ATI proctored Flashcards
what is Zenkers diverticulum
also known as a pharyngeal pouch. It is a herniation of the esophagus
which physical assessment sign is used to monitor magnesium levels
deep tendon reflexes
hyper=no reflexes
hypo=hyperreflexes
what are the two signs for hypocalcemia
trousseaus = BP cuff chevosteaks= cheek
what happens to respirations if potassium levels are to low
shallow r/t muscle weakness
magnesium and the heart
used to treat dysthymias such as torsades des pointes and refractory ventricular fibrillation. It can cause depressed cardiac function including heart block
which is one of the first signs of anaphylatic reaction
flushing and swollen lips
how is lyme disease transmitted and what is it
a vector borne illness transmitted by deer ticks. Starts with joint and muscle pain in stage one and continues like this throughout stage 2 and 3. If not treated this condition becomes chronic. It is treated with antibiotics
common side effect of verapamil
constipation
teaching for epoetin alfa
- monitor BP as it can lead to hypertensive encephalopathy 2.Take iron, folic acid, and vitamin B12 b/c they are essential to the production of erythrocytes
- it will probably increase your appetite
cushing disease
think spongebob. big body small extremities. and fluid overload from all the steroid secretuions
what should cause you to call the doctor if a patient has retinal detachment
they tell you it looks like a curtain is closed over my eye
retinal detachment
is usually painless. Patients report sudden flashes of light or floating dark spots. It usually has a sudden onset and they do not expereince a loss in color perception (such as in cataracts)
s3 and s4 sounds
s3=ventricular gallop is caused by decreased ventricular compliance. occurs immediately following s2
s4=atrial gallop. occurs before s1 also caused by decreased ventricular compliance
what is a murmur
a sustained swishing/blowing sound caused by turbulent flow.
how would you describe a pericardial friction rub.
scratchy
what else other then shellfish allergies can cause a problem with contrast media
- asthma
2. allergy to eggs, milk, chocolate
amphotericin B SEs
Antifungal
- nephrotoxic
- bone marrow suppression
- hypo sodium, potassium, and magnesium
homonymous hemianopsia
blindness in the same visual field of both eyes caused by damage to the optic tract or occipital lobe.
what medications can fuck up a allergy skin test
- steroids
- nifedipine
- theophylline
- bblockers
- ace inhibiotrs
interesting adverse effect of morphine
suppression of cough leading to accumulation of fluids and urinary retention is another
what is cushing triad
increased ICP leading to 1.HTN
- bradycardia
- widened pulse pressure
prevention of UTIs
- wear cotton underwear (improved airflow)
- void before and after sex
- drink 2-3L of water
- avoid baths
how long until a TB client is no longer contangious (communicable)
2-3 weeks after medication therapy or 3 consecutive negative sputum cultures
priority intervention for an actively bleeding hematoma. How do you know its bleeding
apply pressure to the hematoma. You know its bleeding by checking the pulse rate in the affected extremity
what are esophageal varices
collateral veins that develop due to increased intrahepatic pressure. These are very fragile veins.
gout teaching
- avoid aspirin and diuretics as they precipitate attacks leading to pain and inflammation of joints
- decrease purines (organ meats and shellfish)
- drink citrus fruits and dairy products as they increase urinary pH which decreases risk of attacks
- colchicine/ indomethacin/ a steroid for acute attack.
- allopurinol to lower uric acid
barium teaching
- increase fluid intake to eliminate barium
2. expect chalky white stools until barium is completely eliminated (about 1-3 days)
what is viral load
the concentration of virus in the blood
what does increased creatinine clearance indicate
compromised renal function
dopamine
- positive inotropic agent
2. vasopressor
hot and cold therapy for RA
heat is for stiffness and pain and cold is for swelling
what lab values are expected to be decreased in acute pancreatitis and why
calcium and magnesium due to fat necrosis
main assessment finding that indicates hemolytic reaction
- low back pain
- hypotension
- tachycardia
- apprehension (fear/anxiety of impending doom)
assessment finding for graft vs host disease
occurs within 14 days of transfusion
- thrombocytopenia
- anorexia
- nausea
- chronic hepatitis
- weight loss
autonomic dysreflexia
occurs after a thoracic spinal cord injury resulting in constant stimulation of the nervous system leading to
- high BP
- bradycardia
- severe headache and flushing
what is pernicious anemia
the stomach can not absorb b12 therefore you have a decrease in RBCs the main finding is glossitis
what is glossitis
a smooth red tongue which indicates deficiencies in either b6, b12, zinc, niacin, or folic acid
what do you do for clients who just underwent a transurethral resection of the prostate (TURP) if their urine output is low
irrigate the catheter to remove clots
hypocalcemia
muscle cramping and tingling of extremities
manitol side effect
with the expection of the brain, mannitol can leave the vascular system at the capillaries and cause EDEMA.
1.nasal congestion
2.pulmonary edema
increased diuresis is a therapueutic effect
which electrolyte levels can decrease deep tendon reflex
- hypercalcemia
2. hypermagnesemia
digoxin toxicity
- bradycardia
- Nausea
- anorexia
- visual disturbances
radiation therapy teaching
- do not remove the ink marking, which designates the exact radiation area.
- gently wash the radiation area with hands using warm water and mild soap
- stay out of direct sunlight for 1 year after therapy is finished
- avoid exporing treatment area to heat.
ginko action
- increases blood flow
- is able to decrease pain associated with PAD
- decreases platelet aggregation
glucosamine action
a supplement that can
- reduce inflammation
- joint pain - promotes the bodies ability to make cartilage and synovial fluid
bblockers adverse effect
heart failure
-watch for night cough
nitro teaching
keep it away from heat, light and moisture. This is why it comes in a dark glass container with the lid tightly closed.
radiation therapy interventions
- wear a dosimeter
2. limit visitors to 30 mins a day
lactulose adverse effects
hypokalemia and hyponatremia r/t excess stool production
what drug should you withhold prior to elective cardioverison of SVT
digoxin b/c it increases ventricular irritability and puts the client at risk for vfib
