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aa Orgo > 406 Midterm 2 > Flashcards

406 Midterm 2 Flashcards

1
Q

Ativan and seizures

A

ativan is given during the seize; doesn’t help afterwards

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2
Q

Ativan can help induce

A

amnesia

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3
Q

if someone has increased triglycerides, they’re at risk for what GI problem

A

pancreatitis

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4
Q

Good BP for a 60 y/o patient

A

below 150/90

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5
Q

Good drug for diabetics with HTN

A

ace inhibitor

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6
Q

Besides women, atypical angina pain is common in

A

older adults

DM

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7
Q

How do you position an MI patient

A

semi fowlers

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8
Q

Pulmonary edema position

A

high fowlers

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9
Q

Elevated BNP is a sign of

A

HF

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10
Q

pt has Ventricular tachy. what do you do

A

call RR, then start CPR

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11
Q

PaCo2 greater 50 is bad unless you have

A

COPD

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12
Q

Digitoxin actions

A

increase contractility

decrease HR

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13
Q

Dig tox signs

A

see halos

N/V

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14
Q

What do tachy and brady cardia have in common

A

both decrease EJ

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15
Q

Amiodarone treats

A

rhythm problems

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16
Q

A fib patients are always given what med

A

anticoagulant

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17
Q

2 most important questions to ask an asthma patient

A

are you on steroids

have you ever been intubated

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18
Q

Hallmark sign of PE

A

sudden chest pain

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19
Q

Impaired physical mobility r/t pain in extremity

A

DVT

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20
Q

Acute pain r/t vascular inflammation, edema

A

DVT

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21
Q

ineffective peripheral tissue perfusion r/t deficient knowledge of aggravating factors

A

DVT

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22
Q

Anxiety r/t threat of death, possible change in role status

A

MI

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23
Q

Decreased CO r/t ventricular damage, ischemia, dysrhythmia

A

MI

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24
Q

Ineffective Denial r/t fear, deficient knowledge, about heart disease

A

MI

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25
Q

Acute pain r/t myocardial tissue damage from inadequate blood supply

A

MI

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26
Q

Risk for shock

A

MI

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27
Q

Acute confusion r/t insufficient blood glucose to brain

A

Hypogly

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28
Q

Ineffective self-health management r/t deficient knowledge regarding disease process, self-care

A

Hypogly

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29
Q

Imbalanced nutrition: less than body requirements r/t imbalance of glucose and insulin level

A

Hypogly

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30
Q

risk for unstable blood glucose level

A

Hypogly

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31
Q

Impaired verbal communication r/t pressure damage, decreased circulation to the brain in speech center

A

CVA

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32
Q

Chronic confusion r/t neurological changes

A

CVA

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33
Q

Impaired memory r/t neurological disturbances

A

CVA

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34
Q

Impaired physical mobility r/t loss of balance and coordination

A

CVA

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35
Q

Unilateral neglect r/t disturbed perception from neuro damage

A

CVA

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36
Q

Impaired swallowing r/t limited physical mobility

A

CVA

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37
Q

Risk for ineffective cerebral tissue perfusion

A

CVA

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38
Q

Activity intolerance r/t imbalance between O2 supply and demand

A

Pneumonia

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39
Q

Impaired gas exchange r/t decreased functional lung tissue

A

Pneumonia

40
Q

Hyperthermia r/t dehydration, increase metabolic rate, illness

A

Pneumonia

41
Q

Ineffective breathing pattern r/t loss of functional lung tissue, depression of respiratory function or hypoventilation because of pain

A

Atelectasis

42
Q

Impaired gas exchanged r/t decreased alveolar capillary surface

A

Atelectasis

43
Q

Amputation: Disturbed body image r/t

A

negative effects of amputation, response from others

44
Q

ineffective peripheral tissue perfusion r/t impaired arterial circulation

A

amputation

45
Q

Impaired skin integrity r/t poor healing, prosthesis rubbing

A

amputation

46
Q

Angiography allows visualization of peripheral

A

vasculature and areas of impaired circulation

47
Q

Doppler laser and ultrasonography studies

A

Measure speed of blood flow in an extremity

48
Q

Traumatic Amputation: Apply direct pressure using

A

gauze, if available, or clean cloth to prevent life-threatening hemorrhage.

49
Q

Traumatic Amputation: positioning of extremity

A

Elevate the extremity above the heart to decrease blood loss

50
Q

Traumatic Amputation: after wrapping in gauze, place in a

A

sealed plastic bag.

51
Q

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,

A

Submerge the bag in ice water, and send with the client to the hospital

52
Q

This is the most common Amputation technique used

A

Closed amputation

53
Q

Amputation: Skin flap is sutured over end of residual limb, closing site.

A

Closed amputation

54
Q

This Amputation technique is used when an active infection is present

A

Open amputation

55
Q

Amputation: Skin flap is not sutured over end of residual limb allowing for drainage of infection. Skin flap is closed at a later date

A

Open amputation

56
Q

Amputation: Compare pulse most proximal to incision with

A

pulse in other extremity

57
Q

Phantom limb pain is a frequent complication in clients who experienced

A

chronic limb pain before the amputation

58
Q

Phantom limb pain occurs less frequently following

A

traumatic amputation

59
Q

Administering ___ ___ to relieve the continual dull, burning sensation associated with the Phantom limb pain

A

beta blockers

60
Q

Administering _____ meds may relieve sharp, stabbing, and burning phantom limb pain.

A

anti seizure

61
Q

Amputation: Teach the client how to push the residual limb

A

down toward the bed while supported on a soft pillow

62
Q

Teach the client how to push the residual limb down toward the bed while supported on a soft pillow; it helps to reduce

A

phantom limb pain and prepare the limb for a prosthesis.

63
Q

Amputation: Position the affected extremity in

A

dependent position to promote blood flow/oxygenation

64
Q

Amputation: Residual limb must be ___ and ____ in preparation for prosthetic training.

A

shaped and shrunk

65
Q

Shrinkage interventions: Wrapping the stump, using ____ bandages (figure-eight wrap) to prevent restriction of blood flow and decrease edema

A

elastic

66
Q

Shrinkage interventions: Using an ___ splint (plastic inflatable device)

A

air splint

67
Q

Amputation: A ____ ____ will train client in the application and care of prosthesis and mobility aids

A

physical therapist

68
Q

Flexion contractures are more likely with the ___ or ___ joint following amputation due to improper positioning

A

hip or knee

69
Q

Prevention of Flexion contractures includes range-of-motion (ROM) exercises and proper positioning

A

immediately after surgery

70
Q

after the first 24 hr following amputation surgery avoid

A

elevating the stump on a pillow

71
Q

following amputation surgery: Have the client lie ___ for 20 to 30 min several times a day.

A

prone

72
Q

following amputation surgery: Discourage prolonged

A

sitting in a chair

73
Q

Atelectasis: chest x ray shows

A

density

74
Q

Stroke: occur secondary to a ruptured artery or aneurysm

A

Hemorrhagic

75
Q

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

A

Thrombotic

76
Q

Stroke: These occur secondary to an embolus traveling from another part of the body to a cerebral artery

A

Embolic

77
Q

Symptoms of a thrombotic stroke evolve over a period of

A

several hours to days.

78
Q

Embolic stroke: Blood to the brain distal to the occlusion is immediately shut off causing neurologic deficits or a

A

loss of consciousness to instantly occur

79
Q

An embolic stroke may be reversed with a thrombolytic enzyme, such as

A

recombinant tissue plasminogen activator (rtPA [Retavase])

80
Q

An embolic stroke may be reversed with a thrombolytic enzyme, such as recombinant tissue plasminogen activator (rtPA [Retavase]), if given within

A

4.5 hours of the initial symptoms.

81
Q

Dysrhythmia associated with stroke

A

Atrial fibrillation

82
Q

street Drug associated with stroke

A

coke

83
Q

_____ medication and/or surgical removal of atherosclerotic plaques in the carotid artery can prevent the subsequent occurrence of a stroke.

A

Antithrombotic

84
Q

Stroke: A ___ ___ is used to assess for the presence of blood in the cerebrospinal fluid (CSF)

A

lumbar puncture

85
Q

Stroke: Teach the client how to use the unaffected side to

A

exercise the affected side of the body.

86
Q

Stroke: ROM

A

passive ROM for affected side

active ROM for unaffected side

87
Q

Stroke: Teach the client to massage the affected hand by stroking it in a

A

distal to proximal manner, encouraging fluid in the hand to move back into the wrist and arm.

88
Q

Stroke: Instruct the client to dress the affected side

A

first and sit in a supportive chair that aids in balance

89
Q

Shoulder subluxation can occur if the affected arm is not

A

supported

90
Q

Stroke: Use of ____ is controversial and not recommended due to the high risk of
intracerebral bleeding

A

anticoagulants

91
Q

Stroke: thrombolytic therapy is contraindicated for treatment of a __ stroke

A

hemorrhagic

92
Q

Possibility of a hemorrhagic stroke is ruled out with an ___ prior to the initiation of thrombolytic therapy

A

MRI

93
Q

After stroke: If the gag reflex is present, give the client a

A

small sip of water to determine if choking occurs

94
Q

After stroke: f the client exhibits some difficulty managing food or fluids, a swallowing evaluation should be done by a

A

speech therapist

95
Q

After stroke: Initial feedings should be done by the ____, so appropriate interventions can be taken if choking occurs.

A

nurse

96
Q

After stroke: teach the patient how to swalloe

A

Instruct the client to flex his head forward when swallowing to decrease the risk of choking.

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