Med-Surg: comprehensive 2019 A Flashcards
pain in joints of lower extremities
OA
Raynaud’s disease s/s progression
pallor, then cyanosis, followed by redness or heat as the vessels reperfuse, before the skin returns to baseline tone
scaly patches on knees and elbows
psoriasis
older adults - BP, CO, temp
- usually increase in BP
- usually decrease CO
- likely to have decreased oral temp
delirium speech
4
rapid
inappropriate
incoherent
rambling
sublimation
when a client substitutes socially unacceptable behaviors for acceptable behaviors
three way urinary catheter is used for
continuous bladder irrigation
rooting reflex
stroke infants cheek
tonic neck reflex
turn head to one side
extrusion reflex
depress infant’s tongue
assess glabellar reflex how
tap on the bridge of infant’s nose which should cause them to close eyes tightly
cataract surgery - how to ease itchy eyes
cool compress
cataract surgery - avoid lifting what
anything more than 10 lbs
misoprostol
antiulcer agent
misoprostol - check what before taking
pregnancy test - can cause uterine contractions
what two hormones increase during prengancy
estrogen and progesterone
GI constipation and pregnancy
3
- estrogen and progesterone increase which decreases peristalsis and relaxation of the smooth muscle of the intestine, causing constipation
- intestine absorbs more water from stool leading to constipation
- small intestine absorbs more iron leading to constipation
lithium toxicity includes
7
- confusion
- coarse hand tremors
- incoordination
- ECG changes
- sedation
- diarrhea
- vomiting
disaster mgmt includes what stages
4
prevention
preparedness
response
recovery
a rapid needs assessment in disaster mgmt include
3
- allows the nurse to identify the severity of the situation
- the health needs of the community
- and the priority actions needed during the response stage
estradiol
estrogen replacement
estradiol - monitor and report
3
- HTN
- headaches - indications of thromboembolic stroke
- swelling and tenderness
floating dark spots
retinal detachment
decreases or loss of central vision
macular degenration
double vision
cataracts
increase intraocular pressure
glaucoma
cut stoma skin barrier how big
no more than 0.3 cm larger than stoma to reduce the risk of skin irritation
stoma - clean with
washcloth and warm water
DVT NIs 4 -encourage -encourage -place -...
- encourage client to ambulate once anticoagulants have been administered; walking does not increase risk for PE
- encourage 2-3L day
- place warm compress on area
- elevate extremity to reduce edema and decrease risk of chronic venous insuff.
what allergy is contraindicated for TPN
egg - the lipids are composed of egg phospholipids
avoid sun during what hours
10-2/ 1000-1400
tunneled central venous catheter care
3
- flush daily with heparin when not using regularly
- keep catheter clamped to prevent blood backflow if without pressure sensitive valve
- change dressing at least every 5-7 days
oxygen toxcitiy s/s
2
- crackles
2. substernal chest pain
AV fistula - how often to auscultate for a bruit
every four hours
slates on crib
no more than 2.25 in apart
first action to take when implementing an emergency preparedness plan is to
notify the incident commander to initiate the command hierarchy and maintain order
suctioning airway - for how long
5-15 seconds
suctioning airway and cough
suctioning can initiate the cough reflex as it opens the airway further and allows for more effective removal of mucus
suctioning airway - resistance is met
withdraw 1-2 cm
phenytoin
antiepileptic to prevent seizures
antiepileptic to prevent seizures
phenytoin
propranolol
beta blocker to reduce BP
use what light watt
75-watt bulbs
child snellen chart - how many do you need right
4-6 symbols
antipartum - knee to chest for what
umbilical cord prolapse
