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New! Flashcards

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1
Q

Indomethacin

A

Used to treat Pain, inflammation, and fever

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2
Q

Bacterial meningitis signs

A

Kernig’s sign and brudzinski’s sign
Photophobia
Severe Headache
Nuchal rigidity - stiff neck

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3
Q

How to diagnose CMV

A

Fresh stool sample

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4
Q

Aspirin toxicity common symptom

A

Tinnitus

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5
Q

Diet for gout

A

Low protein

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6
Q

Specific gravity normal

High and low

A

1.005-1.030
Low = dilute urine
High = concentrated urine

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7
Q

Duodenal ulcer pain

A

Pain lessons when you eat

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8
Q

Lithium toxicity signs

A

Increased thirst and urination

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9
Q

IV potassium administration

A

Monitor UO before and during administration! K is excreted by the kidneys, so if decreased UO, K will increase!

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10
Q

Cushing disease

A

Increased production of aldosterone

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11
Q

Sodium level too high

A

Look for neurological changes

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12
Q

Magnesium

A

Acts like a sedative - assess respiratory function and deep tendon reflexes
Excreted through the kidneys
Alcohol messes with magnesium!

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13
Q

Electrical burns

A

Internal damage
Assess for entry and exit wounds
Anticipate bone fractures, so apply neck collar and put on a spine board

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14
Q

Carbon monoxide poisoning symptoms

A

Similar to the flu
Extreme weakness, dizziness, blurred vision, confusion
Lips and skin turns red!

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15
Q

Burning patient

A

Extinguish flames then splash with cool water. Need to stop burning process!!
Remove jewelry
Cover with blanket for hypothermia

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16
Q

Lab values
BUN
Phosphate

A

BUN 10-20

Phosphate 3-4.5

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17
Q

Cushings disease

A

Mood changes, truncal obesity, Hirsutism (female with male characteristics), hyperclycemia, hypokalemia

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18
Q

HbA1C test

A

Measures average serum glucose attached to hemoglobin over 90 days
Tests how well persons diabetes is controlled!

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19
Q

Type II diabetic carb diet

A

45% complex carbs

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20
Q

Pt with mania

A

Do not talk about delusions
Remove all excess stimuli. So turn off radio and TV
Only give 1 cigarette at a time, otherwise they will light the whole pack

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21
Q

S/S of schizophrenia

A

Flat affect, inappropriate affect, or a blunted affect
Religious preaching common
Hallucinations and delusions
Concrete thinking

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22
Q

Client with auditory hallucinations

A

Assign staff to be with client. Safety issue! Voices could be telling them to harm themselves or others.
Reorient to reality
Do not ask them to explain hallucinations, feeds into it

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23
Q

Nitroglycerin

A

Increases blood flow to the heart by dilating coronary arteries
BP could drop because of dilation of arteries leading to feeling faint, so sit down when taking drug
Most common side effect is a headache
Store in a dark, glass bottle so it doesn’t lose potency

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24
Q

Aminoglycoside toxicity

A

Nephrotoxic!

Examples: Gentamicin, Streptomycin

25
Q

Nephrotic syndrome

A

Damage to micro blood vessels in kidneys

26
Q

Peritoneal dialysis

A

Dialysate should sit out to be warmed to room temp
Infused into peritoneal cavity
Drains by gravity for 20-30 min

27
Q

Liver functions

A

Produces clotting factors
Detoxifies the body
Breaksdown medications

28
Q

Cholecystectomy eating habits

A

Want to slow down the food in digestive tract
Sit semi recumbant when eating
Lie down on L side after meals
Decrease intake of carbs

29
Q

Abdominal surgery post op position

A

Semifowlers to reduce pressure on abdomen and suture line

30
Q

Position for a thoracentesis

A

Sitting on side of bed leaning over a bedside table
Procedure is done to remove excess fluid from thoracic cavity
Procedure comes from the posterior side

31
Q

Chest tube (CDU = chest drainage unit) normal findings

A
  • Continuous bubbling in suction control chamber
  • Intermittent bubbling in water seal when pt coughs, sneezes, or exhales
  • Slight fluctuations of water level in water seal chamber with respiraitons
  • <100 mL of drainage every hr except for first hr. >100 mL is considered excessive
  • Always keep below level of chest

Continuous bubbling in water seal indicates an air leak
- Notify provider! Need an order in order to clamp tube

32
Q

Amputations below the knew compression stocking

A

Used to help shape the stump to make it easier to fit in prosthesis

33
Q

Tenting of skin

A

Dehydration sign!

34
Q

Fracture assessment signs

A

Swelling, discoloration, deformity, crepitus

35
Q

Cast care for new cast

A

Takes up to 72 hours to dry completely
Keep uncovered until dry
Rest on soft pillow
Use palm of hand to move for first 24-72 hours
Mark case if there is breakthrough bleeding

36
Q

Lumbar puncture post op position

A

Prone

37
Q

Increased intracranial pressure signs

A

Projectile vomiting
Widening pulse pressure
Delay in verbal response

38
Q

Increased ICP interventions

A 
Maintain temp below 100.4
Monitor vitals for cushings triad
Limit suctioning
Raise HOB
Head midline and in neutral position
39
Q

Basilar skull fracture signs

A

Positive halo test
Raccoon eyes
Battle sign

40
Q

Autonomic dysreflexia

A

Priority is to elevate HOB to decrease BP!
Caused by fecal impaction or urinary retention
Quick and dangerous increase in BP
Stimuli like a draft or increase in temp makes it worse.

41
Q

Post mastectomy teaching

A

Protect hand and arm from cuts. Tiny cuts can turn into major infections
Squeeze ball/comb hair with affected side to promote circulation

42
Q

Radiation therapy - expected signs and symptoms

A

Skin shedding, erythema w/ pain, pancytopenia, exhaustion

N/V expected from chemotherapy

43
Q

PT/s with radiation implant

A

Visitors stay 30 min max and must be 6 ft
Wear film badge during shift
Nurse rotate assignment daily and should not care for more than one radiation patient per shift

44
Q

Primary prevention

A

Prevent yourself from getting disease

EX maintain healthy weight, exercise, etc

45
Q

Secondary prevention

A

Detecting a disease

EX mammogram or colonoscopy

46
Q

Tertiary prevention

A

Support groups and rehabilitation programs

47
Q

Mastitis treatment

A 
Plenty of bed rest
Wear supporting bra
No chilled cabbage leaf! Only if breast feeding is being discontinued
Start Breast feeding with affect breast
Take ABX immediately after feeding
Take hot showers - causes breast to leak
48
Q

Presumptive signs of pregnancy

A

Could be caused by other factors

Amenorrhea, fatigue, enlarged/tender breast, increased urination, nauses

49
Q

Probable signs of pregnancy

A

Positive pregnancy test
Outline of fetus palpated
Braxton hicks contractions
Enlarged uterus
Positive signs (Goodell’s, chadwicks, hegars)
Facial chloasma - patches of dark skin on face

50
Q

Positive signs of pregnancy

A 
FHR detected
Birth
Fetal movement felt by nurse or dr
Ultrasound
Visible movement seen by dr
51
Q

Pregnancy education

A

Gain no more than 4 pounds during first tri
Walking and swimming are best exercises
Increase protein to 60 grams a day

52
Q

Indication of preeclampsia

A

Weight gain of >4 pounds in third tri

Check BP and urine for protein!

53
Q

True labor

A

Regular contractions

Pain level increases with change in activity

54
Q

Betamethasone

A

Helps fetal lungs mature

55
Q

Mag sulfate, terbutaline, nifedipine

A

Relaxes uterus to stop contractions

56
Q

Pain during breast feeding in abdomen

A

Normal. Oxytocin is released causing uterus to contract

57
Q

Anterior and posterior fontanel closure

A

Anterior closes between 12-18 months

Posterior closes between 2-3 months

58
Q

Vitals for toddlers

A

Count RR and HR for 1 full minute

59
Q

Sickle cell crisis

A

Hydration is important!

NCLEX-PN (5 decks)

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