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Med Surge and Maternity > Med surge Final😒 > Flashcards

Med surge Final😒 Flashcards

1
Q

signs of human trafficking

A

signs of abuse
malnourishment
minimal or no medical history

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2
Q

cultural sensitivity

A

knowing culturally appropriate language and not making statements that may offend another persons cultural beliefs

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3
Q

Jewish American couple wants to get pregnant. What do they need to get tested for?

A

test for tay-sachs

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4
Q

IV fluid that is the same as blood

A

normal saline

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5
Q

pt with a running IV. What is the concern?

A

overhydration

look for crackles in the lungs

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6
Q

how do you assess for hypocalcemia?

A

Chvostek sign
trousseau sign
bp cuff hands and fingers will become spastic and go into palmer flex.
(hypocalcemia is between 9 mg/dL and 4.5 mEq/L)

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7
Q

parenteral nutrition

A

medication route other than the digestive tract
Central Venous Access:
used to give total parenteral nutrition

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8
Q

what do you do with a wound evisceration?

A

semi-fowlers in bed

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9
Q

what IV fluid is hung with a blood transfusion?

A

normal saline (0.9% NaCl)

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10
Q

normal HR

A

60 to 100 beats per minute

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11
Q

normal pulse ox

A

95% or higher

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12
Q

levels of hypertension

A

Stage 1. 130/ 80 to 139/89
Stage 2. 140/90
Hypertensive Emergency 180/120

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13
Q

who is at high risk for mitral valve prolapse?

A

women between the ages of 15-30

thin with slight chest deformities

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14
Q

aortic regurgitation treatments

A

Digitalis
Diuretics
Vasodilators
Valve replacement

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15
Q

antidote for heparin

A

protamine sulfate

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16
Q

ineffective endocarditis

A

begins when bacteria, fungi or other organism attaches to eroded endocardium where platelets and fibrin deposits have formed a vegetative lesion.

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17
Q

nursing care for a pt with peripheral vascular disease

A 
assess for the 6 p's 
pain
paresthesia
pallor
pulselessness
paralysis
poikilothermia
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18
Q

normal neurovascular assessment

A

capillary refill
pulse
temperature of limbs

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19
Q

what lab levels indicate a MI

A

Triponin

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20
Q

What is Raynaud’s

A

in cold weather or with the consumption of caffeine vessels will constrict turning the hands purple

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21
Q

describe an abdominal aortic aneurism

A

occurs when an area of the aorta becomes very large or balloons out. bulging, ballooning, or dilation at the weak point of the arterial wall.

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22
Q

pt’s monitor say asystole

A

start cpr

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23
Q

pt is in V-FIB

A

D-fib

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24
Q

basic metabolic panel (BMP)

A 
glucose
calcium
sodium
potassium
bicarbonate 
chloride 
BUN
Creatinine
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25
pt has wheezes and rhonchi. With a respiratory rate of 28. The patient goes quite
pt. has gone into respiratory failure
26
residual capacity
the volume of air in the lungs after normal relaxation
27
what is anemia?
reduced delivery of oxygen to the tissue because of reduced numbers of red blood cells in hemoglobin
28
chest tube drainage system needs to be
below the chest
29
ventilator alarm goes off
check the patient
30
reinforce teaching a pt with a hiatal hernia
wait an hour before laying down elevate the HOB with bricks small meals
31
who would benefit from bariatric surgery?
diabetic pt. obese pt. predisposed to heart conditions anyone trying to control or prevent obesity
32
barrettes esophagus
GERD can result in esophagitis due to acid reflux over time this can change the epithelium of the esophagus This is precancerous
33
define impaction
pt. will state they have small watery stools | place client in left SIMs position with HOB flat
34
stoma colors
pink and beefy red- good blue- lack of oxygen black- necrotic
35
pt has hepatitis. What teaching would you reinforce?
do not share personal items
36
normal 24 hr dosage of Tylenol
3,000 milligrams
37
why is a urine telomerase done?
telomerase is found in most bladder cancers
38
how do you collect a 24 hour urine on a incontinent pt?
ask physician for an order for a foley
39
Nursing assessment of the endocrine system
diabetes and hypothyroidism are both endocrine disorders
40
difference between diabetes insipidus and mellitus
Insipidus: polydipsia and polyuria (imbalance of fluids in the body) mellitus: hypoglycemic or hyperglycemic (can't produce insulin or process glucose)
41
what is calcium gluconate used for?
used for a pt. with thyroid issues | specifically a pt. undergoing a thyroidectomy
42
what is a thyrotoxic crisis? | How is it treated?
manipulation of the thyroid gland during surgery, along with the release of large amounts of TH. Rewarm, IV Synthroid
43
s/s of syphilis
chancre, lymphadenopathy, flu like symptoms, joint pain, hair loss, and gummas
44
First stage of syphilis
primary stage: entry treponema palladium spirochete through the skin or membranes 3 to 90 days later papule appears at the site of entry and then sloughs off. leaves a red ulcerated area called a chancre. (Chancre is the only sign of stage 1)
45
pubic lice pt. teaching
tell the pt. to refer to package inserts for application instructions and precautions to avoid reinfection
46
SA node rate
60 to 100
47
AV node rate
40 to 60
48
Ventricular rate
20 to 40
49
clinical manifestations of heart rates
?
50
treatment for viral rhinitis
rest, fluids, and Tylenol
51
diagnostic test for a (PE) pulmonary embolism
D-dimer | blood work
52
Human trafficking and the nurses role
obtain education of trafficking identify physical and psychological symptoms discuss suspicions with clinical team
53
Normal adult respirations
12 to 16 breaths per minute.
54
normal adult blood pressure
120/80
55
sodium levels
135 to 145 mEq/L
56
potassium levels
3.5 to 5 mEq/L
57
magnesium levels
1.5 to 2.5 mEq/L
58
calcium levels
8.5 to 10.50
59
atherosclerosis
the deposition of lipids in the walls of arteries over a period of years
60
hypertensive emergency
risk for progression of target organ dysfunction
61
Second stage of syphilis
begins 2 to 8 weeks after flulike symptoms, joint pain, hair loss, skin rashes, mouth sores, lymphadenopathy, and condylomatous growths in moist areas. (If left untreated 15% will progress to tertiary stage)
62
tertiary (late) stage of syphilis
10 to 20 years later involves organ systems spirochete can form gummas gummas can damage the heart, circulatory system, and nervous system. (ulceration of gammas can destroy areas of vital tissue and lead to mental and physical disability or death)
63
tumors of rubbery consistency that can break down and ulcerate, leaving holes in body tissues
Gummas
64
How many tablespoons are in 1 ounce?
2 tbsp
65
The pt. complains of headache, confusion, cramps, and anorexia What is the pt. in?
hyponatremia (low sodium)
66
cultural awareness
history, ancestry, and appreciation for the arts, music, crafts, celebrations, foods, and traditional clothing
67
cultural competence
offering the best nursing care by being aware of ones own culture, having respect of other cultures, acceptance of differences , and adaptation of nursing care
68
ethnocentrism
thinking one's culture of thinking is the natural way
69
cultural assimilation
taking on the dominant cultures way of life.
70
pernicious anemia
vitamin B12 anemia
71
chancre
a painless genital ulcer formed during the primary stage of syphilis.
72
BNP
B-type natriuretic peptide, helps diagnose heart failure
73
what do you teach a person with a hiatal hernia?
A condition in which part of the stomach protrudes through and above the diaphragm
74
complications of hypothyroidism is treated with...?
IV fluids, Synthroid, and the underlying cause is treated.
75
Complications of hypothyroidism
``` metabolic rate drops hypothermia decreased respiratory rate blood glucose drops cardiac output drops ```
76
males HCT
42 to 52
77
females HCT
37 to 47
78
normal WBC
4,500 to 10,000
79
Glucose
70 to 115
80
BUN
7 to 20

Med Surge and Maternity (14 decks)

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