Exam 2 Prep Flashcards
What lab finding and assessment would you find a patient who had a UTI and were administering you UA (what would the urine look like)
- The urine would be cloudy
2. Positive nitrites
What are the proper procedures in urine culture in antibiotic administration?
Collect the culture before administering the IV antibiotic
What is the cause of catheter associated UTI (CAUTI)?
Indwelling urinary catheter
What is a S/S of pyelonephritis?
Left sided flank pain
What is the discharge teaching for a female patient that was treated for a UTI?
Wipe from font to back
What is a clinical manifestation that is related to pneumothorax?
- Chest pain or chest discomfort
2. Tachypnea
What is a S/S of tension pneumothorax?
Medial sinal shift
What is the initial treatment of tension pneumothorax?
Needle decompression
What is the cause of iatrogenic (injury or illness caused by medical treatment or exam) pneumothoresis?
Insertion of a central line
What is otorrhea?
Drainage from the ears
What is rhinorrhea?
Drainage from the nose
We have a patient presenting S/S of pneumothorax. How would you assess them? What would you look for?
- Auscultating their breath sounds
- Assess the expansion of their chest
- Looking for any deviation in position of their trachea (trachea alignment)
What are the S/S of simple pneumothorax?
Diminished breath sounds
What is the pathophysiology of an epidural hematoma?
Blood accumulates between the skill and the dura mater (the thick membrane covering the brain)
What is the cardinal symptoms that this patient with epidural hematoma have?
Brief loss of consciousness
What is the S/S of a basilar skull fracture?
Racoon eyes
What is the pathophysiology of a subdural hematoma?
Bleeding in the space below the dura mater and above the subarachnoid membrane
If a patient comes into the ER with drainage from the ears and drainage from the nose, what is the most concerning?
When you can see clear drainage or CSF halo around the blood
What is the priority assessment of a pt coming with a TBI?
Their level of consiousness. You need to establish a baseline using the GCS (Glasgow coma scale), and monitor them for deterioration
List the early S/S of ICP
- Restlessness
- Decreased LOC
- Increased CO2`