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Random Questions Flashcards

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1
Q

Never give K+

A

IV push

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2
Q

Mineral Corticoids are given with

A

addisons disease

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3
Q

DKA: When the body is breaking down ___ instead of ___ for energy. Fats leave ____ (acids) that cause the…..

A

fat
sugar
ketones, pH to decrease

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4
Q

DKA is rare in DM type 2 because there is enough…..

A

insulin to prevent breakdown of fats

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5
Q

Sign of embolism…

How to treat…

A

petechiae

heparin

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6
Q

What to use for knee replacement

A

continuous passive motor machine

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7
Q

What to give before any invasive procedure

A

prophylactic antibiotics

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8
Q

Glaucoma patients lose _____ _____ and tx with meds.

A

peripheral vision

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9
Q

Vision with cataracts. Treated how?

A

cloudy, blurry vision.. lens-removal surgery

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10
Q

CO2 causes…

A

vasoconstriction

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11
Q

Most spinal cord injuries are at the ____ and ____ regions

A

lumbar and cervical

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12
Q

Autonomic dysreflexia (life threatening inhibited _____ ____ if nervous system to a noxious stimuli) patient with spinal cord injuries T7 and above. Usually caused by….

A

sympathetic response,

full bladder

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13
Q

Spinal shock usually occurs immediately after..

A

spinal cord injury

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14
Q

Myelin sheath destruction, disruption in nerve impulse conduction..

A

multiple sclerosis

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15
Q

MG= decrease in receptor sites for _______. Since smallest concentration of ____ receptors are in the cranial nerves, expect weakness and fatigue where?

A

`acetylcholine
ACTH
mastication, eye, pharyngeal muscles

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16
Q

What is given if muscle is tense in MG?

A

Tensilon test

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17
Q

GBS is ____ ____. Keep an eye on ____ ____.

A

ascending paralysis

respiratory system

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18
Q

Parkinson’s think RAT ! treat with ?

A

rigidity
akinesia (loss of muscle movement)
tremors

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19
Q

Mini stroke with no dead brain tissue

A

TIA

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20
Q

Stroke with dead brain tissue

A

CVA

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21
Q

Cancer of the lymph very curable in the early stages

A

Hodgkins

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22
Q 
Rule of 9's for burns ? 
head and neck =
each upper extremity=
each lower extremity=
front trunk=
back trunk=
genital=
A 
9
9
18
18
18
1
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23
Q

Birth weight…

A

Doubles by 6 months, triple by a year

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24
Q

If HR is _____ don’t give dig to children

A
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25
Q

1st sign of cystic fibrosis ?

Baby is…

A

meconium ileus

inconsolable, does not eat, not passing meconium

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26
Q 
Heart defects ( 3 T's).. 
Prevent blood from...
If problem does not fix or can't be surgically, what will occur followed by death?
A 
ToF
Truncys arteriosis
Transposition of greater vessels 
going to the heart
CHF
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27
Q

With R side cardiac cath look for

A

valve problems

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28
Q

With L side cardiac cath look for

A

coronary complications

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29
Q

Rheumatic fever can lead to….

A

cardiac valve formation

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30
Q

Poor muscle control due to birth injuries and or decrease oxygen to brain tissue ?

A

cerebral palsy

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31
Q

ICP should be…

Measure ?

A

less than 2

head circumfrence

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32
Q

Dilantin level..

Can cause..

A

10-20

gingival hyperplasia

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33
Q

Kernig’s/Brudzinkski’s sign

A

meningitis

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34
Q

Wilms tumor is usually encapsulated where?

causing what kind of pain?

A

above the kidney

flank pain

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35
Q

Hemophila is..

How is it passed…

A

x-linked

mom-son

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36
Q

When phenylalanine increases..

A

brain problems

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37
Q

Buck’s traction=

A

knee immobility

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38
Q

Russell traction=

A

femur or lower leg

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39
Q

Dunlap traction=

A

skeletal or skin

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40
Q

Bryant’s traction= children ages and weight with what fracture

A

less than 3 or under 35 lbs

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41
Q

Place ___ first than place the ___ when putting traction

A

apparatus, weight

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42
Q

Where should the placenta be located

A

upper part of the uterus

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43
Q

Eclampsia is a ….

A

seizure

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44
Q

A patient with a vertical C-section surgery will most likely…

A

have another C-section

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45
Q

Perform amniocentesis before ___ weeks gestation to check for what abnormalities?

A

20, cardiac and pulmonary

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46
Q

___ mothers receive Rhogam to protect next baby

A

Rh -

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47
Q

Anterior fontanelle closes at ______ and posterior____

A

18months

6-8 weeks

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48
Q

Caput succedaneum= ____ ____ of the fetal scalp that crosses the ___ ___. Swelling reabsorbs within 1 to 3 days

A

diffuse edema, suture lines

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49
Q

Pathological Jaundice occurs…

A

before 24 hours, and lasts 7 days

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50
Q

Physiological Jaundice occurs…

A

after 24 hours

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51
Q

Placental Previa = ____ pain, there is ____. Placenta Abruption ___ pain but ____ _____

A

no pain, bleeding

pain, no bleeding

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52
Q

Bethamethasone (celestone) is

A

surfactant for lung expansion

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53
Q

Baby cannot make it down to canal

A

dystocia

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54
Q

Pitocin med is used for…

A

uterine stimulation

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55
Q

Magnesium Sulfate ( used to halt ____ labor) is contraindicated if ________ are ineffective. If patient experiences seizure during magnesium admin. Get the baby out stat (emergency).

A

preterm

deep tendon

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56
Q

NCLEX FACT

A

Do not use why or I understand statement when dealing with patients

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57
Q

Milieu therapy= taking care of…

A

patient/environment

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58
Q

Cognitive therapy=

A

counseling

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59
Q

Crisis intervention= short term or long term

A

short term

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60
Q

Five interventions for psych patients

A

safety, setting limits, establishing trusting relationship, meds, less restrictive methods/environment

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61
Q

Mineral Corticoids are given with

A

addisons disease

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62
Q

DKA: When the body is breaking down ___ instead of ___ for energy. Fats leave ____ (acids) that cause the…..

A

fat
sugar
ketones, pH to decrease

How well did you know this?
1
Not at all
2
3
4
5
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63
Q

DKA is rare in DM type 2 because there is enough…..

A

insulin to prevent breakdown of fats

How well did you know this?
1
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2
3
4
5
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64
Q

Sign of embolism…

How to treat…

A

petechiae

heparin

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65
Q

What to use for knee replacement

A

continuous passive motor machine

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66
Q

What to give before any invasive procedure

A

prophylactic antibiotics

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67
Q

Glaucoma patients lose _____ _____ and tx with meds.

A

peripheral vision

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68
Q

Vision with cataracts. Treated how?

A

cloudy, blurry vision.. lens-removal surgery

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69
Q

CO2 causes…

A

vasoconstriction

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70
Q

Most spinal cord injuries are at the ____ and ____ regions

A

lumbar and cervical

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71
Q

Autonomic dysreflexia (life threatening inhibited _____ ____ if nervous system to a noxious stimuli) patient with spinal cord injuries T7 and above. Usually caused by….

A

sympathetic response,

full bladder

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1
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72
Q

Spinal shock usually occurs immediately after..

A

spinal cord injury

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73
Q

Myelin sheath destruction, disruption in nerve impulse conduction..

A

multiple sclerosis

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74
Q

MG= decrease in receptor sites for _______. Since smallest concentration of ____ receptors are in the cranial nerves, expect weakness and fatigue where?

A

`acetylcholine
ACTH
mastication, eye, pharyngeal muscles

How well did you know this?
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3
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5
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75
Q

What is given if muscle is tense in MG?

A

Tensilon test

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76
Q

GBS is ____ ____. Keep an eye on ____ ____.

A

ascending paralysis

respiratory system

How well did you know this?
1
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2
3
4
5
Perfectly
77
Q

Parkinson’s think RAT ! treat with ?

A

rigidity
akinesia (loss of muscle movement)
tremors

How well did you know this?
1
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2
3
4
5
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78
Q

Mini stroke with no dead brain tissue

A

TIA

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79
Q

Stroke with dead brain tissue

A

CVA

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80
Q

Cancer of the lymph very curable in the early stages

A

Hodgkins

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81
Q 
Rule of 9's for burns ? 
head and neck =
each upper extremity=
each lower extremity=
front trunk=
back trunk=
genital=
A 
9
9
18
18
18
1
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82
Q

Birth weight…

A

Doubles by 6 months, triple by a year

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83
Q

If HR is _____ don’t give dig to children

A
84
Q

1st sign of cystic fibrosis ?

Baby is…

A

meconium ileus

inconsolable, does not eat, not passing meconium

85
Q 
Heart defects ( 3 T's).. 
Prevent blood from...
If problem does not fix or can't be surgically, what will occur followed by death?
A 
ToF
Truncys arteriosis
Transposition of greater vessels 
going to the heart
CHF
86
Q

With R side cardiac cath look for

A

valve problems

87
Q

With L side cardiac cath look for

A

coronary complications

88
Q

Rheumatic fever can lead to….

A

cardiac valve formation

89
Q

Poor muscle control due to birth injuries and or decrease oxygen to brain tissue ?

A

cerebral palsy

90
Q

ICP should be…

Measure ?

A

Less than 2

head circumference

91
Q

Dilantin level..

Can cause..

A

10-20

gingival hyperplasia

92
Q

Kernig’s/Brudzinkski’s sign

A

meningitis

93
Q

Wilms tumor is usually encapsulated where?

causing what kind of pain?

A

above the kidney

flank pain

94
Q

Hemophila is..

How is it passed…

A

x-linked

mom-son

95
Q

When phenylalanine increases..

A

brain problems

96
Q

Buck’s traction=

A

knee immobility

97
Q

Russell traction=

A

femur or lower leg

98
Q

Dunlap traction=

A

skeletal or skin

99
Q

Bryant’s traction= children ages and weight with what fracture

A

less than 3 or under 35 lbs

100
Q

Place ___ first than place the ___ when putting traction

A

apparatus, weight

101
Q

Where should the placenta be located

A

upper part of the uterus

102
Q

Eclampsia is a ….

A

seizure

103
Q

A patient with a vertical C-section surgery will most likely…

A

have another C-section

104
Q

Perform amniocentesis before ___ weeks gestation to check for what abnormalities?

A

20, cardiac and pulmonary

105
Q

___ mothers receive Rhogam to protect next baby

A

Rh -

106
Q

Anterior fontanelle closes at ______ and posterior____

A

18months

6-8 weeks

107
Q

Caput succedaneum= ____ ____ of the fetal scalp that crosses the ___ ___. Swelling reabsorbs within 1 to 3 days

A

diffuse edema, suture lines

108
Q

Pathological Jaundice occurs…

A

before 24 hours, and lasts 7 days

109
Q

Physiological Jaundice occurs…

A

after 24 hours

110
Q

Placental Previa = ____ pain, there is ____. Placenta Abruption ___ pain but ____ _____

A

no pain, bleeding

pain, no bleeding

111
Q

Bethamethasone (celestone) is

A

surfactant for lung expansion

112
Q

Baby cannot make it down to canal

A

dystocia

113
Q

Pitocin med is used for…

A

uterine stimulation

114
Q

Magnesium Sulfate ( used to halt ____ labor) is contraindicated if ________ are ineffective. If patient experiences seizure during magnesium admin. Get the baby out stat (emergency).

A

preterm

deep tendon

115
Q

NCLEX FACT

A

Do not use why or I understand statement when dealing with patients

116
Q

Milieu therapy= taking care of…

A

patient/environment

117
Q

Cognitive therapy=

A

counseling

118
Q

Crisis intervention= short term or long term

A

short term

119
Q

Five interventions for psych patients

A

safety, setting limits, establishing trusting relationship, meds, less restrictive methods/environment

120
Q

How long do SSRIs take to work ?

A

3 weeks to work

121
Q

Obsession is to ___ as compulsion is to ______

A

thought, action

122
Q

If patients have hallucinations ____ them, if they have delusions ___ them

A

redirect, distract

123
Q

Thorazine (Chlorpromazine) and Haldol can have

A

extrapyramidal side effects

124
Q

Alzheimer’s disease is a chronic, progressive, degenerative cognitive d/o that accounts for more than …..

A

60% of all dementia

125
Q

Nicole Richie RN

A

Air into NPH, air into regular. Draw up regular and then draw up NPH

126
Q

HYPERthyrodism think of Michael Jackson in Thriller !

A

Skinny, nervous, bulging eyes, up all night, heart beating fast

127
Q

Atropine used to…

A

decrease secretions

128
Q

Phenergan is an antiemetic used to…

A

reduce nausea

129
Q

Diazepam is a commonly used tranquilizer given to….

A

reduce anxiety before OR

130
Q

Demorol is for….

Don’t give to what patients?

A

pain control

sickle cell crisis

131
Q

How should iron injections be given…

A

give Z-track method so it doesn’t leak into subcutaneous tissues

132
Q

APE To Man

A 
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)
133
Q

Cranial Nerves ! GO

A 
Oh- olfactory 
Oh- optic
Oh- oculomotor
To-trochlear
Touch- trigeminal 
And- abducens
Feel- facial
A- auditory 
Girls- glospharyngeal 
Vagina - vagus
And- accessory
Hymen- hypoglossal
134
Q

Hypernatremia - SALT

A

skin flushed, agitation, low grade fever, thirst

135
Q

Turns head side to side

A

2-3 months

136
Q

Grasps, switch & roll

A

4-5 months

137
Q

Sit at… and waves bye-bye

A

6-7 months

138
Q

Stands straight at…

A

8-9 months

139
Q

Belly to butt (phrase at 10 letters)

A

10-11 months

140
Q

… and Up, drink from a cup

A

12-13 months

141
Q

Hepatitis A

A

vowel comes from the bowel

142
Q

Hepatitis B

A

blood and body fluids

143
Q

Hepatitis C

A

C is just like B

144
Q

Apgar measures (5 different things)
8-10=
0-3=
Each=0-2 points

A

HR, RR, Muscle tone, Reflexes , Skin Color
8-10=ok
0-3=Resuscitate

145
Q

Glasgow coma scale measures three things…
max 15 points
In a coma if…
(kind of like dating)

A

verbal, motor, eyes

8

146
Q

The person who hyperventilates is most likely to experience…

A

respiratory alkalosis

147
Q

Avoid salt substitutes when taking ____ and ____ because many are ?

A

K+ and dig

K+ based

148
Q

Signs of hypoxia….

A

restlessness, anxious, cyanotic, tachycardia, increased resp (also monitor ABGs)

149
Q

Addisons disease you need to ADD more?

Cushing syndrome you have extra “cushion” of??

A

hormones

hormones

150
Q

Dumping Syndrome : increase ___ & ___, ___ ___ meals , what to do after meal to decrease peristalsis, wait ____ after meals to drink

A

fat & protein
small & frequent
lie down
1 hour

151
Q

For blood types : universal donor? Universal receipient?

A

O

AB

152
Q

Disseminated Herpes Zoster is ________ , as to localized Herpes Zoster is _______.

A

airborne

contact

153
Q

A nurse with localzied Herpes Zoster CAN care for patients as long as the patients are NOT ________ and the lesions MUST…

A

localized, be covered

154
Q

Name the fat soluble vitamins.

A

V, D, E, A, K

155
Q

What drugs to give with food. NCSBC

A

NSAIDs, Corticosteroids, drugs for Bipolar, cephalosporins, sulfanomides

156
Q

Drug of choice for status epilepticus?

A

ativan

157
Q

What to admin first bronchodilator or gluccocortocoid inhaler.

A

bronchodilator

158
Q

Who can’t have Beta-Blockers?

A

Diabetics ! Asthmatics ! masks symptoms

159
Q

_____ increases the risk of digoxin toxicity and decreases the effects of lithium and digoxin

A

Theophylline-Treats symptoms of asthma and other lung problems such as emphysema and on-going bronchiti

160
Q

An inhaler used to treat allergy induced asthma that may cause bronchospasm, think INto the asthmatic lung.

A

intal

161
Q

Isoniazid causes…

Take ____ to prevent Hepatotoxic

A

isoniazid (treats TB) peripheral neuritis

Vit B6

162
Q

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

A

Flagyl
Priolesec
Biaxin

163
Q

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

A

RIGHT

164
Q 
Best time to take..
Growth Hormone
Steroids
Diuretics
Aricept
A

PM
AM
AM
AM- alzeheimiers disease

165
Q

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

A

6 hours

166
Q

Carafate (sulcrafate) take..

A

before meals, mucosal barrier; constipation

167
Q

Tagamet take ….. what kind of drug? messes with elderly so be careful,

A

with meals

H2

168
Q

Take antiacids..

A

aftermeals

169
Q

Long term use of this binds to phosphate, increases calcium, robs the bones, leads to increased Ca restoration from bones and weak bones

A

Amphogel

170
Q

Cushings ulcers r/t ____ _____

A

brain injury

171
Q

Cushings triad r/t ICP in the brain

A

HTN, bradycardia, irr. resp

172
Q

Thyroid storm is ___

A

hyperthermia

173
Q

Myexdema coma is ___

A

hypothermia

174
Q

Glaucoma intraocular pressure is greater than the normal (____) , give ___ to constrict ! Do NOT give _____

A

22
Pilocarpine
Atropine

175
Q

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

A

Atropine

176
Q

Non diary sources of calcium

A

Rhubarb, Sardines, Collard Greens

177
Q

You can petal the rough edges of plaster cast with tape to ….

A

avoid skin irritation

178
Q

With lower back pain…

A

bend knees

179
Q

Why should we push fluids with Allopurinaol

A

flush the uric acid out of the system

180
Q

Red spots with blue center characteristics of prodromal stage of measles. usually in the mouth.

A

Koplick’s spots

181
Q

Rifampin use? what color urine/tears?, also what doesn’t work as well with these drugs?

A

TB, red/orange, oral contraceptives

182
Q

Ethambutol use? messes with?

Apply eye drops to conjunctivial sac and afterwards apply pressure to nasolacrimal duct/ inner canthus.

A

TB, eyes

183
Q

Pancreatitis place patient…
NPO
Gut rest
prepare ______ site for PICC cuz they’ll probably be getting…

A

fetal position

antecubital site , TPN/lipids

184
Q

Trendelenburg test for …..

A

varicose veins, if they fill proximally= variscosity

185
Q

Tell me the rule of 9’s !

A 
head-9
arm= 18
torso=36
legs=36
perineum= 1
186
Q

What to worry about when you give kayexalate? and why?

A

worry about dehydration, because K has a inverse relationship with sodium

187
Q

Yogurt has live cultures so…

A

not for immunosuppressed patients

188
Q

What to do with itching under cast.

& never do what to scratch?

A

icepack 10-15 mins, cool air via blow dryer, never use qtip or anything to scratch

189
Q

Murphy’s sign

A

Pain with palpation of gallbladder area seen with cholecystitis

190
Q

Cullen’s sign

A

ecchymosis on umbilical area, seen with pancreatitis

191
Q

Turner’s sign

A

flank grayish blue (turn around to see your flanks) pancreatitis

192
Q

McBurney’s Point

A

pain in RLQ indicative of appendicitis

193
Q

Diverticulitis : where, ___ residue, avoid what foods

A

LLQ, low, seeds, nuts, peas

194
Q

Appendicitis: Where? watch for ?

A

RLQ- appendicitis, watch for peritonitis

195
Q

Guthrie Test

A

tests for PKU, baby should have source of protein first

196
Q

Shilling Test

A

test for pernicious anemia, how well one absorbs B12

197
Q

Allens Test

A

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.

198
Q

It’s okay to have abdominal cramps , blood tinged outflow and leaking around site if the peritoneal dialysis cath….
What’s not normal ?

A

1-2 weeks

cloudy outflow

199
Q

Amniotic fluid yellow with particles

A

meconium stained

200
Q

Hyper-reflexes

A

upper motor neuron ( reflexes are over the top)

201
Q

Absent reflexes

A

lower motor neuron issue

202
Q

Rhogam given ? Route?

Only to?

A

28 weeks, 72 hours after birth, IM

rH negative mother

203
Q

If indirect Coomb’s test is + …

A

don’t need to give RhoGAM because she has an antibody only give if negative Coombs

204
Q

Vitamin K is to ____
Protamine Sulfate is to ____
CaGlu is to ____
Mucomyst is to _____

A

coumadin
heparin
MgS04
Acetominophen

205
Q

Order of assessment ?

A 
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
206
Q

Latex Allergies

A

bananans, apricot, cherries, grapes, kiwis, passion fruit, avocados, chestnuts, tomatoes, peaches

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