Prep Questions 1 Flashcards

1
Q

Most effective was to assess resp distress in an infant?

A

Nasal flaring

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2
Q

Most effective way to administer eye drops?

A

Into the middle of the conjunctival sac of the eye

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3
Q

If a mother is Rh + and the infant is Rh -.. Who will get Rhogam?

A

The infant.

+ can be transferred to -.

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4
Q

Most common eating disorder?

A

Anorexia

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5
Q

How are seizures assessed and recorded?

A

Aura
Incontinence
Awareness

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6
Q

Most common side effects of antibiotics?

A

Diarrhea

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7
Q

Common side effects of antipsychotics?

A

Gives and chills

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8
Q

How are 2 types of insulin prepared?

A

Short acting (R) before long acting (N)

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9
Q

Infiltration vs interstitial IV?

A

They are the same.

They are the same complication causing the surrounding IV site tissue to become cold

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10
Q

Phlebitis vs vein inflammation?

A

They are the same.

Exact same complication causing the surrounding site to be warm

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11
Q

Common symptom after craniotomy?

A

Slurred speech

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12
Q

What is the BUBBLE assessment?

A

Used to assess post partum mothers

Breasts
Uterus 
Bladder 
Bowel 
Lochia
Episiotomy
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13
Q

Coming effect of iron supplements?

A

Black stool

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14
Q

Best way to explain procedures to a toddler?

A

Teddy bear

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15
Q

When should digoxin be held?

A

Apical pulse is less than 60 in adult and 90 in children

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16
Q

How to verify NG tube placement?

A

X Ray : most accurate

Aspiration

Auscultation

Measurement on tube

Looking into throat

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17
Q

How to give NG meds?

A

Flush with warm water first to ensure patency : 30-60mLs

Crush PO meds and mix with liquid and admin

Flush tubing again

Place in high fowlers to prevent aspiration

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18
Q

Best way to assist someone with CVA weakness?

A

Always assist on weaker side

Place chair on stronger side

Place food/drink on stronger side

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19
Q

If someone had a CVA what side is weak?

A

Left CVA: right sided weakness

Right CVA: left sided weakness

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20
Q

MAR says to give digoxin and antacid?

A

Give digoxin and hold antacid for 2-3 hrs cause they interact negatively

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21
Q

MAR says to give digoxin and antibiotic?

A

Give digoxin and hold antibiotic for 2-3hrs because they interact negatively

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22
Q

MAR says to give digoxin and naproxin?

A

Give naproxin first

**pain meds are a priority

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23
Q

What is NS used for?

A

When blood transfusion is planned

Fluid replacement pre and post op

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24
Q

What is D5W used?

A

Dehydration

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25
What is Ringers used for?
Electrolyte replacement - sodium - potassium - calcium
26
What labs should you check if you pt has warfarin?
PT | INR
27
What labs should you check for heparin?
PTT
28
What is arteriosclerosis?
Hardening of an artery
29
What is a autologous blood transfusion?
A pt donates their own blood to give to themselves
30
What do vital signs look like in a pt with increased ICP?
All vitals increase except pulse and resps decrease
31
What do you need when drawing up out of an ampule?
Filter needle
32
Ted stockings application?
Always in the morning and off at night Elevate legs for 10-15 before admin and apply in supine position Do not apply if pt has lots of bruising or open areas on extremities
33
DVT treatment?
Bed rest and heparin
34
Assessment after newborn circumcision?
Bleeding Redness Urination -petroleum jelly can be applied to penis and loose fitting diaper
35
You are administering a nitro patch but common areas for application are all red. Where else can you put it?
Pts thigh
36
What is the best positioning post op hip fracture?
Supine position with abductor pillow
37
Crohns vs diverticulitis diet?
Crohns: high protein and calories, avoid corn Diverticulitis: high fibre
38
What is a normal INR for warfarin?
2-3
39
What is a normal clot time for PT?
11-13 seconds
40
What is the best diet for a pt on warfarin?
Avoid foods rich in vitamin K -leafy greens Apples Eggs
41
How long does lochia rubra last?
3-5 days Red, blood Large amounts
42
How long does lochia serosa last?
5-10 days Red/pink Exudate/blood
43
How long does lochia alba last?
2-6 weeks Mostly mucousy/clear Not as heavy
44
What does gravida 3, para 1 mean?
3 pregnancies 1 child
45
What is the best treatment for breast engorgement?
Ice pack for 10-15min Let down is necessary
46
Where should you palpate for a uterus?
Below umbilicus and above the symphysis pubis
47
What should a uterus feel like?
Should be firm If it's soft hemorrhage is expected -massage fundus If the uterus is high or shifted to the right encourage pt to void
48
What is the most common treatment after an episiotomy? (Tear during labour)
Assess pain Administer ice pack Performing peri care Assess approximation/sighs of complications
49
What is the size for IM injections?
1-1.5" syringe needle and 22 gauge If obese 2"-2.5" If child 0.5-1"
50
Common sc syringe size?
3/8-5/8" 25 gauge needle given at 45 and 90 degrees Heparin is always given at 90
51
Fast vs short acting insulin?
Short: humalin R - onset 30-60min - peak 2-3hrs Long: humalin N - onset: 2-3hrs - peak: 4-12hrs
52
Proper ratio for CPR?
30:2 30 compressions 2 breaths
53
10 rights of med admin
Right: ``` Dose Drug Documentation Route Reason Refusal Patient Education Time Evaluation ```
54
Why are LPNs regulated by CLPNBC?
To protect the public
55
What is the preferred IM injection technique?
Z track
56
Best IM site for adults vs children?
Adults: ventrogluteal Children: vastuslateralus
57
How is the deltoid IM injection site properly landmarked?
2 fingers beneath achromium process
58
How is ventrogluteal landmarked?
Head of the greater trochanter
59
Common side effect of NSAIDs?
Gastric upset
60
Common side effects of beta blockers?
Persistent cough