Brainscape's Knowledge GenomeTM

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


See full index

Practical nursing 102 > Final > Flashcards

Final Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

What test it looked at for warfarin and what are the levels?

A

PTNINR

  1. 6-11.8 sec males
  2. 5-11.3 females
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Nervousness, neadache, weakness, irritability, huger, blurred vision are all S/S of what

A

Hypoglycemia

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

polydipsia, polyphagia, polyuria, nausea, abdominal pain, flushed dry skin, fruity breath

A

Hyperglycemia

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

Fasting blood glucose

A

draw 8 hr after fasting
126 or higher = diabeties
100-126 = prediabeties

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

Random glucose

A

measures blood sugar at intervals after pt drinks a concentrated carbohydrate drink. Blood glucose 200 or higher after 2 hrs =diabeties. 140-199 at 2 hrs is prediabeties

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

HGA1C

A

Normal: 5.7%
Prediabetic: 5.7-6.5%
Diabeties: 6.5% or higher

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

food considerations for diabetics

A

Limit sweet desserts
Prefferably six meals per day, with three major meals and three snacks
Complex carbs with cellulose such as whole grains and legumes
Carbs makin gup 50% or less of the meal

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

How is diabeties tx in pregnant women?

A

Tx with weight loss and exercise and drinking more water. If not controlled then insulin will be considered.

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

Toxic Dig level and when to draw

A

0.5-2ng/mL serum dig levels drawn 6-8 hr after admin

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

Digioxin toxicity for older adults

A

Abd pain, anorexia, vomiting, visual distrubances, bradycardia, and other arrythmias.

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

Dig toxicity in infants

A

Cardiac arrhythmias

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

Why are electrolytes important when taking

Digioxin?

A

Monitor electrlytes esp K, Mg, Ca, renal and hepatic function. DO not admin if pt is hypokalema, hypomagnesemia, hypercalcemia= graeter risk for toxicity.

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

Hypocalcemia

A

muscle cramps, tetany, low BP, tingling and numbness in fingers/toes, bronchospasm, high DTR, prolonged qt intrevals.
Causes- inadequate vitamin D, pancreatitis, alkalosis, hypothyroidism, metabolic disorder.

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

Hypercalcemia

A

constipation, anorexia, nasuea, vomiting, polydipsia, lethargy, low DTR, bone fracture w/o injury, confusion, slurred speech
Causes- prolonged bedrest, excessive vitamin D, Cancer, metabolic disorder, excessive serum levels.

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

Trust vs mistrust

A

birth-18 months

learn to trust othrs

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

Autonomy vs Shame/doubt

A

18 months- 3 yrs

learn self control and ability to express onself and cooperate

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

Initiative vs Guilt

A

3-5 yrs

Initiate activities and influence environment

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

Industry vs inferiority

A

5-12 yrs

Develop sense of social skills and self esteem

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

Identity vs. role confusion

A

12-18 yrs

Seek sense of self an plan according to one’s abilities

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

Intimacy vs Isolation

A

18-40 yrs

Develop intimate relationships and choose a career

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

Generativity vs Stagnation

A

40-65 yrs

become a productive member of society and establish a family

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

Integrity vs. Despair

A

65+ yrs

Accept worth, uniqueness and death

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

Major considerations for Estrogen patch

A

fluid retention, thrombolic disorder, mental depression, or hepatic dysfunction

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

Test for heparin

A

aPTT 30-40 sec

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

Leukocytosis

A

increased WBC

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

Leukopenia

A

Decreased WBC

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

Normal WBC levels

A

4,500-11,00

increase with infection

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

Esinophils

Increases why?

A

2.7%

increases in allergry response some leukemias

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

Basophils

Increases with why?

A

0.5%

increase in hyperthyroidism some bone marrow disorders ulcerative colitis

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

Lymphocytes

Increases why?

A

34%

increases with viral infection, chronic bacterial infection, some leukemias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Monocytes

A

4%

Increase in chronic inflammatory disorders, some leukemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Pulse

A

60-100 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Temp

A

97-99.6 F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Resp

A

12-20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

BP

A

100/60-120-80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

S/S of iron toxicity (think children)

A

stomach pain, fever, nausea, vomiting, diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Foods to avoid when taking iron suppluments

A

milk, calcium, antacid, coffee, tea, eggs, whole grain breads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Correct angle for an IV

A

10-15 degree angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

How high up should the IV be from the IV site

A

4-8 in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

physiological causes of Erectile dysfunction

A

stress, anxiety, depression, fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Psychological issues that cause erectile dysfunction

A

kidney failure, pyreonic disease, low testosterone, diabeties, sleep apnea, heart disease, athreloctis, stroke, metabolic syndrome, spinal chord, metabolic syndrome, spinal chord injury, parkinson, MS, life style (alcohol, smoking, drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Medications that can cause Erectile dysfunction

A

HTN and CV meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Heparin antidote

A

Protamine sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Test for heparin

A

APTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

APTT range

A

60-80 sec

46
Q

What to report when taking heparin

A

Unsual bleeding, bruising, black tarry stools, hematuria, falls w/ injury. Fever, chills, urticaria

47
Q

How often should platelets be checked when taking heparin

A

2-3 days

48
Q

Normal Hematocrit range

A
  1. 6-48.6 men

35. 5-44.9 women

49
Q 
My
Pretty
Kitty
CAn
CLimb
Nicely
A 
Mg: 1.6-2.2
Phos: 2.5-4.5
K: 3.5-5.3
Ca: 8.2-10.2
Cl: 97-107
Na: 135-145
50
Q

S/S Hypocalcemia

A

muscle cramps, tetany, low BP, tingling and numbness in fingers/toes, bronchospasm, high DTR, prolonged qt intrevals.

51
Q

Positive trousseau’s and chvosteck’s sign =

A

Hypocalcemia

52
Q

S/S Hypercalcemia

A

constipation, anorexia, nasuea, vomiting, polydipsia, lethargy, low DTR, bone fracture w/o injury, confusion, slurred speech

53
Q

Causes of Hypercalcemia

A

prolonged bedrest, excessive vitamin D, Cancer, metabolic disorder, excessive serum levels.

54
Q

Causes of Hypocalcemia

A

inadequate vitamin D, pancreatitis, alkalosis, hypothyroidism, metabolic disorder.

55
Q

What to expect in pt’s who are chronically hypocalcemic

A

commonly have poor digestive absorption (anorexia, or inflammatory bowel disease). Loss of bone and high blood pressure. Osteoperosis.

56
Q

Calcium rich foods

A 
almond (milk/nuts)
calcium fortified foods
canned salmon/sardines
cheese
cream soups (with milk)
greens: collard/mustard/turnip
kale
milk
soy (beans/milk)
spinach
tofu
yogurt
57
Q

phenytoin major considerations

A

Major considerations- suicidal ideation, cardiac arrest, DRESS, Steven-john syndrome, arganulocytes, acute hepatic failure, angioedema, hypotension, ataxia, bradycardia

58
Q

Lying on the left side in semiprone position with right leg flexed up and drawn up toward the chest; left arm is positioned along the pt’s back

A

Left sims

59
Q

What is left sims used for?

A

Rectal examination and enemas

60
Q

Lying on right side in semi prone position with left leg flexed; right arm is positioned along the pt’s back

A

right sims

61
Q

What is the purpose pf the right sims position?

A

To relieve pressure on bony prominences of coccyx and sacrum

62
Q

Head of bed elevated 90 degrees

To eat and drink without risk of choking

A

High fowlers

63
Q

What is the purpose of high fowlers

A

To assist patients who have difficulty breathing

64
Q

Lying on back with knees flexed above the hips and legs supported in stirrups

A

lithotomy

65
Q

WHat is the purpose of the lithotomy position?

A

For vaginal examinations, delivery of neonate, pelvic and gynecological surgery and procedures

66
Q

Lying on the back with arms at sides, legs apart, knees bent, and feet flat on the bed

A

Dorsal recumbant

67
Q

What is the purpose of dorsal recumbant

A

Physical examination of abd, genitalia, perinial care, examination during labor

68
Q

Erythema of intact skin = what stage pressure injury

A

1

69
Q

Partial thickness loss and exposed dermis = what stage pressure injury

A

2

70
Q

full-thickness loss involving damage to the epidermis, dermis and subcutaneous tissue but not involving muscle or bone. Undermining tunneling may be seen in this stage. = what stage pressure injury

A

stage 3

71
Q

full-thickness skin and tissue loss, only it involves deep tissue necrosis of muscle, fascia, tendon, joint capsule and sometimes bone. Maybe tunneling and undermining. = what stage pressure injury

A

4

72
Q

Eschar is black, brown, or tan dead tissue that has a leathery appearance. Impossible to accurately stage due to the wound bed being obscured by eschar or excessive slough. = what stage pressure injury

A

unstageable

73
Q

These are S/S of what?

None or acute retroviral syndrome. CAn have an asymptomatic phase.
Immune system impairment (fever, dyspnea, weightloss, fatigue, night sweats, persistent diarrhea, oral or vaginal candidiasis ulcers, dry skin, skin lesions, peripheral neuropahy, shingles, dementia
CD4 T-Lymphocyte count below 200 or opportunistic infections and diseases occur

A

HIV/AIDS

74
Q

Diagnostic test for HIV/AIDS

A 
HIV antibody/antigen combination immunoassay nucleic acid test
antibody differentiation immunoassay
CBC/lymphocyte count
CD4 T-Lymphocyte count
Viral load testing
Genotyping
75
Q

Theraputic measures for HIV/AIDS

A

CCR5 Agonists
Fusion inhibitors
Integrase inhibitors
Non-nucleoside reverse transcriptase inhibitors
Nucleoside reverse transcriptase inhibitors
Post attatchment inhibitors protease inhibitors

76
Q

Complications associated with HIV/AIDS

A

AIDS wasting syndrome
Opportunisti infections and cancer
AIDS dementia complex

77
Q

What are these S/S associated with?

Conjunctivitis.
Men: epididymitis, prostatitis
Women: MPC, Urethritis

A

Chlamydia

78
Q

Dx test for Chlamydia

A

NAAT culture, urine

79
Q

Complications of Chlamydia

A

Fits-hugh-curtis sydnrome, increased susceptibility to HIV infection, PID, Infertility, transmission to baby at birth, co-infection with gonorrhea

80
Q

What are these S/S associated with?

Vesicles/ulcerations in mouth, genitals, flu-like symptoms, lymphadenopathy urethritis, cystitis, MPC

A

Herpes Simplex

81
Q

Dx test for herpes simplex

A

Culture, western blot, ELISA

82
Q

Complications of herpes simplex

A

Life long infection, dissminated infection, nervous system invasion, increased risk of cervical cancer, transmission to baby at birth

83
Q

S/S of primary Syphilis

A

Chancre

84
Q

S/S of secondary syphilis

A

flu-like symptoms, rashes, condylomatous growths

85
Q

Tertiary Syphilis

A

gumma damage to the heart, circulatory system, nervous system; transmission to fetus during pregnancy

86
Q

Dx testing for syphilis

A

VDRL test, ELISA, RPR test, FTA-ABS

87
Q

criminal laws

A

Law that protect the public or society

88
Q

Tort

A

A violation of a civil law, involves a wrong against an individual or his or her property

89
Q

Civil law

A

The individual or personal rights guaranteed by federal law such as the constitution and the Bill of Rights.

90
Q

Defendant

A

The individual or personal rights guaranteed by federal law such as the constitution and the Bill of Rights.

91
Q

Maslows in order

A 
Physiological
Safety and security
Love and belonging
Self-esteem
Cognitive
Asethetic
Self actualization
Transcendence
92
Q

Timing for taking iron supplement and take it with what?

A

Admin 1 hour before meal or 2 hrs after meal w/full glass of water or juice.

93
Q

Vitamin K foods

A 
asparagus
beet greens
broccoli
brussel sprouts
cabbage
collard greens
dandelion leaves
garden cress
green tea leaves
kale
mustard greens
parsley
spinach
swiss chard
turnip greens
94
Q

Coumadin antidote

A

Vitamin K

95
Q

With hold a beta-bocker if…

A

Pulse is less than 50

96
Q

With hold Digioxin if…

A

less than 60 bpm in adults, less than 70 bpm in a child, or less than 90 bpm in an infant.

97
Q

Muscle weakness, flaccid, ABD distention, decreased deep tendon reflexes, Orthostatic hypotension, Urinary retention, Cardiac dysrhythmias, if caused by digoxin toxicity, client may report seeing yellow halos around objects
These are all S/S of what?

A

Hypokalemia

98
Q

Slow pulse, hypotension, restlessness, irritability, weakness, paresthesia, dysrhythmias, increased motility, diarrhea, hyperactive bowel sounds, nausea, abdominal cramping. Metabolic acidosis w/kidney failure Muscle weakness, flaccid, Cardiac dysrhythmias
• Can lead to cardiac arrest

These are all S/S of what?

A

Hyperkalemia

99
Q

hypothermia, tachycardia, thready pulse, hypotension, tachypnea, hypoxia, dizziness, syncope, confusion, dry mouth, thirst, weight loss, oliguria, cool clammy skin, flattened veins, poor skin turgor, seizures.

These are all S/S of what?

A

Hypovolemia

100
Q

ABG values

A

PH 7.35 -7.45
PACO2 35-45
HCO3 22-26

101
Q

PH values

A

7.35-7.45

102
Q

PACO2

A

35-45

103
Q

HCO3

A

22-26

104
Q

(Ph greater than 7.45) - Vomiting, NG TUBE Suctioning, Bulimia, Renal disease.

A

Metabolic alkalosis

105
Q

(Ph under 7.35) – diarrhea, renal disease, small intestine, surgery, laxative abuse

A

Metabolic acidosis

106
Q

(PH greater than 7.45) – Hyperventilation

A

respiratory alkalosis

107
Q

(PH under 7.35)- COPD, sleep apnea, opioid toxicity, asthma, anesthesia

A

Respiratory acidosis

108
Q

Nagel’s rule

A

Subtract 3 months, add 1 year and 7 days.

109
Q

Reassuring fetal heart tones

A

normal heart rate, good variability, acceleration 15 bpm for 15 sec is a good sign.

110
Q

Dyspnea, Rales (crackled), Orthopnea, Weakness/fatigue, Nocturnal paroxysmal dyspnea, Increased HR, nagging cough (frothy, pink tinges sputum), Gaining. Weight (2-3. Lbs a day), hypotension, s3 gallop.

S/S of what?

A

Left sided heart failure

111
Q

Swelling of the legs and hands, Weight gain, Edema, Large neck veins (JVD), Lethargy/fatigue, Irregular heart rate, Nocturia, Girth (Ascites), Hepatomegaly, Splenomegaly, Anorexia.

Are S/S of what?

A

Right sided heart failure

Practical nursing 102 (5 decks)

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