RN Comprehensive 2013A Practice Flashcards
Transfusion reaction pt receiving mannitol
Monitor for increased diuresis for therapeutic effect
Right CVA
Withhold the morning meds until swallow study can be done
Medication error
Document the facts related to the error
Nursing process
First step is to assess current knowledge
Cyclophosphamide
Maintain hydration with liberal fluid intake
Ovarian cancer
Early stages have vague manifestations; often goes undiagnosed until advanced stages
VP shunt intervention
Irritability is manifestation of increased ICP
Early detection of prostate cancer
PSA levels yearly after 50
Severe dehydration
Responding well if Na is within the expected range
Evaluation of nurse
Maintain notes over a period of time
Bonding
Client tells visitors newborn looks like sister
NG placement check
Aspirate contents and verify the pH
Admin of insulin
Pinch skin to allow access to sub-q tissue
Immediate intervention for newborn
Grunting, nasal flaring, tachypnea
Crutches on stairs
Stand in tripod position; place body weight on crutches; place unaffected leg on the stair; move the affects leg and the crutches up to the stair
Report to dr regarding relapse of lymphocytic leukemia pt
WBC count below the reference range
PTT expected for hemophilia A
45
Mild preeclampsia report
Swelling of hands and face; rest in side-lying position; notify of decreased urine output; perform daily fetal kick counts
Active TB
Wear a mask when out of room
Antisocial personality disorder
Lack of remorse
Hemolytic transfusion reaction indication
Low back pain
Thrombocytopenia
Avoid nose blowing
Surgical aseptic technique
Objects out of line of vision are not considered sterile
Estradiol side effect
Headache
Mass casualty incident
Nurses should receive training in the disaster triage process
Maslow’s Hierarchy of needs
Appetite is first priority
Increased ICP
Memory loss
Autism manifestation
Lack of responsiveness
Thoracentesis
Instruct pt to avoid deep breathing during procedure
Pt needs PT following discharge
Involve the client in choosing a physical therapist
Continuous passive motion
Turn off machine during mealtime to promote comfort and dietary intake
Who is recommended for discharge when necessary to make room for injured in disaster
Cellulitis and PO abx
Fluid volume deficit
Orthostatic hypotension is indicative
Time management strategies
Group activities together that can be performed on the same client; gather all equipment before entering a clients room; delegate appropriate tasks; develop a schedule that prioritized pt care
Effective response to PTSD treatment
Recognizes the personal effects of the traumatic experience
Portable x-ray interventions
Cover the clients pelvic area with a lead shield
Cushings disease
Moon face
First action to implement staffing changes
Form task force to investigate current staffing issues
Teaching for peripheral arterial disease
Apply lubricating lotion to the feet
Hand roll purpose
Maintains functional position
Chlorpromazine
Effective: decreased hallucinations
Adverse effect: orthodontic hypotension
Prolonged infertility suggestion by nurse
Would you like some information about support groups?
Delegate to assistive nursing personnel
Arranging a lunch tray for a pt who has a hip fracture
Delirium expected finding
Fluctuating LOC
Impaired vision
Mark step edges with colored tape
Wound care diet
High in protein
Valproic acid monitor what lab?
Monitor and report which side effect?
Liver function (valorous acid may cause liver toxicity; Report jaundice
Child with fever and fluid filled vesicles on trunk and extremities
Priority intervention is to implement transmission precautions
Esophagogastroduodenoscopy report
Cool, clammy skin
Digoxin toxicity
Nausea
Multifarious client following vauum assisted birth, assess for
Cervical laceration
Pt in labor on oxytocin having frequent variable decelerations
Turn pt to left side
Failure to thrive
Develop structured routine
Epinephrine adverse effect
Chest pain
Radiation therapy pt has dry shines red skin over neck and clavicular area
Instruct pt to wash the area with mild soap and water
Toddler undergoes tonsillectomy
Administer pain medication on a regular schedule the first post-op day
Warfarin
Report change in color of stools; have blood tests daily for the first 5 days
Post op 48 hrs after ruptured appendix: report what?
Rigid board like abdomen; absent bowel sounds; elevated temp; elevated WBC count
Adjustable band with pressure on P6 meridian of wrists
Alleviates nausea/vomiting
Pt with high cholesterol and iron deficient anemia
Black beans are low in cholesterol and iron rich
CPR on infant
Use brachial pulse
Amitriptyline instructions
Watch for common reactions like dry mouth and constipation
Pt with two prescriptions for eye-drops teaching
Close eyes for one minute following administration of each med
Crohn’s diet
Low-fiber diet to reduce residue and decrease exacerbations
Outcome audit
Examines data to determine the results from a specific nursing intervention
Stage II pressure ulcer
Partial thickness skin loss
Quality improvement does not focus on
Promoting individual accomplishments
Pt receiving enteral tube feedings needs additional nutrients according to
Abnormal albumin level
Estimated date of birth by LMP
Add 7 days and subtract 3 months
Organ donation postmortem care order
Notify organ procurement team; collect necessary specimens; remove tubs and vascular access; cleanse the body; apply name tags to the body
Trochanter rolls
To maintain proper body alignment for a pt who is immobile
Pt at risk for developing diabetes insipidus
Monitor for polyuria
Osteoporosis risk factor
Sedentary lifestyle
Fluoxetine side effect to report
Tremors
Chlorpromazine
Teach to sip fluids throughout the day
Assess CVA pt for
Functional limitations before getting pt up to bedside commode
No blue dye
Added to tube feeding
Priority finding first day post-op hip arthroplasty
Dressing saturated with sanguineous drainage
Theophylline toxicity
Anorexia
Intravenous pyelogram prep
Administer a laxitive
Wound evisceration steps
Stay with client and call for help; place saline-soaked gauze on exposed bowels; place pt in supine position with knees and hips flexed to relieve pressure from the open wound; take pts vital signs
Antepartum fetal heart monitoring
Premature ruptured membranes; decreased fetal movement; gest HTN;
Task to be delegated to assistive personnel on fluid volume overload pt
Measure daily weight
Pt with AIDS needs further teaching
I will work for shorter periods of time in the garden for relaxation
