203A Cyndi's Final Flashcards

1
Q

BPH pt at risk of infection d/t?

A

urinary stasis/retention encourages inflammation/bacterial growth

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2
Q

TURP post-op care

A

irrigation, prevent clots/backup to prevent pressure/infection

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3
Q

Testicular CA health Hx risk factor

A

undescended testicles

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4
Q

prostate CA highest risk

A

older, African-American, smoker

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5
Q

Aggressive prostate CA should be treated

A

aggressively, no watch/waiting

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6
Q

Family Hx ovarian CA, recommended testing

A

genetic blood testing for CA markers

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7
Q

mastectomy pt post-op care

A

no BP/blood draws on affected side, may have compression sleeve to prevent lymphedema

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8
Q

Osteoporisis replacement therapy may

A

hormone replacement therapy can increase risk of CV disease and breast CA

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9
Q

Primary malignant bone tumor

A

osteosarcoma (no watch/wait, may metastasize)

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10
Q

Corticosteroids in osteoporosis pt

A

inhibits bone formation, affects metabolism of Ca and vit D

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11
Q

osteomyelitis pt complains of

A

bone pain when walking, swelling, difficult to move

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12
Q

knee surgery post op complains of pain, nurse should

A

treat pain

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13
Q

rollover MVA, nurse should be concerned about

A

fat embolism, compartment syndrome, hemorrhage

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14
Q

at-knee leg amputation, PACU care, monitor for

A

bleeding

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15
Q

restless, confused, SOB post op

A

oxygenate and call MD

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16
Q

Virchow’s triad, pt with DVT

A

venostasis, endothelial injury, hypercoagulability

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17
Q

PAD teaching

A

check feet daily, exercise daily, quit smoking

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18
Q

Sudden pain/pulselessness in one leg

A

call MD

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19
Q

chronic venous insufficiency teaching

A

wear compression stockings, ROM ankle exercises

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20
Q

aortic aneurysm s/sx

A

abdominal pain, tachycardia, pallor, low BP

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21
Q

Parkinson’s physical signs

A

shuffling, pill rolling, flat affect

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22
Q

SATA safety Parkinson’s

A

call light in reach, bed in low position

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23
Q

MS stressors

A

cold

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24
Q

MS teaching

A

encourage yearly vaccinations

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25
Guillain-Barre precursor
GI/respiratory infection
26
Late stage osteoarthritis pain caused by
bone on bone
27
gout causes
increased uric acid production/decreased excretion, high purine diet
28
Lupus lab result most important
elevated creatinine
29
Butterfly rash on face
Lupus
30
rheumatoid arthritis hands called
swan-neck
31
GERD teaching
don't eat late at night, no acidic foods, stop smoking
32
partial gastrectomy teach to monitor for
dumping syndrome (small meals)
33
Where does Crohn's occur?
small bowel
34
Crohn's s/sx
watery diarrhea, fever, weight loss, peri-anal fissures/fistulas, cobblestone/skip lesions on bowel
35
ulcerative colitis occurs
colon, inflammation and ulceration
36
appendicitis white count
high
37
volvulus
bowels twist on self
38
colon surgery, new onset sharp abdominal discomfort
caused by gas, ambulate pt
39
most important to protect from infection
hand hygeine
40
Adequate fluid resuscitation assessed by
UO
41
cardiogenic shock, monitor
lung sounds
42
post-op low UO, anticipate what order
fluids
43
shock progression ominous change (lots of tissue damage releases)
increased serum K+
44
smoke filled house
oxygenate of course
45
burn pt, fluid loss, electrolyte changes
decreased Na+, increased K+
46
malignant forms of skin CA
melanoma, carcinoma
47
sickle cell crisis teaching
awareness of triggers
48
early sign of ARDS
increased RR
49
What test will be postive with TB?
PPD
50
pneumonia minimum O2
92%, oxygenate if lower, use non-rebreather mask
51
specific test for resp. faiure
ABGs
52
PE test
CT angiogram
53
lung CA risks
inhaled cacinogens, air pollution
54
liver failure teaching
stop drinking
55
cirrhosis, 4+ pitting edema, monitor
albumin level
56
hepatic encephalopathy
no walking on own (they're out of it)
57
post-op nursing intervention for all pts
turn, cough, deep breathe
58
pancreatitis pt
keep NPO, allow pancreas to rest
59
"highest priority" questions
ABCs
60
pancreatic CA highest risk pt
older, African American, smoker of 50 years