More Random from quizzes Flashcards
Pillow placement while supine
NEVER under knees. Compromises blood flow
Risk factors for developing breast cancer
Increased exposure to estrogen due to:
- Early menarche before age 12
- Late menopause after 50
- Nulliparity - no pregnancies
Food option for confused client who is suspicious of others
Packaged so they can see the person open it!
Best food for manic patients
Finger foods
Addisons disease
Adrenal insufficiency - Too little cortisol and aldosterone Nursing interventions: - Increased sodium - Administer fludrocortisone - steroid - Monitor I's and O's - Daily weight
Glucocorticoids important to remember
These are steroids!
Do not stop suddenly! Taper dose
Sign of pre-eclampsia
Puffy face Proteinurea Severe headaches Changes in vision N/V Decreased UO SOB Increased wt Edema
Lacto-ovo vegetarian diet
No meat
Yes eggs and dairy
S/S of multiple sclerosis
Fatigue, blurry vision, leg weakness, electric shock sensations when bending neck forward
Lyme disease
Toxoplasmosis
Histoplasmosis
Lyme disease: Ticks - target shaped rash
Toxoplasmosis: Cat litter
Histoplasmosis: Bird manure
Anaphylactic response S/S
Swelling in throat, face, mouth Scratchy throat Wheezes and stridor in breath sounds Increased, weak/thready pulse Decreased BP (leading to shock)
PT in cast: S/S of INFECTION
Hot spots
Cold toes would be S/S of neuromuscular or cardiovascular issue
ECT (electroconvulsive therapy)
Done under general anesthesia that causes small seizures
Food with purines
Meats: Liver, bacon, veal and venison
Seafood: Sardines, muscles, codfish, scallops, trout, haddock
Dissociative amnesia
Caused by trauma or stress
Unable to recall personal information
DO NOT remind of forgotten past. Just happy memories and likes/dislikes
Toddler with bowel issues
Take to bathroom after every meal. Peristalsis occurs after eating.
Retinal detachment
Eye floaters or sudden flashes of light
Glaucoma
Tunnel vision
Macular degeneration
Central vision loss
Meningococcal meningitis precuations
Droplet precautions!
PT and PTT
Measure clotting times
Get checked before biopsy or surgery
Guillan-Barre syndrome
Eventual paresis (partial paralysis) and paralysis. Monitor respiratory status!
Nephrotic syndrome diet
Low sodium and increased proteins
Kidney disorder where you pass too much protein in your urine
Normal INR
Warfarin INR
Normal: 0.8-1.1
Warfarin: 2.0-3.0
Paresthesia
Numbness and tingling
Best position for gastric reflux
Reverse trandelenburg
Luncheon meats
Linked to gastric cancer because they contain preservatives such as nitrates
Chelating agents
Used to treat the client with poison from lead or iron
Activated charcoal and gastric lavage
Remove noncorrosive poisons
What kind of restraints would you use for a child getting a cleft palate repair
Elbow restraints…. least restrictive!!!
Betablockers (LOL) side effect in patients with COPD
Can cause bronchospasms
End-stage renal failure side effect
Causes itching because of uric acid crystals on skin
Meniere’s disease diet
LOW SODIUM! High salt diet worsen’s disease
Vertigo - inner ear
Neuroleptic Malignant Syndrome
S/S
Adverse reaction to antipsychotic drugs
S/S: Fever, altered mental status, muscle rigidity, autonomic dysfunction
Chlorpromazine
Antipsychotic
Hemophilia
Condition where blood does not clot normally
Do not take NSAIDS… cause prolonged bleeding time
After a seizure how is condition of patient
Drowsy
BP elevated
Hirschsprung’s disease
Affects large intestine and makes it difficult to pass stool. Congenital disease
What drugs do you give to clients withdrawing from alcohol
Clonazepam and lorazepam
Both benzodiazepines!
Methadone
Given to client withdrawing from opiates
Regular insulin
Onset is 30 minutes
Zantac (Ranitidine)
Antacid - treats GERD and stomach ulcers
Tetracycline contraindication
INFANTS
Major complication of lupus
Nephritis
Prevent curvature of spine due to parkinson’s
Lie prone periodically without pillow
Pancreatitis diet
Increase calories and protein, decrease fat
Pernicious anemia
Vit B12 deficient
Nontropical sprue
Celiac disease other name
How do you know if digoxin is working?
Urine output has increased
Common complaint of patient with abdominal aortic aneurysm
Frequently complain of pulsations in periumbilical area or “feeling heart beat” in abdomen
Acute adrenal crisis
Show symptoms of hypovolemia and shock
Adrenal glands produce cortisol!
Baby with jaundice
“push” fluids between feedings to flush excess biliruben
NG suction is effective when?
When abdomen is soft and nondistended
Tremulousness
Vibrating slightly, quivering, trembling
Sign of hypoglycemia
Multiple Sclerosis symptoms
DOUBLE VISION! (Diplopia)
Diplopia
Double vision
Renal calculi
Kidney stone
Can be related to gout
Both are a result of increased amounts of uric acid
Cimetidine
Prevents development of ulcers
Prednisone
Common side effect is gastric ulcers
Romazicon
Treats benzodiazepine overdose
Blood test for H. Pylori
No special prep is needed
Oral potassium
Give with juice or other drink to prevent gastric upset and disguise taste
Sulfamylon cream
Used for burn patients. Very painful to administer pain meds 30 min before!
Autonomic Dysreflexia
Dangerous syndrome that develops in pt’s with spinal chord injuries. It is a sudden onset of HTN
MEDICAL EMERGENCY
STimulus can be bowel, bladder distention or irritation, or any painful, irritating or strong stimulus including environmental changes or a draft.
Check for pressure sores with high blood pressure
Hydralazine
Treats HTN
Pt on suicide watch
Don’t be predictable! Visit them often, like every 15 min, but don’t be on a scheduled routine.
Saturated fats
Should be less than 10% of calories
Pernicious anemia
With no B12, body produces abnormally large RBC’s
Where is b12 found?
Meat, fish, eggs, milk
Sign of disturbed body image
Being a perfectionist! School, sports, hobbies, etc
Decontamination
First remove clothes
Warm shower
Spend minute or so using soap from head to toe then rinse after
Takes about 5-6 minutes (not 15!)
Hyponatremia
At risk for seizures!!
Co-dependant people
People pleasers!!
