25Q Tutor mode Flashcards
manifestations of peripheral arterial occlusion
pain, pulselessness, pallor, paresthesia, paralysis
client cannot distinguish between sharp and dull pressure on the right leg
Projection
attributing one’s own feelings that are unacceptable to someone else, or blaming someone else for one’s own problems
Dissociation
unconscious separation of painful feelings from a difficult situation, idea, or object
two greatest concerns in school age children
bicycle and sports related injuries and proper nutrition
scrotum appears swollen, and a soft mass is palpated. The nurse is unable to insert a finger above the mass. What is this?
inguinal hernia, which is protrusion of loop of bowel into the scrotum
scrotum appears enlarged and red. The nurse palpates a thickened and swollen spermatic cord. What is this?
torsion of spermatic cord, very painful; most common cause of testicular loss in young males; surgery untwists and stabilizes the cord; requires immediate intervention by the health care provider
How is Hep B transmitted? Groups at risk?
transmission through parenteral drug abuse, sexual contact, blood and body fluids;
high risk groups include immigrants from endemic areas, drug addicts, fetuses from infected mothers, homosexually active men, transfusion patients, health care workers
What is done to detect clubbing?
“Place the fingernails of your ring fingers together and hold them up to the light.”
Schamroth method to detect clubbing; if diamond shape is visible between the nails, there is no clubbing; clubbing indicates oxygen deprivation from respiratory or cardiovascular conditions
How do I assess a client for signs and symptoms of carpal tunnel syndrome?
“Put the back of your hands together and bend both wrists at the same time.”
describes Phalen’s maneuver; produces paresthesia of the median nerve distribution within 60 seconds; 80% of clients diagnosed with carpal tunnel syndrome have a positive result
What transmission precaution is required for pneumonia?
droplet
What transmission precaution is required for RSV?
Contact
RSV causes bronchiolitis
ascites management
once albumin is given to pull fluid back into blood vessels, potassium-sparing diuretics are given to then remove the excess fluid; spironolactone (Aldactone) is an antagonist to aldosterone
**aspirin and NSAIDs such as ibuprofen (Advil) and indomethacin (Indocin) should not be given when ascites is present because they inhibit prostaglandin synthesis and thereby impair excretion of sodium by the kidney
P receiving parenteral nutrition (PN) suddenly is dyspneic, diaphoretic, anxious, restless, coughing, and reporting of chest pain. Which action should the nurse take FIRST?
Turn the client on the left side and lower the head of the bed
symptoms indicate air embolism, a central line–related complication related to catheter insertion, tubing changes, or catheter breaking; lateral Trendelenburg position on the left side essential to displace air away from the pulmonary artery and into the apex of the heart; notify health care provider
If infant is allergic to cow’s milk, what is given instead?
predigested formulas
formulas that use enzymatic hydrolysis to break down or predigest the casein protein into its amino acids are recommended for infants with cow’s milk allergies
What is the Cred é maneuver?
When applying manual pressure to bladder;
this aids in emptying the bladder completely; results in reduced risk for infection; performing the Cred é maneuver at the same times every day can result in bladder control
