Comprehensive A Flashcards
Normal ph
Normal Co2
Normal Hco3 (bicarbonate)
Acid- 7.35-7.45 - alk (base)
Alk- 35-45 - acid
Acid - Hco3 (bicarbonate) - 22-26- alk
Dropping of upper eye lid (ptosis)
MG
Myasthenia gravis
Film over eye that causes blurred vision and halos - relate to aging
Cataracts
Condition where eyeballs protrude abnormally (exophthalmos)
Graves’ disease
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
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
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
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
Rota virus - how it is transferred
What to apply?
(Stomach flu)
Fecal- oral route
Skin barrier to bottom to reduce irritation from stools
Live virus vaccines that should not be given to immocompromised patients ?
Mmr vaccine
Varicella vaccine
Herpes zoster vaccine
Priority action to do for thyroidectomy post op?
Listen to lungs for stridor first
What to do for a NG patient with gastric decompression for abdominal distention
Irrigate with normal saline
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
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
Hypocalcemia manifestations?
Tingling of fingers, toes, lips (damage to parathyroid gland)
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
Chadwick’s sign ?
Bluefish color of vagina - early sign of pregnancy
Voracity ?
Honesty. Truth
Countertransference
Redirection
Hegars sign?
Indication of pregnancy in women - softening of uterus
Cyclosporine?
Immunosuppressant medication
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
How to use incentive spirometer? Why?
Elevate by inhaling deeply - to reduce respiratory infection
Semi or High flowers position
Proper position for lumbar puncture?
Lateral recumbent
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
