milestone retake

Question 1

Broca’s area is in charge of what?

Answer 1

muscular physical movements for speech

Question 2

what is the first step for meningitis

Answer 2

broad specturm antibiotics

Question 3

symptoms of glaucoma

Answer 3

halos
blurry
x peripheral
HA
x adjust to low lighting

Question 4

pharmalogical tx for urinary retention

Answer 4

cholinergic agonist

Question 5

normal sinus rhythmn characteristics:

ventiricular and atrial rate
ventircular and atrial rhythmn
QRS shape and duration
P wave
PR interval
P:QRS ratio

Answer 5

Ventricular and atrial rate: 60 to 100 bpm in the adult
● Ventricular and atrial rhythm: Regular
● QRS shape and duration: Usually normal, but may be regularly abnormal
● P wave: Normal and consistent shape; always in front of the QRS
● PR interval: Consistent interval between 0.12 and 0.20 seconds
● P:QRS ratio: 1:1

Question 6

what is engorgment

sandwhich techniwue

Answer 6

when mother’s milk cannot be fully expelled from breasts casuing back up

make C with thumb and rest of fingers.
Massage /pump breast and extend for easier latch on

Question 7

rhogam refusal and religion

Answer 7

Jehovah’s Witnesses and others who belong to religions prohibiting the use of blood
products should decide based on their conscience and possibly ecclesiastical leaders
about the use of RhoGAM. Nurses need to respect whatever the mother’s decision is.

Question 8

physiological jaundice in newborns

advise to moms

Answer 8

common in newborns.
show sx within first 3 days of life

advise mothers to nurse babys at least 8-12x /day for 1st several days

Question 9

what causes variable decelerations?

intervention

Answer 9

are abrupt decreases in FHR.

associated with cord compression.

intervention: turn mom left or right lateral, knee-chest, hands, or knees –> increase placental perfusion/relieve cord compression

Question 10

nml fetal heart rate

Answer 10

110-160

Question 11

what is iugr?

what is nst?

Answer 11

intrauterine growth restricition

nst (non-stress test) recommended 2x/week of moms with high risk conditions like intrauterine growth restriction
-measures the heart rate of the fetus in response to its own movements.
-if non-reactive, means that fetus is in distress

Question 12

what is methadone

what is it used to tx

use for detox

Answer 12

opioid

tx addiction and withdrawal

can be used to replace opoids –> decrease dosage over 2 weeks = purspose is to reduce symptoms during detoxification

Question 13

maslow’s hiearchy

order of needs (5)

Answer 13

the physiologic needs of food, water, sleep, shelter, sexual
expression, and freedom from pain

safety and security needs, which include protection, security, and freedom from harm or threatened deprivation.

love and belonging needs, which include
enduring intimacy, friendship, and acceptance.

esteem needs, which include the need for self-respect and esteem from others.

self-actualization, the need for beauty, truth, and justice. realization of a person’s potential, self-fulfillment, seeking personal growth and peak experiences

Question 14

med used to decrease seru uric acid levels- gout

when to administer

Answer 14

allopurinol

after meals

Question 15

ex hypertonic fluids

Answer 15

normal saline or lactated ringer with 3 or 5% dextrose

Question 16

ex of meds prescribed- RA pain

Answer 16

nsaids- cox-2, ibuprofen (motrin), naproxen (naprosyn)

low cost

Question 17

levothyroxine (synthroid)

used to tx what?

when to notify dr

when to take

therapeutic effects

Answer 17

used to treat hypothyroidism

tell dr if puslse is more than 100 bpm

take in am

increase energy and decrease sleep

Question 18

estrogen and BPH- linkage

Answer 18

Estrogens may also play a role in the cause of BPH; BPH generally occurs when men
have elevated estrogen levels and when prostate tissue becomes more sensitive to
estrogens and less responsive to DHT.

Question 19

thrombocytopenia

platelet count:

less than 20,000/mm3
less than 5,000/mm3

Answer 19

petechiae, nasal and gingival bleeding, excess mentrual bleeding, excess `bleeding after sx of dental

spontaneous cns or gi hemorrhage

Question 20

why serum K is mointored with digoxin

renal patients

Answer 20

effect of digoxin is enhanced in presence of hypokelemia –> digoxin toxicity

given smaller doses

Question 21

key concern with digoxin therapy

Answer 21

digitalis toxicity

Question 22

purpose of digoxin (lanoxin)

Answer 22

improves cardiac contracility
decreases s/s of hf

Question 23

Diverticulitis diet

stage 2-4 on hinghey stanging

Answer 23

clear liquid diet until inflammation decreases

then high fiber, low fat diet

stage 2-4:
withold oral fluids, give IV fluid
install NG suctioning to rest the bowel if vomiting or distension

Question 24

location of pain- diverticulitis

Answer 24

llq