saunders questions week 9-12 Flashcards
what are the two priority supplies you need at the bedside for a patient experiencing Guillian-barre syndrome
- intubation tray and Electrodes to monitor heart
because guillian barre can also cause dysrhythmias
what are the nursing things to do in anticipation for a siezure
- provide privacy
loosen restrictive clothing
remove follow
padded side rails on bed
patent IV
what is the frontal lobe responsible for
speech and other frontal lobe things
what is the parietal lobe responsible for
sensory perception, spatial perception
(everything except vision and hearing)
what is the temporal lobe responsible for
auditory/comprenehsion of speech
what is the occipital lobe responsible for
vision
what drug doesn’t do well with CT dye
metformin
why should you hydrate well after a CT
because CT dye causes diuresis
which position should a patient be in during LP
lateral recumbent position with knees up to the chest
what does a dilated pupil mean
compressed cranial nerve 3
what do pinpoint pupils mean
pons damage and drugs
what do bilateral and dilated and fixed pupils mean
very bad
what is the brudrinski sign
neck
do you clean drainage
no
what is an endocrine issue that may be caused by a craniotomy
DI or SIADH pecause they may tinker with posterior pituitary
what are some interventions we can do for an aneurism
semi fowlers or side lying down
keep BP LOW
quiet and gentle everything’s
what is a compound fraction
an open fraction
what is the benefits of external fixation traction
more freedom to move than with traction
how long should you keep cast elevated after surgery
24-48 hours
what is avascular necrosis
fracture blocks blood supply into section of bone leading to bone death
what is the first sign on avascular necrosis
numbness at site
when should you elevate the HOB post op for a hip fracture
only for meals
what are the main signs of infection under a cast
- odor
- purulent drainage
- presence of a hot spot (some areas are warmer than others)
what is the earliest sign of compartment syndrome
numbness and tingling
what increase in weight indicates fluid retention
0.5-1 pound per day
what is the most common sign of metabolic acidosis
kussmauls
what does uraemia cause
decreased LOC
why do kidney issues cause metabolic acidosis
because kidneys cannot secrete H+ ions or make bicarb
what are the main symptoms of pyelonephritis other than LUTS
flank pain, headache, high wbc in urine
what are the main drugs that cause urinary retention
anticholinergics, antihistamines, decongestants, and antidepressants
what should you do if a patient is having an air embolis
position on left side
Give oxygen
call a rapid response
what is the main hydronephrosis treatment
nephrostomy tube
ureteral stent
