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Nursing 3 > Nursing 3 Test 4 > Flashcards

Nursing 3 Test 4 Flashcards

1
Q

What is the best way to take an antacid?

A

With 2-4 oz of water

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2
Q

When should antacids be taken?

A

1-3 hours after meals and at bed time

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3
Q

What is included in triple therapy for H. Pylori?

A

PPI plus 2 antibiotics for 7-14 days

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4
Q

What does long term use of PPIs place patients at risk for?

A

fractures

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5
Q

unexplained paroxysmal crying or fussing in infants

A

colic

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6
Q

When do infants typically outgrow colic?

A

3-4 months

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7
Q

What medication is given for colic?

A

Anti-gas medications (Simethicone)

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8
Q

results when the circular area of muscle surrounding the pylorus hypertrophies and obstructs gastric emptying

A

pyloric stenosis

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9
Q

What is a common symptom of pyloric stenosis?

A

moveable, palpable, olive shaped mass

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10
Q

an incision of the pyloric muscle to release obstruction

A

pyloromyotomy

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11
Q

How is IV hydration determined for infants?

A

1st 10 kg: multiply by 100 mL
2nd 10 kg: multiply by 50 mL
Each kg after 20 kg, multiply by 20 mL

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12
Q

vagus nerve is cut to control acid secretions

A

vagotomy

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13
Q

opens the pylorus

A

pylorplasty

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14
Q

partial stomach removal

A

gastrectomy

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15
Q

What are the three types of ulcers?

A
  1. Gastric
  2. Duodenal
  3. Stress
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16
Q

a pre-cancerous condition of the lining of the esophagus as a result of GERD

A

Barrett’s Esophagus

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17
Q

inserted during surgery to vent for trapped gas or left for feedings

A

Gastrostomy Tube

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18
Q

Medication used to deter alcohol use

A

Disulfiram

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19
Q

Medications used to treat alcohol withdrawal

A

Diazepam, Lorazepam, Oxazepam, Chlordiazepoxide

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20
Q

Medications used to treat ADHD

A

Methyphenidate, Dextroamphetamine

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21
Q

What are the four stages of overcoming codependency?

A
  1. Survival Stage
  2. Reidentification Stage
  3. Core Issue Stage
  4. Reintegration Stage
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22
Q

Which labs need to be monitored during substance use withdrawal to prevent Wernicke Encephalopathy?

A

Thiamine and glucose

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23
Q

capable of making informed decisions about one’s own care

A

autonomy

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24
Q

positive actions to help each other

A

beneficence

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25
Q

preventing harm and ensuring client’s well- being

A

nonmaleficence

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26
Q

all patients should be treated equally and fairly

A

justice

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27
Q

keeps obligation and promises to patients

A

Fidelity

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28
Q

truthful

29
Q

What is the drug name for “roofies?”

30
Q

What are the stages of rape trauma?

A
  1. Disorganization
  2. Outward Adjustment Phase
  3. Organization
31
Q

Infants have more ____________ speech than ______________ speech.

A

Receptive, expressive

32
Q

What are normal RBCs in women?

33
Q

What are normal RBCs in men?

34
Q

What is normal hemoglobin in women?

35
Q

What is normal hemoglobin in men?

36
Q

What is normal hematocrit in women?

37
Q

What is normal hematocrit in men?

38
Q

What is a normal WBC count?

A

5000-10,000

39
Q

What is a normal platelet count?

A

150,000-400,000

40
Q

Decrease in RBCs and H&H

41
Q

Immature WBCs

A

Blast Phase Cells

42
Q

a disease that destroys the blood

43
Q

Increased number of blast cells

44
Q

Decrease in WBCs

A

Leukopenia

45
Q

Decrease in RBCs and WBCs

A

Pancytopenia

46
Q

Too many RBCs and H&H

A

Polycythemia

47
Q

Low platelets

A

Thrombocytopenia

48
Q

Hemoglobin S instead of HbA

A

Sickle Cell Disease

49
Q

A period of extensive RBC sickling

A

SCD Crisis

50
Q

MODS

A

Multiple Organ Dysfunction Syndrome

51
Q

What will labs look like with an SCD Crisis?

A

Hematocrit low, bilirubin high, WBCs high

52
Q

Prolonged penile erection

53
Q

Decreases pain episodes, stimulates hemoglobin F, helps with gas exchange

A

Hydroxyurea

54
Q

a disorder that can lead to leukemia

A

myelodysplastic syndrome

55
Q

How is leukemia diagnosed?

A

Bone Marrow Aspiration

56
Q

What will the labs of someone with leukemia look like?

A

Low hemoglobin, low hematocrit, low platelets, high WBC

57
Q

Wipes bone marrow, replaced with new cells into marrow, begin the process of hematopoiesis

A

Hematopoietic Stem Cell Transplant (HSCT)

58
Q

What is the medication given to increase RBC?

A

erythropoietin alfa

59
Q

What is the medication given to increase WBC?

A

Filgastrim (Neupogen)

60
Q

What is the patient at risk for if their platelets are <50,000?

61
Q

What is the patient at risk for if their platelets are <20,000?

A

Spontaneous bleeding

62
Q

What might the patient need if their platelets are <10,000?

A

Platelet transfusion

63
Q

apply radio-frequency energy at the gastroespohageal junction to reshape the opening and provide a barrier to prevent acid from entering the esophagus (non surgical)

A

Stretta Procedure

64
Q

the stomach fundus is wrapped around the distal esophagus

A

Laparoscopic Nissen Fundoplication (LNF)

65
Q

What are the PPIs?

A

Omeprazole, Lansoprazole, Pantoprazole

66
Q

What is a significant adverse effect of misoprostol (cytotec)?

A

uterine contraction

67
Q

What teaching is important for parents of a baby in a Pavlik Harness?

A
  • Follow up with HCP (adjustment ever 1-2 weeks)
  • Skin care and monitoring
  • How to feed, hold, and diaper
  • Leg position
  • Monitor perfusion
68
Q

What teaching is important for a patient with a Spica Cast?

A
  • Support extremities with pillows
  • Keep dry (change diapers frequently)
  • Monitor for signs of infection
  • Care seat/ car vest restraint
  • Change positions every 2 hours
69
Q

What test is used to diagnose DDH in infants?

A

Barlow and Ortalani

Nursing 3 (2 decks)

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