406 Midterm 2 Flashcards
1
Q
Ativan and seizures
A
ativan is given during the seize; doesn’t help afterwards
2
Q
Ativan can help induce
A
amnesia
3
Q
if someone has increased triglycerides, they’re at risk for what GI problem
A
pancreatitis
4
Q
Good BP for a 60 y/o patient
A
below 150/90
5
Q
Good drug for diabetics with HTN
A
ace inhibitor
6
Q
Besides women, atypical angina pain is common in
A
older adults
DM
7
Q
How do you position an MI patient
A
semi fowlers
8
Q
Pulmonary edema position
A
high fowlers
9
Q
Elevated BNP is a sign of
A
HF
10
Q
pt has Ventricular tachy. what do you do
A
call RR, then start CPR
11
Q
PaCo2 greater 50 is bad unless you have
A
COPD
12
Q
Digitoxin actions
A
increase contractility
decrease HR
13
Q
Dig tox signs
A
see halos
N/V
14
Q
What do tachy and brady cardia have in common
A
both decrease EJ
15
Q
Amiodarone treats
A
rhythm problems
16
Q
A fib patients are always given what med
A
anticoagulant
17
Q
2 most important questions to ask an asthma patient
A
are you on steroids
have you ever been intubated
18
Q
Hallmark sign of PE
A
sudden chest pain
19
Q
Impaired physical mobility r/t pain in extremity
A
DVT
20
Q
Acute pain r/t vascular inflammation, edema
A
DVT
21
Q
ineffective peripheral tissue perfusion r/t deficient knowledge of aggravating factors
A
DVT
22
Q
Anxiety r/t threat of death, possible change in role status
A
MI
23
Q
Decreased CO r/t ventricular damage, ischemia, dysrhythmia
A
MI
24
Q
Ineffective Denial r/t fear, deficient knowledge, about heart disease
A
MI
25
Acute pain r/t myocardial tissue damage from inadequate blood supply
MI
26
Risk for shock
MI
27
Acute confusion r/t insufficient blood glucose to brain
Hypogly
28
Ineffective self-health management r/t deficient knowledge regarding disease process, self-care
Hypogly
29
Imbalanced nutrition: less than body requirements r/t imbalance of glucose and insulin level
Hypogly
30
risk for unstable blood glucose level
Hypogly
31
Impaired verbal communication r/t pressure damage, decreased circulation to the brain in speech center
CVA
32
Chronic confusion r/t neurological changes
CVA
33
Impaired memory r/t neurological disturbances
CVA
34
Impaired physical mobility r/t loss of balance and coordination
CVA
35
Unilateral neglect r/t disturbed perception from neuro damage
CVA
36
Impaired swallowing r/t limited physical mobility
CVA
37
Risk for ineffective cerebral tissue perfusion
CVA
38
Activity intolerance r/t imbalance between O2 supply and demand
Pneumonia
39
Impaired gas exchange r/t decreased functional lung tissue
Pneumonia
40
Hyperthermia r/t dehydration, increase metabolic rate, illness
Pneumonia
41
Ineffective breathing pattern r/t loss of functional lung tissue, depression of respiratory function or hypoventilation because of pain
Atelectasis
42
Impaired gas exchanged r/t decreased alveolar capillary surface
Atelectasis
43
Amputation: Disturbed body image r/t
negative effects of amputation, response from others
44
ineffective peripheral tissue perfusion r/t impaired arterial circulation
amputation
45
Impaired skin integrity r/t poor healing, prosthesis rubbing
amputation
46
Angiography allows visualization of peripheral
vasculature and areas of impaired circulation
47
Doppler laser and ultrasonography studies
Measure speed of blood flow in an extremity
48
Traumatic Amputation: Apply direct pressure using
gauze, if available, or clean cloth to prevent life-threatening hemorrhage.
49
Traumatic Amputation: positioning of extremity
Elevate the extremity above the heart to decrease blood loss
50
Traumatic Amputation: after wrapping in gauze, place in a
sealed plastic bag.
51
Traumatic Amputation: Wrap the severed extremity in dry sterile gauze (if available) or in a clean cloth, and place in a sealed plastic bag. Then,
Submerge the bag in ice water, and send with the client to the hospital
52
This is the most common Amputation technique used
Closed amputation
53
Amputation: Skin flap is sutured over end of residual limb, closing site.
Closed amputation
54
This Amputation technique is used when an active infection is present
Open amputation
55
Amputation: Skin flap is not sutured over end of residual limb allowing for drainage of infection. Skin flap is closed at a later date
Open amputation
56
Amputation: Compare pulse most proximal to incision with
pulse in other extremity
57
Phantom limb pain is a frequent complication in clients who experienced
chronic limb pain before the amputation
58
Phantom limb pain occurs less frequently following
traumatic amputation
59
Administering ___ ___ to relieve the continual dull, burning sensation associated with the Phantom limb pain
beta blockers
60
Administering _____ meds may relieve sharp, stabbing, and burning phantom limb pain.
anti seizure
61
Amputation: Teach the client how to push the residual limb
down toward the bed while supported on a soft pillow
62
Teach the client how to push the residual limb down toward the bed while supported on a soft pillow; it helps to reduce
phantom limb pain and prepare the limb for a prosthesis.
63
Amputation: Position the affected extremity in
dependent position to promote blood flow/oxygenation
64
Amputation: Residual limb must be ___ and ____ in preparation for prosthetic training.
shaped and shrunk
65
Shrinkage interventions: Wrapping the stump, using ____ bandages (figure-eight wrap) to prevent restriction of blood flow and decrease edema
elastic
66
Shrinkage interventions: Using an ___ splint (plastic inflatable device)
air splint
67
Amputation: A ____ ____ will train client in the application and care of prosthesis and mobility aids
physical therapist
68
Flexion contractures are more likely with the ___ or ___ joint following amputation due to improper positioning
hip or knee
69
Prevention of Flexion contractures includes range-of-motion (ROM) exercises and proper positioning
immediately after surgery
70
after the first 24 hr following amputation surgery avoid
elevating the stump on a pillow
71
following amputation surgery: Have the client lie ___ for 20 to 30 min several times a day.
prone
72
following amputation surgery: Discourage prolonged
sitting in a chair
73
Atelectasis: chest x ray shows
density
74
Stroke: occur secondary to a ruptured artery or aneurysm
Hemorrhagic
75
Stroke: These occur secondary to the development of a blood clot on an atherosclerotic plaque in a cerebral artery that gradually shuts off the artery and causes ischemia distal to the occlusion
Thrombotic
76
Stroke: These occur secondary to an embolus traveling from another part of the body to a cerebral artery
Embolic
77
Symptoms of a thrombotic stroke evolve over a period of
several hours to days.
78
Embolic stroke: Blood to the brain distal to the occlusion is immediately shut off causing neurologic deficits or a
loss of consciousness to instantly occur
79
An embolic stroke may be reversed with a thrombolytic enzyme, such as
recombinant tissue plasminogen activator (rtPA [Retavase])
80
An embolic stroke may be reversed with a thrombolytic enzyme, such as recombinant tissue plasminogen activator (rtPA [Retavase]), if given within
4.5 hours of the initial symptoms.
81
Dysrhythmia associated with stroke
Atrial fibrillation
82
street Drug associated with stroke
coke
83
_____ medication and/or surgical removal of atherosclerotic plaques in the carotid artery can prevent the subsequent occurrence of a stroke.
Antithrombotic
84
Stroke: A ___ ___ is used to assess for the presence of blood in the cerebrospinal fluid (CSF)
lumbar puncture
85
Stroke: Teach the client how to use the unaffected side to
exercise the affected side of the body.
86
Stroke: ROM
passive ROM for affected side
| active ROM for unaffected side
87
Stroke: Teach the client to massage the affected hand by stroking it in a
distal to proximal manner, encouraging fluid in the hand to move back into the wrist and arm.
88
Stroke: Instruct the client to dress the affected side
first and sit in a supportive chair that aids in balance
89
Shoulder subluxation can occur if the affected arm is not
supported
90
Stroke: Use of ____ is controversial and not recommended due to the high risk of
intracerebral bleeding
anticoagulants
91
Stroke: thrombolytic therapy is contraindicated for treatment of a __ stroke
hemorrhagic
92
Possibility of a hemorrhagic stroke is ruled out with an ___ prior to the initiation of thrombolytic therapy
MRI
93
After stroke: If the gag reflex is present, give the client a
small sip of water to determine if choking occurs
94
After stroke: f the client exhibits some difficulty managing food or fluids, a swallowing evaluation should be done by a
speech therapist
95
After stroke: Initial feedings should be done by the ____, so appropriate interventions can be taken if choking occurs.
nurse
96
After stroke: teach the patient how to swalloe
Instruct the client to flex his head forward when swallowing to decrease the risk of choking.
