Extra Review Adult Health Flashcards
Top Nursing Diagnoses
Ineffective airway
Confusion
Pain.
Don’t forget your ABCs
Number one way to check for hypoxia?
Quick: O2 saturation, pulse oximeter
Definitive: ABGs
Nurse’s job with genetics
educate, explain, and collect history
What should a nurse do when they are teaching a patient and they aren’t understanding?
We need to question if the patient is ready to learn (motivation), if there are distractions to be eliminated, barriers, the method we are using?
Basically, what needs to be modified
What helps any heart problem
Stop smoking
What do we need to make sure of with a patient with HTN
Need to know if they have a cuff, if they can use it, know what the numbers mean, and if they can keep track of it.
A post op patient is at high risk for what? what should they use after surgery to help prevent this?
Atelectasis.
Incentive Spirometer
Hypersensitivities
Anaphylactic
Cytotoxic
Immune Complex
Delayed
A person with a spinal cord injury is at risk for? What should we do to prevent?
Skin break down
Reposition them every two hours
What is the average urine output? What if the patient’s is less than?
30mL/hr
notify the physician
Signs of progressed HTN
retinal damage, vision changes, organ damage, periorbital edema, systemic edema, stroke
Hemodyalisis
do not take BP in arm with fistula, do not scrub it, dont cover it, let everyone know it its there
ABG values
pH: 7.35-7.45
pCO2: 35-45
bicarb: 22-26
S/S Acute coronary syndrome
chest pain, SOA (dyspnea), tired, low BP, dizzy, sweaty (clammy)
CAD nursing considerations
decrease cholesterol, dietary education, might fel lightheaded, chest pain, rest, take med, if it doesnt go away you need to come into the hospital
Mitral valve regurge
concerned about pulmonary issues
left sided HF
lungs, hear crackles, pulmonary edema
right sided HF
systemic edema
Patient care for PVD or PAD
put compression devices (stockings) on, get them moving, want them in a warm environment, take all extremity pulses
Nursing Diagnosis for Pulmonary embolism
Ineffective breathing
With Addison’s disease, how long with they be taking steroids?
FOREVER
Palliative surgery
remove tumors to provide comfort but will not cure the person
A diet for someone with diabetes
want most of their calories from CARBS.
Braces are for…
stabilization
Greatest risk for esophageal cancer.
GERD, smoking, alcohol, Barretts. You will get an endoscopy (EGD) every 6 months
Acute Pancreatitis Complications
pain, infection, fever, WBC changes (increase), patient would be NPO.
Acute Kidney Injury Assess
hematuria, back pain, patient needs to pee. Problem if they do not pee
Infiltration
swelling, edema and IV site
Phlebitis
red streaks up arm, inflammation of vein
Extravasation
eating tissue, typically from a vesicant or harsh IV that goes into tissues.
air embolism and S/S
air pushed through a vein.
S/S of PE: chest pain, lightheadedness, tachycardia, palpitations, dry cough
Risk factors of HTN
diet, smoking, obesity, sedentary lifestyle
this model is defined by motivation to promote healthy behavior
Transtheorhetical Model of Change
Make up characteristics for our apperance from parents
genetics
most common way to prevent infection
hand washing
Impaired skin integrity related to oral hygiene is related to?
HIV/AIDs
The nurse would anticipate intubation for this disease process?
ARDS
The biggest risk factors for esophageal cancer
Alcohol and smoking
Coughing, thick white sputum, SOA after repair of long bone
fat embolism
risk factors for this disease are: CKD, HTN, DM, elderly, mult. meds
ESKD
Use every 1 hour while awake
Incentive Spirometer
In emergency nursing we prioritize by using what letters
ABCDE
Patients suffering from phantom pain would be prescribed waht
opioids
mucous like stools (jelly like) would indicate what disease process
Ulcerative colitis
inflammation of this organ can cause severe abdominal pain, decreased appetite, nausea, and may require surgery if chronic or obstructed
Pancreatitis
the number one priority in emergency nursing care
airway
this can happen if the patient has diarrhea, vomiting, excessive NG suctioning, sweating
hypovolemia.
the biggest barriers to health education
finances, resources, and knowledge
complaints of chest pain with no relief from treatment?
unstable angina
risk factors for this disease are: atherosclerosis, HTN, high cholesterol, DM, increased age, men, smoking
coronary artery disease (CAD)
complications of prolonged HTN
retinal damage
developed by living in close quarters of others, can be bacterial or viral
Meningitis
can be hemorrhagic or ischemic
CVA
this nursing diagnosis is used when patients need more education
knowledge deficit
the initial steps or treatment for chest pain
MONA
morphine, oxygen, nitro, aspirin
this nursing diagnosis is given to patients who do not turn on a regular basis
impaired skin integrity
care for a patient with less than 6 months to live, cares for family also
Hospice
most accurate way to measure I/Os
daily weights
Only definitive test to determine Creutzfeldt-Jakob
EEG- its all the wires on head
potential complication of a spinal cord injury due to a full bladder
autonomic dysreflexia
a lobectomy is most common for this disease process
liver cancer
defined as a deficiency in production and decreased insulin action caused and increase in insulin resistance
DM type II
Patients who are jaundice with this disease
liver failure.
allergic reaction to shellfish, peanuts, bees, medications
anaphylactic reactions
causes reactions
triggers
necessary for any procedure, nurses can only witness
informed consent
this group is focused on learning about self-esteem
adolescents
when blood flows backwards through the mitral valve
mitral valve regurge
this group is focused on chronic illness
middle aged adults
risk factors include surgery, a. fibb, iv thrombosis
PE
the initials for acid reflux
GERD
this diagnosis is made with 2 or more readings by a certified individual - also known as the silent killer
HTN
