space, left side

2nd, 5th

What test confirms the diagnoses of gestational diabetes?

3 hour glucose tolerance test

cloudiness, diplopia, photophobia

3 most common visual defects that occur with cataract

3 phases of burn. in shock phase: is K inc or dec? what is the #1 therapy in this stage? what acid-base imbalance is seen in this stage?

3 phases- shock, diuretic & recovery K is inc; GIVE FLUIDS; metabolic acidosis is seen

distance, shielding, time

3 principles to protect yourself from radiation hazard

3 point gait

3 things move at once, both crutches and bad leg then good leg

bucks, bryants, pelvic

3 types of skin traction

Labor: Active phase: dilate 5-7 cm, every ___-5 min, lasts ____-60 sec. *Memorize this phase only, anything less=latent, anything more= transition.

3, 30

Heparin: works immediatly, cannot be given for longer than ___ weeks (except lovenox). Antidote- protamine sulfate. Lab test- ___. Can be given to ____ women.

3, PTT, pregnant

Creatinine: 0.6-1.2, not a priority. INR: coumadin level, 2-____. 4 or less is high priority. Hold med, ____ pt, prepare to give (antidote-vit k), then ____ doctor

3, assess, call

K+ value

3.5-5

When to draw PEAK levels for IM route

30 - 60 min after administered

When to take trough levels for all routes of medications

30 min before next dose

Insulin: peak= when pt can get hypoglycemia. Check expiration dates. Minute its opened expiration date is ____ days after- write on bottle when opened and date or when _____

30, expired

CO2 value

35-45

Pregnancy: urinary incontinence- 1st and ____ trimester, Not 2nd because the baby is up ___ of bladder. Need to void every ___ hrs

3rd, high, 2

hematocrit value is ...hg, if abnormal

3x, assess bleeding,

no small toys kids under

formula to calculate fluid replacement for 1st 24 hrs after a burn?

4 ml x kg x % burned each day

profuse vaginal discharge, elevated temp, nausea, vomiting

4 symptoms in a patient with a cesium implant should be report to physician

how long does it take for someone to completely recover from bell's palsy?

4 to 6 months

No small toys for children under ___ yrs old. No metal (diecast) toys if O2 is in use- can spark. Stuffed animals harbor ____- non living object that harbors bacteria

4, fomites

What age can an infant roll over?

4-5 months

How long will it take for the person to see results when acne is being treated?

4-6 wks

incubation period for TB

4-8 weeks

A person should have a yearly work up exam for cancer detection over the age of __________.

Bicarb: 22-26. Not a priority. Co2: 35-____. In 50's= high priority- have pt do pursed ____ breathing (gets rid of Co2) In ____= highest priority- respiratory failure, prepare to intubate and ventilate.

45, lip, 60's

Once you have stopped the bleeding into the joint, how long should the hemarthrosis patient wait before bearing weight or doing range of motion?

48 hours

how often check vitals in recovery of L&D, why, what vitals

4x an hour, q15min, check for shock, bp down, hr up

What CN is affected in Trigeminal Neuralgia? #1 s/s of tic douloureux triggers

5 episodic, severe one sided facial pain triggers - breezes, hot/cold foods, chewing, touching the face, talking

When to draw PEAK levels for SL route

5 - 10 min after drug dissolved

HOMOSEXUAL/BISEXUAL MEN, IV DRUG USERS, HEMOPHILIACS, HETERO PARTNERS OF INFECTED PEOPLE, NEWBORNS OF INFECTED WOMEN

5 RISK GROUPS OF AIDS

WBC: total wbc 5,000- 11,000. ANC (absolute neurophil count): needs to be above ___. CD4: needs to be above ___- if below= AIDS, if above = ____. All WBC labs below levels= high priority

500, 200, HIV

Hematocrit: 36-____. Is hemoglobin x3, Ex: 12x3=36, 18x3=54. High= low priority, monitor pt for ____.

54, dehydration

Potassium: 3.5-5. Low or high potassium is high priority but if it get to ___ or more its highest priority

concerned with pvc if

6 in min, 6 in row, if falls on twave

What age can an infant sit up unassisted?

6 to 8 months

discharge teaching of laminectiony

6 weeks: dont sit longer than 30 min, lie flat and log roll, no driving for 6 weks, no lifting more than 5 lbs for 6 wks

Whenever you don't know how long something restricted pick ____ weeks. Lamenectomy with fusion: bone ___ from ileac crest.

6, graft

PVC: more than ___ pvc's per minute or more than 6 PVC's in a row or if the PVC falls on the T wave of the ____ beat= change priority from low to _____ priority

6, previous, moderate

sickle cell anemia s/s do NOT appear before the age of ______ months due to presence of _____ ______

6; fetal hemoglobin

normal pH

7.35-7.45

normal ph

7.35-7.45

ph value

7.35-7.45

Delirium Tremens happens after ___hours

Never pick infection before ____ hrs post op, as an answer. Deonate = long acting.

Po2: ____-100. In 70's= high priority, assess respirations, give o2. When hypoxic heart rate goes up ___ then when heart can no longer compensate respiratory rate goes up. In 60's= highest priority- respiratory ____

78, first, failure

What CN is affected in Bells Palsy

7: facial

which weeks for visit

8, 12, 16, 20, 24, 28, 30, 32, 34, 36, 37,38,39,40

NPH insulin: intermediate acting. Onset 6 hrs, peak ____ to 10 hrs, duration 12 hrs. Cloudy so its a _____, No IV drip. N= not fast acting and not hung (in IV)

8, suspension

transition phase of labor, dilation, duration, strength, freq

8-10com, 60-90sec, 2-3min, strong

bun value, if low mean, what to do

8-30, dehydrated, rehydrate

What age does an infant crawl?

8-9 months

Calculate ideal pregnancy weight gain: take week of gestation and subtract ___. Fundal height: NOT _____ until week 12. At umbilicus at ___-22 weeks

9, palpable, 20

Contractions should be no longer then ____ and no closer then_____.

90 minutes 2 minutes

Platelets: below ____= high priority. Below 40,000= highest priority. RBC's: 4-___ million. Abnormal= low priority

90,000, 6

what elbow flexion for crutches

<45

what qualifies a positive mantoux?

>10 mm induration (hardness) redness does NOT impact test results

oxytoxic med pitocin, stop if contactions are...

>90sec, closer than 2min

bicarb value 22-26, if abnormal priority

APGAR scale - 5 parts, overall total vs max for each criteria

A - activity (muscle tone) P - pulse G - grimace (reflex irritability) A- appearance (skin color) R - respiration each criteria - max of 2 = 10 total

side effects of of phenothiazines and Haloperidol

A - anticholinergic (dry and dilated) xerostemia B - bladder retention + blurred C - constipation D p drowsiness E - EPS, extraparamidal F - fotosensitivity G agranulocytosis

BAD, BABY IS STILLBORN

A 0 ON THE APGAR IS ....

500

A CD4 COUNT OF UNDER ____ IS ASSOCIATED WITH THE ONSET OF AIDS RELATED SYMPTOMS

200

A CD4 COUNT OF UNDER ______ IS ASSOCIATED WITH THE ONSET OF OPPORTUNISTIC INFECTIONS

Adrenal Cortex Diseases start with

A or C: Addisons and Cushings

best predictor of long term blood glucose control

A1c (<7)

Setraline SE

ABCDE

decrease pH (urine is acid) , cheese, eggs, meat, fish, oysters, poultry, bread, cereal, whole grains, pastries, cranberries, prunes, plums, tomatoes, peas, corn, legumes

ACID ASH DIET

DS symptoms

ADS, Abdominal distress, drunk, shock

BLOOD, SEXUAL CONTACT, BREAST FEEDING, ACROSS PLACENTA IN UTERO

AIDS IS TRANSBISSIBLE THROUGH WHAT FOUR ROUTES

true

AIDS patients get lymphomas T/F?

#1 contracture in AKA vs BKA? how do you prevent each of these?

AKA - flexion of the hip - lie prone BKA - flexion of the knee - straighten leg while standing

THEY DONT BREATHE

AN INFANT IS GIVEN A SCORE OF 0 FOR RESPIRATORY EFFORT

SLOW OR IRREGULAR

AN INFANT IS GIVEN A SCORE OF 1 IF THEIR RESPIRATIONS ARE ______ OR _____

500

ANC (ABSOLUTE NEUTROPHIL COUNT) BELOW _____ THE PERSON ON CHEMOTHERAPY WILL BE PLACE ON REVERSE ISOLATION

which arythmias are 3rd priority

Aflutter and Afib

maoi se ABCD

Anticholinergic, blurred vision, constipation, drowsiness

antiseptic vs disinfectant

Antiseptics used for skin, disinfectant is for surfaces

Drugs contraindicated for glaucoma pts

Any drug that dilates the eyes Ex: mydriatics

Raynaud's is an arterial or venous disease? 3 things precipitate an attack? s/s of attack

Arterial disease characterized by spasms triggers: exposure to cold, emotional stress & tobacco use s/s: pain, numbness & tingling

How soon after cell damage does troponin increase?

As soon as 3 hours (can remain elevated for 7 days) NOT present in a healthy person

Signs and symptoms of acid-base imbalance principle

As the pH goes, so goes my patient except for potassium

assault vs battery

Assault = placing a person in fear or immediate bodily harm Battery = unlawfully touching a person

which arythmias are 1st priority

Asystole and Vfib

Most serious complication of opthalmia neonatrorum (gonorrhea in infant's eyes)

Blindness

When are urine pregnancy tests positive? presence of what hormone?

At the time of the first missed period HCG

Disulfaram

Aversion therapy for alcoholics; causes patient to dislike alcohol by making them sick if ingest it

if hg 8-11 priority, what to do

B, assess bleeding, prepare to transfuse, notify MD

Wernicke's encephalopathy and Korsakoff's (psychosis) usually together, induced by vit _____ or thyamin deficiency. Extreme psychotic symptoms. Go _____, amnesia, confabulation. Usually permanent. Can't learn _____

B1, insane, reality

Methergine: causes high ___. Mag- "magnum ____ shot lowers bp" Meth- "methamphetamine raises BP"

BP, 45

SUBLINGUAL

BY WHAT ROUTE DO YOU TAKE NITRO

bacteriostatic vs bacteriocidal

Bacteriostatic- inhibit growth of bacteria cidal - kill bacteria

hemangimas

Benign tumor of the capillaries.

Kernicterus

Bilirubin in the CSF/brain

Aneurysm: monitor ____- hypertension could cause it to enlarge or rupture

what four organs does HTN affect most?

Brain (stroke) Eyes (blindness) Heart (MI) Kidney (renal failure)

How can AGN be prevented?

By having all sore throats cultured for strep and treating any strep infections

Rate by priority A:spiritual distress B:denial C:L arm fx D: safety issues E: L arm pain F: dysfunctional family

C, D, E, B, F, A

if co2 is in 50's priority, what to do, if pt has copd

C, assess resp status, pursed lip breathing, call MD, dont care

low K is priority, what to do

C, give K, call md

high K is priority, what to do

C, hold k, assess heart, give kayexalate or d5w with insulin, call md

if INR is bigger than 4 its priority..., do...

C, hold, assess bleeding, give vit k, call md

When the spinal cord injury is between _____ and _____, there is permanent respiratory paralysis.

C1 to C4

IN SOME CASES YES

CAN ICE PACKS TO THE SCALP PREVENT CHEMOTHERAPY ALOPECIA

IN SOME CASES , YES

CAN SCALP TOURNIQUETS PREVENT CHEMOTHERAPY ALOPECIA

4TH

CARDIOVASCULAR DISEASE RUNS ___ AMONG THE LEADING CAUSE OF MATERNAL DEATH

tocolytic nifedipine is a..... SE are....

CCB, H&H headache, hypotension

best indicator of progress of HIV disease

CD4 count

Mycins are toxic to which nerve

CN 8

How to remember symptoms of calcium imbalance

Calcemias do the OPPOSITE the prefix but do anything to the blood pressure

Diet for type 2 DM

Calorie restriction & need to eat 6x a day

what are characteristics of dementia

Can see it on ct, they cant learn reality

3 most common reasons for a colostomy

Cancer Diverticulitis Ulcerative Colitis

Newborn complications: ____ succidana "CS= crosses suture" Cephalo hematoma doesn't ____ sutures. Physiologic jaundice appears after ___ hrs

Caput, cross, 24

The most common visual field defect in glaucoma is loss of _________.

Central vision

Open angle glaucoma vs closed = which is painful

Closed is painful

-atresia

Condition of occlusion

caput succedaneum

Crosses the suture lines

Drug given to hemophiliacs

Cryoprecipitate

if ph 6.99 or less, priority

D, assess if alive, check vs, call rapid

high k(>6) is priority, what to do

D, hold K, assess heart/EKG, if heart changes call rapid

is CO2 is in 60's what priority what to do

D, resp failure, assess, pursed lip breathing, prepare to intubate, call resp and md

What IV solution is used during labor for the diabetic?

D5W

Signs and symptoms of DKA

D: dehydration K: ketones, kussmauls, high ketones A: anorexia, acidosis, acetone breath

DKA symptoms

D:dehydration, K:ketones, kussmaul, high K, A:acidosis, acetone breath, anorexia

CRUSHING SUBSTERNAL CHEST PAIN THAT MAY RADIATE

DESCRIBE THE PAIN OF ANGINA PECTORIS

3 common complications of craniotomy?

DI, increased ICP & meningitis

how to treat type 1 dm

DIE, diet, insulin, exercise

how to treat dm type 2

DOA, diet, oral meds, activity

PPE includes

DONNING: GOWN, MASK, GOGGLES, GLOVES REMOVING: GLOVES, GOGGLES, GOWN, MASK (alphabetical!)

S/S of DKA

Dehydrated - hot, dry, flushed Ketones in blood; Kussmauls; Increased K Acidosis, acetone breath, anorexia from nausea

MS is a progressive _____ disease of the CNS. with demyelination the nerve impulses become ______ & _______

Demyelinating slow, uncoordinated

Stages of grief

Denial Anger Bargain Depression Acceptance

intimacy vs isolation

Erickson stage in which individuals form deeply personal relationships, marry, begin families

Hemophilia A is a deficiency of Factor # __________. Inheritance pattern?

Factor 8 Sex linked recessive

Why is cleft lip repaired early?

Feeding is easier after repair and appearance after repair is more acceptable to parents. at 10wks - 6 months

positive signs of pregnancy

Fetal skeleton on X-ray Fetal presence on ultrasound Auscultation of FHR (heard at week 8, most likely at 10 and should be heard by 12) Examiner palpates fetal movement

First s/s of GBS Biggest danger?

First- clumsiness in ambulation Danger of respiratory arrest

AV shunt vs AV fistula

Fistula -between artery & vein; nothing exits the skin; used indefinitely Shunt- plastic tube that connects artery to vein is outside the skin; used for weeks

Early stage hepatitis often looks like the _______.

Flu

if the drug is PO, choose

3 physical symptoms of rape trauma syndrome

GI irritability, itching or burning on urination, skeletal muscle tension do NOT forget PAIN

Pharmacology: if you have no clue what the drug even is: If its po pick ____ side effect. Never tell children meds are ____.

GI, candy

cancer drugs have side effects in which 3 body systems? 3 most common GI symptoms?

GI, hematologic & integumentary GI: N/V, diarrhea & stomatitis (oral sores)

ANOREXIA, FATIGUE, WEAKNESS, DIARRHEA, NIGHT SWEATS, FEVER

GIVE 6 SYMPTOMS OF HIV DISEASE

symptoms of HH

Gerd, heartburn

What is the most common symptom of gonorrhea in females

Greenish-yellow discharge from the vagina

SE of CCB

H&H, headache hypotension

TRUE

HAIR LOSS DUE TO CHEMOTHERAPY IS USUALLY TEMPORARY T/F?

High Blood sugar in type II Diabetes

HHNK (HHNC) hyperosmolar, hyperglycemic, non-ketotic coma dehydration give fluids

Tx for hiatial hernia

HOB elevated, increased fluids, high carbs

Tx for dumping syndrome

HOB flat, fluids an hour before & after meals, low carb/high protein diet

THE PAIN OF THE TWO IS SIMILAR, THE WAY TO TELL THE DIFFERENCE IS IF NITRO AND REST RELIEVE THE PAIN. ANGINA=NITRO AND REST , RELIEVE PAIN; MI=NITRO AND REST DO NOT RELIEVE PAIN

HOW DO YOU TELL IF A CLIENT HAS ANGINA OR AN MI

5 MINS - TAKE 1 NITRO TAB EVERY 5 MINS 3 TIMES IF NO RELIEF CALL MD

HOW MANY MINUTES SHOULD LAPSE BETWEEN THE NITRO PILLS YOU TAKE

3 TABLETS

HOW MANY NITROGLYCERIN TABLETS CAN YOU TAKE BEFORE YOU CALL MD

variable decelerations

HR up or down, cord compression = VERY BAD

in nephrotic syndrome, the BP will most likely be (hypo/hypertensive)

HYPOtensive in ACUTE glomerulonephritis, the BP is hypertensive

UTI

what is the most common problem due to catheterization

What type of herpes virus causes genital herpes? 2 ways it's transmitted 2 most common sites

Herpes simplex II Sex & birth Sites: genitals & mouth

Glucose long term check

HgA1C

Why would surgeons use cadaver bones?

Hip surgery too problematics, increased recovery rate, less pain, less ifx,

what is the BIG danger in renal failure

Hyperkalemia and it's effect on the heart

Calcium channel blockers: s/e- headache, _____. End in "dipine" "Dipping into the calcium ____. Also varapamil and cardizim. Monitor bp- if systolic is under ____ don't give.

Hypotension, channel, 100

the baby must have this before leaving the mothers side

ID band

EXTREMITIES ARE BLUE (CYANOTIC), PINK

IF THE CHILD'S _____ ARE _____, AND THE TRUNK - FACE ABDOMEN ARE _____, THE CHILD SCORES 1 ON COLOR

GRIMACES

IF THE NEONATE _____, THEY WILL SCORE A 1 ON THE NEUROMUSCULAR IRRITABLITY

CHECK DISTAL EXTREMITY (FAR FROM CENTER), COLOR , TEMP, PAIN, PULSE, ALSO MUST DOCUMENT

IF YOU CARE FOR A CLIENT WHO IS POST - OP FOR A REPAIR OF A FEMORAL POPLITEAL RESECTION WHAT ASSESSMENT MUST YOU MAKE EVERY HOUR FOR THE FIRST 24 HOURS

Route aminoglycosides

IM or IV, never PO, ex. for hepatic encepalopathy

MOVE SPONTANEOUSLY (ACTIVELY)

IN ORDER TO GET A SCORE OF 2 ON MUSCLE TONE THE INFANT MUST _____

IN ORDER TO SCORE A 0 ON HR THE INFANT MUST HAVE A RATE OF 0

YES, BUT NOT TRANSMITTED BY ALL, ONLY BLOOD, SEMEN, AND BREAST MILK

IS HIV PRESENT IN ALL BODY FLUIDS

TRUE

IS IT PERMISSIBLE TO GIVE LIDOCAINE VISCOUS BEFORE MEALS IF THE PATIENT HAS CHEMOTHERAPEUTIC STOMATITUS T/F

Treatment of DKA

IV at high flow rate, regular insulin

Mycins administration instructions

IV or IM, every 8 hr

Aminoglycosides: Give IM and ____, Not oral. Doesn't absorb! Hepatic encephalopathy- give oral aminoglycosides since it kills ____ in gut and reduces amonia levels- won't hurt ____ since it doesn't absorb.

IV, bacteria, liver

Potassium imbalance treatment: never push potassium ____. Not more than 40 K. Give D5W with regular ____, quick fix- drives potassium into the ____ out of the blood. Also kayexalate (mouth or rectum)

IV, insulin, cell

Do Not delegate these to LPN: starting an ___, hanging or mixing IV meds. IV ____ meds, administer blood or mess with central lines, No care planning, perform or develop ____ (can re-inforce), take care of unstable pts, can't do the ___ of anything.

IV, push, teaching, first

Heparin rt, onset, duration,lab, antidote, pregnancy?

IV/subq, immediate, 21 days, PTT, protamine, ok in preg

ABG interpretation principle

If the pH and the Bicarb are Both in the same direction, it is metaBolic

word salad

Incoherent mixture of words, phrases, and sentences

in BPH the man has (inc/dec) frequency of urination? in BPH the force of the urinary stream is (inc/dec)?

Increased frequency & decreased force of urinary stream

Glaucoma is an eye disorder in which there is ____________ intraocular pressure in the ___________ chamber.

Increased, anterior Due to imbalance of aqueous humor

botulism

Ingested - Most Lethal Dies from Respiratory Arrest

Treatment for DM type 1

Insulin, exercise, then diet

accutane

what is the most common retinoid given to people with acne

Why does hyperventilation "treat" increased ICP?

It reduces CO2, resulting in vasoconstriction. CO2 is a vasodilator in the brain, vasodilation would occupy more space and thus increase ICP more.

5 Deadly Dangerous lab values

K > 6; pH in 6's; CO2 > 60; pO2 in 60's; Plt < 40,000

what labs are 5 Ds

K >6, ph <6, co2>60, po2 <60, plts <14000

how does kayexalate work

K exits late, needs time to sit in gut

alkalosis does what to K and body processes?

K goes down body processes go up

acidosis does what to K and body processes

K goes up body processes go down

with DKA treatment remember to check

K+

How to remember symptoms of potassium imbalance

Kalemias do the SAME as the prefix except for heart rate & urine output

skin

Kaposi's sarcoma is what type of cancer

slow treatment for hyperkalemia

Kayexalate

3 causes of high pressure alarms

Kink in tubing fluid in tubing mucous in airway

interventions for all other complications

LION Pit left side IV increase oxygenate notify doctor Pit = if pitocin is running and women gets in trouble, stop pitocin

Low fetal baseline variability: fetal heart rate stays the same- BAD, do ____. High baseline variability: fetal heart rate always ____- not bad

LION, changing

Med surge: first thing you assess- _____. First thing you do- establish an _____.

LOC, airway

Hypercalcemia: bradycardia, constipation, decreased ____, flaccid muscles +1 reflexes, bradypnea. Hypocalcemia: +3 +4 reflexes, tachycardia, ____, hyperactive, Chevosteck and trousseaus sign

LOC, diarrhea

Organ locations: liver- RUQ, gall bladder- RUQ, Spleen- ____, pancreas- LUQ, Appendix- ____

LUQ, RLQ

glargine

Lantus (long Acting, Laaargine) can give at bedtime, no rx for hypoglycemia no peak

what is the characteristic lesion of pemphigus

Large vesicular bullae

Scoliosis is a ______ curvature of the ______. what test confirms dx

Lateral, spine xray of spine

DILATES CORONARY ARTERIES TO INCREASE BLOOD SUPPLY (O2 SUPPLY) AND REDUCES PRELOAD

WHAT IS THE ACTION OF NITRO

Late syphilis attacks which 3 body organs?

Liver, heart, brain

Maslow's Hierarchy of Needs

Physiological, safety, comfort, psychological, social, then spiritual

In leukemia the RBC count is (high/low). platelet count is_______

Low, because the bone marrow is going "wild" producing all those immature WBCs--no energy or nutrients left over to make RBCs Low " "

trick for remembering kussmaul and what it indicates

MacKussmaul MAC=Metabolic ACidosis

How to remember symptoms of magnesium imbalance

Magnesemias to the OPPOSITE the prefix and do anything to the BP

what does an EEG measure

Measures electrical activity generated by the brain

MacKussmaul

Metablic Acidosis respirations deep

All other metabolic problems which imbalance

Metabolic acidosis

Prolonged gastric vomiting/suction which imbalance

Metabolic alkalosis

Patients who need interdisciplinary care include those with _____

Multi-Dimensional Needs physical psychological social/vocational intellectual spiritual

PTU med precaautions

N/V, immunosuppressed, watch WBCs

THROMBOCYTOPENIA, LEUKOPENIA, ANEMIA

NAME 3 HEMATOLOGIC SIDE EFFECTS OF CHEMOTHERAPY

CARDIAC STATUS , RESPIRATORY EFFORT, MUSCLE TONE, NEUROMUSCUALR, IRRITABILITY, COLOR

NAME THE 5 CRITERIA THAT ARE RECORDED ON AN APGAR SCALE

do you ever mix medicine in childrens food?

does the pt have to be NPO before an EEG? what should be limited before an EEG?

NO - will alter results due to possible hypoglycemia eliminated for 24 hrs before test

DT diet, why?

NPO, clear liquid, aspiration risk from seizure

2 drug classes for HIV? what do they do? Goal of these drugs?

NRTI's & PTs they prevent viral replication goal = delayed onset of AIDS (10-15 yrs)

what is cast syndrome

Nausea, vomiting and abdominal distention that can result in intestinal obstruction

Calcium Channel Blockers

Negative Ino, Chrono, Dromo (weak, slow, blocks conduction) *hold is systolic <100* *-zems, -dipines, -isotopin

"Who can sterelize my bowel?"

Neo Kan

AWS restraints?

HHNS: high glucose in type 2 diabetic. ___- ketonic. Symptom: ____.

Non, dehydration

Congenital heart defects: Trouble defects start with "T". No trouble: _____ life expectancy, can go home, etc. All congenital heart defects have a ____ whether trouble or not. Get echocardiograms.

Normal, murmur

Non reactive non stress test is ____ good. Reactive= reassuring

Not

100

ON HEART RATE OR CARDIAC STATUS , A 2 MEANS THAT THE HR IS ABOVE _____ BPM

GREATER, LESS THAN

ON THE HR CRITERIA AN INFATN SCORES A 1 IF THEIR HR IS_____ THAN 0 AND _____ THAN 100

Regular insulin (Humulin R, Novolin R)

ONSET: 1 hr PEAK: 2 hours Duration: 4 hrs

cushing syndrome is ____secretion of ______ , ______ , & _____ by the ______ ______

OVER of glucocorticoids, mineralocorticoids & androgenic hormones adrenal gland

3 stages of acute renal failure

Oliguric, diuretic, recovery

What is the #1 symptom of Bell's Palsy? what is also affected? Can the pt close their eyes on the affected side>

One sided (unilateral) facial paralysis taste is also affected pt can not close affected eye

NPH Insulin

Onset: 6 hrs Peak: 8-10 Duration: 12 hrs *cloudy, roll not shake, never IV*

What are the toxic effects of aminoglycosides and how are the monitored

Otoxicity = monitor hearing, balance, tinitus Nephrotoxicity = monitor creatinine (24 hr creatinine clearance)

What is otosclerosis?

Overgrowth of spongy bone in the middle ear that doesn't allow the bones of the middle ear to vibrate

Atrial flutter is .... and has....

P wave depol, saw tooth pattern

What is the causative organism of acne?

P. acnes (propionibacterium acnes)

most common arrhythmia after MI drug used to treat this

PVCs lidocaine

what is cycloplegia

Paralysis of the iris/pupil

What may a pt develop in a advanced stage of gonorrhea

Pelvic inflammatory disease

Drug for gonorrhea

Penicillin

Cloudy drainage in the dialysate commonly means...

Peritonitis (Not good, call MD)

what is the BIG danger with pyelonephritis?

Permanent scarring and kidney damage

Normal sinus rhythm: p wave before every QRS. Vfib looks like ____ line. V tach- jagged, Sharp peaks, a ____. Saw tooth- A ____

Squiggly, pattern, flutter

Most aggressive medical therapy for gbs?

Plasmaphoresis

Opisthotonos

Position of extension seen in bilirubin toxicity - sign of impending death

#1 finding with GBS

Progressive ascending paralysis Caused by demyelination of peripheral nerves

When is the only time a patient will have metabolic alkalosis?

Prolonged gastric vomiting or suctioning

Wernicke's (Korsakoff's) Syndrome

Psychosis induced by Vitamin B1 (Thiamine) defiency.

how often should central line dressings be changed?

QOD - every other day

Asystole is lack of ... so no...

QRS, ventricular action

Trouble heart defects blood shunt and baby color

R to L and blue baby

Insulin: injecting air: into N first then ___ (drawing up is opposite-RN) Injections: "I" looks like a 1 (one) so pick answer that has ___ 1's. Ex: 21 gauge 1 inch ( has two ones)

R, two

early signs of hypoxia

RESTLESSNESS AGITATION TACHYCARDIA

what does ROME mean?

RO=Respiratory Opposite (pH and bicarb go in opposite directions) ME=Metabolic Equal (pH and bicarb go in same direction)

infants VS: RR: HR:

RR: 30-60 HR: 110-160

Graves disease is hyperthyroidism and you can

RUN yourself into the grave

erythema toxicum neonatorum

Red papular rash on babys torso which is benign and disappears after a few days.

if overventilating

Resp Alkalosis

Laminectomy discharge teaching

Restrictions for 6 wks: don't sit longer than 30 min, lie flat and log roll, no driving, don't lift more than 5 lbs PERMANENT: never lift by bending at waist, cervical cannot lift above head, no horseback riding, off trail biking, rides etc

QUICK OBJECTIVE WAY TO EVALUATE THE VITAL FUNCTIONS OF THE NEWBORN

WHAT IS THE APGAR SCALE

lochia colors

Rubra: red/dark Series: pink/brown Alba: white creamy Documentation!

seratonin syndrom mnemonic

SAD HEAD, sweating, apprehensive, dizzy, headache

Kalemias: do the _____ except for the heart rate and urine output. Hyperkalemia s/s: irritability, hyperactive, loud, aggitated, ____ heart rate, elevated ST, diarrhea, spasticity +3 +4 ____, low urine output

SAME, low, reflexes

PETECHIA

SMALL DOT LIKE PINPOINT HEMORRHAGES ON THE SKIN

postop risk subtotal thyroidectomy 12-48 hr

SS=subtotal storm

Sertraline (Zoloft)

SSRI - antidepressant insomnia - can be given in evening watch for interaction: st johns wart, sweating, apprehension, dizziness, headache,

fluoxetine

SSRI XET XEP these cause insomnia watch for suicidal ideation

Zapines: new major _____. Zoloft (sertraline): ____. Do not take St Johns ___ with this- can cause seritonin syndrome. On coumadin with SSRI's- increased ____ Zeps, Zines and Zaps= tranquilizers

SSRI, wort, bleeding

Category A biological agents

STAPHB - Smallpox Tularemia Anthrax Plaque Hemmorgagic fevers Botulism

biological agents

STAPHB: smallpox tularemia anthrax plague hemmorhagic botulism

Oxytocics do what to labor?

START

after rape, a woman needs follow up exam for ___ ___ ___

STDs (AIDS, gonorrhea & syphilis)

examples of info you can NOT keep confidential

STIs, abuse, threat to kill/harm self or others

what would you do first if you suspected a transfusion reaction? What else should you do?

STOP the blood & start NS IV call doc, get blood & urine sample, monitor VS & send unit that caused reaction to lab

tocolytics ____ labor

STOPS

ELISA

WHAT IS THE FIRST TEST FOR HIV ANTIBODIES

Epsteins pearls are?

Small,white epithelial cysts on babys gums.

HYDROGEN PEROXIDE

WITH WHAT SOLUTION SHOULD THE CLIENT WITH CHEMOTHERAPEUTIC STOMATITIS RINSE AFTER MEALS

stages of pressure sores

Stage 1: skin in intact, non-blanching, erythema Stage 2: skin is broken, tissue in ulcer is skin color Stage 3: skin is broken, visible yellow masses of fat Stage 4: ulcerated to bone and muscle, visible red + white

Which organism most commonly causes mastitis? application of ______ is the preferred treatment for breast engorgement

Staph ice packs to decrease swelling

what is glycogen

Storage form of glucose in liver

Cephalohematoma

Swelling caused by bleeding between the osteum and periosteum of the skull. This swelling does not cross suture lines.

Special filter mask for ____, negative air room. Always take PPE off in _____ order- Gloves, goggles, gown, mask. OFF ALPHABETICAL. On in _____ alphabetical for G's but mask is ____- Gown, mask, goggles, gloves (GMGG)

TB, alphebetical, reverse, second

AN ADEQUATE WEIGHT GAIN

THE BEST GOAL TO EVALUATE THE PROGRESS OF THE CLIENT WITH ANOREXIA NERVOSA IS ....

FALSE

THE CAUSE OF CANCER IS KNOW T/F?

15 ( PT WEIGHS LESS THAN 85% OF NORMAL BODY WEIGHT)

THE DX OF ANOREXIA NERVOSA IS MADE WHEN THERE IS A WEIGHT LOSS OF _____% OR MORE OF BODY WEIGHT

THE MAXIMUM SCORE AN INFANT CAN RECEIVE ON ANY ONE OF THE CRITERIA IS ....

NG TUBE FOR DECOMPRESSION OF BOWEL

THE POST OP ABDOMINAL ANEURYSM REPAIR CLIENT IS MOST LIKELY TO HAVE WHICH TYPE OF TUBE

CHEST TUBE, BECAUSE THE CHEST WAS OPENED

THE POST-OP THORACIC ANEURYSM IS MOST LIKELY TO HAVE WHICH TYPE OF TUBE

0-10

THE TOTAL APGAR SCORE CAN RANGE FROM ...

TOTALLY BLUE, PALE

TO GET A 0 ON COLOR THE INFANT IS _____

FLEXION

TO GET A SCORE OF 1 ON THE APGAR FOR MUSCLE TONE THE NEWBORN MUST PLACE THEIR EXTREMITIES IN _____

NO RESPONSE

TO RECEIVE A 0 ON REFLEX (NERUOMUSCULAR), IRRITABILITY THE NEONATE MUST EXHIBIT....

TOTALLY PINK

TO SCORE A MAX SCORE OF 2 ON COLOR THE CHILD MUST BE _____

CRY

TO SCORE THE MAXIMUM OF 2 POINTS ON NUEROMUSCULAR REFLEX IRRITABILITY THE INFANT MUST _____

tricyclic antidepressants

TRIP -- tricyclic antidepressants

Salt substitutes contain Potassium (T/F)

TRUE - BEWARE!!!!

postop risk total thyroidectomy 12-48hr

TT=tetany

Naegele's Rule

Take the first day of the woman's LMP, subtract 3 months, add 7 days and add 1 year. -Fetal heart sounds heard w/ Doppler 10-12wks or by 17-19wks w/ fetal stethoscope

INTAKE OF ENOUGH FOOD TO KEEP THEM ALIVE, HAVE THEM GAIN WEIGHT

WHAT IS THE TOP PRIORITY IN THE CARE OF THE CLIENT WITH ANOREXIA NERVOSA

KY JELLY

WHAT LUBRICANT CAN SAFELY BE APPLIED TO THE CRACKED LIPS OF CHEMOTHERAPY STOMATITIS?

GLOVES, NURSE MAY GET A DOSE OF THE MED

WHAT PRECAUTION MUST THE NURSE TAKE WHEN ADMINISTERING TOPICAL NITRO

WESTERN BLOT

WHAT TEST CONFIRMS THE ELISA

AT 1 MIN AND AGAIN AT 5 MIN AFTER BIRTH

WHEN IS APGAR SCORING PERFORMED ON INFANTS

ONLY WHEN THEIR PLATELET COUNT IS DOWN

WHEN SHOULD THE NURSE WITHHOLD IM INJECTIONS IN THE CLIENT ON CHEMOTHERAPY

NRTI'S (NUCLEOSIDE REVERSE TRANSCRIPTEASE) INHIBITORS AND PI'S (PROTEASE INHIBITORS)

WHICH 2 CLASSES OF DRUGS ARE GIVEN IN COMBINATION FOR HIV SERO-POSITIVITY

vermix caseosa

Thick, white, cheesy substance that covers and protects the skin from amniotic fluid in the uterus; present at birth

what is a TIA

Transient Ischemic Attack Warning sign of impending CVA (transient neurologic deficits of any kind can last 30 seconds to 24 hours)

Why are ACTH and prednisone given during acute MS?

To decrease edema in the demyelination process

PETECHIA, EPISTAXIS, ECCHYMOSIS

WHAT ARE THE 3 OBJECTIVE SYMPTOMS/ SIGNS OF THEOMBOCYTOPENIA

HYPOTENSION AND HEADACHE

WHAT ARE THE TOP 2 SIDE EFFECTS OF NITRO

WBC

WHAT BLOOD CELL IS LOW IN LEUKOPENIA

DECREASED BLOOD SUPPLY TO MYOCARDIUM RESULTING IN ISCHEMIA AND PAIN

WHAT CAUSES ANGINA PECTORIS

TERRIFIC HEALTH

WHAT DOES A 10 ON THE APGAR MEAN

two special things in hypocalcemia

Trossaues(bp cuff hand spasm) and chvosteks(tap cheek face spasm)

Diabetics: need to eat carbs before exercise. When sick GLUCOSE GOES ____. Need to take insulin even though not ____. Take sips of water to prevent dehydration, stay active as possible

UP, eating

Alkalosis pt goes... K goes

Up, down... hyper, pronouced, increased, irritable

What is Hegar's sign?

Uterine softening

Causes of FHR patterns

VEAL CHOP, variable-compression, early-head compression, Acceleration-Ok, late decel-placental insufficiency

Calcium channel blockers: Are like ____ for your heart. Cardiac _____. Treat: AAA & AAA. Antihypertensives, anti _____, anti atrial arrhythmias.

Valium, depressants, anginas

Calcium channel blockers: Are like ____ for your heart. Cardiac _____. Treat: AAA & AS A. Antihypertensives, anti _____, anti atrial arrhythmias.

Valium, depressants, anginas

3 drugs for acne

Vitamin A Antibiotics Retinoids - Isotretinoin (accutane)

which arythmias are 2nd priority

Vtach

blood level that is elevated in appendicitis? what is this called?

WBC - leukocytosis

Before PD it is important the client be...

Weighed, to assess water loss or gain

test for confirmation of HIV

Western Blot, PCR

resonant

a dry cast is dull or resonant to percussion

shiny

a dry cast is dull or shiny?

what does lightening mean?

When the fetal head descends into the pelvis

Ideas of reference

When you think everyone is talking about you

white

a dry cast is gray or white?

Delusion

a false belief, often of persecution or grandeur, that may accompany psychotic disorders

K wasting diuretics, what do they do, end in what? & which one

X out K, end in x, except diuril(HCTZ)

clozapine

ZAP - used to treat severe schizophrenia does NOT have side effects: ABCDEF does have a agranulocytosis

what vaccine prevents shingles? who should get it?

Zostavax pts over 60 who are not immunosuppressed

toddlers eat what kind of food

`finger

Delirium Tremens

a disorder involving sudden and severe mental changes or seizures caused by abruptly stopping the use of alcohol -- private, NPO, restricted bedrest, restrain

neuroleptic malignant syndrome

a potentially fatal hyperpyrexia with temp of over 104, looks like EPS except for temp

crackles are, wheezes have

a sound, a note

in an AV fistula you should hear

a whoosh(bruit)

What does the thoracic spinal cord control

abd. muscles & gut

thoracic priorities

abdominal muscles, cough, gut, bowel sounds

hypertension

abnormally high blood pressure

HA1C: best test for glucose. Need to be 6 or lower. 8 and ___ out of control. "<7 no ____, 8 see the gate" (of heaven)

above, heaven

How is the bleeding of Abruptio Placenta different from that in placenta previa?

abruptio = pain, bleeds less previa = less pain, bleeds more

abruptio placenta ususally occurs in multigravida over the age ______

for cushings what do you need to check

accucheck bc steroids=glucose

DM sick days

accucheck, drink water bc dehydrated

2/3

accurate BP is obtained by using a cuff that has a width of _____ of the arm

What neurotransmitter is problematic in MG?

acetylcholine

mucomyst

acetylcystiene antidote to acetaminophen poisoning- notice both have acet in the name

Hiatal Hernia what happens

acid regurgitates into esophagus

Kusmals: "Mac Kusmal" (someones name) MAC= metabolic ______

acidosis

diarrhea

acidosis

under ventilating

acidosis

four steps to functional psychosis

acknowledge present reality set a limit enforce the limit

what to do with delirium

acknowledge feeling and reassure they are safe and its temporary

When dementia pt get angry what to do

acknowledge feeling, redirect

steps to deal with functional

acknowledge feeling, say its not true, set limit(no more talking), come back if not ready

Stages of labor: stage 1: labor, phases- Latent, ____, transition. Stage 2: delivery of ____. Stage 3: delivery of placenta. Stage 4: recovery, lasts ___ hrs

active, baby, 2

Diabetes type 2: treatment: DOA, D- diet, O- oral hypoglycemic A- _____. Diet is most important, _____ restriction- best answer. Need ___ small meals a day.

activity, calorie, 6

4 rules in prioritization

acute beats chronic, fresh post op 12hrs beats med surg, unstable beats stable, tie breaker is which organ

Unstable vs stable, unstable is(7 things)

acute illness, postop less than 12hr, after anesthesia, assmt changed, newly admitted or diagnosed, atypical S&S, complication

#1 cause of DKA

acute upper resp infection

Uppers: caffeine, coaine, pcp/lsd, meth, _____. Everything goes up- uphoria, restlessness, hyperreflexia +3, +4, ____, etc. Could arrest and cease. Need _____.

adderall, diarrhea, suction

under secretion of adrenal cortex otherwise known as

addison's disease

Adrenal cortex which two disease

addisons and cushings

Atrial arhythmias treatment 4 meds

adenocard, adenosine(give 8 sec, asystole 20 sec), betablockers, ccb, digoxin

Atrial: treat with ABCD. Treatment: A- _____ (IV push, FAST) B- beta blockers, C- calcium channel blockers, D- _____ (lanoxin, digoxin) "Adeno-______- calcium- Didge"

adenocard, digoxin, beta

supraventricular arrythmia

adenosine, betablockers, cardiac depressants, calcium channel blockers, digitalis

treatment for low blood sugar type I

administer carbs, sugar, if unconscious give glucagon/IV dextrose

termination phase begins on

admission

Psych: Don't give or except gifts. Don't give _____ or guarantees in psych. Pick answers that keeps pt ____. Don't pick refer to social services even if appropriate.

advice, talking

BOWEL SOUNDS (PERISTALSIS)

after appendectomy, document in the nurses notes the return of _____

Prioritization 4 things, two imp

age gender dx modifying phrase, last 2

Cholozaril (clozapine): for severe schizophrenia. S/e: _____. Geodone: prolongs QT interval and can cause cardiac ____

agranulocytosis, arrest

continuous bubbling in water seal means

air leak, find and tape

Besides a thrombus what else can cause an embolus in the lung?

air, fat, tumor cells

smallpox

airborne no treatment rash mouth first

#1 danger of epiglottis? what organism causes it? s/s?

airway obstruction hemophilia influenza B muffled voice, drooling, stridor, fever >102

analophin for? level?

airway spasms, 10-20

post op risk thyroidectomy first 12 hrs

airway, bleeding

Antibuse and Revia (disulfiram): when drink ____ makes pt really sick. Onset ____ weeks. No mouthwash, aftershave, extracts, Nyquill etc.

alcohol, 2

who gets wernickes/korsakoffs

alcoholics

amniotic fluid is (acidic/alkaline)

alkaline

over ventilatin

alkalosis

vomiting

alkalosis

ABG's: first thing you ask- Is it lung? Overventilating: ______. Underventilating: acidosis. Ventilation= gas exchange not respiratory ____. Ventilation= ______

alkalosis, rate, SAO2

Mycin troughs

all 30min before dose

phenothiazines

all end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so think safety

Chadwick, goodell and hegar signs occur in ____ order. Chadwick sign: cervical color turns blue- from ____.

alphebetical, cyanosis

peds dont know bw two tasks

always pick easier task

dementia conditions

alzheimers, head injury, wernickes, senile

psychosis dementia

alzheimers, wernickes acknowledge, then redirect, DONT PRESENT REALITY

Primary symptom of Korsakoff's

amnesia with confabulation

INFECTION, SYPHILIS

an aneurysm can result from an _____ and from _____

WIDENING ( IT IS ALSO WEAKENING)

an aneurysm is an abnormal ____ of the wall of an artery

THE PULSE -- MANY TIMES THE ANEURYSM WILL RUPTURE AND MUCH BLOOD WILL BE LOST BEFORE THE BLOOD PRESSURE STARTS TO CHANGE

an aneurysm will most affect which of the following. the blood pressure or the pulse?

NRTI (nucleoside reverse transcriptease inhibitors)

an antiviral drug used against HIV -- its incorporated into the DNA of the virus and stop the building process. results in incomplete DNA that cannot create a new virus. often used in combination with other drugs

high, due to poor eyesight , high

an elderly client is a ________ risk for accidental poisoning? what about a school age child ?

an individual is obese if they weigh _____ % above the ideal weight

an individual is overweight if they are ____ % above the ideal weight

What other disease can be confused with pernicious anemia?

angina pectoris

symptoms associated with HIV

anorexia fatigue weakness night sweats fever diarrhea

benzo side effects ABCD

anti cholinergic, blurred vision, constipation, drowsiness

dry/dilated

anti-cholinergic

3 things calcium channel blockers are used for

anti-hypertensives anti-anginals anti atrial arrythmias

Side effects of tricyclics

anticholinergic blurred vison constipation drowsiness euphoria must take med 2-4 weeks before beneficial effects

side effects phenothiazine, ABCDEFG

anticholinergic(dry mouth), blurred vision, constipation, drowsiness, extra pyramidal syndrome(false parkinsons), fotosensitivity, aGranulocytosis

side effects benzos

anticholinergic, blurred vision + bladder retention, constipation, drowsiness

MAOI side effects

anticholinergic, blurred vision and bladder retention, constipation, drowsiness

Pharmacology: if you know what a med does but don't know s/e: pick side effect in same ____ system where the drugs working. Ex: GI drug- choose diarrhea

body

the uterus feels ____ after rupture of a fallopian ectopic pregnancy first s/s that a fallopian ectopic pregnancy has ruptured

boggy (tender too) sharp abd pain

what will the results of the rinne test in otosclerosis

bone conduction will better than air

tissues from live donor

bone marrow, stem cells, blood and blood products

in nclex if two answers are the same

both are wrong

Don PPE

bottom to up, gown, mask, goggles, gloves

Wernickes, Korsakoff: Need B1 to metabolize alcohol so if not metabolized then goes to _____. Treatment: redirection. Is preventable and ______

brain, irreversible

Important assessment of pre-op cervical laminectomy

breathing & function of arms

High ventilatory pressures result in what chronic lung problem in infants?

bronco-pulmonary dysplasia

Cushings s/s: are also side effects of steroids. Moon face, gynocomastia, striae, ____, atrophy, high ____ sugar, full of sodium and water, _____ hump, hirsutism, immunosuppression. (draw moon man)

bruises, blood, buffalo

iliac bone fusion

cadaver bone bc less complications

Which drugs are uppers

caffiene, cocaine, psp/lsd, methamphetamines, adhd drugs

If electrolytes has to do with skeletal, muscle, nerves pick

calcium

if the symptom involves nerve or skeletal muscle, choose

calcium

Nifedipine (Procardia)

calcium channel blocker maternal headache, hypotension, bradycardia

Assessing for Thrombophlebitis

calf size, uneven, wrong

what would you do if the pt complains of flank pain after hysterectomy

call the HCP ureter may have tied off in surgery

diet for diabetes

calorie restriction, 6 meals

yes unless WBC's are very low

can AIDS patients leave the floor

they should not use ocp during first 6 week after birth

can a woman on oral contraceptives breastfeed

yes, should be given to relieve anxiousness which is bad for the patient

can a woman with CD of pregnancy be given analgesics during labor

no it has to be warmed first for only about 20-30mins

can blood be given immediately after removal from refrigeration

teaching for accutane

can cause birth defects

oxytocin (pitocin)

can cause uterin hyperstimulation (contractions longer than 90 seconds)

yes when lye or caustic agesnts have been ingested

can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occured

yes, even though it negatively affects the fetus morphine decreases preload and pain which rests the heart

can morphine be given to a woman with CD during labor?

yes

can skin traction be removed for skin care

can the client be removed from skeletal traction

yes but rare

can the thigh ever be used to obtain blood pressure

yes , 45 degrees

can the woman with a cesium implant have the HOB elevated

never

can you microwave frozen breast Milk in order to warm/ thaw it out

NO, THIS IS DANGEROUS

can you use cotton swabs to clean the eyes, nares, or ears of an infant

NO IT WOULD CROSS CONTAMINATE

can you use the same cotton ball/ washcloth edge for both eyes

Functional psychotic: ___ function in ADL's. "skeezo skeezo major manics" Schizophrenia, schizo effective disorder, major ____, manic

can, depression

Transverse lie: babys spine is diagonal to moms. Presentation: part of baby that enters birth ____ first. ROA and LOA most ____

canal, common

PTU med reduces thyroid and can be used for

cancer

Increasing dietary fiber lowers the risk of ___________ of the __________.

cancer; colon

NEVER tell a child that medicine is

candy

with kids dont tell them med is

candy

laminectomy permanent restrictions

cant lift to bend at waist, if cervical, no lift above head, no roller coaster, no horse riding, no mountain biking

how many Kcal/g in carbs, fats & protein

carb - 4 fats - 9 proteins - 4

major source of energy for the body

carbs

carbs provide _____ kcalories per 1gm

Hypoglycemic shock treatment: rapidly metabolized ____- sugar, starch or protein. Ex: fruit juice, pop, candy, ____, honey, icing, jelly, crackers, cheese. If unconscious give ____ IM or IV dextrose

carbs, milk, glucogon

V tach: potentially life threatening, has _____ output. Ventricular: treat with ____ and amioderone.

cardiac, lidocaine

3 most common complications after MI

cardiogenic shock, arrhythmia & CHF

2 major complications of obesity

cardiovascular disease & DM

pulses areas

carotid, brachial, radial, femoral, tibial, popliteal, posterior tibeal, dorsalic pedis

Labor 4th stage: Boggy fundus: massage. Displaced fundus: _____. Check perineal pad: if bleeding excessively will saturate 100% of pad in ___ minutes or less. Roll her over and check for bleeding

catheterize, 15

cephalosporin antibiotic

cephalexin, ceph, cef, cephion, keph

post-op laminectomy complications

cervical = pnuemonia thoracic = pnuemonia & parlytic illeus lumbar = urinary retention

important assessments for laminectomy

cervical: breathing characteristics, functioning of arms and hands thoracic: cough mechanism and bowel shutdown lumbar: last time voided, bladder scan + legs

postop complications of laminectomy

cervical: pneumonia Thoracic: aspirational pneumonia and paralytic ileus Lumbar: urinalysis retention

first s/s of CVA?

change in LOC

the earliest s/s of increased ICP

change in LOC

first diastolic cound

change in character of the sound is known as _____

atrial fibrillation

chaotic p depolarizations

Afib is...

chaotic p wave depol

Ventricular fibrillation (V-fib)

chaotic qrs

Vfib is

chaotic qrs depol

Paranoid delusion

characterized by beliefs that others are out to harm them

DO NOT DELEGATE THESE TO UAP

charting your doings assessments giving medications treatments

when you dont know what to pick in L&D pick

check FHR

RESTRAINT RULES

check every 15minutes, release/rotate q2, restrain renewal order: child 1hr, teen 4hr, adult 24hr

With OB, ace of spade answer is

check fetal heart rate

best answer for fetal monitoring questions is

check fetal heart rate

Chevosteck sign: rub ____ go into spasm. Trousseaus sign: hand spasm when put BP ____ on. Gay French Guy named Trousseo doing gay wrist flick.

cheek, cuff

tularemia

chest sx, resp, failure,

pneumothorax

chest tube removes air

Painful back labor: position her in knee ____- on hands and knees with butt up. Push your hand into sacrum. Prolapse cord: push the head up off ___, put her in knee chest position.

chest, cord

with nutrition, in a tie either pick

chicken or fish never pick casserole for children

to guess in nutrition pick, for kids no..., dont do what with kid med, for toddlers pick, preschoolers dont need what why

chicken or fish, casseroles, mix in food, finger food, that much food bc not growing fast

Nutrition: In a tie pick ____ (not fried), if not an answer then pick fish (not shellfish). Never pick casserole for ____. Never mix meds in childrens food.

chicken, children

What other disease is related to shingles?

chickenpox

drugs, insecticides

children at highest risk for seizure activity after ingestion are those who have swallowed ______ and _______

chlorine

choking

wet constricted

cholinergic

anticholinesterases will have (sympathetic/cholinergic) side effects

cholinergic will mimic parasympathetic nervous system

to guess in pharm for SE.... if you dont know at all and med is PO pick

choose in same body system, GI effect

stable vs unstable, stable is(7 things)

chronic illness, postop >12h, regional local anesthesia, unchanged assmt, ready for discharge, admitted over 24hr, expected symptoms

Bactericide Vs Bacteriostatic:

cide - destroy microorganisms static - prevents/inhibits growth

if water seal breaks on chest tube, you

clamp, cut, submerge, unclamp

Chest tubes: surgery- always assume bilateral. If drain container comes open: 1st ____, 2nd cut broken container off, 3rd put end of tube under ____ water, then unclamp. Use rubber tipped double clamps.

clamp, sterile

lose weight

client with AIDS ______ weight

false

clients receiving chemotherapy must be NPO T/F?

door is

closed

s/s of infection in a foley catheter

cloudy urine, foul smelling urine & hematuria

Nph insulin, what color, not so... not in....., onset, peak, duration

cloudy, fast, bag, 6h, 8-10hr, duration 12hr

Latent Phase Labor

cm dilated = 0-4 contraction frequency: 5-30 minutes duration: 15-30 seconds intensity: mild

Psychosis of dementia: brain is _____. Functional psychotic: has potential to learn ____. If not psychotic pick best _____ communication as answer

damaged, reality, therapeutic

DT pt is...and needs....

dangerous, restraints

interventions for pt with bell's palsy

dark glasses artificial teats cover eye at night

To care for the pt with exophthalmos the pt should wear ____ _____ and use ____ _____.

dark sunglasses; artifical tears

Coumadin: PO only, takes a few ____ to a week to work. Can be given for rest of ___. Antidote- vitamin K. Lab test- ___ (INR). Not given to pregnant women.

days, life, PT

V-fib

de-fibrillation

S/S of aneurysm rupture

dec LOC, inc HR, dec BP (s/s of shock)

Dependency: abuser gets significant other to do things for them or make _____ for them. Co-dependency: when significant other derives _____ self esteem for doing things for abuser

decisions, positive

the neurotransmitter imbalance that causes Parkinson's is a ______ in __________

decrease ; dopamine activity

if the pt is not yet out of control, what is the #1 strategy to treat beginning violence?

decrease environmental stimuli

What do carbonic anhydrase inhibitors do to the eye? most common side effect

decrease production of aqueous humor & thus decrease intraocular pressure side effect: diuresis

leukopenia

decreased in WBC, indicated viral infection

what triggers low pressure vent alarms

decreased resistance to air

Lamenectomy post op complications: Cervical- trouble breathing _____, ie pneumonia. Thoracic- pneumonia and ____. Lumbar- urinary retention and leg problems

deeply, ileus

osteoarthritis is a _______ disease of ______

degenerative; joint

Diabetes: don't metabolize glucose. Insipidus: polyuria, polyphagia, polydipsia,- leading to _____ due to low adh

dehydration

hypernatremia causes

dehydration

stage 2 of L&D is.... goes in .....order

delivery of baby, alpha, deliver head, suction mouth, suction nose, check nuchal cord, deliver shoulders body, ID band

third stage of labor and delivery

delivery of placenta make sure its all there, make sure it has 3 vessels, 2 arteries, 1 vein, if there arent, expect congenital defects

#1 Problem in abuse

denial, wont accept reality of problem

Diabetes melitus type 1: insulin ____, ketosis prone. If don't get treatment could DIE. D-diet, I- _____, E- exercise.

dependent, insulin

MAOI's: anti-____. Beggining of names are Mar, Nar and Par- brand names. Pt must avoid tyramine ____.

depressants, food

DKA treatment, why

dextrose(to rehydrate) and reg insulin high flow

Prioritization: questions will always have age, gender, ____ and modifying phrase. Don't need age and gender.

diagnosis

cervical priorities

diaphragm, breathing, upper extrem., feeling in arms

type II treatment insulin

diet, oral hypoglycemia, activity

false

dietary indiscretions and uncleanliness are cases of acne . t/f

What is pulse pressure? shock will ______ the pulse pressure

difference between systolic and diastolic pressure DECREASE

Sesame street rule: only when NO other way. Right answer tends to be ____ than others. Wrong answers are similiar. When something really ____ right it probably is- go with your gut

different, feels

how do you screen for BPH

digital rectal exam

uppers

dilated pupils (caffeine, cocaine, etc)

action of nitro

dilates coronary arteries to inc blood supply & reduce PRELOAD

what does anticholinergics (mydriatic) do as an "eye drug"? when do you NOT use it? ex?

dilates pupil do NOT use for glaucoma ex: atropine

what 3 things do CCB end in

dipine, zem, verapamil

what is a cystoscopy? what do you do if pt's urine has red blood post-test?

direct visualization of the urethra and bladder through cystoscope; performed under local anesthesia call MD if pt has red blood

lie of baby, which one good, which bad

direction of baby spine vs mom spine, vertical, transverse(trouble)

LPN cannot do these assessments: admission, ____, transfer, first assessment after there's been a ____

discharge, change

low pressure alarm ventilator caused by

disconnected tubing

what causes decreased resistance to air

disconnection of the tubing

Low pressure alarm caused by

disconnection, disconnected 02 sensor

treating crackles

discontinuous, fluid in airways, treat with diuretic, furosemide, lasix

Hiatal hernia s/s: GERD only when lay down after ____. Dumping syndrome s/s: shock and "drunk": staggering, slurred ____ etc. Also, abd cramping, _____, boriborigmy. Decreased cerebral blood flow, all blood is going to the ___.

eating, speech, diarrhea, gut

postpartum what to check with legs

edema, pulses, thromboembolism with bilateral calf circumfrence

SCRUBBING procedure

elbows below hands, minutes, immunosuppressed, chlorahexidine

LITHIUM

electrolyte decreases mania side effects: P: polyuria P: diarrhea P: paresthesia (numbness and tingling)

2 most common complications of hyperemesis gravidarum

electrolyte imbalance & starvation

amputation: stump should be _____ for _____ to ______ hours

elevated; 12 to 24 hours

Sao2: o2 sat. 93-100. Less than 93= high priority. Anemia falsely ____ o2 sat. ____ procedure in last 48 hrs falsely elevates it.

elevates, dye

if child has jaundice and extends neck

emergency call MD!

if chest tube water seal breaks?

emergency, clamptube and cut off, stick in water, unclamp

prolapsed cord protocol, need a, what to do

emergency, cord comes first, csection, push head off cord, knee chest or trendelenburg, make hips up

in psych dont know always pick ans that has , not

empathy, dont worry i would feel that too

what time of day do you give antacids

empty stomach 1 hr before meals

HH treatment

empty stomach faster, up hob, up fluids, up carbs

DS treatment

empty stomach slower, low hob, low fluids, low carbs

Timing contractions: frequency: begining of one to beginning of next. Duration: beginning to ____ of one contraction. Intensity: the ____ of contraction. Teach to palpate with one hand over ____ with pad of fingers

end, strength, fundus

Kayexalate route

enema or NG

Why is the child with CF receiving pancreas/viokase/pancreatin?

enzymes that aid absorption of nutrients - take with meals!!!

asystole

epinephrine

GENERATIVITY VS STAGNATION

erikson stage of social development in which middle aged people begin to devote themselves more to fulfilling ones potential and doing public service

what is diabetes

error of glucose metabolism(body wont run bc no fuel)

Vital signs are measured _______ in the recovery room.

every 15 minutes

standard precautions are for

everyone

hypercalcemia what happens

everything down

Ksparing diuretics are?

everything else

which drugs are downers

everything else

hypermagnesiemia what happens

everything goes down

AWS what happens

everything goes up

hypomagnesiemia what happens

everything goes up

symptoms of hypothyroid

everything low, weight gain, cold, flat affect, lethargy

hypocalcemia what happens

everything up

hyperkalemia what happens

everything up, hr and uo down

glands affected in CF? 2 organ systems most affected? appearance of stool?

exocrine glands lungs & pancreas stool is fat, frothy, foul-smelling, floating steatorrhea

Stable: pt experiencing typical ____ signs and symptoms of the disease with which they were diagnosed. Unstable: ____ signs and symptoms

expected, unexpected

to guess in psych pick 2

explore feelings, establish trust relationship

For which type aphasia is careful listening and needs anticipation most useful?

expressive - pt has difficulty responding verbally correctly

3 parts of GCS? highest & lowest score possible?

eye opening, verbal response & motor response 15; 3

decompensation

failure of the heart to maintain adequate circulation

what happens to hg in pregnancy

falls but its ok

what are delusions

false fixed beliefs

Hallucination

false fixed sensory experience

what are hallucinations

false fixed sensory feeling

Somatic delusion

false, fixed belief about a body part

Grandiose delusion

false, fixed belief that you are superior

first s/s of appendicitis? what follows it? where does it end up & the name of that point? most common complication of appendicitis

first s/s: periumbilical pain then: N/V next: RLQ pain aka McBurney's point complication - peritoneal inflammation

Aids/ UAP's can do: ADL's but never the ____. Do Not delegate ____ responsibilities to family

first, safety

respiratory pattern seen when ICP is increased what happens to the pupils

first: central hyperventilation at the end: cheyne stokes at first pupils are unilaterally dilated with sluggish reaction --> eventually fixed and dilated

S/S of meningitis - first s/s? - visual s/s? - musculoskeletal s/s?

first: irritable visual - photophobia (sensitivity to light) ms: stiff neck/nuchal rigidity

- pexy

fixation of something

3 things for black tags in un-witnessed accident: pulselessness, breathlessness, ____ dilated pupils. Unless there when happened, unwitnessed at scene of death= ____ priority

fixed, lowest

Lithium: #1 intervention is ___ intake. Need normal sodium for lithium.

fluid

hyponatremia causes

fluid overload

SIADH is opposite of diabetes insipidus. Retain ____ and not thirsty. If urine output goes down, specific gravity goes ____.

fluid, up

Hiatal hernia: elevate HOB, high _____- to go through stomach faster, high carbs- digested fast. Dumping syndrome: HOB ____, lay on side to eat, low fluids- 1 to 2 hrs before or after ____, low carbs

fluids, flat, meals

air drying of the nipples is best

for a woman who doesn't have retracted nipples, is towel drying or air drying better?

wernickes korsikoffs syndrome

for of dementia, induced by vitamin d1 deficiency make up stories and amnesia *never pick improve, choose maintain*

piaget 12-15yr, what period, focus, when what how teaching

formal thinkers, abstract, like adults, med surg, manage care

assessment of contractions

frequency: beginning to beginning duration: beginning to end of one intensity: strength of contraction

prioritization rule #2

fresh post op (12 hours after) beats medical or older surgical

How long can breastmilk be refrigerated? frozen? can you microwave frozen breast milk??

fridge for 24 hrs frozen for 6 months CAN NOT BE MICROWAVED

entrance to the room

from where should the nurse talk to the client

what can you eat with MAOIs

fruits, veggies, grains, meat

what is accomplished during the first stage of labor? how long does this stage last?

full effacement and dilation 6-12 hours (prima vs multigravida)

3 types of psychotics

functional, dementia, delirium

Side effects of a high fiber diet include__________ and malabsorption of ____________.

gas; minerals

what s/s is most common in nephrosis

generalized overall edema

treatment for hypokalemia

give K

if peds dont know abt development always

give more time

First thing the nurse does when a thyroid storm occurs

give oxygen

Treatment hypoglycemia

give rapid carbs and slow, sugar and protein, milk

cloudy urine, foul smelling urine, hematuria

give signs of infection in a Foley catheter

urinary retention, to check for residual, to monitor hourly output

give three appropriate indication for bladder catheterization

DARK GLASSES, ARTIFICIAL TEARS, COVER EYE AT NIGHT

give three eye interventions for the client with bells palsy

restore blood volume secondary to hemorrhage, maintain hemoglobin in anemia, replace specific blood components

give three reason for a blood transfusions

hypothyroid treatment

give thyroid meds

what time of day do you give allopurinol

give w/meals & w/lots of water

lantus

glargine

sulfonylurea oral hypoglycemia

glib, glyb, glip, glyp, glib, GI as in glucose

STERILE GLOVING PROCEDURE

glove dominant first grasp outside cuff touch only inside of glove surface fingers inside second glove cuff keep thumb ubducted remove glove to glove skin to skin

remove sterile gloves

glove touches glove, skin touvhes skin

hypoglycemia unconcious

glucagon or iv dextrose d50

FHR high variability, what to do

good, document

Chest tube: intermittent bubbling in water seal is ____, just document it. Continuous bubbling in water seal is bad, it means a ____. Like buying a bottle of pop- don't want broken ____

good, leak, seal

ppe needed

gown gloves mask, filter mask for tb

sterile gloving on

grab inside of glove, out of cuff, then inside of cuff, outside of glove,

which of the following is highest in fiber - grains, fruits, veggies & nuts

grains - esp bran

another name for second intention

granulation

Handwashing procedure

hands below elbows, seconds, entering or leaving a room, before after gloving soiled hands, soap and water dry cleanest to dirtiest

Paranoid delusion: believe people are out are out to ____ them. Grandios delusion: believe they are _____. Somatic delusion: false belief about _____ part

harm, superior, body

what is a nonpsychotic

has insight and same reality

dont answer something that you

have never heard of

3 things to do with negative air flow rooms:

have own HVAC system exchange air 6-12x per hr only room needs to be vented 3 feet above hospital roof

3 main side effects of CCBs

headache, hypotension, bradycardia

CCB side effects

headache, hypotension, bradycardia

cranial nerve 8

hearing nerve

BNP (brain naturetic peptide): best indicator of congestive ____ failure. Sodium: 135-145. If abnormal= low priority. If sodium abnormal and pt has decreased ____= high priority.

heart, LOC

Thyroidism= metabolism. Hyperthyroidism: hyperactivity, ___ intolerance, cold tolerance, weight ____, exopthalmous, high pulse and BP, skinny. This is graves disease

heat, loss

Postpartum assessment: "BUBBLE HEAD": B- breasts, U- uterine fundus- check ____ and firmness, B- bladder, B- bowel. L- ____. E- episiotomy, H- hemoglobin, hematocrit, E- ____ check, A- affect (emotion), D- discomforts

height, lochia, extremity

Pts are always unstable if they have 5 things

hemmorhage, hypoglycemia, fever over 104, pulse gone, not breathing

The #1 complication of thyroidectomy in the first 8 to 12 hours is __________.

hemorrhage

most common complication of retinal reattachment

hemorrhage

labs for: -Heparin -warfarin

heparin - PTT warfarin - PT/INR

when to sterilize bowel with mycin

hepatic encephalapothy, preop bowel surgery

When can an aminoglycoside be given orally?

hepatic encephalopathy & pre-op bowel surgery

3 causative agents of acne

hereditary bacterial hormonal diet does NOT play a factor

contact precautions are for

herpes, enteric(cdiff, rv, hep A(anus), ecoli), staph(mrsa), rsv

Location and use of apical chest tube

high (apex of lung), removes air

Hypokalemia

high HR, high UO

Dt is what priority

high bc can kill

hypocalcemia

high blood pressure, chvosteks sign AND Ttrousseaus sign

bipolar disorder

high calorie fingers, open everything, gross motor activity with competition, unintentional self harm

Depression treatment protocols

high fiber foods, prepare everything as the nurse, group activity but no interaction, - watch for self destructive behavior, q15 checks

Schizophrenia

high fiber, prepare nothing for them, group interaction, other directed violence

apical chest tube

high for air, top of lung

position the child with pyloric stenosis should be in during feedings? should the feedings be thick or thin position after feedings?

high fowlers thickened feeds right side w/HOB up

HOLD - acronym

high obstruction, low disconnected

examples of delirium

high on upper, withdrawl, fever, alcohol, drugs,

treatment of hiatal hernia

high position, big amount of liquids, high carbs

prolapsed cord

high priority - OB emergency, C- Section push the head up off the cord, dont touch the cord, position her in knee chest, hips up

Asytole: _____ priority. V fib: high priority. Both have no cardiac ____ which equals no brain perfusion. Patient dead in ____ minutes.

high, output, 8

hip incisions laminectomy have

higher chance of infection, more pain, more bleeding

back incision laminectomy has

higher chance of rejection

Cane gait

hold cane on strong side, advance cane with WEAK side

bilateral adrenectomy needs and can go into

hormone replacement, shock

Total thyroidectomy: lifelong ____ replacement. At risk for hypocalcemia- impossible to spare ____ during procedure

hormone, parathyroid

in hyperthyroidism everything is up

hot, excited, nervous diarrhea, hyper symptoms, tremors, exopthalmos

by having all sore throats cultured for strep and treating strep infections

how can AGN be prevented

side to side

how can the woman with cesium implant move in bed

daily weight

how do you assess fluid excess in the child with AGN

REMIND THE PATIENT TO STRAIGHTEN THEIR KNEE CONSTANTLY WHILE STANDING

how do you prevent flexion contracture of the knee after BKA

Graves disease (hyperthyroidism): " your gonna run yourself into the grave" Treatment: radioactive ____, PTU (proplethyouricil) and ______

iodine, thyroidectomy

The one nutrient that commercial formulas are typically low in is __________.

iron

is a c-section mandatory for delivery of a woman with CD of pregnancy

yes absolute bed rest

is bed rest necessary when a woman has cesium implant in place

not usually, however if there is severe azotemia then it may be restricted

is dietary protein limited in AGN (acute glomerulonephritis)

YES, THIS IS ONE WAY TO TOUGHEN A STUMP SO IT WILL NOT BREAKDOWN DUE TO THE WEAR OF THE PROSTHETIC LEG; HITTING IT WITH PILLOS IS ANOTHER GOOD METHOD

is it acceptable for the patient to push the stump against the wall

staff mgmt chart

is it illegal, yes then tell supervisor, if no ask is it immediate danger if yes then intervene, if no discuss later, if illegal and harmful intervene then tell

is it ok to routinely irrigate indwelling catheters

Choosing appropriate toys:

is it safe? is it age appropriate? is it feasible?

no they wait until it interferes with ADL's

is surgery done immediately upon diagnosis of cataract

higher

is there a higher or lower incidence of fetal death with abruptio placenta compared to placenta previa

YES, IF AVAILABLE YOU CAN GET THEM INTO ANTI SHOCK TROUSERS BUT NOT IF THIS CAUSES A DELAY IN GETTING THEM TO THE OPERATING ROM

is there anything that can be done for the client with a ruptured aneurysm before they get to the operating room

is urinary incontinence an indication for catherization

Calcium Channel Blockers

isop, zem, dipin (i saw zem dippin in the calcium channel)

h2 receptor antagonist

itidine, to treat and prevent GI ulcers

Hypoglycemic shock s/s: "drunk in shock" slurred speech, staggering gait, poor ____, delayed reaction time, labile mood (all over place), ____, loud. Shock- low blood pressure, tachycardia, tachypnea, cold, ____, clammy skin

judgement, obnoxious, pale

flight of ideas

jumping from thought to thought rapidly

what principle states that actions should be fair?

justice

potassium wasting diuretics

k wasters have zide

#1 cancer that AIDS pts get

kaposi's sarcoma - cancer of the skin

thyroid storm treatment

keep temp down with ice and cooling blankets, keep o2 up 8-10 liters with mask, 2 staff members

DKA s/s: 1 D, 3 K's, 3 A's: D- dehydration. K- _____ (in blood). K- kusmauls (deep rapid breathing) K- high K (potassium) A- ____ (due to nausea), A- acidotic (metabolic) A- acetone ____

ketones, anorexia, breath

4 stages of L&D

labor, delivery of baby, delivery of placenta, recovery

Oxytoxics: stimulate ____. Ex: pitocin and _____. Pitocin- can cause uterine hyperstimulation, is longer than ___ seconds and closer than 2 minutes.

labor, methergine, 90

what surgery is done for meniere's? what disease often follow the surgery? drugs given for this disease (2)

labyrinthectomy bell's palsy antihistamines & diuretics

MILK

lactose is a sugar found in ?

The 2 most common surgeries used to treat spinal cord injury are ____ and ______.

laminectomy & spinal fusion

2 nonsurgical treatments done for retinal detachment

laser photocoagulation cryosurgery - freezing

Diuretics: Semides end in X. Ex: fourosemide- ____. Baclofen: muscle relaxer. S/e- fatigue, muscle ____. Don't drink, don't ___, don't operate heavy machinery. "Back loafin' " Flexeril: muscle relaxer

lasix, weakness, drive

how long does an ovarian cycle last? how many days after ovulation does menstruation begin

last 28 days menstruation 14 days after start of cycle

Woman's due date: 1st day of ____ menstrual period, add 7 days and 1 yr and subtract ___ months.

last, 3

Tetrology of fallot (trouble): "varied pictures of a ranch" use the first and ___ letter of each word. VD: ventricular defect, PS: pulmonary ____, OA: overriding _____, RH: right hypertrophy

last, stenosis, aorta

phases of labor

latent, active, transition

laxatives

lax

9-12 months life toys

learning verbalization best toy: verbal toy purposeful activity with objects building, sorting, stacking, making, constructing

how are NI performed for acid-base imbalances

least invasive to most invasive

vent alarms: order of NI

least invasive to most invasive

preschoolers when eating, you

leave them alone

LION protocol, if on pitocin

left side, increase fluids, oxygen, notify MD, stop it

If its not back pain or prolapse cord treat with: LION. L- turn on ____ side. I- increase IV. O- oxygen. N- notify ___.

left, doctor

If you exercise you need ______ insulin?

less

Chest tube questions: look at reason for why it was placed and _____. Pneumothorax: tube removes ____. Hemothorax: removes blood. Apical: up high, removes air. ____: bottom, removes blood

location, air, Basilar

Post op laminectomy care

log roll, no dangle, sit for only 30min, walk/stand/lay down

Lantis and Glargine insulin: _____ acting. So slowly absorbed has no peak. Little risk for hypoglycemia. Can give at ____. Duration 12- _____ hrs

long, bedtime, 24

unstable contractions are

longer than 90 sec, closer than 2 mins

Contractions should not be ____ than 90 seconds or closer than every ___ minutes. If they are than can= problems. Can be a sign of uterine ____ or uterine hyperstimulation- would need to turn down or stop ____

longer, 2, tetany, pitocin

Overdose downer

look down

withdrawal upper

look down

overdose upper

look up

withdrawal downer

look up

Psychotic delirium: temporary sudden dramatic secondary ____ of reality. From meds or _____ imbalances. Acknowledge feelings and re-_____ that its temporary.

loss, chemical, assure

Hyperthyroidism

loud, tachy, spasms, tremors, hot, irritable, heat intolerant, cold tolerant, HTn, bulging eyes, ex. Graves Disease

Location and use of basilar chest tube

low (base of lung), removes blood

all psych drugs cause

low BP and weight gain

hyperkalemia

low HR, low UO

common s/s of large ovarian cysts

low back pain pelvic pain abnormal bleeding

psychotropic drugs se, what do they do

low bp and weight changes usually gain, reduce symptoms

acidosis, potassium up

low everything

basilar chest tube

low for blood, base of lung

hypothyroid means

low metabolism

treatment of dumping syndrome

low position, low fluids, solid food low carbohydrates

Lithium and lanoxin: go _____= 2 (toxic levels) all others go high= _____ (toxic level)

low, 20

Hiatal hernia: "everything high". Dumping syndrome: "when you wanna go slow make everything ____." High carbs= low ____

low, protein

lumbar priorities

lower extrem, feeling in leg, bladder, check UO

fast treatment for hyperkalemia

lower hr, give d5w w/ r insulin,

extremities affected by buerger's disease? highest incidence in which group? upon walking, the pt experiences ________ ________

lower only highest in smokers intermittent claudication

hypercalcemia

lowers blood pressure

Trough level: drug at ____. Peak level: drug at _____. "TAP" levels: T- check trough level, A- administer drug, P- draw ____. Draw when drug has a _____ therapeutic window

lowest, highest, peak, narrow

lub, closure of mitral and tricuspid valves

chemicals that can cause burns to oral mucosa when ingested

lye, caustic cleaners

what body system is attacked in mono? average recovery time? which organ should NOT be palpated? why?

lymphatic 3 wk recovery time do NOT palpate the spleen --> it may rupture

neologisms

made up words

if you have a tie with electrolytes dont pick

magnesium

OB meds: Tocolytics- stop labor Ex: turbutaline, and ____ sulfate. Turbutaline: ____ maternal heart rate

magnesium, increases

Violent Clients

make sure you have 5 people before you take down a psych patient only one person talks give them a chance to de escalate

neologism?

making up new words

Celiac's disease is a __________ disease person can NOT tolerate _______ and absorb what mineral

malabsorption gluten (which is a protein) iron; can not absorb fat soluble vitamins either

Haldol: is a deconate (long acting) S/e: ABCDE. Can cause NMS- neuroleptic ____ syndrome, high fever, medical emergency.

malignant

Lithium: for bi-polar disorder. Decreases ____. S/e: peeing, pooping, parasthesia, ____, metallic taste, severe diarrhea.

mania, tremors

fetal lung med baractent survanta is a..., who gets it, when, via the....

manmade surfactant, baby, after born, trachea

examples of MAOIs

mar, nar, par, marplan, nardil, parnate

droplet PPE pt needs... when....

mask, out of room

Terbutaline

maternal tachycardia

tocolytic terbutaline brethine can cause

maternal tachycardia

Fetal lung meturing meds: betamethasone- given to ___, IM, before baby is born. Servanta- surfactant- given to neonate, trans tracheal (blown into trachea), after baby is ____

mother, born

Piaget: stages of thinking: 0-2 yrs old- sensory ____. Present oriented. Teach them ____ you to it. Teach what you are doing, verbally

motor, while

3-point gait

move 2 crutches and bad leg together move good foot *3 points touch down at once

2-Point Gait

move one crutch and opposite foot together move other crutch and other foot together 2 points together for 2 point gait

Syphilis first infects the _____ ______.

mucous membranes

Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________.

multigravida 35 (other risk factors: HTN, trauma, cocaine)

Airborne precautions: measles, ____, rubella, TB and ____ (chicken pox). Private room, mask, gloves, handwashing.

mumps, varicella

all kids with CHD will have these 2 things

murmur and echocardiogram

all heart defects have .... and need .....

murmur echocardiogram

baclofen

muscle relaxant, causes drowsiness, muscle weakness, dont drink alcohol, dont drive car, dont be responsible for child under 12

Baclofen is a , it potentiates, mnemonic

muscle relaxant, downers, relax on ur back

class of drugs given with ECT

muscle relaxants

the universal sign of electrolyte imbalance is

muscle weakness

flexaril, two se, 3 pt teaching

muscle weakness, drowsiness, dont watch kids, dont drive, no alcohol

aminoglycoside

mycins, mean mycins

hypothyroidism is also called

myexdema

Hypothyrothyroidism: another name is _____. Treatment: thyroid hormone- ____, levothyroxin. Do not ____, can put into a coma ie ambien. Do Not hold thyroid ____ before surgery.

myxedema, synthroid, sedate, med

vitamin a, antibiotics, retinoids

name 3 drugs given for acne

cranberry juice, apple juice, (avoid citrus juices they make alkaline urine )

name food that make acid urine

CARB, FATS, PROTEINS, VITMAINS, MINERALS, WATER

name the five/six essential nutrietns

MILK & CHEESE, MEAT & LEGUMES, VEGGIES & FRUITS, BREAD & CEREAL

name the four basic food groups

cranial tongs, thomas splints, with peason attatchments 90 degrees to 90 degrees

name3 types of skeletal tractions

70/30 insulin mnemonic

nancy reagan RN, nph regular, first regular then nph

what will you see/hear when you observe the neck, heart & lung of pt w/CD of pregnancy

neck - JVD heart - murmurs lungs - crackles/rales

opistonus

neck hyperextended

big danger of torsion of ovary s/s of rupture

necrosis & rupture s/s: pain, abd distention & abd rigidity

addisons treatment

need corticosteroids (end in sone)

droplet PPE

needs mask, gloves, gown for pt care, goggles for suction, special equipment

airborne needs what room, what to do in room

negative airflow, close windows, door stopper

the purpose of chest tubes is to re-establish

negative pressure

Chest tube: creates _____ pressure in pleural space, this is good and lets lung ____ while chest wall moves.

negative, expand

if two answers mean the same thing,

neither is the right answer

which mycins sterilize bowel

neomycin, canomycin

true

neoplasm refers to benign and malignant tumors T/F?

why do you need laminectomy

nerve compression

wbc <5000

neutropenic precautions

HEAT (IT CAUSES RUPTURE)

never apply ______ to the area of the appendix

Electrolyte treatment rules

never push potassium no more than 40 k per liter IV give d5w and insuline to decrease K

azotemia

nitrogenous wastes in the blood ( increased creatinine, BUN)

Should vomiting be induced after ingestion of cleaning products?

no will damage esophagus again

should basalar be bubbling

no bc no air

patient teaching about organ donation

no cost for donation or harvesting number one goal for donor is comfort and dignity all major religions support it no advantage being rich donation does not delay funeral plans donation does not interfere with open casket

unilateral adrenectomy needs

no hormone

rn in contact PPE

no mask goggle filter mask, need gloves, gown w pt care, disposable supplies, dedicated toys

1/2 hour

no nurse should attend the client with a cesium implant more than ______/ day

Crutch gaits: 2 point gait- move a foot and ____ crutch together, moving two together. 3 point- move two ____ and bad leg together. 2 point mild problem, 4 point- _____ problem

opposite, crutches, severe

discharge teaching laminectomy

no sitting >30min for 6 weeks, lie flat and log roll, no driving, no lifting more than 5 lbs

safety considerations for toys

no small toys for children under 4 no metal toys if oxygen is in use

Dependency treatment: teach co-dependent person to say ____ and that they're a good person. Manipulation: the nature of the act is _____ or harmful. Treatment- set _____ and enforce them

no, dangerous, limits

patient leaves room

no, if yes then mask and clear hallway

Pain meds, systemic for labor, why, when do IV and IM meds peak

none if baby born when med peaks, baby can have resp failure, IV15-30min, IM 30-60mins

Type II Diabetes

noninsulin dependent, nonketosis prone

high baseline variability

normal

Acrocyanosis

normal cyanosis of the baby's hands and feet. Appears intermittently over the first 7-10 days

Peds: always give child more time (to grow and develop), don't rush. When in doubt- call it ___. Ex: 6 yr old can't read- call it normal. When in doubt pick the ____ task. Ex 6 month old rolling over or sitting up- rolling over is easier to do

normal, easier

hyperbilirubinemia

normal, physiologic jaundice appears after 24 hours of age and disappears at about one week of age

FHR accelerations

normal, record

Alcohol withdrawal syndrom

not dangerious semi private room, regular diet, UAL, do not restrain

painful back labor protocol

not emergency, position and push, position knee-chest, push on back, doggy style

when you give K how

not iv push, no more than 40mg

sertraline and warfarin causes

not metabolized, increases INR x2

clamping rules

not more than 15sec and rubber clamps

lithium how it works

not on neurotransmitters, stabilizes nerve impulses

Aminoglycosides (antibiotics): don's use unless _____ else works. "A mean old mycin" ALL END IN _____. Treat infections that are: serious, life threatening, resistant, gram _____.

nothing, MYCIN, negative

earliest sign of any electrolyte disorder is

numbness and tingling

bear down

nurse should limit the clients effort to _____ during labor when CD is present

Safety of toys, no metal if

o2 used

High pressure alarm caused by

obstruction, kink, water in tube, mucus in airway

Name the 2 things for which stool specimens are tested

occult blood, fat, ova and parasites

FHR, high hr >160, what to do

ok, document

beta adrenergic blockers

olol, like valium for your heart

what time of day do you give antibiotics such as penicillin and erythryomycin

on a empty stomach

how to use cane

on strong side and bad leg does with cane

office visits for pregnancy

once a month until week 28, once every 2 weeks until 36, once a week until delivery or week 42

unilateral pneumothorax

one chest tube, apical

if two answers are opposites,

one is probably right

organs from live donors

one kidney, one lung, portion/part of liver, pancreas and intestine

remember sesame street rule

one of these things is not like the others!

how many nitro pills should you take before calling

one tablet - can take up to 3 though

how can the women with cesium implant move in bed

only from side to side

Lispro (Humalog)

onset: 15 min peak: 30 min duration: 3 hr administer with meals or 15 min before

What is a catarct? major s/s? what does their eye look like

opacity of the crystalline lens s/s: cloudiness, diplopia & photophobia eye is cloudy, milky-white pupil

cataract

opacity of the crystalline lens results to blurred vision

what is esophageal fistula #1 & #2 problems associated with this condition

opening between the esophagus & trachea esophagus is connected to the stomach & trachea is connected to the lungs #1 - aspiration #2 - malnutrition

dilation

opening of cervix (0-10cm)

#1 priority for ruptured aneurysm

operating room ASAP

what do calcemias do

opposite of prefix except bp

what do magnesiums do

opposite of prefix except bp

Magnesemias do the _____. In a tie don't pick magnesemias. Skeletal muscle or nerve= _____. Heart = potassium.

opposite, calcium

Meats HIGHEST in cholesterol 3 meats LOWEST in cholesterol

organ meats, liver, heart, brains & kidneys lowest - chicken, pork & mutton

Tie breaker only: the more vital the ____ the higher the priority- organ of the modifying phrase. Order of organ vitality: Brain, ___, heart, liver, ____, pancrease

organ, lung, kidney

Aminoglycosides: "mycin"- mice, mice have big ears. Ears- _____. Monitor pts hearing, ringing, dizziness. When you draw an ear connect it it looks like a ____- nephrotoxic, monitor ____ (best indicator of renal function), also a #8 fits in the ear drawing- cranial nerve ____ (hearing) and administer q8h

ototoxic, kidney, creatinin, 8

Aminoglycosides side effects

ototoxicity and nephrotoxicity

Labor: Stage 1: dilate and efface. Stage 2: purpose of contractions- push baby ____. Stage 4: contractions to stop ____.

out, bleeding

Airborne precautions, mask needs to be removed

outside room

ectopic pregnancy is implantation of a fertilized ovum _____ the _____ most common site & s/s

outside; uterus fallopian tubes s/s: unilateral pelvic pain

Hypernatremia= dehydration. Hyponatremia= fluid _____. Earliest sign of electrolyte disorder is numbness and ____(parasthesia). Circumoral parasthesia: numbess, tingling around _____

overload, tingling, lips

cushings is

oversecretion of adrenal hormone(extra cushion)

In resp alkalosis what ventilation? Vent setting too..?

overventilation, high

Psych questions: best answer- nurse will examine her ___ feeling about it. Also, establishing ____ relationship

own, trust

the only info needed to interpret ABGs

pH and bicarb

normal pH and bicarb levels

pH= 7.35-7.45 bicarb= 22-26

signs of needing laminectomy

pain, parasthesia(numbness/tingling), paresis(weakness)

3 signs of increased intraocular pressure (r/t cataract surgery)

pain, restlessness & increased pulse rate

3 protocals for complications

painful back labor, prolapsed cord, LION

classic s/s of placenta previa? best/safest way to confirm?

painless 3rd trimester bleeding ultrasound

contraction intensity how to measure

palpate over fundus pads of fingers

denzodiazepine

pam/lam/zep, pam/lam/zepp

3 possible causes of hyperemesis gravidarum

pancreatitis, multiple pregnancy, hydatidiform mole

1-3y what kind of play

parallel

what kind of delusions are there

paranoid/persucatory(out to get them), grandiose(they are better), somatic(body part)

first sign of electrolyte disturbance

paresthesia numbness tingling and paresis muscle weakness

presentation

part of baby that enters birth canal first

presentation of baby

part of baby the enters canal first

subtotal thyroidectomy removes

part of thyroid

If all abgs are abnormal

partially compensated

thrombophlebitis

patients in russells traction are particulaly proned to _____

lithium SE, 3 P, what to do

pee, poop, paresthesia, treat

adolescents 12-18

peer group association allow adolescents to be in each others rooms unless one of them is: immunosuppressed contagious fresh post-op

treatment of syphilis

penicillin

EGO INTEGRITY VS DESPAIR

people in late adulthood either achieve a sense of integrity of the self by accepting the lives they have lived or yield to despair that their lives cannot be relived

Diabetes long term complications: Poor tissue ____ and peripheral neuropathy. Ex: eye damage, hurting ____ because can't feel pain, gang green

perfusion, self

PVCs

periodic wide

DM long term compl

peripheral neuropathy, MS bc myeline digest, poor tissue perfusion(vessels calcify)

hemorrhagic illneses

petechiea, eccymosis

Piaget's stages of cognitive development

pg 66

procedure done to relieve s/s in polycythemia vera? describe it

phlebotomy - drain 200-500 mL of blood from body

If the kidney stone is calcium phosphate the diet must be low in _____ too.

phosphorus

loose association, flight of ideas?

phrase after phrase dont relate

xanthine bronchodilators

phylline -- releive airway spasm

sesame street is last resort

pick answer that is most different

subcutaneous

pick answer with 5 in gauge and length

IM injecitions

pick answer with a 1 in gauge and length dont use dorsogluteal (with insulin)

in peds if you dont know bw two right ages always

pick older age

how to use walker

pick up set down, keep things on side

stage 3 of L&D is.... 2 things to do why

placenta delivery, make sure its intact bc can hemmorhage and get infection, make sure 3 vessel cord AVA

the dyspnea of pulmonary embolism is accompanied by ____ _____

pleuritic pain

Pre-op bowel surgery: give aminoglycoside _____ route to sterilize the bowel. PO kills bacteria in gut and doesn't get _____, or hurt liver. "Who can sterilize my bowels?" "Neo Can!" ______ and canimycin.

po, absorbed, Neomycin

coumadin rt, onset, duration, lab, antidote, pregnancy?

po, few days, lifetime, INR/pt , vit k, not in pregnancy

QRST: ventricular _____. P wave = atrial. A lack of QRS segment= _____. Bizzar in question= tachycardia.

polarization, astystole

3 Ps of diabetes

polyuria, polydipsia, polyphagia

symptoms of diabetes

polyuria, polydipsia, polyphagia

painful back labor you...

position knee-chest, on hands and knees, shoulders dowm. push down on her sacrum

Acidosis: Ph goes down: everything goes down except ____ goes up. Hyporeflexia, lethergy, _____, etc. "As Ph goes down so goes my pt" Respiratory ____ can occur

potassium, bradycardia, arrest

if electrolytes have to do with everything else pick

pottasium

proton pump inhibitor

prazole - prazole to treat and prevent GI ulcers

drugs given pre-op vs post-op for cataract surgery

pre-op: mydriatics, dilators & antibiotics post-op: stool softners, antiemetics & analegics

30-50%

pregnancy requires a __________ incrase in the cardiac output

piaget 3-6yr, what period, focus, when and what and how teaching,

preoperational, fantasy, teach day of, what your gna do, with play

fetal station, negative means, positive means

presenting part to ischial spines, bad not out, good almost out

peripheral anti-hypertensives

press notice blood pressure

steps for 70/30 insuline

pressurize N, pressurize, R, draw up R, draw up N

ACE Inhibitor

pril ACE inhibitor for BP, cough and angioedema

(multi/prima)gravida pts are more likely to get PIH

primagravida

Dt pt needs ...room

private near RN station

airborne needs

private room, cohort

contact precautions need ... room or ....

private, cohort

droplet needs ...room unless....

private, cohort

Lamenectomy: removal of spinous ____ of vertebrae. To relieve nerve root ____. S/s: pain, prastesias, paresis- muscle weakness. Location in any neuro problem will determine symptoms and ____

processes, compression, treatment

4 symptoms that should be reported to the physician for a pt with cesium implant?

profuse vaginal bleeding elevated temp N & V these indicate infection & perforation

the ONLY situation that will cause metabolic alkalosis

prolonged gastric suction/vomiting

what med can treat hyperthyroid

propylthyioruracil, PTU

What nutrient is lost in highest amounts during PD?

protein

proteins provide 4 Kcalories per 1gm

ideas of reference

pt thinks everyone is talking about them

if a pt has MG, what will be the results of the tensilon test what other dx test can be done

pt will show a dramatic sudden increase in muscle strength EMG

first s/s of AGN

puffiness of face, dark urine (tea colored)

position infant with intussusception will be in? stool description?

pull legs up to chest/abd w/piercing cry jelly stool, bloody mucous

Toddlers 1-3 yrs old: push ____ toys. Gross motor skills- running, walking. No finger dexterity objects ie ____, scissors. Parallel play: play along side not with

pull, pencils

common s/s of abd aneurysm

pulsating mass above the umbilicus

important VS in pts w/aneurysms

pulse & BP will affect pulse first/more -- tachycardia happens BEFORE hypotension

Toddlers 1-3 years

push pull toys work on gross motor skills *parallel play* - alongside but not with

1-3y what toys

push pull, gross motor

benzos work..., but dont,..

quickly, take more than 6 weeks

What is the big danger to staff when caring for a client with cesium implant?

radiation hazard

hyperthyroidism treatment

radioactive iodine

3 tx for hyperthyroidism & side effects

radioactive iodine = radioactive urine PTU = decreased WBC surgical removal

Treatments for hyperthyroidism

radioactive iodine = watch urine! PTU = watch for low WBC thyroidectomy

FHR variable decels, means what, what to do

random, very bad, cord compression, push and position

atrial flutter

rapid P-wave depolarizations in a saw-tooth pattern (flutter)

chronotropic

rate

IN OB: check fetal heart ____ is answer that always wins. Delivery (stage 2): Goes alphabetical order- head, then ____, then nose. Then check for nuchal ___, deliver shoulders, then body

rate, mouth, cord

Can't learn reality: 1st acknowledge feelings, 2nd _____. Dementia: you can do reality orientation, ______ do PRESENTING REALITY.

re-direction, CANNOT

Non-psychotic: insight is ____ based, need good therapeutic communication, recognize their problem. Psychotic: no insight, don't think they have a ____, not reality based

reality, problem

thyroid storm symptoms

really high fever and VS and really crazy(psychotic delirium, reassure)

For which type of aphasia are slow, short, simple directions most useful?

receptive - pt has difficulty understanding your questions/comments

Blood that is a universal recipient? donor?

recipient: AB donor: O

fourth stage of labor and delivery

recovery stage 4 things 4 times and hour in 4th stage: 1. Vital signs assess shock 2. fundus - if boggy, massage 3. look for bleeding, excessive lochia pad saturated in <15min 4. roll her over - check for bleeding under pad

stage 4 of l&d is.... lasts.... four things to do....

recovery, 2hrs, vitals, fundus, pads, roll on side

Wean means?

reduce numbers to get to 0

Benzodiazepines: "zeps" Indications: mild tranquilizers, post- op to ____ so much anesthesia, muscle relaxer, ____ withdrawal, seizures, help people relax when fighting ____. Side effects: ABCD (see phenothiazines)

reduce, alcohol, ventilator

what do chest tubes do

reestablish neg pressure, keep lung expanded, and connected to chest wall

When a pt becomes demanding and self-centered and attention-seeking, the defense mechanism used is ____

regression

AWS Diet

regular

most valid sign of labor

regular contactions

3 signs of labor & explain

regular contractions that get longer stronger closer, dilation cervix opens0-10, effacement cervix thins 0-100%

Truest, most positive sign of labor: the onset of _____ progressive contractions. Effacement: thinning of cervix, up to ____%. Station: fetal presenting part in relation to ischial ____

regular, 100, spines

Humulin 70 D30: 70% N, 30% ____. Top # Numerator- N (NPH) 70/30. Drawing up insulin: want to be RN= regular first then ____.

regular, NPH

anxiety disorder

regular, gross motor activity with competition, low safety risk

Hiatal Hernia

regurgitation of acid into esophagus because upper stomach herniates upward gastric contents move in the wrong direction at correct rate

HHNK treatment

rehydrate and insulin will drop

lie

relationship between spine of baby and spine of mom

station

relationship of fetal presenting part to moms ischial spines

Surviving --- Select-All-That-Apply

remember PRINCIPLE not list never select one, rarely select all pay attention to what causes it vs what results

heat vs cold for rheumatoid arthritis: in remission you should apply in exacerbation " "

remission - heat exacerbation - ice

treatment of cushings

removal of adrenalectomy

Laminectomy is

removal of vertebral processes

what to do for pneumothorax and where to put tube

remove air with tube, apical high for air

what to do for hemothorax and where to put tube

remove blood with tube, basalar for blood

if they don't give you hco3

repiratory

what do you teach all pts on drugs that have agranulocytosis (ex: PTU) as a side effect?

report any sore throat immediately

when a person is unconsciously choosing to disbelieve the truth, they are using _____

repression ** this mechanism is most suspected of causing psychosomatic illness ***

If underventilation

resp acidosis

Is it lung

respiratory

under-ventilation will cause this

respiratory acidosis

What acid/base disorder is seen in Respiratory Distress Syndrome?

respiratory acidosis (CO2 is retained)

increased pH and normal bicarb

respiratory alkalosis

over-ventilation will cause this

respiratory alkalosis

what blood gas disorder is most common in pneumonia

respiratory alkalosis hyperventilation blows off more CO2 than the consolidation traps in the blood

DKA: treatment- regular insulin, IV. #1 cause: acute viral upper ____ infections within the last 2 weeks. After recovery they start going ____.

respiratory, downhill

3 reasons for a blood transfusion

restore blood volume in a hemorrhage maintain HGB in anemia replace specific blood components

DT activity

restricted, bed rest

Within in minutes of birth, what 3 respiratory difficulties occur? (IN RDS)

retractions, nasal flaring & grunting

what is the #1 cause of cardiovascular disease of pregnancy? what is the #1 cause of maternal death in CD of pregnancy?

rheumatic heart disease decompensation - failure of the heart to maintain adequate circulation

if the patient has right hemiplegia, he cannot move his ____ and ____ the stroke was on the ___ side of the brain

right arm & right leg on left side of brain

DS what direction and rate

right direction wrong rate

Post op lamenectomy: log ___. any spinal cord injury pick log roll as an answer. Do not let ___ dangle. Do not let sit for longer than ____ min. May walk, stand, and lie down ____ restrictions

roll, feet, 30, without

Contact precautions: Private room or cohart- same disease same ____. Gloves, ____, handwashing, dedicated equipment, disposable ____.

room, gown, supplies

3 types of parasites abnormally found in stool

roundworm, tapeworm & pinworm

postpartum lochia colors

rubra red, serosa pink, alba white

when pain goes away in appendicitis, this means... treatment for appendicitis

rupture occurred SURGERY do NOT apply heat to area --> can cause rupture

Subq, how long, how thick

s looks like 5, 5/8 inch, 5/8 mm

do not delegate to the family

safety responsibilities, they can only do what you teach them to do

Never let family of pt do....they can only do something if you....

safety, teach them

body fluid used for rapid HIV test

saliva

what do kalemias do

same as prefix except hr and uo

cush man are

same as se of sones

penecillin antibiotic

same ending

General guessing: rule out absolutes. If two answers say the ____ thing neither one is right. If two answers are ____, one of them is probably right.

same, opposite

drug: ARB

sartans angiotensin receptor blockers low BP, cough and angioedema

Function Psychosis

schizophrenia, schizoaffective, major depression, manic potential to learn reality

functional psych. are which 4

schizophrenic, schizoaffective, major depression, mania

sealed vs unsealed radiation

sealed - solid object in body cavity unsealed - substance injected in liquid form into a vein

Of sealed internal, unsealed internal, and external radiation treatment, which is MOST dangerous for the nurse?

sealed internal --> unsealed internal external radiation is of no danger as long as nurse is NOT in treatment room

what type of precautions will be in effect for a pt w/severe preeclampsia? #1 assessment finding to look for???

seizure precautions reflexes -- looking for hyper-reflexia

pt w/meningitis is at risk for developing

seizures

dilantin for? level?

seizures, 10-20

Dilantin (phenytoin) for _____. Range: 10-20, 20 is toxic. Billirubin: newborn- range 10-20 and ____ is toxic. Level 10 or above need to come to hospital. Billirubin in _____- kernicterus.

seizures, 20, brain

best position for pts with emphysema under normal circumstances? flow rate? position during dyspneic episode?

semi fowlers or higher low flow (<2.5 L) sitting upright w/arms folded on overbed table

in which labor position should a women with CD labor be?

semi recumbent, HOB up

best pt position for airway suctioning

semi-fowlers

0-6 months life toys

sensorimotos best: musical mobile second: large and soft

0-6mo what toys

sensory like music mobile

piaget 0-2yr,what period, focus, teaching, what kind of teaching

sensory motor, what happens now, teach as happens, verbal

Crutch gaits: 4 point- move everything _____. Swing through- for non- _____ bearing. "even for even, odd for odd" Use even numbered when have an even number of ____ messed up

separately, weight, legs

sertraline and st johns wort causes

seratonin syndrome

What do aminogycosides treat

serious life threatening resistant infections

Postpartum: lochia- "real slimey accumulation" R- rubra, red color. S- ____- "rosa- rosey cheecks", pink. A- alba, (albino) ____ color

serosa, white

zoloft generic is, its a

sertraline, SSRI

best indicator of renal function

serum creat GFR better but $$$$

is chest tube container knocked over do what?

set it up tell pt to take deep breaths

to treat manipulation

set limits and enforce

how to treat dependancy/codependancy

set limits and enforce, work on self esteem

the best staff approach to control impulsive outbreaks of violence is...

setting limits and doing it consistently

clozapine used for.... SE, monitor

sever schizo, agranulocytosis, WBC every week for 1 mo

#! sign of MG early s/s of MG

severe muscle weakness early s/s: difficulty swallowing, visual problems (BULBAR signs)

after a hysterectomy how long should the pt wait to: - have sex - lift heavy objects - drive

sex: 4-6 wks heavy objects: 2 months drive: 3-4 wks

S/S of hemolytic transfusion reaction? when does this occur?

shivering, HA, low back pain, inc resp, dec BP, oliguria & hematuria occurs within 10-15min of administration

decrease

shock will _____ BP

should a pregnant staff care for a client with cesium implant

wheter the clients blood and donor blood are compatible

what does a type and cross match indicate

Lamenectomy discharge teaching: do not ___ longer than 30 min. Lie flat or log roll. No _____ or lifting more than 5 lbs all of these for ___ weeks.

sit, driving, 6

Peaks of meds for SL, IV, IM, PO

sl=5-10min after given, IV 15-30mins after finished, IM 30-60min after given, PO dont worry

CCB does what to heart

slow down relaxes

As the Ph goes....

so goes my pt except for K & MacKussmaul

L&D recovery pads what is excessive bleeding? why roll pt on side?

soaking in 15min or less, to check for blood

lithium is closely linked to

sodium

Potassium imbalance treatment: Kayexalate: is full of ____ (if high sodium, potassium goes down) lasts longer but takes longer to achieve effects. "K exits late" D5W, Regular insulin: "K enters ____"

sodium, early

fomites are on, so use

soft toys, hard toys

Gooddell sign

softening of the cervix

Hegar's sign

softening of the lower uterine segment

Goodell sign: cervical ____. Hegar sign: ____ softening. During pregnancy Hemoglobin will fall- thats ____. Morning sickness: dry carbohydrates before get out of ___.

softening, uterine, normal, bed

The toddler and preschooler will think that illness is caused by_____________.

something they did wrong

steroids

sone/olone side effects are cushings

the pt with spinal cord injury will have (flaccid/spastic) muscles

spastic

9-12 months old: ____ toys are best, purposeful activity. Never pick answers with these words before 9 months old: ____, sort, stack, make, construct.

speaking, build

what organ will be enlarged in polycythemia vera?

spleen - its destroying the excessive RBCs

four stages of labor and delivery

stage 1: labor (Iatent, active, transitional) stage 2: delivery of baby stage 3: delivery of placenta stage 4: recovery (2 hrs after placenta delivery)

oxytoxic meds do what 2 examples

start labor, pitocin, methergine

contraction duration how to measure

start of one to end of one

contraction freq how to measure

start of one to start of second

DO NOT DELEGATE THIS TO A LPN

starting IV hanging or mixing IV meds evaluating changes giving IV push meds giving blood transfusion performing admission, discharge, or if there has been a change, unstable plan of care initial teachingg taking verbal orders from MD

cervidil (prostaglandin)

starts labor

anticholesterol

statin; no grapefruit juice

engagement

station 0 - babys head is in ischial spines

lithium pt teaching, nurs tasks

stay hydrated, if sweating drink sodium(gatorade), monitor Na

lubricant used on suction catheter solution used to clear the tubing during suctioning

sterile water soluble sterile saline

Cant give mycin PO except to

sterilize bowel

Betamethasone (Celestone)

steroid to mature babies lungs: give to mother IM before baby is born

fetal lung med metamethasone is a .... it increases... who gets it, when, what form

steroid, glucose, mom, before baby born 24-36 weeks, IM shot

Addison's treatment: _____ (glucocorticoids), end in "sone". Need to "add a son (sone)"

steroids

2 drug classes with nephrosis

steroids & diuretics

post transplant antirejection drugs

steroids, azathoprine, any drug ending in limus, if a dose is missed must go to doctor immediately, most patients one immunosuppressant for rest of lives, number one problem is rejection

hot spot LUQ

stomach, spleen, pancreas, kidney, upper colon

Hiatal hernia: regurgitation of acid into esophagus, upper part of ____ herniates into diaphragm. Dumping syndrome: gastric contents dump ____ quickly into duodenum

stomach, too

what are tocolytics, examples

stop labor, terbutaline brethine, mag sulfate, nefedipine

When alcohol pts ____ drinking alcohol within 24 hrs= withdrawal symptoms. Within ____ hrs= delirium tremors. Alcohol withdrawal syndrome- not life threatening. Not dangerous. Regular diet, up ad lib, no _____

stop, 72, restaints

In an OB crisis if pitocin is running ____ it. Do not give pain meds to woman in labor if baby is likely to be ____ when the med peaks

stop, born

what is telaniectatic nevi(what happens), nevus flammeus, hemangiomas,cephalohematoma(suture line?)

stork bite(blanchs), port wine stain(doesnt blanch), birthmark of vessels, swelling bw skull and skin, one side, doesnt cross suture line

Sub total thyroidectomy: thyroid ____. S/s: temp 105 and above, extremely high ____, severe tachycardias, psychotic delerium, _____- can cause brain damage

storm, BP, hypoxia

Inotropic

strength of heartbeat,

What is Curlings ulcer? What drug prevents it?

stress GI ulcer - get w/physical stress drugs - H2 receptor antagonists (-tidine) & PPIs (-zole)

word salad?

string random words

CARBS

the major source of energy for the body is _____

FORKED

the man with BPH has a _____ stream of urine

DIFFICULT STARTING TO VOID

the man with BPH has hesitancy. what does this mean

A PULSATING MASS ABOVE THE UMBILICUS

the most common symptom of abdominal aneurysm is _____

FATS

the most concentrated source of energy for body is _____

PERINEAL

the most radical prostate surgery is the _____ prostatectomy

PROTEIN (2ND BEST IS VITAMIN C)

the nutrient needed most for growth and repair of tissues is _____

ABRUPTIO PLACENTA

the placenta separates from the uterine wall prematurely

FALSE, THE PRIAMRY PURPOSE OF DRAPING IS TO PREVENT CHILLING.

the primary reason why an infant is draped during the bath is to provide privacy T/F

BRADYCARDIC

the pulse rate of anorexics is tachycardic or bradycardic

When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER?

the suspected poison

pneumocystic carinii

the typical pneumonia of AIDS is caused by ________

Lithium Levels

therapeutic: 0.6 - 1.2 Toxic: > 2

Digitalis (Digoxin)

therapeutic: 1-2 toxic: >2

aminophylline

therapeutic: 10-20 toxic: >20

phenytonin

therapeutic: 10-20 toxic: >20

what do you do for a nonpsychotic

therapuetic communication

kayexalate 2nd problem

there will be a lot of NA since it give up the K which goes into the med and is excreted with stool then rehydrate to fix Na

functionals how to treat

they can learn reality so educate

Why do the crescent-shaped RBCs cause occlusion of the vessels? 3 priorities in a sickle cell crisis

they clump together and create a sludge 3 priorities - oxygenation, hydration & pain control

ideas of referance

think people are talking about them

effacement

thinning of the cervix

tubes for post-op aneurysm -- thoracic vs abd

thoracic - chest tube abd - NG tube for decompression

macrolide antibiotic

thromycin

total thyroidectomy need lifelong

thyroid replacement

subtotal thyroid is at risk for? doesnt need?

thyroid storm, hormone replacement

3 principles to protect yourself from radiation hazard

time distance shielding

DESPAIR

time is too short to start another life, though i wish i could is an example of _____

2 purposes of a spinal tap

to measure or relieve pressure & obtain a CSF sample

what is the purpose of restricting activity after spinal tap? does the pt have to be NPO before a spinal tap?

to prevent headache due to CSF loss NO

ELEVATED

to prevent post-op swelling, the stump should be ____ for 12-24 hours

petaled

to prevent skin irritation of the skin ear the edges of a cast the edges should be _____

Hypothyroidism (myxedema): s/s: cold intolerance, heat _____, flat affect, tired over weight, low ___ and pulse, longer thinking times, slow.

tolerance, BP

uterus postpartum assessment

tone: firm, if its boggy massage, height: fundal height, day post partum location: midline, if not, catheterize or have her pee not midline: full bladder

if pt has respiratory alkalosis, what will the vent setting most likely be

too high

if pt has respiratory acidosis, what will the vent setting most likely be

too low

DKA (type 1)cause

too much food or not enough insulin, infection or illness

Complication of DM hypoglycemia, why, can cause what, symptoms

too much insulin/not enough food, brain damage, drunk and shock

Cushings syndrome: if you have a cushy couch or cushy tushy you have ____ much. Over secretion of adrenal cortex. Treatment: ____

too, adrenalectomy

tylenol

toxic liver - monitor ALT

what is methotrexate toxic to

toxic to almost every organ EXCEPT the heart toxicity made worse with ASA

aminoglucosides are so mean they are

toxic, ear and kidney

St johns wart (not with SSRI's) can increase drug ____ cause it doesn't allow meds to be broken ____. Seritonin syndrome s/e: "SAD head" S- sweating, A- apprehension, D- ____, head ache.

toxicity, down, drowsiness

maoi

tran/sel/phenel, tran---, sel--- phenel

large dose phenothiazine is like a

tranquilizer

drug class given to people with retinal detachment

tranquilizers

What does TENS stand for? used for acute or chronic pain?

transcutaneous electrical nerve stimulation both - based on the gate control theory of pain

treatment & drugs for CD during pregnancy

treatment - REST drugs - diuretics, heparin & digitalis

the s/s of lithium toxicity must watch for a decrease in _____

tremor nausea & vomiting sodium

lithium toxic SE, what to do

tremors, metallic taste, severe diarhea, neuro signs, hold med call md

hold lithium when pt has these symptoms

tremors, metallic taste, severe diarrhea, any other neuro symptoms besides paresthesia KEEP THEM HYDRATED

earliest s/s of hypocalcemia

tremors/tingling

Pregnancy: difficulty breathing- 2nd and 3rd trimester. Teach _____ position- flat with arms on table, leaning forward. Back pain- 2nd and 3rd trimester. Treatment- pelvic ___ exercises to tilt pelvic forward.

tripod, tilt

erikson stages: infancy toddler pre-schooler school age teen

trust vs mistrust autonomy vs shame initiative vs guilt industry vs inferiority identity vs role confusion

When changing central line tubing the patient should be told to_________?

turn head away from site, hold breath & perform valsalva maneuver

bilateral pneumothorax

two chest tubes, apical

laser , surgical removal (intraocular or extraocular lens extractions)

two common treatment of cataract

organs that can be donated from deceased donors

two kidneys, heart, two lungs, pancreas, liver, intestines decently: hand and face

SOB, PALPITATIONS

two most common subjective complaints of woman who is decompensating during labor

What blood test must be done before a blood transfusion what does this test tell you?

type & cross match tells you if the pt's blood & donor's blood are compatible

MAOI what foods bad why

tyramine, can cause hypertensive crisis

purpose of upper GI series? how much barium do they swallow?

ulcerations 8 oz of barium

Bruit: swooshing sound. AAA: hear a bruit over peri _____ area

umbilical

false

uncleanliness is a cause of acne?

How long can a unit of blood be on the unit before it must be started?

under 30 minutes

under what age should you NOT take a oral temp? oral temp okay for pt w/NG?

under 4 yrs old NOT OKAY

Adrenal cortex: disorders begin with "A" or "C". Addison's: ____ secretion of adrenal cortex. S/S: hyperpigmented, don't adapt to ____. If don't have adequate adrenal cortex when in stress can go into ____

under, stress, shock

Addison's disease

undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger. treatment: steroids

Addisons is

undersecretion of adrenal hormone

In resp acidosis what ventilation? setting too...?

underventilation, low

BMI #s underwt overwt obese

underwt: <18.5 overwt: 25-29.9 obese: >30

what do you need after chest surgery

unilateral hemo pneumo tubes

bruits

unusual sound, usually abnormal, heard in auscultation

AWS activity level

up ad lib

using stairs with crutches

up with good, down with bad

Alkalosis: ph goes up: everything goes _____ except potassium goes down. Can cease and ______.

up, aspirate

with upper things go?

up, hr, elevated, hyper

Word salad: babble random words. Neologism: making ____ words. Narrowed self concept: psychotic refused to ____ room or change clothes. Believe clothes define who they are.

up, leave

pillows no plastic covers

upon what do you support a cast while it dries

wide eyes

upper

test to dx pyloric stenosis

upper GI series (barium swallow)

Position for Thoracentesis

upright, lean forward over bedside table with arms supported on pillow

As the prostate enlarges it compresses the ___________ and causes urinary ________.

urethra; retention

lumbar complications

urinary retention

3 appropriate indications for bladder catheterization

urinary retention, to check for residual, to monitor hourly output NOT USED FOR URINARY INCONTINENCE

precautions with radioactive iodine

urine is radioactive, flush 2x, double glove, hazmat for spill, private room 24h

How will you know the patient has entered the fluid mobilization or diuretic phase?

urine output will increase pt will be on hourly urine output & daily wts

Probable and presumptive signs of pregnancy: are maybes. All ____ and blood tests. Positive pregnancy test is ___ a positive sign of pregnancy.

urine, not

what is ECT? what does it treat? is the pt awake?

use of electrical shock current delivered to the brain to induce a seizure that treats DEPRESSION pt is under general anesthesia - artificially ventilated

STABLE PATIENT

use of the word stable, chronic illness, post op >12 hours, local or regional anesthesia, unchanged assessment, to be discharged

UNSTABLE patients

use of unstable, acute illness, <12 hours, general anesthesia, changed assessment, newly/just admitted, lab values C/D unstable patients are experiencing: unexpected always unstable: hemorrhage, hypoglycemia, hyperexia, pulselessness, breathlessness

how is the bleeding of abruptio placenta different from that in placenta previa

usually painful; bleeding is more voluminous in placenta previa

3 things to check pospartum

uterus, lochia, legs

potentially life threatening

v tach

CCBs are... for the heart

valium

anxiety first 6 weeks use... then use....

valium, elevil

increase

vasoconstriction will ______ BP

decrease

vasodilation will _____ BP

preferred IM injection site for kids <3

vastus lateralis

When cardiac output fails, name three ways the heart will try to compensate.

ventricle will hypertrophy, dilate & heart rate will increase

If there is QRS depol it is

ventricular

QRS Depolarization

ventricular

Tetralogy of Fallot 4 characteristics

ventricular defect pulmonary stenosis overriding aorta right hypertrophy

what principle states that the greatest good comes from telling the truth

veracity

9-12mo what toy

verbal

lamina

vertebral spinous processs

most common visual defect w/retinal detachment? common causes of retinal detachment

visual defect - veil or curtain in the line of sight common causes - trauma, aging & cataract surgery

Tie breaker in prioritization is based on... order is...

vital organ, brain, lung, heart, liver, kidney, pancreas

the more _____ the _______, the higher the priority

vital/organ brain, lungs, heart, liver, kidney, pancreas

PH: 7.35-7.45. Ph in 6's= highest priority. Assess ____, and call doc asap. BUN: 8-____. If high assess for ____

vitals, 25, dehydration

mixing a little of the clients blood with the donor blood and looking for agglutination

what does blood cross matching mean

What vitamin is not absorbed in a patient with pernicious anemia? what happens as a result? can you replace (the vitamin) it orally?

vitamin B12 -- can NOT be replaced orally as it will no be absorbed RBCs do NOT mature & become severely anemic

FALSE - THEY ARE NECESSARY FOR A BODY'S CHEMICAL REACTIONS

vitamins and minerals provide energy for the body

Important assessment of pre-op lumbar laminectomy

voiding & leg function

Lamenectomy permanent restrictions: NEVER lift object by bending at ___. Cervical- no allowed to lift anything over ____. No off trail biking, carnival rides, jerking motions, etc.

waist, head

with elders and delirium

wait to see if dementia

anticoagulant/platelet

war/dog

what should the pt do (self care) before and after the EEG?

wash their hair

when changing prozac dose

watch for suicide

50-60%

water accounts for __________ of an adults total weight

70-75%

water accounts for __________ of an infants total weight

TRUE (EVEN BONE)

water is present in all body tissues

Neutropenic precautions: don't drink ____ been sitting longer than 15 mins- no pitchers. ____ bottles of water good for 1 hr, unopened good for 4 hrs.

water, opened

Hypokalemia s/s: bradypnea, tachycardia, polyuria, flaccid, +1 reflexes. (+2 is normal), _____, lethargy, decreased _____, constipation

weakness, LOC

hypothyroidism

weight gain, tired, lethargy, low BP, low glucose, bradycardia, brittle hair, cold intolerance Hashimotos treatment: pills

All psych drugs cause low bp and ____ changes. Phenothiazines: "we use zines for the zanny" In large doses= anti-psychotics. In small doses= anti-____. They are major ____, the "big guns"

weight, emetics, tranquilizers

0.9 normal saline no glucose

what IV solution is hung with a blood transfusion

BEDREST . DO NOT GET THESE PEOPLE UP

what acivity order is the client with an aneurysm supposed to have

asses lung sounds frequently

what additional assessment must you make for a woman with CD

soap and water

what agents are best for catheter care

blackheads and white heads

what are comedones

low back pain, wheezing, fever, hives

what are signs of transfusion reaction

hereditary, bacterial, hormonal

what are the 3 causative factors in acne vulgaris

n/v, diarrhea, stomatitis (oral sores)

what are the 3 most common chemotherapeutic GI side effects

puffiness of face, dark urine

what are the first signs of AGN

severe pain, restlessness

what are the post operative signs of hemorrhage into the eye

shivering, headache, low back pain, increased pulse and respiration, decreasing BP, oliguria, hematuria

what are the signs and symptoms of a hemolytic transfusion reaction

low back pain, shaking HA, increasing temp, confusion, hemoptysis

what are the signs and symptoms of febrile transfusion reaction

hives - urticaria, wheezing, pruritus, join pain ( arthralgia)

what are the signs of symptom of an allergic reaction to transfusion

diuretics, heparin, digitalis

what are the three most common drugs given to women with CD in pregnancy

pain moderate to severe , restlessness, increased pulse rate

what are the three signs of increased intraocular pressure

#1 potential for infection, potential impairment of urethral tissue integrity

what are the top 2 diagnosis for a client with a catheter which is #1

HEMATURIA, PROTEINURIA +3-+4, SPECIFIC GRAVITY UP

what are the urinalysis finding on AGN

hemolytic, febrile, allergic

what are three types of transfusion reaction that can occur

THE AORTA

what artery is widened in a thoracic aneurysm

WBC

what blood count is elevated in WBC?

typ and cross match

what blood test must be done before a transfusion

what blood type is the universal donor

what blood type is the universal recipient

anxiety and stress leading to sympathoadrenal shut down of the bowel

what causes cast shut down

ANTIHYPERTENSIVES

what class of drugs is the client with an aneurysm most likely to be on

red

what color is a first degree burn pale or red?

7 , FACIAL NERVE

what cranial nerve is affected in bells palsy

prevent viral replication

what do NRTI's and PI's do

PULL CAREFULLY ON THE CATHETER TO APPLY LOCAL PRESSURE ON THE PROSTATE WITH THE FOLEY BALLOON

what do you do if you see an increase in blood content of urine coming out of catheter

INCREASE FLOW RATE

what do you first if you see clots in the tubing

ABOVE THE KNEE AMPUTATION

what does AKA mean

BELOW THE KNEE AMPUTATION

what does BKA mean

a delayed onset of AIDS for as long as possible ( usually can delay onset for 10-15 years)

what does the physician hope to acheive with NRTI's and PI's for HIV

B&O SUPPOSITORIES

what drug is use to treat bladder spasm

PERINEAL EXERCISES, START AND STOP STREAM OF URINE, BECAUSE DRIBBLING IS A COMMON BUT TEMPORARY PROBLEM POST OP

what exercise should the post prostectomy patient do upon discharge? why?

N/V

what follow the RUQ abdominal pain of appendicitis?

large gauge, 18 gauge

what gauge needed is used with a blood transfusion

smokers

what group of people has the highest incidence of buergers disease

it becomes clogged with antigen-antibody complexes which then cause inflammation and loss of function

what happens to the kidney in AGN

the cells clump together and dont flow well

what happens when blood is administered with dextrose IVs

take on empty stomach and avoid sunlight ( photosensitivity)

what instruction do you give to a client taking tetracycline

thromboangiitis obliterans

what is another name for buergers disesase

it is a stress GI ulcer , you get these with any severe physical stress,. tagamet, zantac, pepcid, protonix, prilosec (h2 receptor antagonist)

what is curlings ulcer? why is it problem in burn patients ? what drug prevents it?

lowest force of blood on artery walls

what is diastole

LANUGO (SOFT DOWNY HAIR)

what is found over the body of the client with anorexia nervosa

IT IS A STORED FORMED OF GLUCOSE/ ENERGY MANUFACTURED BY THE LIVER

what is glycogen

never have the bag at a higher level than the bladder

what is important about the level of the urinary drainage

pain in calf upon walking

what is intermittent claudication?

PERITONEAL INFLAMMATION

what is present when rebound tenderness is present?

maximal force of blood on artery walls

what is systole

Kaposi's sarcoma

what is the #1 cancer that AIDS patients get

decompensation

what is the #1 cause of maternal death in cardiovascular disease of pregnancy

FLEXION OF THE KNEE

what is the #1 contracture problem after BKA

LOWER BODY TEMPERATURE DURING FEVER

what is the #1 purpose of a tepid sponge bath

ONE SIDED UNILATERAL FACIAL PARALYSIS

what is the #1 symptom of bells palsy

nausea and vomiting r/t bowel obstruction

what is the #1 symptom of cast syndrome

rest

what is the #1 treatment of CD during pregnancy

NPO and NG tube for decompression

what is the #1 treatment of cast syndrome

you can easily move the patient around in bed

what is the advantage of balance counteraction

19-35

what is the age range for early adulthood

64+

what is the age range for late adulthood

tetracycline

what is the antibiotic most commonly given to clients with acne

serum creatinine

what is the best indicator of renal function

DIGITAL RECTAL EXAM

what is the best way to screen men for BPH

radiation hazard

what is the big danger to staff when caring for a client with cesium implant

RUPTURE LEADS TO SHOCK AND DEATH

what is the big danger with aneurysms of any type

p. acnes (propionibacterium acnes)

what is the causative organism of acne

EGO INTEGRITY VS DESPAIR

what is the developmental task for LATER adulthood

intimacy vs isolation

what is the developmental task for early adulthood

generativity vs stagnation

what is the developmental task for middle adulthood

packed cells have less volume and plasma than whole blood

what is the difference between whole blood and packed cells

RUQ PAIN

what is the first sign of appenicitis?

102 F

what is the highest that the temp will be in appendicitis?

to prevent pressure in or on the eyes

what is the major objective in caring for a client after surgical cataract removal

number of pill taken in 24 hours can be overwhelming. frequency also makes it hard to remember an alarm wristwatch is used

what is the most challenging aspect of combination of drug therapy for HIV disease

AZT (zidovudine)

what is the most common NRTI used?

PERITONITIS

what is the most common complication of appendicitis?

decrease sodium and water (restriction)

what is the most common dietary modification for the woman with CD who shows signs of decompensation ?

moderate Na+ restriction. fluid restriction is #2 if edema is severe

what is the most common dietary restriction for AGN

E.COLI

what is the most common organism to cause UTI with catheterization

up through the catheter in the days following catheterization

what is the most common route for organism to enter the bladder when a catheterization is used

inflammation of the lips; causes birth defects

what is the most common side effect of accutane? and what is most important in health teaching in administration

keep drainage system closed, do not disconnect junction of tubing

what is the most effective way to decrease UTI with catheters

bed rest - they can walk if hematuria, edema and HTN are gone

what is the most important intervention in treating AGN

LEUKOCYTOSIS

what is the name for an elevated WBC?

MCBURNEY POINT

what is the name of the RLQ abdominal pain where appendicitis pain finally localizes?

12/80

what is the normal adult blood pressure

rheumatic heart disease

what is the number 1 cause of Cardiovascular Disease of pregnancy

SURGERY - APPENDECTOMY

what is the only treatment recommended for appendicitis?

TO KEEP CATHETER CLEAR OF CLOTS AND TO DRAIN URINE

what is the primary purpose of a 3 way continuous bladder irrigation ( CBI) after TURP

before admnistration, Q15MIN x2 after administration begun, Q1 x1 after transfusion has stopped

what is the routine for vital sign measurement

reduce and immobilize fracture, relieve muscle spasms, and prevent deformities

what is traction used for

decreased RBS, WBC, and platelets

what lab findings are present in AIDS

coughing, sneezing, bending at the waist, straining at stool, rubbing or touching eyes, rapid head movement

what movements are to be avoided after cataract surgery

iron, folic acid - prevent anemia (anemia always make the heart work more)

what nutrients should be supplied in the diet of the pregnant woman with CD

group 1 beta hemolytic strep

what organism causes acute glomerular nephritis

call MD, get blood sample, get urine sample, monitor vitals, send blood to lab

what other things are appropriate after a blood transfusion reaction

palm

what part of your hand do you use to handle wet cast

lying face down, also do not lie on operative side for a a month

what position are to be avoided after cataract surgery

do not lie on operative side do not lie on back

what positions are okay after cataract surgery

numbness, tingling, burning, pallor, unequal or ablset pulse, unequal coolness

what s/s would you report if they were present after cast application

keep it open with saline

what should the nurse do with the IV line if transfusion reaction is suspected

vital signs

what should the nurse measure before starting a transfusion

PLAIN WATER, COTTON BALLS, WASHCLOTHS

what solution and material are used to cleanse the eyes of an infant

70% ALCOHOL TO PROMOTE DRYING (TREND IS TOWARD SOAP AND WATER )

what solution is commonly used for care of umbilical cord

NORMAL SALINE (0.9NACL)

what solution is used for continuous bladder irrigation

0.9 normal saline

what solution should blood be transfused

sebaceous glands

what structures are involved in acne vulgaris

100-105

what temperature is appropriate for the water used to bathe an infant

coombs test detects antibodies to Rh

what test identifies Rh factor

body cast

what type of cast causes cast syndrome

low residue (decrease bowel motility )

what type of diet is this woman with a cesium implant on

ACID ASH

what type of diet is used in BPH

candida

what type of oral / esophageal infections do AIDS patients get

bucks

what type of traction is most commonly used for hip fracture in adults

bryants

what type of traction is most commonly used for hip fractures in children

lye, caustic cleaners

what types of chemicals cause burns to oral mucosa when ingested

acidity, low pH

what urinary pH prevent UTI

HIV

what virus causes AIDS

safety

what will be a high priority nursing diagnosis for a client post cataract surgery

LYING PRONE SEVERAL TIMES A DAY

what will prevent hip flexion contracture after AKA

a protective patch for 24 hours then a metal shielt at night only for 3 weeks

what will the client be wearing after cataract surgery

murmurs

what will you hear when you auscultate the heart of the client with CD of pregnancy

crackles-rales

what will you hear when you auscultate the lungs of the client with CD of pregnancy

distended neck veins - JVD

what will you see when you observe the neck of client with Cardiovascular disease of pregnancy

pick up with forceps

what would you do if the cesium implant came out

PTT: draw two lines on TT and it makes an "H" for heparin. Diuretics: any diuretic ending in letter __ exes out potassium= wastes potassium. And Diurill included. Diurill sounds like "die you will" when your dying- ____ away.

x, wasting

Positive signs of pregnancy: fetal skeleton on ____, fetal presence on ultrasound, auscultation of fetal heart ____-hear it between 8-12 weeks. Examiner ____ fetus

xray, rate, palpates

do you still take insulin on sick days?

yes

does the pt need to empty their bladder before an IVP? is dye used?

yes & yes

should apical chest tube be bubbling

yes good like soda

FALSE, IT CAUSESE DAMANGE/ BRUSING

you may use friction to remove vernix caseosa from an infants skin T/F

what is meant by the phrase "advance the drain 1 inch"

you pull the drain 1 inch out

grandiose delusion

your are superior

phenothiazines are for the , it is a....what dose

zanys, crazies, antipsychotic, large

atypical antipsychotics

zap

phenothiazine

zine

Aminoglycosides: 3 drugs that end in mycin that are not these: arythromycin, ______ and clarithromycin. If it has "thro" in it, than throw it _____.

RN Nclex study- Mark Klimek

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RN Nclex study- Mark Klimek

Related study sets

Dynatrace Associate Cert

Inflammatory Bowel Disease

Unit 7 COSC

COM264 Exam 3

Chapter 15: Surveillance & Outbreak Investigation

Chapter 6 test

Statistics + probability

MGT test 3

555 Cardiovascular Exam - Ch 33 Hypertension

Chap 15-Oncology: Nursing Management in Cancer Care

physics final part 2

CH 54

認定アプリケーションビルダー 個人練習

PA exam

OB/Peds Final Exam 2020

Chapter 8

HW Ch.4

N487 Leadership in Nursing: NCLEX Quiz Review - ALL QUESTIONS

5-10: Starch Hydrolysis (Amylase Test) Microbiology Homework

FINANCE final

認定アプリケーションビルダー個人練習