Deck 1 Flashcards
What does the tongue of a pt with pernicious anemia look like?
Beefy red on the outer edges, smooth and irritated.
What is the glucose level in DKA that is considered an improvement?
Below 300
What precautions are required for tuberculosis?
Airborne - TB, measles, varicella, varicella zoster.
Which illnesses required droplet precautions?
Flu, rubella, pneumonia, streptococcal pharyngitis, pertussis, mumps.
Which illnesses require contact precautions?
Vanco-resistant enterococci, staphylococcus aureus, RSV, scabies, c. diff.
What lab value would cause a provider to withhold gentamycin?
WBC
Temperature
Blood pressure
Serum creatinine
Serum creatinine because the med is nephrotoxic.
Hormone replacement therapy for perimenopause has what adverse effects?
Calf pain
Numbness in the arms
Intense headache
What is the pain killer meperidine contraindicated for?
Pain in older adults because it can result in CNS toxicities.
Symptoms of autonomic dysreflexia?
BP increases by 20 to 40 points
Your heart rate slows.
A pounding headache (often the first symptom).
Sweating above the level of injury.
Bladder or bowel problems.
Red, blotchy skin above the level of injury.
Symptoms of what are reduced by feverfew?
Migraine. Can also increase the risk of bleeding.
What can ginkgo biloba cause?
Increased bleeding
What supplement is effective against joint pain?
Glucosamine
What root is effective against nausea?
Ginger
In what part of the anatomy would Zenker’s diverticulum be performed?
Neck - Zenker’s diverticulum develops when the muscle between the throat and esophagus, known as the cricopharyngeus muscle, over-tightens, causing the throat above it to pouch out. Overtime, the pouch can enlarge as the muscles below it tighten excessively. Food can catch in this pouch or it can cause an obstruction.
How often should a patient be moved to prevent pressure injuries?
q 1-2 hrs
Manifestations of disequilibrium syndrome from hemodialysis?
Restlessness
Dysrhythmias
Seizures
N/V
Fatigue
Headache
Postoperative instructions for mastectomy.
Drain will be removed when output is 25 ml or less over 24 hrs.
Exercise the right arm 24 hr after surgery
Elevate arm on pillow to promote lymphatic fluid return
HOB to 30° to promote drainage