Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Capstone Round 3 > RN Learning Systems > Flashcards

RN Learning Systems Flashcards

1
Q

Communication Dogs (You, Why, and I)

A

Dig for information, Tell the truth

NO YOU

NO Why?

Just I, and Clarify?

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

Disaster occurs… first 2 priorities.

A
  1. Follow facility plan 2. Clear departments of non-urgent clients.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

3 key S/S of a MI

A

Sever epigastric and L arm pain + Diaphoresis

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

2 Contraindications for the Small pox Vaccine?

A

Infants Immunocompromised

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

Counter to nuclear/radiation terrorism

A

Potassium Iodide (Pima) Prevents thyroid gland from absorbing radiation, thus preventing cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most important factor of hand hygiene?

A

Friction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Machine wigging out?

A

Restart or unplug/replug it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Angry co-worker?

A

Address them like a patient, but DO NOT ease their workload. Otherwise, GIVE IT TO EM STRAIGHT!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fresh Frozen Plasma. Function. What to monitor.

A

Rich in clotting factors used to treat acute clotting disorders. PT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

3 Expected S/S: dissecting aortic aneurysm

A

Blood loss at the heart… Tachycardia (to make up for flow) Hypotension (blood loss) Back pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3 Expected S/S: Fluid Volume Excess
Late S/S:

A

Jugular Vein Distention ↓ Hematocrit (↓ concentration b/c fluids) ↑ Heart Rate (make up for O2 flow)
Pitting Edema +3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CHF w/ mitral stenosis - Dyspnea is caused by…?

A

Fluid accumulation in the lungs (Heart can’t pump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The Heart

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Excepted S/S: Right Sided Heart Failure

A

Peripheral Edema

Right side of heart is where venous return is.
Weakness r/in poor output. Because input backflows, it gets stuck in the periphery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Expected S/S: Pericarditis

A

Dyspnea w/ a rapid RR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How often should a patient exercise….? for ANYTHNG, really.

A

3x a week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Expected S/S: MI 24 hrs ago

A

Ventricular Dysrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

TX: Hemophilia

A

Replacement of missing factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Expected S/S: Acute Angina Attack

A

Transient Abnormal PMI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Blunt chest trauma commonly damages this portion of the heart

A

Right Ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

2 Expected S/S: recent MI or CHF

A

Crackles, Frothy sputum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Post vein ligation, stripping, or any VENOUS op/issue. Position for the client.

A

Supine w/ legs elevated 15º

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

FX: Flaxseed Oil

A

Omega-3 Fatty Acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

INFO: How long does Epoetin Alfa (Epogen, Procrit) take to take effect?

A

2 - 4 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Expected EKG S/S: Atrial Flutter

A

Drastically higher Atrial Rate (P) than Ventrical Rate (QRS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

3 Expected S/S: Aplastic Anemia

A

Pancytopenia (↓ of WBC, RBC, and platelets), fatigue, and pale mucous membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

FX: Hemophilia

A

Poor blood clotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

TX: Malignant Melanoma
What do they look like?
What to assess before biopsies?

A

Surgical Excision
6mm bluish-red lesions
Regional lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Secondary nutrient (next to protein) that aids in healing

A

Vitamin C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What do these look like:
Papules
Macules
Wheals
Vesicles

A

small, solid, elevated (up to 10mm, like acne)
flat, variable shapes (up to 10mm, like freckles)
transient elevated (like hives)
elevated, containing fluid (chicken pox/herpes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

FX: Biological Dressings

A

Promote healing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Wound healing types:
Primary Intention
Secondary Intetnion
Tertiary Closure

A

Surgical closure
Left open to close on own
Left open and closed surgically later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Post-burn healing, what to avoid for a year?

A

Exposure to the sun

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

ADFX: Sulfadiazine Cream (Silvadine) for burns

A

Leukopenia 2 - 3 days beginning TX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Sun protection: How often to reapply sunscreen and strength SPF to use.

A

q2hrs, after swimming
At LEAST 15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

TX: Snake bite?!

A

Immobilize the limb below the level of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

S/S potential malignancy in a basal cell carcinoma of surrounding moles.

A

Ulceration of moles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

FX: Type 1 vs. Type 2 DM

A

1 - pancreas does NOT produce insulin

2 - cells are resistant to insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

TX: Somogyi Effect

A

Monitor glucose @ night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Cause of Acromegaly

A

Overproduction of Somatotropin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

3 Expected S/S of a Thyroid Storm

A

Fever, HTN, Abdominal Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Diabetes and Exercise:
What to wear
When to eat?
Requirement to NOT exercise?

A

Always wear a Medical Alert Identification tag when doing so.
Eat within an hour if during insulin peak time
If Blood Glucose is ↑250, don’t exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

2 Key S/S: Diabetes Insipidus

A

Polydipsia (↑ thirst)
Polyuria (↑ urination) with low specific gravity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

FX: Addison’s Disease
Diet:

A

Lack of cortisol production
↑ salt, carbohydrates, protein, ↓ potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Post-Operative, patient’s bowel sounds JUST return. What should first feeding be?

A

Water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Diverticulitis
Diet:

A

High fiber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Hepatitis A
Report:

Hepatitis B
Who gets the shot?

A

Anorexia - this occurs if liver releases toxins or it fails to detoxify an abnormal product

Infants and children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Shoulder pain post-laparoscopic procedures?

A

Caused by gas irritating the diaphram.
It will resolve in 1 - 2 days, but can be TX by mild analgesics and the recumbent position.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Pancreatitis:
Progression Amylase/Lipase levels

A

Amylase ↑ 3 - 6 hrs onset.
Peaks in 20 - 30 hrs, and returns to normal in 2 - 3 days.
Lipase stays elevated for 14 days longer than amylase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Esophagoscopy:
Purpose

A

Determine how well the LES of esophagus works

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Gamma-glutamyl Transferase (GGT)

A

Test used to determine possibility of alcohol use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Esophagogastroduodenoscopy
Purpose:

A

Visualization of Upper GI and cauterization of bleeding varices to prevent blood loss.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Balloon Tamponade for esophageal varices. How to react if pt becomes agitated, ↑ shallow RR?

A

Cut the tubing in front of the nose guard or sponge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

2 Expected S/S: Bowel Perforation

A

Hypotension and Rigid Abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Systemic Lupus Erythematosus (SLE)
3 Risk Factors:
How to TX wounds

Originates from what part of body:

A

Pregnancy, Infection, Sunlight
Apply moisturizer after bathing lesions in warm water

Connective Tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Expected S/S with Systemic Scleroderma

A

Finger contractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Expected S/S: Kaposi Sarcoma

A

Reddish-purple lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Early & Late Lyme Disease (from ticks!)
S/S

A

Early S/S = progressive, circular rash
Late S/S = double vision, stiff/swollen joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Expected S/S: Herpes Zoster

A

Unilateral, localized, nodular skin lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Most indiciative sign of a post-op infection?

A

Erythema at the site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Initial S/S: HIV vs. AIDS

A 
HIV = flu-like symstomes (sore throat, fatigue, headache)
AIDS = persistent fever, swollen glands, diarrhea, weight loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Histamines
FX:

A

↑ mucous secretion

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

FX of… (besides infection, ofc…)
Neutrophils
Lymphocytes
Monocytes
Eosinophils

A

stress and inflammation
infection (also cancer/malnourishment)
several collagen disorders
hypersensitivty/allergic RX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Skeletal Traction: If the client slips down and the weights are on the floor?

A

Help the pt use the trapeze to pull self up in bed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

Skeletal Cast
TX for itchyness?

A

Blow cool air on it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Rheumatoid vs. Osteoarthritis
Nodes with Osteo?

A

Systemic, Autoimmune, and Bilateral vs. Local
Heberden’s: distal, hard on bony swellings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

Pulmonary Embolus
S/S

A

Tachycardia/pnea, Hypotension w/ rapidly dropping O2 Sat, post-fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Gout
Nodes?

A

Tophi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

Alendronate Sodium
How to maximize absorption

A

Situp straight for 30 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

Eye surgery post-operative position

A

Prone w/ operated eye up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

ADFX: Lasik Surgery (eye)

A

Halos and glaring when driving at night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

Expected S/S: Autonomic Dysreflexia

A

A severe headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

Important piece of information regarding progression of neurological manifestations with an: Unruptured Arteriovenous Malformation (AVM)

A

Location of the AVM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

TX: Swimmer’s Ear + External Otitis

A

Instill diluted alcohol in the ear after swimming

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

Goal of TX: Transient Ischemic Attack

A

Prevent a CVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Intracranial Pressure
2 Sign’s that it is worsening

A

Widening blood pressure (160/65)
↓ pulse rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

FX: Guillian Barre Syndrome
Expected S/S

A

acute inflammation of peripheral nerves r/in ascending weakness (from the bottom, so starting in the lower extremities)

78
Q

EDUCATION: Open Angle Glaucoma

A

Ø take cold medications containing pseudoephedrine

Expect imparied night vision

Driving = dangerous due to ↓ periphery

Laser Surgery can solve it

79
Q

FX: Cheyne-Stokes Respirations

Indiciation of:

A

1 minute of breathing w/ 10 - 20 seconds of apnea or hyponea followed by respirations that ↑ in depth and frequency (cycle)

indicative of severe brain malfunction

80
Q

4 S/S: Middle Ear infections

A

Sore throat, Pressure in Ear, ↓ hearing, diziness

81
Q

3 S/S Bacterial meningitis in a Lumbar Puncture (LP)

A

Elevated protein and WBC

↓ glucose

82
Q

FX: Amytrophic Lateral Sclerosis (ALS)
2 S/S

A

Progressive neurodegenerative disease that attacks motor nerve cells in brain/spinal cord. Neuronal death r/in distal muscle weakess and dysphagia

83
Q

Decerebrate vs. Decorticate

84
Q

FX: Mastoiditis
DX

A

Inflammation of temporal bone behind ear
Palpate mastoid process for tenderness, erythema, or edema

85
Q

FX: Meniere’s Disease
EDUCATION

A

Dz inner ear r/in poor balance/hearing, vertigo

Avoid sudden movements and other sensory input (watching TV and etc.) which will make S/S worse

86
Q

FX: Myxedema

A

Swelling of skin r/in waxy look (r/t hypothyroidism)

87
Q

FX: Rhinnorhea

A

Excessive mucus production of nose

88
Q

Expected S/S: Tumor lysis

A

Flank pain

89
Q

Carcinoembryonic Antigen (CEA) test is used to…

A

Monitor the progress of the disease in clients who are being treated

90
Q

FX: Nadir

A

Lowest point of blood count after chemotherapy

91
Q

FX: Hodgkin’s Disease

Expected S/S

A

Cancer of lymph nodes

Enlarged lymph nodes

92
Q

Bone Marrow Trasnplant: How it’s Done?

A

Transfused just like any other blood component via a central IV line

93
Q

EDUCATION: Females and bone marrow translplants

A

Take temperature 2x a day

Always wear shoes

Avoid using tampons

94
Q

Expected S/S: Multiple myeloma

A

Thrombocytopenia

95
Q

Expected S/S: Superior vena cava syndrome

A

Facial edema

96
Q

FX: Cancer in Situ

A

Cancer within a local area that has NOT spread yet

97
Q

FX: Intravesical Administration Therapy

Nurse Role:

A

Bacillus Calmeete Guerin (BCG) interferon alpha is instilled directly into the bladder for 2 hrs to prevent tumor growth

Assist the pt in changing positions q15min for the 2 hrs

98
Q

NR: 24-hr creatinine clearance, if you accidentally discard a specimen?

A

Discard previously collected and START AGAIN!

99
Q

Contraindication: Prostate Specific Antigen Test

Level progression w/ age

When to start getting screened

Fast prior to exam?

A

48 hours w/in a digital rectal exam

PSA values ↑ with age

50 years old

No need

100
Q

Nurse Role: Pain during peritoneal dialysis

A

Change position (help dialysate solution drain from cavity)

101
Q

Expected finding in urine: Upper UTI and Hyperglycemia

A

Casts (protein structures that precipitate in the renal tubules)

Ketones (associated w/ ketoacidosis)

102
Q

REPORT: Extracorporeal Shockwave Lithotripsy (ESWL)

A

Arrhythmia (500 - 1500 shock waves are given in 30 - 45 minutes DURING the R wave, however if there is mistake, arrythmias occur and should be reported immediately)

103
Q

Expected S/S: Cystocopy

Patient position during procedure

A

Pink-tinged urine with burning while urinating

Lithotomy position

104
Q

Vasectomy

How long to wait before SEX?

Follow up tests

A

1 week

2 follow-up negative sperm counts (sperm is viable for up to 6 months)

105
Q

3 Expected Findings: Transurethral Resection of the Prostate (TURP)

REPORT:

A

Pink urine, stress incontinence, retrograde ejaculation

Painful urination

106
Q

2 Nurse Role: Renal Biopsy

A

Ensure pt is on bedrest for 4 - 12 hrs post procedure

Be NPO 8 hrs prior to the procedure

107
Q

What nutrient do you WANT to ↑ w/ Chronic Renal Failure?

A

Calcium, as the kidneys can no longer activate them

108
Q

Expected S/S: Flail Chest

A

Chest pulls inward on inspiration, outward on expiration

109
Q

Expected S/S:

Acute Asthma Attack

Croup

Pulmonary inflammation (Pleurisy)

Pneumothorax/Air leak

A

Expiratory wheezing (narrowed airways)

Inspiratory Stridor (narrowed middle airway)

Pleural Friction Rub

Subcutaneous Emphysema/Absense of Breath sounds

110
Q

Nurse Role: Trache Tube falls out?!

A

Re-insert it, LOL

111
Q

FX: Pursed-Lip breathing

A

Eliminate CO2

112
Q

FX: Allen’s Test

A

Done before ABG draws…

compress both ulnar/radial arteries of the wrist until blanching occurs. Release, blood (color) should return to palm in 15 seconds. This indicates the ulnar artery can supply blood while the radial is used to draw.

113
Q

Delusional Thinking is a form of…?

A

Projection

114
Q

Denial

Repression

Introjection

Sublimination

A

voluntary emotional response to grief

involuntary forgetting of feelings

adopting characteristics of loved one

converting unacceptable things to socially acceptable activities

115
Q

Projection

Displacement

Undoing

Convserion

A

own feelings on another

unacceptable emotions to a more acceptable substitute

doing opposite of unacceptable idea/act

Mental -> physical symptoms

116
Q

Splitting

Reaction Formation

Idealization

A

Others all either all good or all bad

Expressing attitude opposite of own wishes

Overestimating admired qualities of another

117
Q

Transference

Countertransference

Self-evaluation

A

Client attributing feelings to nurse

Nurse unconsciously attributing feelings about another ot a client

Reflection of feelings and attitudes as they relate to the clients

118
Q

Illusion

Confabulation

Delusion

A

misinterpretation of live experience

filling gaps in memory with fabrication (to avoid embarassment of memory loss)

False, fixed belief

119
Q

FX: Munchausen Syndrome

A

Hurts child for attention

120
Q

Expected SFX: Tricyclic Antidepressants

A

Drowsiness

121
Q

What NOT to take with MAOIs

A

Pseudoephedrine (Sudafed), r/in HTN crises

122
Q

What to watch for in Benzodiazepines

A

Addiction

Dizziness

123
Q

S/S Tardive Dyskinesia

A

Involuntary grimacing, lip smacking, and tongue protrusion

124
Q

DIET: Lithium

What ↑ toxcity?

A

Adequate sodium and fluid intake

Fasting

125
Q

Defense Mechanism associated w/ Agoraphobia

A

Displacement

126
Q

Bipolar drug thats OK with Pregos

A

Paroxetine (Paxil)

SSRIs are the LEAST harmful

127
Q

Akathisia

A

Extra-Pyramidial Effect r/in pacing/figeting and restlessness

128
Q

What makes Seroquel so fancy compared to other anti-psychotics?

A

Does not have the ADFX of weight gain

129
Q

Defense mechanicsm r/t somatization disorder

A

Repression, repressing painful thoughts until they physically manifest

130
Q

ANTIDOTE: Thioridazine Hydrochloride (Mallaril) ADFX of tremors, drooling, and restlessness

A

Benzotropine Mesylate

131
Q

Defense mechanism associated w/ OCD

132
Q

Contraindication to Pertussis Vaccine

A

Known neurologic/seizure disorder

133
Q

How to obtain a toddler’s urine sample

A

Pediatric urine collector

134
Q

Death to a Toddler is…?

A

EVERYTHING but permanent

135
Q

Children: Tylenol and MMR

A

OK! Child will experience a low-grade fever and muscle ache after given vaccine

136
Q

Toddlers: Easing anxiety of a procedure/hospitalization

A

Read books ABOUT the procedure or bring toys from home

137
Q

Adolescent: Dormitory Vaccine for them!

A

Meningococcal Polysaccharide

138
Q

Infant: Droplet Precautions

A

DO NOT have it leave the room w/ a mask

Don mask/gown when feeding it.

139
Q

ANTIDOTE: Lead Poisoning

A

Drink milk

140
Q

Toddler: When to expect crayon scribbling?

141
Q

Infant Development:

Startle Reflex

Ability to sit w/out support, roll back and forth, reach for objects, and maybe EVEN CRAWL?!

Pull self up

Standing alone

A

Look around @ 8, scare @ 11

7 months

Start @ 8, stand by 11

9 - 11

142
Q

FX: Oral steroids on children growth

143
Q

FX: Thalassemia Major

TX:

A

↓ production of oxygen carrying blood

Frequent transfusions

144
Q

Expected S/S: Epiglotitis in a Toddler

145
Q

Expected S/S Acute glomerulonephritis

146
Q

Diet: Cystic Fibrosis

A

↑ protein

147
Q

FX: Ventriculo Peritoneal Shunt

Priority to address:

A

In brain to relieve fluids (hydrocephalus)

Sleepiness, difficult to arouse

148
Q

FX: Koplik Spot

Vaccination timing

A

Oral blue/white lesions in mouse r/t Rubeola.
Appear 2 days before a rash/fever and flu-like S/S.

They usually fade afte rthe rash appears.

MMR - 15 months

149
Q

DX: Intussusception

Pyloric Stenosis

A

Barium Enema

Upper GI Series

150
Q

TX: Pinworms

A

Mebendazole (Vermox) 2 doses 1 week apart

151
Q

FX: ASO Titer

A

Anti-Streptolysin

Determines if child had a recent strep infection which could r/in acute glomerulonephritis

152
Q

FX: Myelomeningocele

A

Alteration of cerebral spinal fluid pathway, r/in hydrocephalus

153
Q

Expected S/S: Tracheo Esohageal Fistula (TEF)

A

Copious oral secretions

154
Q

EDUCATION: Plaster/Fiberglass casts

A

Place a plastic cover over it while bathing

If it gets wet, place a hair dryer on cool and a low setting to dry it

155
Q

FX: 8 hrs post pyloromyotomy

DIET:

A

Release of a hypertrophied pyloric sphincter (no incisions made, so feeds can occur shortly post-operatively)

Small, frequent feeds

156
Q

ADFX: Cardiac Catheterization

A

Blood on groin dressing (indicator of a potential hemorrhage)

157
Q

FX: Prednisone (Deltasone)

A

↓ excretion of protein to help fluid shift back into normal spaces (extra fluid is excreting in urine). This decreases edema and r/in weight loss.

158
Q

Vaccines and HIV

A

ALL OK!

Except Polio, screw you polio

159
Q

EDUCATION: Steroid Inhaler (such as Cromolyn Sodium [Intal])

A

Use every day even if Ø manifestations

160
Q

EDUCATION: Milwakee Brace for Scoliosis

A

You can only take it off for about an hour when you shower daily, otherwise WEAR IT YOU PUNK.

161
Q

Expected S/S: Ventricular Septal Defect

A

Murmur best heard @ lower left sternal border

162
Q

Nurse Role: Wilm’s Tumor

A

DO NOT PALPATE ABDOMEN, THE WORLD MUST KNOW

163
Q

Nurse Role: Spinal Fusion

A

Same as always, turn/roll q2hr

164
Q

Medication for: Contraction Stress Test for pregnant women

A

Oxytocin (Pitocin)

165
Q

TX: Ergotamine Tartrate (Ergomar)

2 Contraindications:

A

Migraine Headaches

HTN and Anemic pts

166
Q

Contraindication: Ceftriaxone (Rocephin) and Penicillin

A

with each other.

and Piperacillin Sodium, which is a derivative of penicillin

167
Q

FX: Superinfection

A

Similar to when a drug permits infection growth…

Such as antibiotics and candidiasis

168
Q

FX: Tamoxifen (Nolvadex)

A

Anti-estrogenic (for pre-post menopausal women)

169
Q

ADFX: Diphenoxylate and Atropin (Lomotil)

A

Megacolin (paralysis and dilation of bowel)

S/S tachycardia, hypotension, ↑BP, abdominal tenderness and cramping, reduction of diarrhea

170
Q

FX: Metoclopramide (Reglan)

Contraindication

A

↓ vomitting post-operative/chemo and promotes gastric emptying…

SO not in a bowel obstruct patient!

171
Q

FX: Prednisone

↑ Risk of?

A

Corticosteroid

Osteoporosis, r/in stress fractures

172
Q

ADFX:Allopurinol (Zyloprim)

SFX:

A

Fever, stop taking.

N/V, GI distress, and a metallic taste in mouth

+ Drowsiness

173
Q

iADFX: Gentamicin Sulfate (Garamycin)

A

Proteinuria (indicates renal damage)

174
Q

Interaction: Chlorothiazide (Diuril) + Digoxin

A

↑ Digoxin Toxicity r/in hypokalemia which r/in muscle weakness

175
Q

Nurse Role: Amitriptyline (Elavil)

A

ECG to obtain baseline CV status before therapy begins

176
Q

Enteral feed @ half strength?

A

Add DOUBLE the amount of water.

Example: 8 oz Esure (1 oz = 30 mL)

240 mL Ensure + 240 mL water = 1/2 strength Ensure

177
Q

FX: Filgastrim (Neupogen)

A

Glycoprotein - ↑ neutrophil count

often used in chemopatients who develop neutropenia

178
Q

FX: Clopidogrel (Plavix)

Nurse Role:

A

Antithrombitic/platelet to prophylactically TX heart attacks and strokes.

Apply bleeding precautions due to anti-platelet FX

179
Q

TX: Zolpidem (Ambien)

ADFX:

A

Insomnia (promotes sleep)

Confusion

180
Q

Expected SFX: Rifampin (Rifadin) and Phenazopyridine (Pyridium)

A

Orange-Red body fluids (such as urine) - harmless!

181
Q

Regular monitoring: Valproic Acid (Depakene)

A

Platelets (causes thrombocytopenia)

AST/ALT (liver function)

182
Q

TX: ADFX of restlessness and involuntary movements of Hydrochloride (Thorazine)

A

Amantadine (Symmetrel) - Antiparkinsonian drug used to TX extrapyramidial side effects

183
Q

FX: Buproprion (Wellbutrin)

Phenelzine (Nardil)

Hydroxine

A

Atypical antidepressant

MAOI antidepressant

Antihistamine - for mild/moderate anxiety

184
Q

TX: Headache w/ peptic ulcer disease (PUD)

A

Acetaminophen (Tylenol), b/c it is an analgesic and not a NSAID, which would ↑ the r/o bleeding

185
Q

3 Expected S/S: Reye’s Syndrome

Contraindicated medication

A

Confusion, swelling brain, liver damage.

Aspirin (during viral illness)

AKA Reye-Johnson Syndrome

186
Q

FX: Lactulose (Cephulac)

A

↓ serum ammonia levels

187
Q

Hypertonic solutions

188
Q

Priority Assessment: Enalapril Maleate (Vasotec)

A

Blood pressure, because it ↓ BP

189
Q

Monitor with: Gemfibrozil (Lopid)

A

Liver function

190
Q

FX: Hydrochlorothiazide

TX:

EDUCATION:

A

Diuretic, makes you pee

HTN

Take in morning so you don’t pee yourself, ya dingus

191
Q

FX: Polycythemia

A

Abnormally high hemoglobin in blood

Capstone Round 3 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions