Nursing 3

Question 1

Kawasaki’s leads to

Answer 1

cardiac problems

Question 2

CT

Answer 2

assess allergies

Question 3

claustrophobia, no metal assess pacemaker

Answer 3

MRI

Question 4

Cardiac cath

Answer 4

npo 8-12hr, empty bladder, pulses, tell pt may feel heat palpitations or desire to cough with dye injection

Question 5

Post- Vital signs keep leg straight bedrest 6-8hr

Answer 5

Cardiac cath

Question 6

Lumbar puncture

Answer 6

fetal postion. post- nuero assess q15-30 until stable, flat2-3hr, encourage fluids, oral anlgesics for headache, observe dressing

Question 7

cerebral angio prep

Answer 7

well hydrated, lie flat, sire shaved, pulses marked post- keep flat 12-14hr, check site, pulses,force fluids.

Question 8

Thoracentesis prep

Answer 8

Take v.s., shave area around needle insertion, position patient with arms on pillow on over bed table or lying on side

Question 9

no more than 1000cc at a one time

Answer 9

Thoracentesis prep

Question 10

listen for bilateral breath sounds, v.s., check leakage, sterile dressing

Answer 10

Thoracentesis post prep

Question 11

Liver biopsy

Answer 11

Adm vit k

Question 12

npo morning of exam 6hr, give sedative

Answer 12

Liver biopsy

Question 13

Teach pt that he will be asked to hold breath for 5-10sec, supine postion, lateral with upper arms elevated

Answer 13

Liver biopsy

Question 14

Pyelogram

Answer 14

assess allergies

Question 15

Liver biopsy post

Answer 15

postion on right side, frequent v.s., report severe ab pain stat, no heavy lifting 1wk.

Question 16

v.s., report elevated temp, observe for signs of hypovolemia

Answer 16

Liver biopsy post

Question 17

walk patient to decrease CO2 build up used for procedure.

Answer 17

Post Laparoscopy

Question 18

Laparoscopy

Answer 18

CO2 used to enhances visual, general anesthesia, foley

Question 19

EEG

Answer 19

no sleep the night before

Question 20

meals not withheld

Answer 20

EEG

Question 21

no stimulants for 24hr before

Answer 21

EEG

Question 22

tranquilizer/stimulant meds held 24-48hr before, may be asked to hyperventilate 3-4min and watch a bright flashing light.

Answer 22

EEG

Question 23

allergy hx, phenothiazines, cns depressants, and stimulants withheld 48hr prior, table will be moved to various postions during test

Answer 23

Myelogram

Question 24

Myelogram

Answer 24

Npo 4-6hr

Question 25

Post- neuro q2-4, water soluble HOB up, oil soluble HOB down, oral analgesics for h/a, encourage po fluids, assess for distended bladder, inspect site.

Answer 25

Myelogram

Question 26

Hemovac

Answer 26

empty when full or q8hr, remove plug, empty contents, place on flat surface, cleanse opening and plug with alcohol sponge

Question 27

Sengstaken blakemore tube

Answer 27

used for tx of esophageal varices, keep scissors at bedside

Question 28

Hemovac

Answer 28

used after mastectomy

Question 29

Hemovac

Answer 29

compress evacuator completely to remove air, release plug, check system for operation

Question 30

Osteomyletitis

Answer 30

infectious bone disease

Question 31

Give blood cultures and antibiotics, then if necessary surgery to drain abscess.

Answer 31

Osteomyletitis

Question 32

To access role relationship pattern

Answer 32

focus on image and relationships with others

Question 33

Turn and reposition (risk for impaired skin integrity)

Answer 33

Nephrotic syndrome

Question 34

Nephrotic syndrome

Answer 34

s/s edema + hypotension

Question 35

Babinski sign

Answer 35

toes curl great! toes fan bad

Question 36

Glomerulonephritis

Answer 36

take vs q 4 hrs + daily weights

Question 37

Meningeal irritation

Answer 37

S/s nuchal rigidity, positive Brudzinski + Kernig signs and PHOTOPHOBIA