Physiologic Adaptation Flashcards
what provides the best measure of a client’s fluid status [. . .]
accurate daily weight measurement
Applying an [. . .] will reduce further stress on the incision and prevent another dehiscence, thus allowing the skin and tissue to heal.
abdominal binder
The wheal is an [. . .] of an intradermal injection
expected outcome
Applying an [. . .] will reduce further stress on the incision and prevent another dehiscence, thus allowing the skin and tissue to heal.
abdominal binder
A [. . .] diet should eliminate fat, bulky, foul-smelling stools in a child with {{c1::celiac disease}}
gluten-free
A respiratory rate of 36 breaths per minute supports a nursing diagnosis of ineffective [. . .]
breathing pattern
An arterial oxygen saturation of 92% supports a nursing diagnosis of [. . .]
impaired gas exchange
ARDS is a complication associated with [. . .]
sepsis
A pH over 7.45 with a HCO3– level over 26 mEq/L indicates [. . .]
metabolic alkalosis
[. . .] is always secondary to an underlying cause and is marked by decreased amounts of acid or increased amounts of base HCO3
Metabolic alkalosis
the most common anomaly associated with myelomeningocele [. . .]
excessive cerebrospinal fluid in the cranial cavity, called hydrocephalus
associated with maternal exposure to rubella or cytomegalovirus [. . .]
microcephaly, an abnormally small head
Urine output below 1 ml/hour is a sign of [. . .]
dehydration
[. . .] are easily digested to help reduce this cardiac workload
Clear liquids
A PH less than 7.35 and a PaCO2 greater than 45 mm Hg (6.0 kPa) indicate [. . .]
respiratory acidosis
[. . .] is characterized by a pH greater than 7.45 and HCO3– above 26 mEq/L (26 mmol/L)
Metabolic alkalosis
[. . .] is characterized by a pH less than 7.35 and a bicarbonate (HCO3–) level less than 22 mEq/L (22 mmol/L)
Metabolic acidosis
Near-drowning victims typically suffer hypoxia and mixed acidosis. The priority is to restore [. . .]
oxygenation
in most neonates, the signs of [. . .] are commonly masked at birth
hypothyroidism
Physical and emotional stress can precipitate a [. . .]
sickle cell crisis
A common finding of intraventricular hemorrhage (IVH) is a [. . .]
bulging fontanel
Hyperbilirubinemia refers to an increase in bilirubin in the blood and may be seen if [. . .] was severe
bleeding
The frontal lobe regulates [. . .]
personality and judgment
The occipital lobe regulates [. . .]
vision
the temporal lobe regulates [. . .]
hearing
the parietal lobe regulates [. . .]
sensation
Breathing should be without effort or [. . .] sounds
adventitious
Elevating the leg reduces blood flow to the area, thereby minimizing the extent of [. . .]
blood loss
Any condition that causes the infant to work harder to obtain enough air can cause [. . .]
nasal flaring
In young infants, [. . .] can be a very important sign of respiratory distress
nasal flaring
If the kidneys are adequately perfused, they will produce an acceptable urine output of at least [. . .]
0.5 ml/kg/hour
The [. . .] diet is no longer recommended for children.
BRAT
in severe vomiting and diarrhea, water loss can be greater than [. . .] loss, causing dangerously high serum {{ levels}} FOA is altered mental status
sodium
Infants with Hirschsprung’s disease typically have a history of abdominal [. . .]
distention, constipation, periodic diarrhea
[. . .] solution draws fluid into the intravascular compartment from the intracellular and interstitial compartments
hypertonic
A hypotonic solution hydrates the intracellular and interstitial compartments by shifting fluid out of the [. . .] compartment
intravascular
after ingestion of contaminated food or drink, the nurse should first assess [. . .] and then ensure that the client is not in respiratory distress
vital signs
Following a myocardial infarction, a client develops an arrhythmia and requires a continuous infusion of [. . .]
lidocaine
[. . .] is an antiarrhythmic and is given for the treatment of cardiac irritability and ventricular arrhythmias
Lidocaine
troponin level monitors [. . .]
myocardial damage
An increase in CK-MB is related to [. . .]
myocardial necrosis
what color is an infection with purulent drainage [. . .]
beige to brown and foul smelling
White with sanguineous drainage and tenacious with yellow drainage are both indicative of an [. . .]
infection
[. . .] may signal an inhalation injury, leading to respiratory distress, and needs to be addressed immediately
Hoarseness
[. . .] is an early sign of bleeding
Thirst
Neonates with hypothermia experience bradycardia, which is defined as a heart rate less than [. . .]
100 beats/minute
The normal axillary temperature range for a neonate is [. . .]
97.7 to 99.5°F (36.5 to 37.5°C)
the most common cancer associated with AIDS [. . .]
Kaposi’s sarcoma
the most common symptom of a sliding hiatal hernia [. . .]
Heartburn
[. . .] for a drug occurs when a client requires increasingly larger doses to obtain the desired effect
Tolerance
Acrocyanosis (a bluish tinge to the hands and feet) is normal how many days after birth [. . .]
first day after birth
The highest priority when a nurse receives a client from the operating room is to assess [. . .]
airway patency
Assessing the patency and functioning of [. . .] can be done after the airway is assessed and vital signs are taken
drainage tubes
Stump elevation for the first [. . .] hours after surgery helps reduce edema and pain
24
after below-knee amputation the initial pressure dressing usually remains in place for [. . .] hours after surgery
48 to 72
When a child with severe right lower quadrant pain has a sudden relief of pain, a [. . .] should be suspected
ruptured appendix
school-age child diagnosed with sickle cell anemia applying warm compresses will reduce discomfort to the affected area; cold compresses, however, may add to discomfort by increasing sickling and [. . .]
impairing circulation
A [. . .] drain is used to remove fluids that build up in an area of your body after surgery.
Jackson-Pratt (JP)
[. . .] can lead to peritonitis and septic shock
Evisceration
The neonate would be considered large for gestational age (LGA) because the neonate weighs more than [. . .]
8.82 pounds
common complication of large for gestational age (LGA) neonates [. . .]
Hypoglycemia
As with any surgery or invasive procedure, a priority goal at this time would be to prevent [. . .] at the operative site
infection
Increased [. . .] are the earliest signs of heart failure
respiratory and heart rates
If a chest tube is accidentally removed, the nurse should cover the insertion site with [. . .]
sterile petroleum gauze
Chest pain and dyspnea are signs of a [. . .] and should be treated immediately
pneumothorax
Chest physiotherapy will help drain excess mucus from the lungs but not from a [. . .]
tracheostomy
Classic signs of water intoxication include [. . .] and {{c1::seizures}}, both of which are caused by cerebral edema
confusion
Sunken eyeballs, thirst, and increased BUN levels indicate [. . .]
fluid volume deficit
Consuming most liquids between meals rather than at the same time as eating is an excellent strategy to deter [. . .] in pregnancy but does not relieve heartburn
nausea and vomiting
After abdominal surgery, the reason for inserting a NG tube is to [. . .] the gastrointestinal tract until peristaltic action returns.
decompress
[. . .] is used to remove substances from the stomach or control bleeding
Lavage
[. . .] is seen with hypoglycemia
Tachycardia
