Random Questions Flashcards
Never give K+
IV push
Mineral Corticoids are given with
addisons disease
DKA: When the body is breaking down ___ instead of ___ for energy. Fats leave ____ (acids) that cause the…..
fat
sugar
ketones, pH to decrease
DKA is rare in DM type 2 because there is enough…..
insulin to prevent breakdown of fats
Sign of embolism…
How to treat…
petechiae
heparin
What to use for knee replacement
continuous passive motor machine
What to give before any invasive procedure
prophylactic antibiotics
Glaucoma patients lose _____ _____ and tx with meds.
peripheral vision
Vision with cataracts. Treated how?
cloudy, blurry vision.. lens-removal surgery
CO2 causes…
vasoconstriction
Most spinal cord injuries are at the ____ and ____ regions
lumbar and cervical
Autonomic dysreflexia (life threatening inhibited _____ ____ if nervous system to a noxious stimuli) patient with spinal cord injuries T7 and above. Usually caused by….
sympathetic response,
full bladder
Spinal shock usually occurs immediately after..
spinal cord injury
Myelin sheath destruction, disruption in nerve impulse conduction..
multiple sclerosis
MG= decrease in receptor sites for _______. Since smallest concentration of ____ receptors are in the cranial nerves, expect weakness and fatigue where?
`acetylcholine
ACTH
mastication, eye, pharyngeal muscles
What is given if muscle is tense in MG?
Tensilon test
GBS is ____ ____. Keep an eye on ____ ____.
ascending paralysis
respiratory system
Parkinson’s think RAT ! treat with ?
rigidity
akinesia (loss of muscle movement)
tremors
Mini stroke with no dead brain tissue
TIA
Stroke with dead brain tissue
CVA
Cancer of the lymph very curable in the early stages
Hodgkins
Rule of 9's for burns ? head and neck = each upper extremity= each lower extremity= front trunk= back trunk= genital=
9 9 18 18 18 1
Birth weight…
Doubles by 6 months, triple by a year
If HR is _____ don’t give dig to children
1st sign of cystic fibrosis ?
Baby is…
meconium ileus
inconsolable, does not eat, not passing meconium
Heart defects ( 3 T's).. Prevent blood from... If problem does not fix or can't be surgically, what will occur followed by death?
ToF Truncys arteriosis Transposition of greater vessels going to the heart CHF
With R side cardiac cath look for
valve problems
With L side cardiac cath look for
coronary complications
Rheumatic fever can lead to….
cardiac valve formation
Poor muscle control due to birth injuries and or decrease oxygen to brain tissue ?
cerebral palsy
ICP should be…
Measure ?
less than 2
head circumfrence
Dilantin level..
Can cause..
10-20
gingival hyperplasia
Kernig’s/Brudzinkski’s sign
meningitis
Wilms tumor is usually encapsulated where?
causing what kind of pain?
above the kidney
flank pain
Hemophila is..
How is it passed…
x-linked
mom-son
When phenylalanine increases..
brain problems
Buck’s traction=
knee immobility
Russell traction=
femur or lower leg
Dunlap traction=
skeletal or skin
Bryant’s traction= children ages and weight with what fracture
less than 3 or under 35 lbs
Place ___ first than place the ___ when putting traction
apparatus, weight
Where should the placenta be located
upper part of the uterus
Eclampsia is a ….
seizure
A patient with a vertical C-section surgery will most likely…
have another C-section
Perform amniocentesis before ___ weeks gestation to check for what abnormalities?
20, cardiac and pulmonary
___ mothers receive Rhogam to protect next baby
Rh -
Anterior fontanelle closes at ______ and posterior____
18months
6-8 weeks
Caput succedaneum= ____ ____ of the fetal scalp that crosses the ___ ___. Swelling reabsorbs within 1 to 3 days
diffuse edema, suture lines
Pathological Jaundice occurs…
before 24 hours, and lasts 7 days
Physiological Jaundice occurs…
after 24 hours
Placental Previa = ____ pain, there is ____. Placenta Abruption ___ pain but ____ _____
no pain, bleeding
pain, no bleeding
Bethamethasone (celestone) is
surfactant for lung expansion
Baby cannot make it down to canal
dystocia
Pitocin med is used for…
uterine stimulation
Magnesium Sulfate ( used to halt ____ labor) is contraindicated if ________ are ineffective. If patient experiences seizure during magnesium admin. Get the baby out stat (emergency).
preterm
deep tendon
NCLEX FACT
Do not use why or I understand statement when dealing with patients
Milieu therapy= taking care of…
patient/environment
Cognitive therapy=
counseling
Crisis intervention= short term or long term
short term
Five interventions for psych patients
safety, setting limits, establishing trusting relationship, meds, less restrictive methods/environment
Mineral Corticoids are given with
addisons disease
DKA: When the body is breaking down ___ instead of ___ for energy. Fats leave ____ (acids) that cause the…..
fat
sugar
ketones, pH to decrease
DKA is rare in DM type 2 because there is enough…..
insulin to prevent breakdown of fats
Sign of embolism…
How to treat…
petechiae
heparin
What to use for knee replacement
continuous passive motor machine
What to give before any invasive procedure
prophylactic antibiotics
Glaucoma patients lose _____ _____ and tx with meds.
peripheral vision
Vision with cataracts. Treated how?
cloudy, blurry vision.. lens-removal surgery
CO2 causes…
vasoconstriction
Most spinal cord injuries are at the ____ and ____ regions
lumbar and cervical
Autonomic dysreflexia (life threatening inhibited _____ ____ if nervous system to a noxious stimuli) patient with spinal cord injuries T7 and above. Usually caused by….
sympathetic response,
full bladder
Spinal shock usually occurs immediately after..
spinal cord injury
Myelin sheath destruction, disruption in nerve impulse conduction..
multiple sclerosis
MG= decrease in receptor sites for _______. Since smallest concentration of ____ receptors are in the cranial nerves, expect weakness and fatigue where?
`acetylcholine
ACTH
mastication, eye, pharyngeal muscles
What is given if muscle is tense in MG?
Tensilon test
GBS is ____ ____. Keep an eye on ____ ____.
ascending paralysis
respiratory system
Parkinson’s think RAT ! treat with ?
rigidity
akinesia (loss of muscle movement)
tremors
Mini stroke with no dead brain tissue
TIA
Stroke with dead brain tissue
CVA
Cancer of the lymph very curable in the early stages
Hodgkins
Rule of 9's for burns ? head and neck = each upper extremity= each lower extremity= front trunk= back trunk= genital=
9 9 18 18 18 1
Birth weight…
Doubles by 6 months, triple by a year
If HR is _____ don’t give dig to children
1st sign of cystic fibrosis ?
Baby is…
meconium ileus
inconsolable, does not eat, not passing meconium
Heart defects ( 3 T's).. Prevent blood from... If problem does not fix or can't be surgically, what will occur followed by death?
ToF Truncys arteriosis Transposition of greater vessels going to the heart CHF
With R side cardiac cath look for
valve problems
With L side cardiac cath look for
coronary complications
Rheumatic fever can lead to….
cardiac valve formation
Poor muscle control due to birth injuries and or decrease oxygen to brain tissue ?
cerebral palsy
ICP should be…
Measure ?
Less than 2
head circumference
Dilantin level..
Can cause..
10-20
gingival hyperplasia
Kernig’s/Brudzinkski’s sign
meningitis
Wilms tumor is usually encapsulated where?
causing what kind of pain?
above the kidney
flank pain
Hemophila is..
How is it passed…
x-linked
mom-son
When phenylalanine increases..
brain problems
Buck’s traction=
knee immobility
Russell traction=
femur or lower leg
Dunlap traction=
skeletal or skin
Bryant’s traction= children ages and weight with what fracture
less than 3 or under 35 lbs
Place ___ first than place the ___ when putting traction
apparatus, weight
Where should the placenta be located
upper part of the uterus
Eclampsia is a ….
seizure
A patient with a vertical C-section surgery will most likely…
have another C-section
Perform amniocentesis before ___ weeks gestation to check for what abnormalities?
20, cardiac and pulmonary
___ mothers receive Rhogam to protect next baby
Rh -
Anterior fontanelle closes at ______ and posterior____
18months
6-8 weeks
Caput succedaneum= ____ ____ of the fetal scalp that crosses the ___ ___. Swelling reabsorbs within 1 to 3 days
diffuse edema, suture lines
Pathological Jaundice occurs…
before 24 hours, and lasts 7 days
Physiological Jaundice occurs…
after 24 hours
Placental Previa = ____ pain, there is ____. Placenta Abruption ___ pain but ____ _____
no pain, bleeding
pain, no bleeding
Bethamethasone (celestone) is
surfactant for lung expansion
Baby cannot make it down to canal
dystocia
Pitocin med is used for…
uterine stimulation
Magnesium Sulfate ( used to halt ____ labor) is contraindicated if ________ are ineffective. If patient experiences seizure during magnesium admin. Get the baby out stat (emergency).
preterm
deep tendon
NCLEX FACT
Do not use why or I understand statement when dealing with patients
Milieu therapy= taking care of…
patient/environment
Cognitive therapy=
counseling
Crisis intervention= short term or long term
short term
Five interventions for psych patients
safety, setting limits, establishing trusting relationship, meds, less restrictive methods/environment
How long do SSRIs take to work ?
3 weeks to work
Obsession is to ___ as compulsion is to ______
thought, action
If patients have hallucinations ____ them, if they have delusions ___ them
redirect, distract
Thorazine (Chlorpromazine) and Haldol can have
extrapyramidal side effects
Alzheimer’s disease is a chronic, progressive, degenerative cognitive d/o that accounts for more than …..
60% of all dementia
Nicole Richie RN
Air into NPH, air into regular. Draw up regular and then draw up NPH
HYPERthyrodism think of Michael Jackson in Thriller !
Skinny, nervous, bulging eyes, up all night, heart beating fast
Atropine used to…
decrease secretions
Phenergan is an antiemetic used to…
reduce nausea
Diazepam is a commonly used tranquilizer given to….
reduce anxiety before OR
Demorol is for….
Don’t give to what patients?
pain control
sickle cell crisis
How should iron injections be given…
give Z-track method so it doesn’t leak into subcutaneous tissues
APE To Man
atrial pulmonary Erb's point tricuspid mitral Ape to man heart assessment -A= aortic valve (second intercostal space on the right) P= pulmonic valve (second intercostal space on the left) E= erb's point (a good spot to hear heart murmurs so listen with the bell here too) 3rd intercostal space on the left T=Tricuspid valve (5th intercostal space on the left) M= Mitral valve (5th intercostal space at the midclavicular line)
Cranial Nerves ! GO
Oh- olfactory Oh- optic Oh- oculomotor To-trochlear Touch- trigeminal And- abducens Feel- facial A- auditory Girls- glospharyngeal Vagina - vagus And- accessory Hymen- hypoglossal
Hypernatremia - SALT
skin flushed, agitation, low grade fever, thirst
Turns head side to side
2-3 months
Grasps, switch & roll
4-5 months
Sit at… and waves bye-bye
6-7 months
Stands straight at…
8-9 months
Belly to butt (phrase at 10 letters)
10-11 months
… and Up, drink from a cup
12-13 months
Hepatitis A
vowel comes from the bowel
Hepatitis B
blood and body fluids
Hepatitis C
C is just like B
Apgar measures (5 different things)
8-10=
0-3=
Each=0-2 points
HR, RR, Muscle tone, Reflexes , Skin Color
8-10=ok
0-3=Resuscitate
Glasgow coma scale measures three things…
max 15 points
In a coma if…
(kind of like dating)
verbal, motor, eyes
8
The person who hyperventilates is most likely to experience…
respiratory alkalosis
Avoid salt substitutes when taking ____ and ____ because many are ?
K+ and dig
K+ based
Signs of hypoxia….
restlessness, anxious, cyanotic, tachycardia, increased resp (also monitor ABGs)
Addisons disease you need to ADD more?
Cushing syndrome you have extra “cushion” of??
hormones
hormones
Dumping Syndrome : increase ___ & ___, ___ ___ meals , what to do after meal to decrease peristalsis, wait ____ after meals to drink
fat & protein
small & frequent
lie down
1 hour
For blood types : universal donor? Universal receipient?
O
AB
Disseminated Herpes Zoster is ________ , as to localized Herpes Zoster is _______.
airborne
contact
A nurse with localzied Herpes Zoster CAN care for patients as long as the patients are NOT ________ and the lesions MUST…
localized, be covered
Name the fat soluble vitamins.
V, D, E, A, K
What drugs to give with food. NCSBC
NSAIDs, Corticosteroids, drugs for Bipolar, cephalosporins, sulfanomides
Drug of choice for status epilepticus?
ativan
What to admin first bronchodilator or gluccocortocoid inhaler.
bronchodilator
Who can’t have Beta-Blockers?
Diabetics ! Asthmatics ! masks symptoms
_____ increases the risk of digoxin toxicity and decreases the effects of lithium and digoxin
Theophylline-Treats symptoms of asthma and other lung problems such as emphysema and on-going bronchiti
An inhaler used to treat allergy induced asthma that may cause bronchospasm, think INto the asthmatic lung.
intal
Isoniazid causes…
Take ____ to prevent Hepatotoxic
isoniazid (treats TB) peripheral neuritis
Vit B6
Peptic ulcers caused by H.pylori are treated with FBP (football please). This treatment kills bacteria and stops production of stomach acid but does not heal ulcer
Flagyl
Priolesec
Biaxin
Weighted Naso Intestinal tubes must float from the stomach to intestine. Don’t tape the tube right after placement, may leave coiled next to pt on HOB. Position patient on ___ to facilitate movement throughout the pylorus
RIGHT
Best time to take.. Growth Hormone Steroids Diuretics Aricept
PM
AM
AM
AM- alzeheimiers disease
Diaphragm must stay in place for ____ after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight
6 hours
Carafate (sulcrafate) take..
before meals, mucosal barrier; constipation
Tagamet take ….. what kind of drug? messes with elderly so be careful,
with meals
H2
Take antiacids..
aftermeals
Long term use of this binds to phosphate, increases calcium, robs the bones, leads to increased Ca restoration from bones and weak bones
Amphogel
Cushings ulcers r/t ____ _____
brain injury
Cushings triad r/t ICP in the brain
HTN, bradycardia, irr. resp
Thyroid storm is ___
hyperthermia
Myexdema coma is ___
hypothermia
Glaucoma intraocular pressure is greater than the normal (____) , give ___ to constrict ! Do NOT give _____
22
Pilocarpine
Atropine
Helps keep your heart rate stable after a heart attack or during surgery. Lowers the amount of body fluids inside your mouth and throat before a surgery. This keeps you from possibly choking on your saliva while you are unconscious
Atropine
Non diary sources of calcium
Rhubarb, Sardines, Collard Greens
You can petal the rough edges of plaster cast with tape to ….
avoid skin irritation
With lower back pain…
bend knees
Why should we push fluids with Allopurinaol
flush the uric acid out of the system
Red spots with blue center characteristics of prodromal stage of measles. usually in the mouth.
Koplick’s spots
Rifampin use? what color urine/tears?, also what doesn’t work as well with these drugs?
TB, red/orange, oral contraceptives
Ethambutol use? messes with?
Apply eye drops to conjunctivial sac and afterwards apply pressure to nasolacrimal duct/ inner canthus.
TB, eyes
Pancreatitis place patient…
NPO
Gut rest
prepare ______ site for PICC cuz they’ll probably be getting…
fetal position
antecubital site , TPN/lipids
Trendelenburg test for …..
varicose veins, if they fill proximally= variscosity
Tell me the rule of 9’s !
head-9 arm= 18 torso=36 legs=36 perineum= 1
What to worry about when you give kayexalate? and why?
worry about dehydration, because K has a inverse relationship with sodium
Yogurt has live cultures so…
not for immunosuppressed patients
What to do with itching under cast.
& never do what to scratch?
icepack 10-15 mins, cool air via blow dryer, never use qtip or anything to scratch
Murphy’s sign
Pain with palpation of gallbladder area seen with cholecystitis
Cullen’s sign
ecchymosis on umbilical area, seen with pancreatitis
Turner’s sign
flank grayish blue (turn around to see your flanks) pancreatitis
McBurney’s Point
pain in RLQ indicative of appendicitis
Diverticulitis : where, ___ residue, avoid what foods
LLQ, low, seeds, nuts, peas
Appendicitis: Where? watch for ?
RLQ- appendicitis, watch for peritonitis
Guthrie Test
tests for PKU, baby should have source of protein first
Shilling Test
test for pernicious anemia, how well one absorbs B12
Allens Test
occlude both ulnar and radial artery until hand blanches than release ulnar. If the hand pinks up , ulnar artery is good and you can carry on with ABG/ radial stick as planned. ABGS must be put on ice and whisked to the lab.
It’s okay to have abdominal cramps , blood tinged outflow and leaking around site if the peritoneal dialysis cath….
What’s not normal ?
1-2 weeks
cloudy outflow
Amniotic fluid yellow with particles
meconium stained
Hyper-reflexes
upper motor neuron ( reflexes are over the top)
Absent reflexes
lower motor neuron issue
Rhogam given ? Route?
Only to?
28 weeks, 72 hours after birth, IM
rH negative mother
If indirect Coomb’s test is + …
don’t need to give RhoGAM because she has an antibody only give if negative Coombs
Vitamin K is to ____
Protamine Sulfate is to ____
CaGlu is to ____
Mucomyst is to _____
coumadin
heparin
MgS04
Acetominophen
Order of assessment ?
Inspection Palpation Percussion Auscultation Except with abdomen because you don't want to mess with the bowels and their sounds so inspect, auscultate, percuss, then palpate
Latex Allergies
bananans, apricot, cherries, grapes, kiwis, passion fruit, avocados, chestnuts, tomatoes, peaches
