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Spring > Exam 2 401 > Flashcards

Exam 2 401 Flashcards

1
Q

The urine of a client is dark and foamy. What would the nurse suspect?

A

Cholecystitis

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2
Q

Measles, TB, and varicella are all requiring what type of precautions

A

Airborne

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3
Q

What are clinical manifestations of sepsis

A

Fever
Tachypnea
Tachycardia
Hypotension
Elevated wbc
Altered mental status/confusion

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4
Q

What are the stages of infectious disease process

A

Incubation (no symptoms)
Prodromal (nonspecific symptoms)
Acute illness (pronounced symptoms)
Convalescent (symptoms subside)

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5
Q

Patients who present with sepsis criteria and after fluid resuscitation their MAP is less than 65 serum lactate greater than 2 are considered to be clinically in what?

A

Septic shock

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6
Q

Clinical manifestations of TB

A

Blood tinged sputum with cough

Weight loss
Low appetite
Night sweats
Drycough
Fatigue
Low grade fever

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7
Q

Risk factors for UTIs

A

Pregnancy
Urinary tract obstruction or calculi
Females
Congenital malformation
Urinary stasis
Chronic disorders: diabetes mellitus
Menopause
Long term catheter use
Multiple sex partners
Lack of water intake

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8
Q

Diagnostic studies for UTIs

A

Clean catch Urine samples
Urinalysis
Gram stain, urine culture and sensitivity and wbc count

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9
Q

Clinical manifestations of cellulitis

A

Redness, warmth, edema and tenderness to the skin area.
Tight glossy stretched skin non elevated borders.

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10
Q

Interventions for conjunctivitis

A

Infection control strategy education
Antibiotics
Eye irrigation, warm washcloth
Photophobia management
Warm compress, cool compress, soaking eyelids

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11
Q

Clinical manifestations of otitis media

A

Pain in ear.
Hearing difficulties
Fever
Fluid draining from ear
Irritability in young children

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12
Q

Clinical manifestations of influenza

A

Fever cough inflammation of mucus membranes headache and malaise.

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13
Q

What education will the nurse provide regarding the flu vaccine

A

Recommend for All people over 6mo
Changes annually
Vulnerable populations; infants, young children, people over 65

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14
Q

Interventions for otitis media

A

Avoid over treating with antibiotics by educating that it can work itself out without meds within a few days

Never irrigate an ear

Antipyretics
Analgesics
Calm
Environment

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15
Q

Skin cancer risk factor

A

Sun or UV exposure

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16
Q

Expected lab results for Leukemia

A

Decreased platelets
Decreased leukocytes
Decreased erythrocytes

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17
Q

Risk factors for prostate cancer

A

Increased incidence with age.
African American males
Diet high in dairy or processed meat.
Obesity
Firefighters
Genetic and hereditary.
Having a vasectomy

18
Q

What vague Clinical manifestations would you expect with cancer

A

Weight loss
Fatigue
Fever
Pain
Skin changes

19
Q

Clinical manifestations of iron deficiency anemia

A

Headache
Pallor
Lethargy
Fatigue
Sob
Intolerance to cold
Glossitis
Cheilosis
Pica
Stomach irritation

20
Q

Expected lab results for iron deficiency anemia

A

Low RBCs
Smaller, pale, and misshapen RBCs (hyperchromic, microcytic)

21
Q

Clinical manifestations of sickle cell disease

A

Pain- Vaso-occlusive crisis
Sob
Fatigue
Infections
Vision changes

22
Q

Nursing interventions for sickle cell disease

A

Promote oxygenation to alleviate sickling
Hydration
Pain management
Blood transfusions
Bed rest
Nutrition management

23
Q

3 Stages of inflammation

A

Vascular and cellular response
Exudate production
Reparative phase

24
Q

5 cardinal manifestations of inflammation

A

Erythema
Heat
Swelling
Pain
Possible impaired function

25
Q

Important diagnostic test to detect presence of inflammation would be

A

ESR-
C-reactive proteins

26
Q

What kind of pain management would a patient with sickle cell receive

A

Around the clock or PCA morphine

27
Q

Nursing interventions for cellulitis

A

Pain management
Antibiotic and analgesic administration
Wound care
Elevate limb

28
Q

What actions would the nurse take when following droplet precautions

A

Standard precautions plus…
Place patient in private room or with similar diagnosis
Wear mask
Place surgical mask on patient when outside of room

29
Q

Who should get a colonoscopy

A

Age 45-75
Every 10 years

30
Q

What are some symptoms of patients with decreased H&H

A

Fatigue
SOB
Arrhythmias
Dizziness
Chest pain
Cold hands and feet

31
Q

Interventions for appendicitis

A

Keep npo
Monitor temp q4h
Pain management
No laxatives or enemas
No heat on abdomen

32
Q

What are general concerns for patients with ulcerative colitis

A

Bleeding
Nutrition status,electrolytes
Anemia
Impaired function
Skin integrity
Emotional concerns

33
Q

Where is mc burneys point

A

Lower right quadrant

34
Q

Nursing interventions with cholecystitis

A

Education-avoid fatty foods
Pain management
Monitor weight-Is& Os
NG tube to low suction
Fowler position

35
Q

What are some expected lab values for glomerulonephritis

A

Elevated creatinine
Elevated BuN
Decreased GFr
Electrolyte imbalance

36
Q

Risk factors for PUD

A

Stress
H pylori
NSAID misuse

37
Q

What are signs that an infection has triggered an inflammatory response

A

Vasodilation, increased capillary permeability
Hypercoagulability
Fever
Tachycardia, tachypnea
Erythema
Pain
Swelling

38
Q

Precautions a nurse would take caring for a patient with Tb

A

Airborne precautions
Private room with negative airflow
Mask patient during transport
Inform all personnel having contact with patient of diagnosis
Assist visitors with appropriate masking before entering

39
Q

Is a gown required for droplet precautions

A

Not unless you are coming into contact with bodily fluids

40
Q

Latent TB is contagious
True or false

A

False.

Spring (11 decks)

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