Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult I > Adult Exam 2 > Flashcards

Adult Exam 2 Flashcards

1
Q

what medication SHOULDN’T you give someone with hepatitis

A

acetaminophen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what puts people at higher risk for hepatitis

A

drug users
gay men
sex partners
tattoos needles
blood transfusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

places/populations with higher hepatitis risk

A

prisons and homeless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

warning signs of TB

A

COUGHING UP/SPUTUM BLOOD
night sweats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Classic symptoms of COPD

A

chronic productive cough
wheezing
barrel chest
clubbing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what can COPD progress into?

A

right-sided heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nursing Priority for COPD

A

monitor SPO2 levels (don’t want them too high)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

COPD diet

A

high-calorie diet/ nutritional supplement
high protein
small frequent meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

treating patients with COPD with “hard work of breathing”

A

sit them up, pursed-lip breathing, oxygen, rescue inhaler
DON’T NEED OXYGEN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what should a COPD patient do if their O2 is low at home while they have home oxygen on

A

call provider (priority)
don’t change O2 levels on your own

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how many liters of O2 are necessary to humidify O2?

A

4 L = humidify

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

why do we humidify O2?

A

to protect nasal cavities (icky redness)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what lubricants do we use vs not use

A

use: water-based
don’t: petroleum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

classic symptoms of pneumonia

A

wheezing/crackles accompanied by FEVER
not just one or another
SOB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

vitals for pneumonia

A

HR: increase
Neuro: confusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

education for pneumonia

A

take meds all the way through (not just until you feel better) or bacteria/fungus might become resistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how to prevent pneumonia

A

spirometer
cough and deep breathing exercises
encourage mobility after procedure (at high risk post-op)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how do we know that a patient’s O2 therapy is effective?

A

ABG levels (PAO2 level)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is not normal for CHRONIC emphysema?

A

crackles
crackles= acute/something new is wrong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

bradycardia

A

HR of 60 or lower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

tachycardia

A

100 or higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

normal sinus rhythm

A

60-100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

elevated BP =

A

systolic 120-129
OR
diastolic less than 80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

stage 1 HTN

A

systolic 130-139
OR
diastolic 80-89

25
Q

stage 2 HTN

A

systolic 140-149
OR
diastolic 90-100

26
Q

How many readings to determine if someone is HTN

A

3 times

27
Q

what diet should someone with HTN have?

A

low sodium

28
Q

low sodium diet

A

not salting meats
nothing canned
no soups

29
Q

HTN person taking ACE-1 concern/teaching
what to do if concern happens?

A

“ACE cough” switch to ARB
ONE OR THE OTHER TO TREAT HTN

30
Q

steps to treat HTN

A

diet/exercise before medicating

31
Q

HTN meds:

A

ACE or ARB
diuretics
beta-blockers

32
Q

what to know before starting a diuretic

A

check potassium level

33
Q

beta-blocker concern

A

check HR

34
Q

HTN crisis levels:

A

systolic over 180
diastolic over 120

35
Q

symptoms of HTN crisis

A

not always symptomatic
SOB, heart palpations, BLOODY NOSE

36
Q

nurse intervention during HTN crisis

A

keep patient safe (they stay in bed)
regularly check BP (every 15 min)
call provider to escalate care

37
Q

orthostatic hypotension

A

standing up or laying down causing drop in BP

38
Q

left-sided vs right-sided heart failure differences

A

left = lungs
right = body

39
Q

left-sided heart failure priorities

A

ABCs then oxygen

40
Q

test to evaluate heart failure

A

echo- shows ejection fraction

41
Q

what ejection fraction percentage is considered heart failure?

A

less than 55%

42
Q

left-sided heart symptoms

A

dyspnea
crackles
oliguria
decreased O2 levels

43
Q

right-sided heart failure symptoms

A

jugular vein distension (JVD)
anorexia/nausea
increase peripheral venous pressure
ascites (fluid in abdomen)

44
Q

AICD

A

Implantable cardioverter-defibrillator
shocks heart when not working
(built-in defibrillator/on-the-go!)

45
Q

what to teach with AICD

A

can’t do MRI
airport security is a special process
medical alert bracelet
know CPR

46
Q

what to do after AICD fires (as patient)

A

call the provider immediately

47
Q

in general: what is PVD?

A

Peripheral vascular disease
narrowing of peripheral blood vessels

48
Q

PVD signs/symptoms

A

intermittent claudication (pain while active)
paresthesia (pins and needles)

49
Q

who is at risk for PVD

A

older adults
SMOKING
diabetes
high cholesterol

50
Q

how to screen/test for PVD

A

ABI test (ankle brachial index test)
compares wrist pulse to ankle pulse

51
Q

venous PVD sign

A

swelling dark pigment

52
Q

arterial PVD sign

A

cool and white (pallor)
pain during leg elevation

53
Q

which one is more critical arterial or vein?

A

Arterial

54
Q

meds to treat VTE

A

blood thinners (either heparin or Lovenox injection)

55
Q

what is a VTE

A

blood clot in vein

56
Q

how is a VTE diagnosed?

A

ultrasound

57
Q

what not to do to someone’s leg when they have a blood clot?

A

do NOT massage

58
Q

Raynaud’s phenomenon

A

color change
cold/numb skin
vasospasms in hand
- caused by cold

59
Q

what not to do during Raynaud’s

A

don’t just warm hands up
medicate!

Adult I (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions