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missed info Flashcards

1
Q

what to monitor for for transplant rejection

A

creatinine

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2
Q

r/f for decreased wound healing is not

A

afib

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3
Q

ART moa

A

blocks entry via transfusion inhibitors

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4
Q

priority visit in ED for someone in HIV clinic

A

10 liquid stools in 24 hours

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5
Q

SATA for someone with pollen allergy

A

dog dander not an answer

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6
Q

3 s/s of LATEX anaphylaxis

A

stridor, dizziness, tachycardia

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7
Q

which precautions for someone with HIV

A

standard

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8
Q

for central lines SATA 2

A

wash hands and disinfect port thats it

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9
Q

first thing to ask if someone has angioedem and swelling

A

can you breathe

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10
Q

before surgery what medication should be discontinues

A

ibuprophen

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11
Q

if someone has MRSA why do we use precautions

A

bc it is resistant

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12
Q

2 r/f for hyperglycemia

A

infection and inactivity

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13
Q

if someone has HHS in the ED what is prioirtyq

A

start an IV

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14
Q

4 interventions for SIADH

A

fluid restriction, flat HOB, dly weight, diuretics

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15
Q

2 SATA for education to a t2d

A

call hcp if cant keep fluids down
monitor BG

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16
Q

4 s/s of DI

A

polydypsia, low BP ,high HR and high Na

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17
Q

if pt is diaphoretic and shaky what to do first

A

check BG

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18
Q

important for acromegaly

A

say there will be changes in the face

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19
Q

most important education for cushings

A

body image

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20
Q

thyroid stormm tx

A

beta blockers

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21
Q

priority for someone with Low K+ ever

A

cardiac monitoring

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22
Q

after thyroidectomy, tx is

A

IV calcium

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23
Q

what is important AE of levothyroxine

A

tachycardia

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24
Q

pt in the PACU after thryoidectomy what is important to tell HCP

A

if there is neck swelling

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25
Q

after hypophyecotmy what is education

A

no vigorous coughing

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26
Q

priority assessment after hypophosectomy

A

CSF leak - clear discharge from banadages

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27
Q

prioriy intervention for SIADH/DI

A

fluid and electrolytes

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28
Q

for RAI what is priorty

A

educate about s/s of hypothyroid

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29
Q

for exothalamos what is main risk

A

corneal lesions

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30
Q

if someone has diabetes what to educate them on regarding medicine

A

rededucate if they say they can stop taking their insulin/corticosteroid

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31
Q

what is tx for addisions

A

high dose corticosteorids

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32
Q

DKA vs HHS

A

kuusmall respirations

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33
Q

who is most at risk for hypoglycemic unwareness

A

old person taking propanolol

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34
Q

odanestron used when during chemo

A

30 min before

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35
Q

for hodgkins what will be present

A

anemia present at time od diagnosis

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36
Q

SATA for myeloma labs

A

high BUN, high Ca thats it

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37
Q

most important when giving packed RBC

A

check ID

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38
Q
  • Before starting a transfusion of packed red blood cells for an older anemic patient, the nurse would arrange for a peer to monitor his or her other assigned patients for how many minutes when the nurse begins the transfusion?
A

15 min

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39
Q
  • The nurse notes a physician’s order written at 10:00 AM for two units of packed red blood cells to be administered to a patient who is anemic as a result of chronic blood loss. If the transfusion is picked up at 11:30 AM, the nurse should plan to hang the unit no later than what time?
A

noon

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40
Q

priority patient who has neutropenia

A

neutrpopenia with a fever

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41
Q
  • It is important for the nurse providing care for a patient with sickle cell crisis to
A

evaluate effectiventess of opioids

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42
Q
  • The blood bank notifies the nurse that the two units of blood ordered for a patient is ready for pick up. Which action should the nurse take to prevent an adverse effect during this procedure?
A

Infuse slowly for first 15 min

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43
Q

for a tumor what is most concerning

A

nonmobile and hard

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44
Q

someone in stage 4 needs education if they say

A

i need hospice

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45
Q

someone with myeloma what is prioirty

A

mobility help (position change help)

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46
Q
  • The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse
    will plan to check the laboratory results for
A

bilirubin

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47
Q

what to do if transfusionn rxn

A

stop transfusion always

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48
Q
  • Which action will the admitting nurse include in the care plan for a patient who has
    neutropenia?
A

Check temp every 4 hours – don’t cut out fruits and veggies that’s a trick

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49
Q

granulocyte colony factor education

A

do not shake med - filgrastim

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50
Q
  • A postoperative patient receiving a transfusion of packed red blood cells develops chills,
    fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the
    transfusion, what action should the nurse take?
A

acetaminophen

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51
Q

after report who should nurse see first in HIV

A

sickle cell crisis

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52
Q

how does radiation wrok

A

breaks cellular dna

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53
Q

if low WBC what does nurse worry about

A

infection

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54
Q

CL care SATA

A

10ml syringe, only IV meds, do NOT change dressing EVERYDAY, use heparin or NSS to flush

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55
Q

chemo is toxic to

A

GI, skin, hair, BM

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56
Q

if BM supression you will see

A

infection, bleeding,

57
Q

magesterol does what

A

stims apetite

58
Q

neutropenic education SATA

A

electric razor, avoid crowds

59
Q

limitation of chemo is that

A

cells build resistance

60
Q

to prevent adverse effects like vesication for chemo meds

A

use central line

61
Q

for external radiation what is most important

A

skin care

62
Q
  • Which poses most risk to nurse for an internal radiation tx?
A

TIME WITH PT 30 MIN – pick that over the use of their towels etc

63
Q

if someone has malnutriton, how to help with eating

A

using spices

64
Q

tamoxifen is used when

A

when tumor responds to estrogen

65
Q

after mastectomy prioirty is what

A

no BP readings or IV sticks

66
Q

4 education after new ostomy

A

obtain supplies, sexual activity, how to contact ostomy nurse, diet,

67
Q

malnutrition labs

A

decreased everything except K+?

68
Q

post op bariatric surgery

A

full liquids after 48 hours, small amt of low sugar liquids first 25 hours, early mobility, no straws, HOB elevated

69
Q

UC vs chrons

A

UC is curable

70
Q

aloestron education

A

notify HCP if having constipation

71
Q

if someone has a colonoscopy when do they need further edcuation

A

if they say they can drive home after

72
Q

small vs large bowel obstruction

A

large is abdominal distention- small is vomiting

73
Q

periotnitis prioirty complication is

A

shock

74
Q

normal NG tube drainage

A

30ml yellow green

75
Q

diverticulitis education

A

increase fiber

76
Q

prioirty to monitor for for diverticulitis

A

peritonitis

77
Q

if pt has pain meds but still has pain,

A

check IV leak site

78
Q

diverticulitis labs

A

inc WBC

79
Q

NG tube not producting fluid

A

check mark for placement

80
Q

pt calls and has LOWER RIGHT abd pain

A

tell them to be NPO and come to hospital

81
Q

4 education to prevent dumping syndrome

A

no fluids w meals, lie down after eating, low carb, low sugar

82
Q

why does UC and chrons pt need to be NPO

A

to promote bowel rest

83
Q

central line safety

A

don’t pick acetaminophen answer and don’t pick the one where you can mix meds and nutrition formula

84
Q

refeeding prioirty

A

monitor for hypophopshatemia

85
Q

GERD food to avoid

A

chocolate

86
Q

when to use antacids

A

after meals and not with other meds

87
Q

sucralfate use

A

protective barrier

88
Q

barium swallow education

A

inc fiber after the test

89
Q

person most at risk for colorectal cancer

A

fam hx

90
Q

sigmoidostomy produces

A

normal stool

91
Q

what did pt say who has good idea of diarrhea management

A

i will wipe perinanal after stools gently

92
Q

persistent vomiting with normal VS

A

NG tube

93
Q

acute GI blood monitor 2

A

urine output and Hbg/hct

94
Q

peitonitis patient should be

A

placed in position with knees flexed

95
Q

dudoenal ulcers

A

are relived with food

96
Q

if pt has a board like abdomen

A

take vitals

97
Q

6 effects of malnutriton

A

dec mobility, slow immune, inc infection, delayed healing, poor coordination, inc fracture risk

98
Q

prioiry for someone with hpylori

A

abx

99
Q

for cirrhosis what labs to monitor

A

platlet, albumin, Pt time

100
Q

who cannot take OCP

A

36 year old smoking 2 packs

101
Q

ascites manifests

A

peripheral edema and low protein

102
Q

cirrhosis need to monitor what lab

A

WBC

103
Q

endometriosis education

A

infertility

104
Q

why can someone not have estrogen alone

A

can cause endometrial cancer

105
Q

erectile dysfunction causes 4

A

diabetes,
cardio disease, stresss, meds

106
Q

sildenafil contraindication

A

NTG

107
Q

cystocele SATA discharge 4

A

constipation
kegel
no heavy lifting
report fever

108
Q

who is at risk for cholethiasis

A

pregnant

109
Q

at a daycare person is at risk for

A

hep A

110
Q

direct acting med education

A

for hep c- take for 12 weeks

111
Q

hep C meds can

A

cure HCV

112
Q

pancreatitis avoiding it

A

no alcohol to prevent attacks

113
Q

NAFLD education

A

reduce weight

114
Q

to monitor if fluid is moving from vascular to peritoneal

A

monitor urinary output

115
Q

after parancetesis monitor for

A

hypotension

116
Q

priority for hepatic encephalopathy

A

assessing LOC

117
Q

after liver bx

A

lay pt on right side

118
Q

lactulose moa

A

traps ammonia to poop it out

119
Q

ERCP pt needs further ed if

A

they say they can eat before

120
Q

most concering for pt with pancreatitis

A

shallow respiration

121
Q

pancreatitis important discharge info

A

take pancreatic enzymes

122
Q

if t tube produces green brown drainage then

A

thats normal

123
Q

which STI has chancre

A

syphillis

124
Q

to differentiate primary dysmennorhea and fibroid

A

do thorough hx

125
Q

someone with bleeding after menopause

A

come to doc for eval

126
Q

OCP education

A

ammenorrhea is normal

127
Q

how to dx ovarian cancer

A

pelvic exam

128
Q

heavy uterine bleeding and ifbroids education

A

monitor for anemia and consume iron

129
Q

TUPR color is light pink what to do

A

document

130
Q

education for OCP

A

take at the same time everyday

131
Q

t/f - uremia causes hyperpigmentation

A

false

132
Q

role of spiranolactone

A

decreases aldosterone

133
Q

who should not take HRT

A

endometrial cancer hx

134
Q

chovtsek/trousseas is what lab

A

Ca

135
Q

tx for basic UTI

A

tmp/smx

136
Q

peritoneal dialysis complication

A

cloudy efferant

137
Q

kidney stones caused by what

A

oxalae - dark roughage

138
Q

how to dx kidney stones

A

noncontrast helical CT

139
Q

what are kussmall

A

rapid deep and regular

final exam (3 decks)

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