Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NRS 220 - ADLT CARE > EXAM 2 > Flashcards

EXAM 2 Flashcards

1
Q

Decreased hemoglobin sythesis, body does not have enough iron to produce RBCs; mainfestations include pallor, glossitis, chelitis

A

Iron-deficiency anemia

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

Treatment for iron-deficiency anemia

A

Eat high iron foods (meats, eggs, dried fruit), oral iron supplements taken one hour before meals, liquid iron (drink w/straw)

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

Populations suseptible to iron deficiency anemia

A

Elderly, low socioeconimic background, menstruating women

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

Anemia due to abnormal hemoglobin sythesis; autoimmune; manifestations including SOB, fatigue, tinnitus

A

Thalassemia (Thalassemia Major)

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

Type of anemia due to a decrease in secretion of protein intrinsic factor resulting in malabsorption of Vitamin B12

A

Colbalmin Vitamin b12 deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Causes and etiology of Colbalmin deficiency

A

Pericious anemia, alcoholism, gastic problems, GI disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Manifestions of Colbalmin deficiency

A

Sore beefy red tongue, n&v, anorexia, abdominal pain, neurological weakness, paresthesias in hands and feet, impaired though processes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anemia due to dietary deficiency or malabsorption

A

Folic acid deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment for Colbalmin anemia

A

Cobalmin treatment for life; either parenteral or intranasal administration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Manifestations of folic acid deficiency

A

No neuro symptoms, sore beefy tongue, n&v

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

Treatment for folic acid deficiency

A

Folic acid replacement; green leafy vegetable consumption, liver, fish, legumes

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

Anemia characterized by pancytopenia, decrease in all blood cell types; congenital or aquired

A

Aplastic anemia

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

Symptoms of aplastic anemia

A

Fatigue, SOB, epitaxis, petechiae, tachycardia

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

Treatment of aplastic anemia

A

Treat primary cause, prevent infection and hemorrage, immunosupression, stem cell transplant

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

Treatment of Thalassemia

A

No specific drugs or therapies, manage with blood tranfusions and/or IV Desferal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does PLISSIT stand for?

A

Permission
Limited Information
Specific Suggestions
Intensive Therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

PLISSIT; most basic level of intervention, allows pt. to express concern while reassuring their feelings are normal and acceptable.

A

P - permission

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

PLISSIT; often provided in group setting, pt. and their partner address concerns about impact of condition or disease on sexual expression, factual information like pamphlets, handouts, resource lists

A

L. I. - limited information

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

PLISSIT; detailed sexual history is obtained, aimed at solving specific problem, goals and interventions

A

S. S. - Specific Suggestions

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

PLISSIT; sex therapy, counseling, psychotherapy performed by specialist to address specific problem

A

I. T. - Intensive Therapy

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

Bilateral, bandlike pressure at the base of the skull lasting 30 min. to 7 hrs.

A

Tension headache

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

Unilateral, throbbing pain, lasting 4-72 hrs., nausea, vomiting, sweating, photophobia, phonophobia

A

MIgraine headaches

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

Unilateral, radiating from eye, severe pain lasting 5 min to hrs., typically nocturnal with facial flushing, pallor

A

Cluster headaches

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

Drugs used to lessen tension headache symptoms?

A

non-opioids, analgesics, ASA, NSAIDS, Fiornal, Tylenol, Midrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Prophylatic treatment for tension headaches

A

Tricyclic antidepressant, beta blockers, biofeedback, psychotherapy, muscle relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Drugs used to lessen migraine headaches

A

ASA, Tylenol, ibuprofen, Ergotamine, Imitrex (triptans)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Prophylactic treatment for migraine headaches

A

Antidepressants, antiseizure meds, calcium channel blockers, serotonin antagonist, beta, blocker, biofeedback, relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Drugs to lessen symptoms of cluster headaches

A

alpha adrenergic blocker, ergotamine, oxygen, serotonin receptor agonists (triptans)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Prophylactic treatment for cluster headaches

A

alpha adrenergic blockers, serotonin antagonist, corticosteroids, calcium channel blocker, biofeedback

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

4 assessment priorities in PreOp

A

Review of all systems
Manage psychosocial concerns
List medications interactions/contraind.
Look for problems that could complicate surgery

31
Q

5 Legal concerns that MUST be addressed in PreOp

A 
Informed consent
H&P charted
Pt. teaching and "Right to Know"
Consent for blood products
Living will/POA/Directives
32
Q

Treatment for red wound

A

gentle saline stream, tegaderm, hydrogels

33
Q

Treatment for yellow wound

A

mechanical debridement, tissue removal, hydrocolloid, hydrogel dressings covered with gauze

34
Q

Treatment for black wound

A

Mechanical, surgical or enzymatic debridement; moist to dry dressing, wound irrigation

35
Q

Nosocimial and community aquired antibiotic resistant organism typically found in the urinary tract, blood and genital areas

A

VRE - vancomycin resistant enterococci

36
Q

Nosocomial and community aquired infection typically found in a wound or on the skin

A

MRSA - methicillin resistant staph. aureus

37
Q

Drugs used to treat VRE

A

Antibiotics other than vancomycin, penicillin, ampicillin

38
Q

Drugs used to treat MRSA

A

vancomycin, linezolid, mupirocin cream

39
Q

1 cause of stroke

A

hypertension

40
Q

Inability to recognize object by sight, touch or hearing

A

agnosia

41
Q

Inability to carry out learned sequential movements or commands

A

apraxia

42
Q

Stroke due to inadequate blood flow

A

Ischemic - thrombotic or embolic

43
Q

Stroke due to bleeding in the brain

A

Hemorragic - Intracerebral, Subarachnoid

44
Q

What side of the brain is the stroke in if a person experiences spatial-perceptual impairment, impulsivity and safety problems

A

Right side stroke - left side paralysis

45
Q

What side of the brain is the stroke in if the patient has impaired right and left discrimination, slow performance, depression, anxiety and impaired comprehension to language and math

A

Left side stroke - right side paralysis

46
Q

Loss of comprehension and use of language or total inability to communicate

A

Aphasia

47
Q

Impaired ability to communicate

A

Dysphasia

48
Q

Disturbance in muscular control of speech including articulation, pronunciation and phonation

A

Dysarthria

49
Q

Describe retinal detachment

A

Separation of sensory retina and the underlying pigment epithelium with fluid build up between the two layers

50
Q

Symptoms of retinal detachment

A

Photopsia, “cobwebs”, loss of peripheral vision, “like a curtain”

51
Q

Nursing Diagnosis for retinal detachment

A

Anxiety related to vision change, deficient knowledge related to symptoms, risk for impaired home maintenance

52
Q

PostOp retinal detachment treatments

A

Antibiotics, corticosterioids, analgesics, mydriatics

53
Q

Wound rupture along a surgical site

A

Dehiscence

54
Q

What is a evisceration and how should it be treated?

A

Protruding of insides, outside of the body. Cover with moist, sterile dressing and call physician.

55
Q

RBC normal range

A

male 4.7 - 6.1

female 4.2 - 5.4

56
Q

Hematocrit normal range

A

male 42 - 52%

female 37 - 47%

57
Q

Normal ranges for Albumin

A

3.5 - 5 g/dL

58
Q

Normal ranges for Creatinine

A

male 0.6 - 1.2 mg/dL

female 0.5 - 1.1 mg/dL

59
Q

Normal ranges for BUN

A

10 - 20 mg/dL

60
Q

Normal ranges for IOP

A

18 - 22 mmHg

61
Q

Normal range for specific gravity

A

1.025 - 1.030

62
Q

Normal range for Bicarbonate

A

22 - 26 mEq/L

63
Q

Normal range for Chloride

A

96 - 106 mEq/L

64
Q

Normal range for Phosphate

A

2.4 - 4.4 mg/dL

65
Q

Normal Potassium range

A

2.4 - 4.4 mg/dL

66
Q

Normal Magnesium range

A

1.5 - 2.5 mEq/L

67
Q

Normal Sodium range

A

135 - 145 mEq/L

68
Q

Normal Total Calcium range

A

8.6 - 10.2 mg/dL

69
Q

Supplements that may increase bleeding during surgery, especially in patients taking anticoagulants

A

Ginsing, Ginko Biloba, Ginger, Vitamin E, Garlic

70
Q

Supplement that may cause liver inflammation

A

Echinacea

71
Q

Supplement that may prolong the effects of anesthesia

A

St. John’s wart

72
Q

Common Lab draw ups prior to surgery

A

Glucose, BUN, Creatinine, Chest X-ray, CBC, ECG, hCG, Liver Function, Albumin, Blood type and crossmatch, Urinalysis

73
Q

Type of anestheia resulting in loss of sensation in particular part of body; administered by epidural, nerve block, spinal injection, or Bier block

A

Regional Anesthesia

74
Q

Focus of post-operative care

A 
Maintain ventilation and circulation
Monitor oxygenation
Monitor conciousness
Prevent shock
Treat pain

NRS 220 - ADLT CARE (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions