Prep Questions 2 Flashcards

1
Q

What is recommended for someone with postural drainage?

A

More fluids

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2
Q

How to check BP on pt with a mastectomy?

A

If only one breast removed check it on unaffected side

Both removed - administer analgesic before

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3
Q

Positioning for someone with increased ICP?

A

Reverse trendenberg and head support

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4
Q

Common symptoms of multiple sclerosis?

A

Decreased sensation to pain and heat

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5
Q

How to do an abdominal assessment?

A

Inspection
Auscultation
Percussion
Palpation

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6
Q

Postmortem care?

A
Place in supine position 
Put in dentures if applicable 
Try to close eyes 
Change soiled linens 
Brush hair
Place pillow under head 

Make as normal as possible for family viewing

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7
Q

Pathological vs physiological jaundice?

A

Physiological: occurred anytime >24hrs of birth and can last 2 weeks

Pathological: present

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8
Q

Assessing dehydration in a child?

A

Mucus membranes

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9
Q

Assessing dehydration in an infant?

A

Assess anterior and posterior fontanels for depression

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10
Q

When do posterior and anterior fontanelles close?

A

Anterior (diamond) closes at 18 months

Posterior (almond) closes 2-3 months

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11
Q

Correct procedure to follow before inserting a catheter?

A
Physician order
Consent from pt if cognitive 
Wash hands 
Sterile technique 
Document
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12
Q

Catheter sizes for men?

A

16-20 French

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13
Q

Catheter sizes for women?

A

12-16 French

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14
Q

How to perform a procedure for the first time?

A

Check agency policy/procedure/protocol

Request Lpn or Rn for is experienced to watch and intervene if necessary

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15
Q

What is sundowning?

A

Change in behaviour or attitude in pts with dementia

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16
Q

What is pseudomenstruation?

A

Blood appearing like menstruation in a newborn girl due to large introduction of hormones during gestation

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17
Q

Sign of infection in JP drain?

A

Brown colouring

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18
Q

Parkinson symptoms?

A
Tremors 
Slow movement 
Slurred speech 
Stutter 
Dysphasia 
Rigidity
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19
Q

Colostomy care?

A

Empty when bag half full
Give grapefruit + yogurt to decrease odour of stool
Avoid corn
If blue report to physician immediately

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20
Q

How is TB transmitted?

A

Airborne

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21
Q

How is influenza transmitted?

A

Droplet

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22
Q

Treatment of emphysema?

A

Teaching triggers ex. Smoking
Deep breathing
Pursed lip breathing

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23
Q

Positioning for pt with emphysema?

A

Semi fowlers

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24
Q

Average weight of newborn?

A

5-8 pounds

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25
Q

How to prioritize?

A

Level of risk
Unknown factors
Routine care
Scheduled appointments

26
Q

Who to contact when there is an unexpected death?

A

Coroner and physician

27
Q

Common symptom of BPH ?

A

Nocturia

28
Q

Who to contact with expected death?

A

Family

Physician

29
Q

What is given first ventolin or atrovent?

A

Ventolin

30
Q

Varicella zoster transmitted?

A

Airborne and contact if sores are open

31
Q

cast assessment?

A
Color
Warmth 
Movement 
Sensation 
Cap refill
32
Q

What is an advance directive?

A

Written testament of a pt before death

  • assets
  • decision maker
  • care/interventions
  • DNR?
33
Q

Common side effect of ASA?

A

GI bleed

34
Q

Different types of drainage?

A

Sang: red
Serous: clear
Serosang: pink
Purulent: yellow

35
Q

Oxytocin and labour?

A

Responsible for the dilation of the cervix and release of breast milk

36
Q

How many drops are in micro drip?

A

60

37
Q

How many drops are in macro drip?

A

10-15

38
Q

Correct response to something unusual?

A

Vitals
Assessment data
Complete SBAR
Contact physician

39
Q

Dietary recommendation for pregnant women?

A

Regular diet with additional 300-400 calories a day

40
Q

Dietary recommendation for nursing mothers?

A

Regular diet with additional 300-500 calories a day

41
Q

Typical set up for blood transfusion?

A

Y tubing with NS

42
Q

How many hours can blood hang for?

A

4 hours

Anything longer and bacterial growth can occur

43
Q

Blood and antibiotics are ordered on MAR. Which should be given first?

A

Antibiotics then blood

44
Q

Types of transfusion reactions?

A

Circulatory overload
Febrile
Anaphylactic
Bacterial

45
Q

Most important thing to check before administering blood?

A

Blood type and Rh compatibility

46
Q

What is Reye’s syndrome?

A

Common condition in children with a fever after taking ASA.

Symptoms include nausea and vomiting

47
Q

What should you do if you enter pts room and you are unaware of pts condition?

A

Leave room
Read about condition
Check facility protocol, procedure and policy

48
Q

Common symptom of arterial insufficiency?

A

Extremity is cold to the touch and pedal pulses are not felt

49
Q

What type of precaution is c-diff?

A

Contact

50
Q

Interventions of orthostatic hypotension?

A

Check BP when sitting, lying down and standing

51
Q

Common side effects of nitro patches?

A

Hypotension and headaches

52
Q

How are anti inflammatory and analgesics given?

A

With food to decrease GI upset

53
Q

What to do if pt with emphysema is deteriorating?

A

Give oxygen

-you can give up to 2L without a dr order

54
Q

3 things to assess pregnancy?

A

Goodells sign (softening cervix)

Chadwick’s sign (bluish colouring of vag mucosa)

Hegars sign (softening of the lower uterine segment)

55
Q

Common symptoms of pregnancy?

A
Polyuria 
Nausea
Breast tenderness
Urinary frequency 
Urinary urgency 
Missing menstrual cycle
56
Q

What IV fluid should be given for reversing hypoglycemia?

A

D5W

57
Q

What should you do if you notice dehiscence?

A

Cover with sterile mousy saline dressings

58
Q

When should you plan to bath baby?

A

Before feeding to prevent vomiting

59
Q

How are anti inflammatory and analgesics given?

A

With food to decrease GI upset

60
Q

What to do if pt with emphysema is deteriorating?

A

Give oxygen

-you can give up to 2L without a dr order