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ATI Comprehensive > Med-Surg: comprehensive 2019 A > Flashcards

Med-Surg: comprehensive 2019 A Flashcards

1
Q

pain in joints of lower extremities

A

OA

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2
Q

Raynaud’s disease s/s progression

A

pallor, then cyanosis, followed by redness or heat as the vessels reperfuse, before the skin returns to baseline tone

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3
Q

scaly patches on knees and elbows

A

psoriasis

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4
Q

older adults - BP, CO, temp

A
  1. usually increase in BP
  2. usually decrease CO
  3. likely to have decreased oral temp
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5
Q

delirium speech

4

A

rapid
inappropriate
incoherent
rambling

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6
Q

sublimation

A

when a client substitutes socially unacceptable behaviors for acceptable behaviors

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7
Q

three way urinary catheter is used for

A

continuous bladder irrigation

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8
Q

rooting reflex

A

stroke infants cheek

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9
Q

tonic neck reflex

A

turn head to one side

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10
Q

extrusion reflex

A

depress infant’s tongue

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11
Q

assess glabellar reflex how

A

tap on the bridge of infant’s nose which should cause them to close eyes tightly

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12
Q

cataract surgery - how to ease itchy eyes

A

cool compress

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13
Q

cataract surgery - avoid lifting what

A

anything more than 10 lbs

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14
Q

misoprostol

A

antiulcer agent

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15
Q

misoprostol - check what before taking

A

pregnancy test - can cause uterine contractions

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16
Q

what two hormones increase during prengancy

A

estrogen and progesterone

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17
Q

GI constipation and pregnancy

3

A
  1. estrogen and progesterone increase which decreases peristalsis and relaxation of the smooth muscle of the intestine, causing constipation
  2. intestine absorbs more water from stool leading to constipation
  3. small intestine absorbs more iron leading to constipation
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18
Q

lithium toxicity includes

7

A
  1. confusion
  2. coarse hand tremors
  3. incoordination
  4. ECG changes
  5. sedation
  6. diarrhea
  7. vomiting
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19
Q

disaster mgmt includes what stages

4

A

prevention
preparedness
response
recovery

20
Q

a rapid needs assessment in disaster mgmt include

3

A
  1. allows the nurse to identify the severity of the situation
  2. the health needs of the community
  3. and the priority actions needed during the response stage
21
Q

estradiol

A

estrogen replacement

22
Q

estradiol - monitor and report

3

A
  1. HTN
  2. headaches - indications of thromboembolic stroke
  3. swelling and tenderness
23
Q

floating dark spots

A

retinal detachment

24
Q

decreases or loss of central vision

A

macular degenration

25
Q

double vision

A

cataracts

26
Q

increase intraocular pressure

A

glaucoma

27
Q

cut stoma skin barrier how big

A

no more than 0.3 cm larger than stoma to reduce the risk of skin irritation

28
Q

stoma - clean with

A

washcloth and warm water

29
Q 
DVT NIs
4
-encourage
-encourage
-place
-...
A
  1. encourage client to ambulate once anticoagulants have been administered; walking does not increase risk for PE
  2. encourage 2-3L day
  3. place warm compress on area
  4. elevate extremity to reduce edema and decrease risk of chronic venous insuff.
30
Q

what allergy is contraindicated for TPN

A

egg - the lipids are composed of egg phospholipids

31
Q

avoid sun during what hours

A

10-2/ 1000-1400

32
Q

tunneled central venous catheter care

3

A
  1. flush daily with heparin when not using regularly
  2. keep catheter clamped to prevent blood backflow if without pressure sensitive valve
  3. change dressing at least every 5-7 days
33
Q

oxygen toxcitiy s/s

2

A
  1. crackles

2. substernal chest pain

34
Q

AV fistula - how often to auscultate for a bruit

A

every four hours

35
Q

slates on crib

A

no more than 2.25 in apart

36
Q

first action to take when implementing an emergency preparedness plan is to

A

notify the incident commander to initiate the command hierarchy and maintain order

37
Q

suctioning airway - for how long

A

5-15 seconds

38
Q

suctioning airway and cough

A

suctioning can initiate the cough reflex as it opens the airway further and allows for more effective removal of mucus

39
Q

suctioning airway - resistance is met

A

withdraw 1-2 cm

40
Q

phenytoin

A

antiepileptic to prevent seizures

41
Q

antiepileptic to prevent seizures

A

phenytoin

42
Q

propranolol

A

beta blocker to reduce BP

43
Q

use what light watt

A

75-watt bulbs

44
Q

child snellen chart - how many do you need right

A

4-6 symbols

45
Q

antipartum - knee to chest for what

A

umbilical cord prolapse

ATI Comprehensive (17 decks)

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