Random Flashcards
Where should the weights be for clients who have tractions?
Off the floor free hanging
Knots need to be kept away from the pulleys
Weights should not be kept resting on firm surfaces
HOB is kept low to provide countertraction
Which medication should be expected to be prescribed for patients with severe hypoglycemia and in coma?
Glucagon
If the nurse notes blood or fluid coming from nose after head injury what is priority intervention?
Contact HCP bc this could indicate a cerebrospinal fluid leak
What to do with patient who has detached retina
Place eye patch over affected eye
Reading and watching tv are NOT allowed
Usually prescribed to lie flat-not elevated
After hypophysectomy what is a possible complications post op?
Temporary diabetes insipid is due to antidiureti hormone deficiency.
Nurse needs to assess urine specific gravity and notify HCP If result is less that 1.005.
Higher oxygen flow rates in COPD pt is contra indicated bc…
It causes a decrease in the clients oxygen based resp drive
Altered production of cortisol indicates a difficulty with synthesis of
Glucocorticoids
Signs of hypoglycemia
Shakiness palpitations and light headedness
A client returning from surgery for a pulmonary lobectomy needs what pieces of equipment at the bedside
Clamp
Vaseline gauze
Suction equipment
Signs of spinal shock
Flaccid paralysis
Cbc labs would indicate what for SLE patients
Decrease in numbers of all cell types
First 6 weeks after cardiac surgery what should be taught to pt in discharge
Use arms for balance not weight support
Do not lift anything heavier than 5 lbs
Do not drive
Do not do activities that involve straining
These are due to allowing time (6 weeks) for the sternum to heal
If patient in traction complains of severe pain the nurses priority action is to what?
Call HCP
Early signs and symptoms of hungingtons disease
Restlessness Forgetfulness Clumsiness Falling Balance and coordination issues Altered speech and hand writing
Later stages: difficulty swallowing
Most important post op teaching for client who underwent transsphenoidal hypophysectomy
Do not brush teeth for at least two weeks after surgery
Interventions for patient allergic to latex
Use non latex gloves
Use medications from glass ampules
Keep a latex safe supply cart in room
Avoid use of medication vials that have rubber stoppers
Which lab value indicates MI
Cardiac troponin
What should nurse do if someone’s eye is bleeding
Cover eye with cold sterile saline gauze
Early symptoms of cataract
Blurred vision and decrease in color perception
Fractured hip is expected if the injured leg is in this position
Shortened and externally rotated
Lab results for intrinsic renal failure
Fixed specific gravity and urine test that is positive for proteinuria
Lab results for prerenal failure
Specific gravity is high and there is little to no proteinuria
Lab results for post renal failure
Fixed specific gravity and little to no proteinuria
Transcutaneous electrical nerve stimulation TENS does what
Portable unit (hospitalization not required)
System allows client to relieve pain and reduce the need for analgesics
It is attached to the skin by electrodes
After ear surgery clients should avoid what
Drinking with a straw for 2-3 weeks
Avoid air travel
Avoid coughing excessively
The breakdown of fats for conversion to glucose is related to elevated levels of which substance
Ketones
Clients with acute pancreatitis have what kind of pain
Increases after vomiting
Pain is a steady and intense epigastric pain that radiates to the clients back and flank
Pain may lessen when the client sits up or bends forward
Eating exacerbates pain
Flurbiprofen (ocufen) should be contraindicated for which condition
A client with glaucoma
Histoplasmosis
Caused by inhalation of spores from bat or bird droppings
Cannot be transmitted from one person to another
Toxoplasmosis
Caused by ingestion of cysts from contaminated cat feces
How does nurse inspect lacrimal apparatus of clients eye
Retract upper eyelid, and ask client to look down
Which medication should be available in the event of a client in a cholonergic crisis?
Atropine sulfate
Melasa would exhibit which skin characteristics
Blotchy brown macules across the cheeks and forehead
How do you remove artificial eye in patient
Separate upper and lower eyelid with the dominant hand and cup the non dominant hand under the eye.
Apply pressure with the index finger between the eye and the brow
Clients who are at risk for bleeding should have which lab checked periodically
ptt
Pain related to skin biopsys
Biopsy is quick and almost painless
The most common source of pain is the administration of local anesthetic which can cause a burning or stinging sensation
Aluminum hydroxide (ALternaGEL) does what
Combines with phosphorus and helps eliminate phosphates from the body
Signs of adrenal insufficiency after adrenalectomy
Weakness
Hypotension
Fever
Mental status changes
Acetazolamide (Diamox) is prescribed to a client with supratentorial lesion for what reason
To decrease production of cerebral spinal fluid
What lab data should the nurse identify as possible thyroid surgery complication
Decreased calcium level bc this could indicate removal or injury of parathyroid glands
If client arrives to Ed with chemical injury to eye what should nurse do
Tilt head to side of injury
Litmus paper used to test ph of eye before during and after irrigation
What type of immunity do immunizations provide
Acquired immunity from disease
What type of lesions are expected for herpes zoosters
Clustered skin vesicles
Albumin is responsible for maintaining what
Osmolality of blood
Ptosis is what
When client has left eyelid drooping
A cause for a mechanical ventilator alarm sounds during what complication
Displacement of the endotracheal tube
Signs of hyperglycemia
Polydipsia Polyuria Polyphagia Blurred vision Fruity breath
