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?

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?

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
How should you position a pt with ascities?
puts pressure on the lungs, so put them in High-Fowler’s position so they can breathe
26
Pt just went for embolization for hepatic artery: what would you watch out for?
bleeding at the site
27
Hep C: how do you prevent it from spreading:
Don't share toothbrushes?
28
Acute kidney injury: anytime you go for a test (with contrast), they will check...
BUN and creatinine b/c it’s nephrotoxic
29
EKG changes with hyperkalemia?
peaked T-wave
30
Central lines: what is the first sign that there is a problem with it?
Fever
31
When you have fluid overload, you will have problems ...
breathing
32
Peritoneal dialysis: watch out for ...
infection and fever
33
Which pts are ineligible for transplants?
TB pts
34
When you take medication you take it ...
as prescribed! Don’t stop it! Transplant medication is taken for life
35
When you get a pt with a kidney transplant, what would you worry about?
urine output
36
39. All dialysis pts don’t ...
take blood draw or BP on the same side as the graft
37
What is the drug for Alzheimer's?
Aricept (donepizel)
38
How does Aricept work?
- cholinergics (cholinesterase inhibitors) - Inhibits acetylcholinesterase thus improving cholinergic function by making more acetylcholine available - temporarily improves cognition, doesn't cure disease
39
What provides immunity against hep A?
IGG anti-HAV | -may be prescribed for family members; it provides passive immunity for 6 to 8 weeks.