Cram Sheet Flashcards

1
Q

When answering questions on the Nclex what words should you avoid? (MEANO)

A

Avoid answers with absolutes such as:

Must
Every, Except
Always, All
Never, None, No
Only
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
What are the vital sign norms for:
Heart Rate
Resp Rate
Blood Pressure
Temperature
A

Heart Rate: 80-100
Resp Rate: 12-20
Blood Pressure: 110-120/60 mmHg
Temperature: 37c (98.6F)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
What are the hematology values for:
RBC's
WBC's
Platelets
Hemoglobin
Hematocrit
A

RBC’s: 4.5-5.0 million
WBC’s: 5000-10000
Platelets: 200,000-400,000
Hemoglobin (Hgb): 12-16 gm (female) , 14-18gm (male)
Hematocrit (Hct): 37-47 (female); 40-54 (male)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
What are the serum electrolyte values for:
Sodium
Potassium
Calcium
Magnesium
Phosphorus
A
Sodium: 135-145 mEq/L
Potassium: 3.5-5.5 mEq/L
Calcium: 8.5-10.9 mEq/L
Chloride: 95-105 mEq/L
Magnesium: 1.5-2.5 mEq/L
Phosphorus: 2.5-4.5 mEq/L
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
What are the ABG values for:
pH
HCO3
CO2
PaO2
SaO2
A
pH: 7.36-7.45
HCO3: 24-26 mEq/L
CO2: 35-45 mEq/L
PaO2: 80%-100%
SaO2: > 95%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the key thing to remember for Acid-Base Balance?

A

Remember ROME!
Respiratory Opposite
Metabolic Equal
Remember that in respiratory acid base disorders the pH is opposite to the other components.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
What are the Chemistry values for:
Glucose
Specific Gravity
BUN
Serum Creatinine
LDH
Protein
Albumin
Bilirubin
Total Cholesterol
Triglyceride
Uric Acid
CPK
A
Glucose: 70-110mg/dL
Specific Gravity: 1.010-1.030
BUN: 7-22 mg/dL
Serum Creatinine: 0.6 -1.35 mg/dL
LDH: 100-190 U/L
Protein: 6.2-8.1 g/dL
Albumin: 3.4-5.0 g/dL
Bilirubin: < 1.0 mg/dL
Total Cholesterol: 130-200 mg/dL
Triglyceride: 40-50 mg/dL
Uric Acid: 3.5-7.5 mg/dL
CPK:21-232 U/L
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the Therapeutic Drug Levels for:

Carbamezpine (Tegretol)
Digoxin (Lanoxin)
Gentamycin (Garamycin)
Lithium (Eskalith)
Phenobarbital (Solfoton)
Phenytoin (Dilantin)
Theophylline (Tobrex)
Valporic Acid (Depakene)
Vancomycin (vancocin)
A
Carbamezpine (Tegretol):  4-10 mcg/ml
Digoxin (Lanoxin): 0.8-2.0 ng/ml
Gentamycin (Garamycin): 5-10 mcg/ml
Lithium (Eskalith): 0.8-1.5 mEq/L
Phenobarbital (Solfoton): 15-40 mcg/mL
Phenytoin (Dilantin): 10-20 mcg/dL
Theophylline (Tobrex): 10-20 mcg/dL
Tobramycin (Tobrex): 5-10 mcg/mL (peak) 0.5-2.0 mcg/mL (Valley)
Valporic Acid (Depakene): 50-100 mcg/ml
Vancomycin (vancocin): 20-40 mcg/ml (peak), 5 to 15 mcg/ml (trough).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
Conversions:
1 teaspoon (t) =?
1 tablespoon (T) =?
1 oz=?
1 cup=?
1 quart=?
1 pint=?
1 grain (gr)=?
1 gram (g)=?
1 Kilogram=?
1 lb = ?
Convert C to F=?
Convert F to C=?
A
1 teaspoon (t) = 5ml
1 tablespoon (T) = 3t = 15ml
1 oz = 30ml
1 cup = 8 oz
1 quart = 2 pints
1 pint = 2 cups
1 grain (gr) = 60 mg
1 gram (g = 1000mg
1 Kilogram= 2.2 lbs
1 lb = 16 oz
C+40 multiply by 9/5 and subtract 40
F+40 multiple by 5/9 and subtract 40
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
What are the Maternal Normal values for the following?
Fetal Heart Rate
Variability
Amniotic fluid
Contractions
APGAR scoring: 
AVA:
A

Fetal Heart Rate: 120-160 bpm
Variability: 6-10 bpm
Amniotic fluid: 500-1200ml
Contractions: 2-5 min apart with duration of < 90 seconds
APGAR scoring: Appearance, Pulses, Grimace, Activity, Reflex irritability. Done at 1-5 min with a score of zero for absent, 1 for decreased, and 2 for strongly positive. Scores 7 and above are generally normal, 4-6 fairly low, and 3 and below are critically low.
AVA: The umbilical cord has two arteries and one vein.

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

What steps does the nurse take when you must STOP -Treatment for maternal hypotension after an epidural anesthesia

A

Stop infusion of Pitocin
Turn Pt. on left side
Administer Oxygen
If hypovolemia is present push IV fluids

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

List the Pregnancy Category of Drugs

A

Category A: No risk in controlled human studies.
Category B: No risk in other studies. i.e. Amoxicillian, Cefotaxime.
Category C: Risk not ruled out i.e. Rifampicin ( Rifampin) Thephyline.
Category D: Positive evidence of risk. i.e Phenytoin, Tetracycline.
Category X: Contradicted in pregnancy. i.e. isotretinoin (Accutane). Thalidomide (immunoprin). etc.
Pregnancy Category N - Not yet classified.

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

List the various drug schedules

A

Schedule I - no currently accepted medical use and for research use only i.e herion, LSD, MDMA

Schedule II - drugs with high potential for abuse and requires written prescription i.e. ritalin, hydromorphone (dilaudid), meperidine (demerol) and fentanyl.

Schedule III- Requires new prescription after six months of five refills. i.e. codeine, testosterone, ketamine.

Schedule IV- Requires new prescription after six months i.e. Darvon, Xanax, Soma, and Valium.

Schedule V- dispensed like any other prescription or without prescription i.e. cough preparations, Lomotil, Motofen.

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

List all 15 Medication Classifications

A

Antacids- reduces hydrochloric acid in stomach.
Antianemics- increases blood cell production
Anticholinergics-decreases oral secreations
Anticoagulants- prevents clot formation
Anticonvulsants- used for management of seizures and bipolar disorders.
Antidiarrheals-decrease gastric motility and reduce water in the bowel.
Antihistamines-block the release of histimine.
Antihypertensives- lower blood pressure and decrease blood flow.
Anti-infectives-used for the treatment of infection.
Bronchodilators-dilates large air passage is asthma or lung diseases i.e. COPD
Diuretics- decreases water/sodium from the loop of henle.
Laxatives- promotes the passage of stool.
Miotics- constricts the pupils.
Mydriatics - dilates the pupils
Narcotics/analgesics- relieves moderate to severe pain.

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

What are the Rules of Nines for calculating Total Body Surface Area (TBSA) for burns.

A
Head 9%
Arms 18% ( 9 each)
Back 18%
Legs 36% (18% each)
Genitals 1%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Medications

A

Digoxin ( Lanoxin)- Assess pulses for a full minute, if less than 60 BPM hold dose. Check digitalis and potassium levels.

Aluminum Hydroxide (Amphojel)- treatment of GERD and kidney stones. WOF constipation.

Hydroxyzine (vistrail) - treatment of anxiety and itching. WOF dry mouth.

Midazolam (versed)- given for conscious sedation. WOF respiratory depression and hypotension.

Amiodarene (Cordarone) -WOF diaphoresis, dyspena, lethargy,. Take missed dose anytime in the day of to skip it entirely. Do no take double dose.

Warfarin (Coumadin) - WOF for signs of bleeding, diarreah, fever, or rash. Stress importance of complying with prescribed dosage and follow-up appts.

Methylphenidate (Ritalin)- Treatment of ADHD. Assess for heart related side-effects and reported immediately Child may need drug holiday because the drug stunts grow.

Dopamine-Tx of hypertension, shock, and low cardiac output. Monitor ECG for arrhythmia’s and blood pressure.

Rifampicin- causes red-orange tears and urine.

Ethambutol-causes problems with vision and liver.

Isoniazid- can cause peripheral neuritis, take vitimin B6 to counter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
List the following developmental milestones:
2-3 mths
4-5 mths
6-7 mths
8-9 mths
10-11 mths
12-13 mths
A

2-3 mths: able to turn head up, and side to side and to sound. Makes cooing or gurgling noises.

4-5 mths: grasps, switch and roll over on tummy to back. can babble and mimic sounds.

6-7 mths: sits at 6 mths and waves bye. Can recognize familiar faces and knows if someone is a stranger. Passes things back and forth b/w hands.

8-9 mths: stands straight at 8 mths, has favorite toy, plays peek-a-boo.

10-11 mths: belly to butt

12-13 mths: 12> drinks from a cup. Cries when parents leave, uses furniture to cruise.

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

Cultural Considerations: African Americans

A

May believe that illness is caused by supernatural causes and seek advice and remedies from faith healers; family oriented; have higher incidence of HBP, obesity and lactose intolerance.

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

Cultural Considerations: Arab Americans

A

May remain silent re: health probs, such as, STI’s, substance abuse, and mental illness; a devout muslim may interpret illness as a will of Allah, a teat of faith; may rely on ritual cures or alternative therapies before seeking help from health care provider; after death, the family may want to prepare the body by washing and wrapping the body in unsewn white cloth, postmortem examinations are discouraged unless required by law. May avoid pork and alcohol if muslim islamic pt. observe month long fast of Ramadan ( mid Oct). Ppl suffering from chronic illnesses, pregnant women breastfeeding of menstruating don’t fast. females avoid eye contact with males; use same sex family members as interpreters.

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

Cultural Considerations: Asian Americans

A

May value ability to endure pain and grief with silent stoicism; typically family oriented, extended family should be involved in care of dying pt., believes in “ hot-cold” yin/yang often involved; sodium intake is generally high because of salted and dried foods. May believe prolonged eye contact is rude and an invasion of privacy; may not without necessarily understanding; may prefer to maintain a comfortable physical distance b/w the pt. and HCP.

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

Cultural Considerations: Latino Americans

A

May view illness as a sign of weakness, punishment for evil doing; may consult with a curandero or voodoo priest; family members are typically involved in all aspects of decision making such as terminal illness; may see no reasons to submit to mammograms or vaccines.Cultural Considerations:

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

Cultural Considerations: Native Americans

A

May turn to a medicine man to determine the true cause of an illness; may values the ability to endure pain or grief with silent stoicism; diet may be deficient in vit. D and calcium because many suffer from lactose intolerance or don’t drink milk; obesity and diabetes are major health concerns; may divert eyes to the floor when praying or paying attention.

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

Cultural Considerations: Western Culture

A

May value technology almost exclusively in the struggle to conquer diseases; health is understood to be the absence, minimization, or control of disease process; eating utensils usually consists of a knife, fork and spoon; three meals a day is typical.

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

Common Diets: Acute Renal Disease

A

Protein restricted, high calorie, fluid-controlled, sodium and potassium controlled.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Common Diets: Addison's Disease
Increased sodium, low potassium diet
26
Common Diets: ADHD and Bipolar
High calorie and provide finger foods.
27
Common Diets: Burns
High protein, high caloric, increased in vitamin C
28
Common Diets: Cancer
High calorie, High Protein.
29
Common Diets: Celiac Disease
Gluten Free diet no BROW ( barley, rye, oat, wheat).
30
Common Diets: Chronic Renal Disease
Protein restricted, low sodium, fluid restricted, potassium-restricted, phosphorus restricted.
31
Common Diets: Cirrhosis (stable)
Normal protien
32
Common Diets: Cirrhosis with hepatic insufficiency
Restrict protein, fluids and sodium.
33
Common Diets: Constipation
high fiber increased fluids
34
Common Diets: COPD
Soft, high calorie, low carb, high fat, small freq feedings
35
Common Diets: Cystic Fibrosis
Increase in fluids
36
Common Diets: Diarreah
Liquid low-fiber, regular, fluid and electrolyte replacement.
37
Common Diets: Gallbladder Diseases
Low-fat, calorie restricted, regular
38
Common Diets: Gastitis
low fiber, bland diet
39
Common Diets: Hepatitis
regular high calorie, high protien
40
Common Diets: Hyperlipidemia
Fat controlled, calorie restricted
41
Common Diets: hypertension, heart failure, CAD
Low sodium, calorie restricted, fat controlled
42
Common Diets: Kidney stones
increased fluids, calcium controlled, low oxalate
43
Common Diets: Nephrotic Syndrome
High calorie and Protein. Potassium and Sodium restricted
44
Common Diets: Obesity, Overweight
Calorie restricted, high fiber
45
Common Diets: Pancreatitis
Low - fat, regular, small frequent feedings; tube feeding or total parenteral nutrition
46
Common Diets: Peptic Ulcer
Bland Diet
47
Common Diets: Pernicious Anemia
Increase vitamin B12 ( Cobalamin), found in high amounts of shellfish, beef liver, and fish
48
Common Diets: Sickle Cell Anemia
Increase fluids to maintain hydration since sickling increases when Pt. becomes dehydrated.
49
Common Diets: Stroke
Mechanical soft, regular or tube feeding
50
Common Diets: Underweight
High calorie, high protien
51
Common Diets: Vomiting
Fluid and Electrolyte replacement
52
Positioning Clients: Asthma
Orthopneic position where Pt. is sitting up and bent forward with arms supported on the table or chair arms
53
Positioning Clients: Post Bronchoscopy
Flat on bed with head hyperextended
54
Positioning Clients: Cerebral Aneurysm
High Fowlers
55
Positioning Clients: Hemorrhagic Stroke
HOV elevated 30 degrees to reduce ICP and facilitate venous drainage.
56
Positioning Clients: Ischemic Stroke
HOB flat
57
Positioning Clients: Cardiac Catheratization
keep site extended
58
Positioning Clients: Epistaxis
lean forward
59
Positioning Clients: Above knee amputation
Elevate for the first 24 hrs on pillow, position on prone daily for hip extension.
60
Positioning Clients: Below knee amputation
Foot of bed elevated for the first 24 hrs, position pone daily for hip extension.
61
Positioning Clients: Tube feeding for patients with decreased LOC.
Position pt. on right side to promote emptying of the stomach with head of bed elevated to prevent aspiration;
62
Positioning Clients: Air pulmonary embolism
Turn Pt. to left side and lower side of bed
63
Positioning Clients: Prolapsed cord
Knee chest position or trendelenburg.
64
Positioning Clients: Postural Drainage
Lung segment to be drained should be in uppermost position to allow gravity to work.
65
Positioning Clients: Post lumbar puncture
Pt. should lie flat in supine to prevent headache and leaking of CSF
66
Positioning Clients: Continuous bladder irrigation ( CBI)`
Catheter should be taped to thigh so legs should be kept straight.
67
Positioning Clients: After Myringotomy
position on the side of effected ear after surgery- allows drainage of secretion
68
Positioning Clients: Post cataract surgery
Patient will sleep on unaffected side with a night shield for 1-4 weeks
69
Positioning Clients: Detached Retina
Area of detachment should be in dependent position
70
Positioning Clients: Post thyroidectomy
low or semi fowlers, support head, neck and shoulders.P
71
Positioning Clients: Thoracentesis
Sitting on the side of the bed and leaning over the table | during procedure). Affected side up ( after procedure
72
Positioning Clients: Spina Bifida
Position infant on prone so sac does not rupture
73
Positioning Clients: Bucks traction
Elevate foot of bed for counter traction
74
Positioning Clients: Post total hip replacement
Don't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. Abduction by separating thighs with pillows.
75
Positioning Clients: Cleft lip
Position on back or in infant seat to prevent trauma to the suture line. While feeding, hold in upright position.
76
Positioning Clients: Cleft Palate
Prone
77
Positioning Clients: Hemorrhoidectomy
Assist to lateral position
78
Positioning Clients: Hiatal Hernia
Upright Position
79
Positioning Clients: Preventing Dumping Syndrome
Eat in reclining position, lie down after meals for 20-30 mins. Also, restrict fluids during meals, low fiber diet and small freq. meals.
80
Positioning Clients: Enema Administration
Position Pt. in left side lying position- SIMS position with knees flexed.
81
Positioning Clients: Post Superatentorial Surgery (Incision behind hairline)
Elevate HOB 30-45 degrees
82
Positioning Clients: Increased ICP
High Fowlers
83
Positioning Clients: Laminectomy
back as straight as possible; log roll to move and sand bag on sides.
84
Positioning Clients: Spinal Cord Injury
Immobilize on spine board, with head in neutral position. Immobilize head with padded C-Collar, maintain traction and alignment of head. Manually. Log roll client and do not allow client to twist and bend.
85
Positioning Clients: Liver Biopsy
right side lying with pillow or small pillow under puncture site for at least 3 hours.
86
Positioning Clients: Paracentesis
Flat on bed or sitting
87
Positioning Clients: Intestional tubes
Place pt. on right side to facilitate passage into duodenum.
88
Positioning Clients: Nasogastric Tubes
Elevate HOB 30 degrees to prevent aspiration. Maintain elevation for continuous feeding for 1 hour after intermittent feedings.
89
Positioning Clients: Pelvic Exam
Lithotomy position
90
Positioning Clients: Rectal Exam
knee chest position, Sims, or dorsal recumbent.
91
Positioning Clients: During internal radiation
Pt. should be on bed rest while implant is placed in.
92
Positioning Clients: Autonomic Dysreflexia
Place client in sitting position ( elevate HOB) first before any other implementatation.
93
Positioning Clients: Shock
Bed rest with extremities elevated 20 degrees, knees straight, head slightly elevated ( modified trendelenburg)
94
Positioning Clients: Head Injury
Elevate HOB 30 degrees to decrease intracranial presssure.
95
Positioning Clients: Peritoneal Dialysis when out flow in inadequate.
Turn Pt. side to side before checking for kinks in the tubing.
96
Positioning Clients: Myelogram
Water based dye - semi fowlers for at least 8 hrs. Oil based flat on bed for at least 6-8 hours too prevent leakage of CSF. Air dry -trendelenburg.
97
Common S&S's: Pulmonary Tuberculosis (PTB)
Low grade afternoon fever.
98
Common S&S's: Pneumonia
Rust colored sputum
99
Common S&S's: Asthma
Wheezing and expiration
100
Common S&S's: Emphysema
Barrel chest
101
Common S&S's: Kawasaki Syndrome
Strawberry tongue
102
Common S&S's: Pernicious Anemia
Red beefy tongue
103
Common S&S's: Down Syndrome
Protruding tongue
104
Common S&S's: Choters
Rice watery stool and washer women's hands ( wrinkled hands from dehydration)
105
Common S&S's: Malaria
Stepladder like fever with chills
106
Common S&S's: Typhoid
rose spots in the abdomen
107
Common S&S's: Dengue
Fever, rash, and headache. Positive Herman's sign.
108
Common S&S's: Diphtheria
Pseudo membrane formationCommon S&S's:
109
Common S&S's: Measles
Koplik's spots ( clustered white lesions on the buccal mucosa)
110
Common S&S's: Systemic Lupus Erythematosus
Butterfly rash
111
Common S&S's: Leprosy
Leonine facies ( thickened folded facial skin)
112
Common S&S's: Bulimia
chipmunk facies ( parotid gland swelling)
113
Common S&S's: Appendicitis
Rebound tenderness at McBurneys point. Rovsing's sign | palpation of LLQ elicits pain in RLQ). Psoas sign ( pain from flexing the thigh to the hip
114
Common S&S's: Meningitis
Kering's sign ( stiffness of hamstrings causing inability to straighten leg when hip is flexed to 90 degrees). Brudzinski's sign ( forced flexion of the neck elicits a reflex flexion of the hips)
115
Common S&S's: Tetany
hypocalcemia, (+) Trousseaus sign, Chvostek sign.
116
Common S&S's: Tetanus
Risus sardonicus or rictus grin.
117
Common S&S's: Pancreatitis
Cullens sign (ecchymosis of the umbilicus)
118
Common S&S's: Pyloric Stenosis
Olive like mass
119
Common S&S's: Patent Ductus Arteriosus
Washing machine like murmur
120
Common S&S's: Addison's disease
Bronze like skin pigmentation
121
Common S&S's: Cushings Syndrome
Moon face appearance and buffalo hump
122
Common S&S's: Graves disease ( Hyperthyroidism)
Exophthalmos - bulging of the eye out of the orbit.
123
Common S&S's: Intussusception
Sausage shaped mass.
124
Common S&S's: Mulitiple Sclerosis
Charcots Triad: nystagmus, intention tremor, and dysarthria.
125
Common S&S's: Myasthenia Gravis
descending muscle weakness, ptosis -drooping eyelids
126
Common S&S's: Guillain-Barre Syndrome
Asending muscle weakness
127
Common S&S's: Deep Vein Thrombosis (DVT)
Horman's Sign - discomfort behind the knee on forced dorsiflexion of the foot.on
128
Common S&S's: Angina
Crushing, stabbing pain relieved by NTG relieved by NTG
129
Common S&S's: Myocardial Infarction (MI)
Crushing, stabbing pain radiating from the left shoulder, neck, arms. Unrelieved by NTG
130
Common S&S's: Parkinson's Disease
Pill rolling tremors
131
Common S&S's: Cytomegalovirus (CMV) infection
Owl's eye appearance of cells ( huge nucleus in cells)
132
Common S&S's: Glaucoma
Tunnel vision
133
Common S&S's: Retinal Detachment
Flashes of light shadow with curtain across vision.
134
Common S&S's: Basilar Skull Fracture
Raccoon eyes (periorbital ecchymosis) and Battles sign ( mastoid ecchymosis).
135
Common S&S's: Buergers Disease
Intermittent claudication ( Pain at the buttocks or legs from poor circulation resulting in impaired walking
136
Common S&S's: Diabetic Ketoacidosis
Acetone Breath
137
Common S&S's: Pregnancy Induced Hypertension
(PIH) - Proteinuria, Hypertension, Edema.
138
Common S&S's: Diabetes Mellitis
Polydipsia, Polyphagia, Polyuria
139
Common S&S's: Gastresophageal Reflux Disease (GERD)
Heart Burn
140
Common S&S's: Hirschsprung's Disease (Toxic Megacolon)
Ribbon like stool
141
Common S&S's: Herpes Simplex Type II
Painful Vesicles on Genitalia
142
Common S&S's: Genital Warts
Warts 1-2 mm in diameter
143
Common S&S's: Syphilis
Painless Chanchres
144
Common S&S's: Chancroid
Painful Chanchres
145
Common S&S's: Gonorrhea
Green, creamy discharges and painful urination
146
Common S&S's: Chylamdia
Milky discharge and painful urination
147
Common S&S's: Candidiasis
White cheesy odorless vaginal discharge
148
Common S&S's: Trichomoniasis
Yellow, itchy, frothy, and fowl smelling vaginal discharge
149
Sterile skills can be delegated to?
RN & LPN
150
Where non-skilled care is required, delegate the stable client to the?
Nursing assistant
151
Assign the most critical client to the...?
RN
152
Clients who are being discharged should have final assessments done by the...?
RN
153
The LPN can monitor clients with....?
IV therapy, insert urinary catheters, feeding tubes, and apply restraints.
154
Weight is the best indicator of ?
Dehydration
155
Always check for what when administering antibiotics?
Allergies
156
Neutropenic patients should not receive what?
Vaccines, fresh fruits, or flowers.
157
How often do you administer Nitroglycerine patch?
Up to three times with intervals of five minutes.
158
Morphine is contradicted in pancreatitis because it causes...?
spasms of the sphincter of Oddi. Demerol should be given.
159
Never give potassium (K+) when?
In push IV
160
Infants born to HIV positive mother should receive what?
Should receive all immunizations on schedule
161
Define Gravida
The number of pregnancies a women has had, regardless of outcome.
162
Define Para
Number of pregnancies that reached viability, regardless of whether the fetus was delivered alive or still born. A fetus is considered viable at 20 weeks gestation.
163
Define Lochia Rubra
Vaginal discharge of almost pure blood the occurs during the first few days after childbirth.
164
Define Lochia serosa
Vaginal discharge that occurs 4 to 7 days after childbirth.
165
Lochia Alba
Vaginal discharge of decreased blood and increased leukocytes thats the final stage of lochia. It occurs 7 to 10 days after childbirth.
166
What acronym is used in the event of a fire?
``` RACE Remove the patient Activate the alarm Contain the fire by closing the door E Extinguish the fire if it can be done safely. ```
167
Before signing a informed consent form what should the patient know?
-Weather other treatment options are available -Should understand what will occur during the preoperative, intraoperative, and postoperative phases, the risks involved and possible complications. -The Pt. should also have general idea of the time required from surgery to recovery. -In addition, he should have the opportunity to ask questions,
168
The first intervention in a quadriplegic client who is experiencing automatic dysreflexia?
Elevate his head as high as possible.
169
Can patients who have the same infection and are on strict isolation share a room?
YES!
170
Define Veracity
Truth is an essential component of a therapeutic relationship between a healthcare provider and his patient.
171
Define Beneficence
Is the duty to do no harm and the duty to do good. Theres an obligation in patient care to do no harm and an equal obligation to assist the patient.
172
Define Nonmaleficence
Duty to do no harm.
173
What Tyramine-rich foods cause severe hypertension in patients who takes a monoamine oxidase inhibitor.
``` Aged cheese Avocados Bananas Bologna Beer Chianti Wine Chicken liver Meat tenderizer Salami ```
174
Define Projection
The unconscious assigning of a thought, feeling, or action to someone or something else.
175
Define Sublimination
Is the channeling of unacceptable impulses into socially acceptable behaviour
176
Define Repression
Is an unconscious defense mechanism whereby unacceptable impulses into socially acceptable behaviour.
177
What is a significant toxic risk associated with Clozapine (clozaril) adminstration?
Blood dyscrasia
178
Adverse effects of haloperidol (Haldol) administration include?
Drowsiness, insomnia, weakness, headache, and extrapyramidal symptoms such as, akathisia, tardive dyskinesia, and dystonia.
179
Hypervigilance and deja vu are both signs of?
PTSD