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2016 Fall Semster > Extra Review Adult Health > Flashcards

Extra Review Adult Health Flashcards

1
Q

Top Nursing Diagnoses

A

Ineffective airway
Confusion
Pain.
Don’t forget your ABCs

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2
Q

Number one way to check for hypoxia?

A

Quick: O2 saturation, pulse oximeter
Definitive: ABGs

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3
Q

Nurse’s job with genetics

A

educate, explain, and collect history

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4
Q

What should a nurse do when they are teaching a patient and they aren’t understanding?

A

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

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5
Q

What helps any heart problem

A

Stop smoking

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6
Q

What do we need to make sure of with a patient with HTN

A

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.

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7
Q

A post op patient is at high risk for what? what should they use after surgery to help prevent this?

A

Atelectasis.

Incentive Spirometer

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8
Q

Hypersensitivities

A

Anaphylactic
Cytotoxic
Immune Complex
Delayed

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9
Q

A person with a spinal cord injury is at risk for? What should we do to prevent?

A

Skin break down

Reposition them every two hours

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10
Q

What is the average urine output? What if the patient’s is less than?

A

30mL/hr

notify the physician

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11
Q

Signs of progressed HTN

A

retinal damage, vision changes, organ damage, periorbital edema, systemic edema, stroke

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12
Q

Hemodyalisis

A

do not take BP in arm with fistula, do not scrub it, dont cover it, let everyone know it its there

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13
Q

ABG values

A

pH: 7.35-7.45
pCO2: 35-45
bicarb: 22-26

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14
Q

S/S Acute coronary syndrome

A

chest pain, SOA (dyspnea), tired, low BP, dizzy, sweaty (clammy)

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15
Q

CAD nursing considerations

A

decrease cholesterol, dietary education, might fel lightheaded, chest pain, rest, take med, if it doesnt go away you need to come into the hospital

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16
Q

Mitral valve regurge

A

concerned about pulmonary issues

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17
Q

left sided HF

A

lungs, hear crackles, pulmonary edema

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18
Q

right sided HF

A

systemic edema

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19
Q

Patient care for PVD or PAD

A

put compression devices (stockings) on, get them moving, want them in a warm environment, take all extremity pulses

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20
Q

Nursing Diagnosis for Pulmonary embolism

A

Ineffective breathing

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21
Q

With Addison’s disease, how long with they be taking steroids?

A

FOREVER

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22
Q

Palliative surgery

A

remove tumors to provide comfort but will not cure the person

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23
Q

A diet for someone with diabetes

A

want most of their calories from CARBS.

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24
Q

Braces are for…

A

stabilization

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25
Greatest risk for esophageal cancer.
GERD, smoking, alcohol, Barretts. You will get an endoscopy (EGD) every 6 months
26
Acute Pancreatitis Complications
pain, infection, fever, WBC changes (increase), patient would be NPO.
27
Acute Kidney Injury Assess
hematuria, back pain, patient needs to pee. Problem if they do not pee
28
Infiltration
swelling, edema and IV site
29
Phlebitis
red streaks up arm, inflammation of vein
30
Extravasation
eating tissue, typically from a vesicant or harsh IV that goes into tissues.
31
air embolism and S/S
air pushed through a vein. | S/S of PE: chest pain, lightheadedness, tachycardia, palpitations, dry cough
32
Risk factors of HTN
diet, smoking, obesity, sedentary lifestyle
33
this model is defined by motivation to promote healthy behavior
Transtheorhetical Model of Change
34
Make up characteristics for our apperance from parents
genetics
35
most common way to prevent infection
hand washing
36
Impaired skin integrity related to oral hygiene is related to?
HIV/AIDs
37
The nurse would anticipate intubation for this disease process?
ARDS
38
The biggest risk factors for esophageal cancer
Alcohol and smoking
39
Coughing, thick white sputum, SOA after repair of long bone
fat embolism
40
risk factors for this disease are: CKD, HTN, DM, elderly, mult. meds
ESKD
41
Use every 1 hour while awake
Incentive Spirometer
42
In emergency nursing we prioritize by using what letters
ABCDE
43
Patients suffering from phantom pain would be prescribed waht
opioids
44
mucous like stools (jelly like) would indicate what disease process
Ulcerative colitis
45
inflammation of this organ can cause severe abdominal pain, decreased appetite, nausea, and may require surgery if chronic or obstructed
Pancreatitis
46
the number one priority in emergency nursing care
airway
47
this can happen if the patient has diarrhea, vomiting, excessive NG suctioning, sweating
hypovolemia.
48
the biggest barriers to health education
finances, resources, and knowledge
49
complaints of chest pain with no relief from treatment?
unstable angina
50
risk factors for this disease are: atherosclerosis, HTN, high cholesterol, DM, increased age, men, smoking
coronary artery disease (CAD)
51
complications of prolonged HTN
retinal damage
52
developed by living in close quarters of others, can be bacterial or viral
Meningitis
53
can be hemorrhagic or ischemic
CVA
54
this nursing diagnosis is used when patients need more education
knowledge deficit
55
the initial steps or treatment for chest pain
MONA | morphine, oxygen, nitro, aspirin
56
this nursing diagnosis is given to patients who do not turn on a regular basis
impaired skin integrity
57
care for a patient with less than 6 months to live, cares for family also
Hospice
58
most accurate way to measure I/Os
daily weights
59
Only definitive test to determine Creutzfeldt-Jakob
EEG- its all the wires on head
60
potential complication of a spinal cord injury due to a full bladder
autonomic dysreflexia
61
a lobectomy is most common for this disease process
liver cancer
62
defined as a deficiency in production and decreased insulin action caused and increase in insulin resistance
DM type II
63
Patients who are jaundice with this disease
liver failure.
64
allergic reaction to shellfish, peanuts, bees, medications
anaphylactic reactions
65
causes reactions
triggers
66
necessary for any procedure, nurses can only witness
informed consent
67
this group is focused on learning about self-esteem
adolescents
68
when blood flows backwards through the mitral valve
mitral valve regurge
69
this group is focused on chronic illness
middle aged adults
70
risk factors include surgery, a. fibb, iv thrombosis
PE
71
the initials for acid reflux
GERD
72
this diagnosis is made with 2 or more readings by a certified individual - also known as the silent killer
HTN

2016 Fall Semster (2 decks)

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