QUIZ 7 Flashcards
Epiglottitis
deadly medical emergency in which an inflammatory response to a bacterial infection causes sudden swelling of the epiglottis.
Epiglottitis manifestations (sudden onset)
- Anxiousness
- Restless behavior
- Stridor
- Fever
- Drooling
- Tripod positioning
- throat pain with swallowing or display a muffled voice or hoarseness
croup s/s
A harsh
1. “Barking” cough
2. Increased temperature
3. Inspiratory stridor
4. Stuffy nose and laryngitis
increase the child’s risk for developing epiglottitis is the client
2-6 years
increase the child’s risk for developing epiglottitis in male child
true
Being behind on immunizations increases the risk for epiglottitis, which can be caused by Hemophilus influenza (Hib).
true
Medications used to help prevent organ rejection include
cyclosporine and corticosteroids.
Signs and symptoms of organ rejection include
- Abdominal or flank tenderness
- Edema
- Increased weight of approximately 2-4 pounds over 24 hours
- Flu-like symptoms such as worsening fatigue, elevated body temperature, headache, chills, dizziness, body aches, nausea, and vomiting
5 elevated bp
Alport syndrome
a genetic condition characterized by kidneys disease, hearing loss and eyes abnormalities
position for a transplanted kidney biopsy
Biopsying a transplanted kidney, the client should be positioned supine (lying on the back).
regular renal biopsy position
prone (stomach)
urinary tract infection (UTI) Symptoms
- Worsening fatigue
- Body aches
- Abdominal tenderness
- Malodorous, cloudy urine
- Urinary urgency
- Dysuria
- Fever and chills (occasional)
Which actions should the nurse take related to cyclosporine?
- The nurse should notify the health care provider about any signs and symptoms of bleeding. Cyclosporine, an immunosuppressant, suppresses bone marrow, leading to anemia and a higher risk of bleeding.
2 Cyclosporine should be administered with meals to minimize GI upset.
3 Increased hair growth or hirsutism is an expected side effect and does not require HCP notification.
4 Grapefruit intake must be entirely avoided
since it increases cyclosporine levels, which could be very dangerous for the client.
5 Gingival hyperplasia is a common and expected side effect of cyclosporine. This is not an urgent concer
6 Cyclosporine can lead to hypomagnesemia.
symptoms of hypomagnesemia
increased tiredness or weakness, muscle cramps or spasms (tetany), tingling or numbness in the feet or hands, and side-to-side eye movements (nystagmus).
anaphylactic transfusion reaction symptoms(LIFE THEREATENING )
- Hives (urticaria)
- Fever
- Pruritus
- Severe symptoms include hypotension
bilateral wheezing
difficulty swallowing
febrile transfusion REACTION( mild allergic )
1 fever,
2. hypotension, and
3. low back pain.
Intimate partner violence (IPV)
1 Mistreatment or misuse of one person by another in an intimate relationship.
2 The relationship may be between partners (e.g., boyfriend, girlfriend, spousal) or estranged.
3 The abuse can be emotional, physical, sexual, or a combination, which is the most common
caring for victims of IPV,
1 Assessing and meeting any physical needs,
2 the nurse should use therapeutic communication
3 and promote a safe environment for the client.
homicide
harm to others
Albuterol
inhaler used to immediately open the airway during an acute exacerbation
Budesonide/formoterol
glucocorticoid and a bronchodilator used to reduce inflammation and cause bronchodilation.
Montelukast
leukotriene receptor antagonist. It works by controlling and blocking the allergic responses that can cause worsening of COPD.
Pancrelipase
combination of enzymes used to supplement or completely replace the enzymes from the pancreas
Shoulder dystocia
fetal complication associated with cephalopelvic disproportion.
evidence-based interventions to facilitate safe fetal birth WITH Shoulder dystocia
The McRoberts maneuver involves applying pressure to the laboring client’s pelvis.
Brachial plexus palsy is a known complication associated with shoulder dystocia; therefore, the nurse assesses the neonate for this condition by testing the Moro reflex.
Cephalopelvic disproportion
when the size of the baby’s head is incompatible with the size of the mother’s pelvis.
nuchal cord
the umbilical cord becomes wrapped or twisted around the baby’s neck while still in utero; manifestations may include decreased fetal movement or fetal heart rate decelerations with contractions during labor.
Manifestations of placental abruption
dark red vaginal bleeding, severe and continuous abdominal pain, and a rigid and tender uterus
precipitous birth
precipitous birth is the infant delivering within 3 hours of the client’s first contraction
intravenous (IV)
30-60 seconds
sublingual
3-5 minutes)
inhalation
2-3 minutes
intraosseous
30-60 seconds
endotracheal
2-3 minutes)
intramuscular (IM)
10-20 minutes
subcutaneous (SC) route
15-30 minutes
Rectal routes
5-20 minutes
routes for administering the nitroglycerin
Sublingual
I V routes
Intranasal
transdermal routes.
3 statements to include in the client’s teaching with oral insulin
Insulin taken orally is destroyed by stomach acid.
Subcutaneous insulin delivery is more predictable
Subcutaneous insulin administration absorbs more slowly.
Macular degeneration
a condition that features central vision loss and blindness. most common cause of blindness in individuals over 60, this incurable condition
Symptoms of macular degeneration
- Distorted vision (a blurry spot in the middle of the eye, or straight lines that appear wavy)
- Altered color perception
- Difficulty seeing in dim lighting
classification of Muscular degeneration
wet or dry.
. The nurse educates the client on safety and activities to promote functional independence with impaired vision prior to discharge.
- Wear sunglasses when outside.
- Use magnifiers if vision is distorted.
- Mark stairs and switches with bright colors.
- Ensure the floor has clear paths to rooms and exits.
- Turn the head to ensure objects are not in blind spots.
Skin Traction”
Skin traction uses adhesive tape, straps, or plastic material that attaches to the skin. After that is in place, it is connected to a traction device by weights, bands, or strings via a pulley system. The traction force should cause pain relief and immobilization. Skin traction is typically used for simple sprains or fractures.
Skeletal Traction”
Skeletal traction involves the surgeon inserting either pins or screws above and below the injured bone above. The pins or screws connect to the weight or pulley traction system via ropes, bands, or stings. Traction provides a force to the skeletal device, giving immobilization, bone alignment, and significantly decreasing pain.
Manual Traction”
The provider completes manual traction, applying his hands and strength to pull on the injured extremity. Once the bones align, an immobilization device is applied to the injury. The client is usually sedated during this procedure. Manual traction may vary based on the mechanism of injury.
