Comprehensive A Flashcards by Rachel P

Normal ph

Normal Co2

Normal Hco3 (bicarbonate)

Acid- 7.35-7.45 - alk (base)

Alk- 35-45 - acid

Acid - Hco3 (bicarbonate) - 22-26- alk

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Dropping of upper eye lid (ptosis)

Myasthenia gravis

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Film over eye that causes blurred vision and halos - relate to aging

Cataracts

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Condition where eyeballs protrude abnormally (exophthalmos)

Graves’ disease

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How to apply weights for bucks traction?

Inspect skin q?

Bathroom?

Remove weights?

Allow them to hang freely

8 hrs

Bedpan

No - unless dr says

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What to wear to reduce hair loss with chemo?

Hair texture?

When will hair grow back?

When to pick out wig?

Cold cap during treatment

Hair may grow back different texture and color

One month after final treatment

Before hair loss/treatment

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What to do first for preterm newborn that has apnea for longer than 20 seconds and a decrease in heart rate of 20 bpm

Flick the soles of their feet

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Umbilical cord care?

Sponge baths until cord falls off

Remove the cord clamp when the court is dry, which takes about 24 hours

Keep the cord clean and drying

Fold the diaper below the cord to prevent infection from urine and bm

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Rota virus - how it is transferred

What to apply?

(Stomach flu)

Fecal- oral route

Skin barrier to bottom to reduce irritation from stools

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Live virus vaccines that should not be given to immocompromised patients ?

Mmr vaccine

Varicella vaccine

Herpes zoster vaccine

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Priority action to do for thyroidectomy post op?

Listen to lungs for stridor first

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What to do for a NG patient with gastric decompression for abdominal distention

Irrigate with normal saline

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Acute phase of diverculitits ?

During the acute phase the client is kept NPO for bowel rest

Pt will receive nutrients through IV fluid

After acute phase - foods high in fiber , veggies, fruits , legumes , whole grains

Do not eat foods with seeds

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Know difference between legal dilemma, ethical, moral , mental health dilemma

Legal - child having a sexual relationship with an adult

Ethical - parents aren’t sure if they should home school or private school

Mental health - my child sleeps too much and is sad all the time

Moral - my child is cheating to get good grades

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Hypocalcemia manifestations?

Tingling of fingers, toes, lips (damage to parathyroid gland)

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Weight loss for overweight- fat intake?

No more than 30% of caloric intake

Goal to lose 10% of wt in 6 months

Weight every week

Calories of 1200 to 1500 daily

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Chadwick’s sign ?

Bluefish color of vagina - early sign of pregnancy

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Voracity ?

Honesty. Truth

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Countertransference

Redirection

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Hegars sign?

Indication of pregnancy in women - softening of uterus

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Cyclosporine?

Immunosuppressant medication

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What to look for in pupils after head injury?

Ability of ouplils to constrict when looking far to near

Hold object in front of client and move to nose

Unable to follow an object an any direction

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How to use incentive spirometer? Why?

Elevate by inhaling deeply - to reduce respiratory infection

Semi or High flowers position

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Proper position for lumbar puncture?

Lateral recumbent

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Position to promote gastric emptying?

Reverse trendelenburg

What position promotes lung expansion and decreases aspiration?

Semi- Fowler’s

Position used for assessing A client skin, but, extension of hip joints

Prone

Remove what when washing hands ?

Rings/jewelry Wash for 20-30 sec Soap and water when visibly soiled No artificial nails

What medication not to crush into NG tube?

Extended release tablets

Failure to report threats made torrwards others is considered what?

Negligence

Where to take temp for newborns ?

Axillary - arm pit

What to wear with a patient with meningitis

Surgical mask when in 3 feet of pt

Cohosh or soy will do what in metapause

Decrease hot flashes

Reaveratrol supplement will do what?

Improve glucose control

Niacin will donwhat?

Decrease cholesterol level

Somnolent means?

Abnormally drowsy

Lispro- rapid actin can not be giving to NPO patient because why

They need to take it with food

Lactose intolerance teaching

Can give yogurt for probiotic Diarrhea Can have 1 cup milk daily Can take lactase enzyme tablets

When to take sputum specimen

When wake up in am

Hypothyroidism manifestations ?

Cold intolerance Wt gain Thin hair

Hyperthyroidism manifestations?

Wt loss, sweating, irregular heart beat

How Hep A transports ?

Food and water consumption

What type of Hep is transported through needles and syringes?

Hepatitis B and C

What type of hep Is transferred by blood and other body secretions

Hepatitis B, C, D

Hep that is transported from mom to fetus?

Hep b

What are Leopold maneuvers ?

Verify fetal positioning

What to do for late decelerations in active labor ?

Place client in lateral position

What is used to suction secretions

Yankauer cathedar

Home disaster supply kit?

Supply prescribed meds A gallon of water per person per day Enough supply for 3 days Canned and boxed foods

Assault vs battery

Assault - telling client you will do something bad to them Battery - physically doing something bad to client

Telling another nurse about rumors about a client newly admitted to unit

Slander

Normal pulse range for preschooler ?

73-137

What to monitor when cervix is dilated 1cm with an unengaged presenting part

Fetal heart rate monitor

Some one with dependent personality disorder- the nurse should encourage them to do what ?

Demonstrate assertiveness

What to do for someone with total hip arthroplasty that reports numbness , pain, tingling in affects leg?

Compare cap refill in the toes bilaterally

What labs to monitor while taking carbidopa?

CBC and liver function

How to promote mobility with Parkinson’s

Encourage ambulation and ROM exercises twice a day

Strategies to reduce cholesterol with meat intake?

Ground beef with less than 10% fat Lion cut beef Replace beef with fish at least twice a week Select graded of beef with small amounts of marbling

How does one contract mono?

Sharing saliva

Creatinine normal range?

0.6-1.2 mg

What to clean inner cannula of trachea with ?

Hydrogen peroxide

Antimictrobrial surgical scrub cleaner ?

Providing -iodine 1%

Used to clean skin and tissue infections from cuts, scrapes, pressure ulcer

Dakins solution

What to clean Cpap machine with

Distilled water

Antidote for elevated aPTT levels from heparin?

Protamine sulfate

Output consistency of ileostomy

Small intestine - liquid with little odor

Transverse colostomy consistency?

Soft and odorous

Ascending colostomy consistency?

Liquid with strong odor

Descending colostomy consistency?

Semi formed

Hypertension and acne, depression, and aggression can result from this drug?

Anabolic steroids

Constricted pupils , lethargy, drowsiness , euphoria from this drug

Opioids

What to do for a protruding Incision

Position the client supine with knees and hips flexed Cover with sterile saline soaked dressing

Iron elixir teaching

Turn stools black Eat high fiber foods Use a straw and rinse mouth after taking

Pressure ulcer client risk care?

Client in 30 degree position Do not massage bony areas use a nonionic surfactant to cleanse skin and avoid breakdown

How often to feed newborn formula ?

Q 3-4 hours (6-8x q 24 hours)

Digoxin effects on body?

Decrease in blood volume Heart rate decreases Heart workload decrease Increase in urinary output

Major priority with bipolar disorder

Lack of sleep

What to report to provider with cystic fibrosis ?

Lack of appetite

Iron source

Spinach