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Med Surg II > Final > Flashcards

Final Flashcards

1
Q

Parkinson’s: When you are discharging them, you are educating family members, what do you want to educate them regarding medication?

A

Therapeutic level! Give at a certain time each day

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2
Q

Parkinson’s: which intervention will best protect the pt:

A

problems with sleeping patterns! (can lead to problems with falling)

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3
Q

Alzheimer’s: when you discharge them home, caregivers need …

A

help. Go to a support group for that specific disorder! (aka alzeheimer’s)

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4
Q

What should you do as a nurse for someone suffering a migraine?

A

turn the lights off, let them sleep, leave them alone

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5
Q

College students need…

A

Meningitis vaccine

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6
Q

Dementia/Alzheimer’s: what should you tell a caregiver when they tell you they are very tired and don’t know how to manage?

A

tell them to take care of themselves

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7
Q

What should you do first with a pt experiencing a seizure?

A

put the pt on his/her side

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8
Q

How often do you do neuro checks on a pt with meningitis (bacterial or viral)?

A

every 2-4 hours

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9
Q

When would you be concerned when someone is having a seizure?

A

when they are having seizures for 30 minutes or more call a DR

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10
Q

CSF fluid should be…

A

clear! if not, something is wrong

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11
Q

People with migraines should not….

A

skip meals

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12
Q

When discharging a Parkinson’s pt, the nurse _____ the caregiver

A

involve the caregiver in the discharge instructions, keep them involved, ask them questions

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13
Q

When should you teach a pt with Alzheimer’s?

A

When they are lucid (they have periods of being confused and periods of being lucid)

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14
Q

MG: when you are receiving the cholinesterase drug, your muscle strength improves; if you all of the sudden lose muscle strength…

A

call rapid response or if pt is at home call 911

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15
Q

How do you communicate with a GB pt?

A

by blinking

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16
Q

MG: what is the early onset symptom?

A

Ptosis

17
Q

GB and MG: what is the similarity?

A

Both affect respiratory function

18
Q

GB: biggest problem is ….?

A

immobility, which can cause them to get pressure ulcers and DVTs. So prevent them!
-Prevent pressure ulcers!

19
Q

MG patients are prone to…

A

aspirating

20
Q

What is the drug/test for MG?

A

Tensilon, if tensilon helps them improve muscle function then they have MG

21
Q

What should you do if a pt has newfound cirrhosis?

A

give the liver time to rest (if it’s not completely cirrhosis), the liver can regenerate

22
Q

What is the biggest problem with cirrhosis?

A

Bleeding

23
Q

What does lactulose do?

A

absorbs ammonia (or potassium) and makes you poop/have diarrhea

24
Q

What should you provide a pt with diarrhea?

A

give them a bedside commode! They are on fall risk

25
Q

How should you position a pt with ascities?

A

puts pressure on the lungs, so put them in High-Fowler’s position so they can breathe

26
Q

Pt just went for embolization for hepatic artery: what would you watch out for?

A

bleeding at the site

27
Q

Hep C: how do you prevent it from spreading:

A

Don’t share toothbrushes?

28
Q

Acute kidney injury: anytime you go for a test (with contrast), they will check…

A

BUN and creatinine b/c it’s nephrotoxic

29
Q

EKG changes with hyperkalemia?

A

peaked T-wave

30
Q

Central lines: what is the first sign that there is a problem with it?

A

Fever

31
Q

When you have fluid overload, you will have problems …

A

breathing

32
Q

Peritoneal dialysis: watch out for …

A

infection and fever

33
Q

Which pts are ineligible for transplants?

A

TB pts

34
Q

When you take medication you take it …

A

as prescribed! Don’t stop it! Transplant medication is taken for life

35
Q

When you get a pt with a kidney transplant, what would you worry about?

A

urine output

36
Q
  1. All dialysis pts don’t …
A

take blood draw or BP on the same side as the graft

37
Q

What is the drug for Alzheimer’s?

A

Aricept (donepizel)

38
Q

How does Aricept work?

A
  • cholinergics (cholinesterase inhibitors)
  • Inhibits acetylcholinesterase thus improving cholinergic function by making more acetylcholine available
  • temporarily improves cognition, doesn’t cure disease
39
Q

What provides immunity against hep A?

A

IGG anti-HAV

-may be prescribed for family members; it provides passive immunity for 6 to 8 weeks.

Med Surg II (5 decks)

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