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ATI Med-Surg > Neurosensory And Musculoskeletal > Flashcards

Neurosensory And Musculoskeletal Flashcards

1
Q

Osteoarthritis

A

Crepitus with joint movement
Decreased ROM
Joint pain resolved with rest

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2
Q

Amyotrophic lateral sclerosis

A

1 monitor pulse ox

Frequent rest periods

Medicare for pain on regular schedule

Admin baclofen for spasticity

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3
Q

Right hemispheric stroke

A

Impulsive behavior
Poor judgment
Lack of awareness
Neurological deficit on left side

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4
Q

Left Hemispheric stroke

A

Inability to read

Aphasia

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5
Q

Carbidopa-levodopa

A

Orthostatic hypotension
Avoid high protein foods
Expect dark colored secretions
Can take weeks-months to take effect

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6
Q

Recombinant tissue plasminogen activator

A

Embolism stroke

Dissolves blood clot

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7
Q

Med used for Hemophilia

A

Recombinant factor VIII

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8
Q

Med used for Angina

A

Nitroglycerin

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9
Q

Med used for ventricular dysrhythmias

A

Lidocaine

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10
Q

Viral meningitis intervention

A

Check capillary refill every 4 hr

Vitals and neurological status every 4 hr

Reduce exposure to light

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11
Q

Multiple sclerosis

A

Intention tremors

Hyperactive deep tendon reflexes

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12
Q

Gillian Barre syndrome

A

Ascending paralysis

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13
Q

Myasthenia gravis

A

Increased lacrimation

Tensilon test

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14
Q

Manifestation of increased inter-cranial pressure

A

Restlessness

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15
Q

Nursing intervention: status epilepticus

A

IV antiepileptic meds may be needed

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16
Q

Administering alendronate for osteoporosis

A

8oz water

Remain upright 30 min after

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17
Q

Bisphosohonates

A

Decrease serum calcium

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18
Q

Rheumatoid arthritis

A

Bilateral

Ulnar deviation

19
Q

Osteoarthritis

A

Unilateral

Spine fracture

20
Q

Ménière’s disease

A

Move head of bed slowly

Avoid consuming foods high in salt -fluid retention

21
Q

Retinal detachment

A

Flashes of bright light

22
Q

Primary angle closure glaucoma

A

Admin osmotic diuretics IV bolus

Decrease intraocular pressure and prevent damage to eye

23
Q

Spastic bladder intervention

A

Stroke clients inner thigh

24
Q

SIADH?

A

Excessive secretion of ADH

Kidneys retain water
Urine is concentrated
Urine output decreases
Extracellular volume increase

25
Q

SAIDH lab values

A

ADH above (1-5)

Low serum sodium

High urine sodium

Increased urine specific gravity above (1.010-1.025)

26
Q

Diabetes insipidous indicator

A

Water deprivation test (hold fluids 8-12 hr)

IV access

Monitor for dehydration (hypotension, tachycardia, dizziness )

27
Q

Diabetes insipidous interventions

A

Increase fluids

Decrease sodium

28
Q

Propranolol

A

Check pulse

Monitor BP

ECG

Hypoglycemia monitoring

29
Q

Rheumatoid arthritis labs

A

Positive Anti-CCP antibodies

Increase in RF antibody (1:40-1:60) norm is 1:20

Elevated ESR

Positive C-reactive protein

Elevated WBCs

30
Q

PICC

A

Initial dressing change within 24 hr placement

Assess every 8 hr

Change tube and cap every 3 days

Obtain blood samples

Change transparent dressing every 7 days

Cover when showering

No BP in arm with PICC

31
Q

Symptomatic Bradycardia meds

A

Atropine

Isoproterenol

Electric: pacemaker

32
Q

A fib, SVT, ventricular tachycardia with pulse meds

A

Amiodarone

Adenosine

Verapamil

Electric: synchronized cardioversion

33
Q

Ventricular tachycardia without pulse OR ventricular fibrillation meds

A

Amiodarone

Lidocaine

Epinephrine

Electric: defibrillator

34
Q

Peritonitis

A

Micro organisms in peritoneum

Infection
Fever
Purulent drainage
Redness or swelling
Cloudy or discolored drained dialysate
35
Q

Ischemic attack

A 
Visual disturbance 
Dizziness
Slurred speech
Weak extremity 
Temperature monitoring 
Vitals 
Electrocardiogram 
Elevate head 30 degrees
36
Q

Thyroidectomy post op

A

Thyroid hormone replacement therapy

High-Fowler’s

Check surgical dressing and back of neck for bleeding

Humidify air, cough, deep breath

Laryngeal nerve damage (speak post op and every 2 hr)

Hypocalcemia

Tetany

37
Q

Mechanical ventilation interventions

A

2 staff members to reposition or resecure tube

Soft wrist restraints

Suction for patent airway

Resuscitation bag available

Resp status every 1-2 hrs

38
Q

Hypokalemia s/s

A 
Weak, irregular pulse
Hypotension
Muscle cramping
Decreased muscle tone 
Hypoactive reflexes 
Premature ventricular contractions
dysthymia 
Polyuria 
Metabolic alkalosis 
Constipation
39
Q

Hyperkalemia s/s

A 
Hypotension 
Restlessness 
Flaccid paralysis
Premature ventricular contractions, vfib, wide QRS
Hyperactive bowels 
Oliguria 
Metabolic acidosis
40
Q

Digoxin

A

Count pulse 60 sec

If less than 60 bpm or over 100 bpm call provider and don’t admin

41
Q

Digoxin toxicity

A

Fatigue
Muscle weakness
Confusion
Loss of appetite

42
Q

Nitroglycerin

A

Headache is expected

Sit and lie down slowly

43
Q

HIV/AIDS immunizations can receive

A 
Hep B
HPV
Influenza
Meningococcal 
Pneumococcal
TDaP
44
Q

Chest pain interventions

A

ECG
pain management
Urine output

ABGs
Cardiac enzymes
Electrolytes

O2 2-4L
IV access
Energy conservation

ATI Med-Surg (1 decks)

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