Adult Health Flashcards

1
Q

What is Sjorgren’s Syndrome

A

Chronic autoimmune disorder affecting moisture producing exocrine glands.

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2
Q

S/S of Sjorgen’s Syndrome

A
Dry skin
Rashes
Dry Cough
Vaginal dryness
Painful Intercourse
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3
Q

What type of blood cells will be elevated in cases of allergic reactions

A

Eosinophils

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4
Q

Why are cancer patients at increased risk for SIADH

A

Cancer cells sometimes excrete ADH

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5
Q

S/S of fat embolism

A
  • S/S of hypoxia/resp. distress
  • neuro changes/confusion
  • petechai rash on neck, chest, or axilla
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6
Q

S/S of compartment syndrome

A

-increasing pain despite opioid use

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7
Q

How can athletes with asthma avoid exacerbation during strenuous activity

A

Take an inhaled bronchodilator 20 minutes beforehand

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8
Q

How much chest tube drainage per hour warrants notifying the HCP

A

> 100ml

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9
Q

Why is high urine output a priority assessment finding in a client on TPN

A

May indicate hyperglycemia

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10
Q

Priority actions to take if a med error occurs

A

Assess and stabilize client

Notify HCP

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11
Q

What does a Low Pressure Limit Alarm mean on a ventilator

A

Less pressure required to move air. May indicate loss of airway, leak or cuff leakage. PRIORITY

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12
Q

Standard therapy for pt after Transient Ischemic Attack

A

Aspirin or other anti-platelet therapy

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13
Q

Priority action when you enter a client’s room and find them unresponsive but they have a DNR

A

Assess Apical Pulse

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14
Q

Priority intervention in sickle cell crisis

A

IV fluid replacement followed by supplemental O2 therapy

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15
Q

Priority intervention for client in hypercapnic respiratory failure

A

BIPAP

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16
Q

What CBC value will be elevated in clients with severe COPD?

A

RBC’s (Polycythemia)

Due to compensation for low O2 levels.

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17
Q

Appropriate skin care for client undergoing teletherapy

A

Avoid sun exposure
Wash with lukewarm water and mild soap
Wear soft loose fitting clothing

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18
Q

Signs of arterial insufficiency

A
  • Non-healing toe ulcer
  • Diminished pulses in affected limb
  • Shiny, hairless areas
19
Q

Signs of Venous Insufficiency

A
  • Brownish discoloration
  • Chronic edema
  • Leathery appearance
  • Common on inside of ankle area
20
Q

Immediate intervention for client with critically high potassium levels.

A

Calcium Gluconate. Does not reduce K levels but does stabilize the myocardium

21
Q

Sign that a thoracic aortic aneurysm is increasing in size

A

difficulty swallowing

22
Q

Positioning for a patient with pneumonia

A

affected side up

23
Q

Bubbling in the water seal chamber of a chest tube drainage device indicates:

24
Q

Bubbling in the suction control chamber of a chest tube drainage device indicates:

A

Normal Function

25
Initial action when a client goes into V-Tach (Ventricular Tachycardia)
Assess pulse. | Determines whether CPR/Defib or Syncronization is needed.
26
When drawing up insulin, which should you draw first
Regular (Clear)
27
How long should Clopidogrel be discontinued before surgery
5-7 days
28
Appropriate precaustions for bacterial meningitis
Droplet (Surgical mask NOT N95)
29
Dysarthria
Slurred speech
30
S/S of Malignant Hyperthermia
Generalized Muscle Rigidity Hypercapnia Hyperthermia
31
Treatment for Malignant Hyperthermia
Dantrolene Cooling Blanket Fluid resuscitation
32
Malignant Hypothermia
Post-op or Mid-Op. Inheritied muscle condition triggered by anesthesia.
33
Expected Findings in a client just admitted to PACU
- pinpoint pupils - Difficult to arouse - mild hypothermia or hyperthermia (WITHOUT muscle rigidity)
34
Why is heavier menstrual flow for clients on Tamoxifen a priority concern?
May indicate Endometrial Hyperplasia which can lead to uterine cancer.
35
When should colostomy bags be emptied?
when 1/3 full
36
Which colostomytypes need irrigation?
Descending and sigmoid. Stool is no longer mostly liquid by that point.
37
What causes Bell's Palsy
Inflammation or damage of Cranial Nerve VII (Facial)
38
What time are statins normally taken?
In the evening. Most Cholesterol is synthesized at night.
39
Clostridium Difficile is a contraindication for what drug class
PPI's (-prazoles)
40
In what direction should you irrigate a wound bed?
From least to most contaminated area
41
What does dullness on lung percussion indicate?
Pleural effusion
42
What does hyperresonance on lung percussion indicate?
Pneumothorax
43
how is Hep B spread
B for Body Fluids! (Except Urine)
44
Contact precautions for client with shingles.
Airborne (N95, Negative pressure room,