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PN3 > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Visual soothing mental picture?

A

Guided imaginary

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2
Q

What do vitamins A,C, & E have in common?

A

They are antioxidants

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3
Q

Physiological change, anaphylactic reaction- causing what to lungs?

A

Bronchoconstiction

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4
Q

Gunshot wound, left femoral Artery- what kind of shock?

A

Hypovolemic

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5
Q

With Acute pain, no meds what’s the best CAM to teach a client ?

A

Relaxation

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6
Q

Assessing client for medication list? What is an essential question to ask ?

A

Any allergies ? Vitamins and herbs are you taking any?

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7
Q

Hypovolemic leads to an adequate tissue perfusion and what?

A

Hypoxia ?

And eventually organ failure

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8
Q

Cariogenic shock, Hypotension- placed in what position?

A

Talenberg or supine with feet elevated

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9
Q

Fluid treatment for hypovolemic shock ?

A

0.9% normal saline

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10
Q

Teaching client self administrating Epi pen - placement of injection

A

Subcutaneous in outer thigh

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11
Q

Relationship between sepsis and age

A

Increase chances with age

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12
Q

Dyspneic, crackles in lungs, fluid volume excess , CHF - what physiologic symptom will be present

A

Increase in blood pressure

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13
Q

Med allergy most at risk for anaphylactic shock?

A

Penicillin

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14
Q

Nursing responsibility for prevention on shock ?

A

Know potential risks for each patient

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15
Q

Warm flushed skin fever increase respiratory rate and heart rate - what diagnosis ?

A

Stage one of septic shock

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16
Q

First line treatment for anaphylactic shock ?

A

Epinephrine

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17
Q

Primary treatment for hypovolemic shock

A

Fluid replacement

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18
Q

Most serious complication for anaphylactic shock

A

Death

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19
Q

Hypovolemic shock - risk for what electrolyte imbalance

A

Hypokalemia

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20
Q

Chemical ware fare agent , extent of injury - what else ?

A

Amount used and time exposed

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21
Q

1st symptoms of radiation sickness

A

Nausea and vomiting and diarrhea and headache

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22
Q

Describe an emergency in health care

A

Medical condition of people who need immediate attention

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23
Q

Triage in ER- what to triage first ?

A

Red tags – severity of illness or injury

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24
Q

CPR in the hospital , promote respiration- what will you use

A

BVM, defibrillator, CAB

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25
Q

Abdominal pain assessment- what 4 things to asses?

A

PQRST ??

Provokes , quality, radiates, severity, timing

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26
Q

Penetrating trauma bowel loops protruding - what do you do?

A

What sterile gauze with dry sterile gauze over

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27
Q

Terrorists attack/triage - multiple choice

A

Loss of consciousness, chest pain, chest Wound , 3rd° burn wound

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28
Q

Terminal cancer and CAM

A

?Relaxation, biofeedback, healing touch, imagery

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29
Q

Epi pen-?

A

Avoid sun and heat, don’t inject IM or butt , thighs preferred

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30
Q

Positive homans sign ?

A

Embolis

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31
Q

A-fib more likely to happen that what?

A

Five times more likely of stroke

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32
Q

D/c teaching with a pacemaker

A

Medical IDs no contact sports ?

You can set off medical detectors

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33
Q

DVT and bedrest

A

Wear compression stockings SCD

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34
Q

D/C teaching thrombophlebitis?

A

Anticoagulant such as Coumadin. Drink 2-3 quarts of h2o daily

Do not cross legs, elevate legs while sitting, avoid sitting or standing long periods, wear support, shift weight back and forth or circulation. Notify PCP ASAP if assumed DVT or PE.

35
Q

Bradycardia- what is it?

A

Slow heart rate below 60- treat with atropine

36
Q

Pacemaker - d/c teaching

A

Teach client to take accurate apical and radial pulses

Inform client to report dizziness, fainting , or fever

Regular pacemaker checks or trans telephonic monitoring

37
Q

Treatment for ventricular fibrillation?

A

?shock only and atropine

38
Q

Treatment for ventricular fibrillation

A

Defibrillation and CPR

Oxygen, amiodarone (cordarone) given through IV, lidocaine hydrochloride, mag sulfate, can also be cardioverted if peripheral pulses are present or defib if peripheral pulses are absent

39
Q

Treatment for tachycardia

A

Depends on cause

40
Q

Placement of defibrillation paddles

A

Upper right below clavicle at apex of heart and lower left

41
Q

Heparin therapy and lab values

A

DPPT or APTT lab values ??

Partial thromboplastin time. Serum test the identifies abnormalities in clotting pathway.

Normal time is 60-70 sec clot time. If >100 higher clot risk. If taking heparin, do PTT test 30-60 mins before dose

Heparin will prolong PTT

42
Q

Rheumatic fever

A

Mitral valve prolapse

43
Q

Mitral stenosis

A

Valve becomes and the leaflets are thicken which prevents blood flow from flowing freely

44
Q

Hemophilia/bleeding into joints- treatment

A

Immobilize and put pressure apply ice

45
Q

DIC and treatment

A

Deseminated intravascular coagulation condition that alternates clotting and hemorrhaging. Administer platelets and packed red blood cells.

46
Q

RBCs and function

A

Carry oxygen

47
Q

Blood transfusion with what fluid IV?

A

0.9 % normal saline

48
Q

Platelets and function ?

A

Clotting factor

49
Q

Anaphylactic reaction- what to give first?

A

Epinephrine

50
Q

Immunosuppressive (what at risk first)?

A

Infection

51
Q

Bee sting (what will you ask first)

A

Ask if hey have ever been stung before

52
Q

SLE- the characteristic sign?

A

Systemic lupus erythematosus - butterfly rash on face

53
Q

Anaphylactic shock to shellfish (what is most important ?)

A

Airway

54
Q

SLE- what is it?

A

Inflammatory disease of collagen contained in connective tissues

55
Q

RBC blood transfusion- signs to tell patient to report immediately?

A

Hives, trouble breathing, feeling sick malaise

56
Q

Function of skin

A

Protection , sensation , temp, regulator

57
Q

Brown/dark colored skin- where to asses for pallor ?

A

Mucus membranes

58
Q

PPE to wear when caring for burn patient ?

A

Gown, mask, gloves, bonnet

59
Q

Severe burn, less than desirable client status

A

Hourly urine less than 30mL

60
Q

Diet for atrial dysrhythmias/foods to avoid

A

No salt , no alcohol , no caffeine

61
Q

Most common cause of altered wound healing

A

Infection

62
Q

Burns nursing diagnoses

A

Ineffective airway clearance

63
Q

Lice interventions ?

A

Shampoo ever 9-10 days

64
Q

Burn and effect on survival

A

Inhalation injury

65
Q

Dietary and wound healing

A

Increase protein and calorie intake

66
Q

Contact dermatitis?

A

Pruritus/ rash

67
Q

Carbuncle

A

Boil

68
Q

Glasgow coma scale - scoring

A

Lowest:3-deep coma - 15 is best

69
Q

Stroke/TIA- risks

A

Hypertension increase risk

70
Q

Parkinson’s - meal safety measurements

A

Dysphasia - monitor for choking

71
Q

Encephalitis and meningitis- diagnostic testing and nursing interventions

A

Lumbar puncture

CBC

72
Q

Anticonvulsants- client teaching

A

Use good oral hygiene

73
Q

Head injury and ICP?

A

ICP-Device used for draining and maintaining adequate O2 levels and perfusion in brain after head injury

Closed wound - swelling in brain

Open wound - fluid through ears - cerebral fluid

S/s- ICP
Headache nausea vomiting confusion , increased bp, pupils don’t respond to light , coma, seizures,shallow breathing

74
Q

Back surgery - how to reposition ?

A

Log roll- supine

75
Q

MS - goals and what causes exacerbations

A

Periods of emotional or physical stress

76
Q

Spinal cord injuries - what kind of paralysis it can cause ?

A

Monoplegia - arms and legs
Quadriplegia- all four limbs
Hemiplegia- arm and leg on same side
Paraplegia- both legs

T-8?

77
Q

Autonomic dysreflexia - nursing intervention

A

Fowler’s position - asses bp every few min

78
Q

Hearing aides- what do they help with?

A

Increase sound and speech but not necessarily clarity

79
Q

Sensorineural, conductive and mixed hearing loss

A

Inner ear loss

80
Q

Ménière’s disease

A

State of hearing loss caused by tinnitus or vertigo

81
Q

Internal radiation therapy- nursing interventions

A

Wear lead apron , prepare everything outside room , several nurses , wear shield , limit time of exposure with pt

82
Q

Tonic clonic seizures- nursing interventions

A

Asses respiratory status, note time, document if unconscious, prepare suction cover side rail with blankets , loosen clothing

83
Q

PNS- SNS - flight or fight

A

?pg 791

SNS - Prepares the body for intense physical activity (fight or flight response)

PNS-
Relaxes the body and inhibits it slows high energy functions ? (Conserves and restores)

Fight or flight-
Response to stress and prepares the body to react to danger part of the autonomic nervous system. Maintains homeostasis

84
Q

Mental status - what to look for in change of mental status ?

A

Loc- loss of consciousness

PN3 (4 decks)

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