Brainscape's Knowledge GenomeTM

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


See full index

Term 3 Stanbridge > Term 3 Cumulative > Flashcards

Term 3 Cumulative Flashcards

1
Q

*Care of the client after biopsy of prostate for possible cancer

A

.

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

Care of the client receiving isoniazid

A

first line drug for active TB and for prophylaxis.

may cause peripheral neuropathy, and hepatitis.

do not administer with:
aged cheese
processed meats and fish
bananas
dried fruits
yeast products
soy sauce
red wine

take on empty stomach

administer vitamin B5 as prescribed to reduce risk of neurotoxicity.

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

Care of the client with HHNS

A

BS >600. put on fluids and focus on hydration. start with 0.9 then 0.45, check sugar, then 5% dextrose

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

Care of the client with leukemia

A

neutropenic precautions.

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

Indications for a carotid endarterectomy

A

surgical removal of part of the inner lining of an artery, together with any obstructive deposits, most often carried out on the carotid artery or on vessels supplying the legs

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

Care of the client with an abdominal aneurysm

A

observe signs: gnawing feeling in abdomen, flank or back pain, pulsating abdominal mass, bruit, and elevated BP

monitor vitals q15mins, check pain often, focus on lowering BP, surgical intervention:

resection.. excision of the aneurysm and the placement of a synthetic graft

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

Monitoring Labs for the cancer client

A

CBC
WBC
RBC
Platelets

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

Care of the pregnant client with AIDS.

A

do not breastfeed

can transfer disease during childbirth

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

Care of the client receiving allogenic bone marrow transplant

A

With this type of BMT, the transplant comes from a donor. Often family members are found to be the best match. High doses of chemotherapy with or without radiation are administered, then the bone marrow is transplanted to “rescue” the host. This type is most commonly used in leukemia patients.
BMT allows for large doses of chemotherapy (with or without radiation) to be administered to clients where tumours are resistant to the standard doses of treatment. Once these treatments are complete, a bone marrow transplant is used to replace the client’s bone marrow.
The Goal of a BMT is to cure a client’s malignant or nonmalignant disease.

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

Care of the client with an abdominal aortic aneurysm

A

monitor s/s.

take antihypertensives to lower BP

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

Care of the client with pulmonary edema

A

relax

high fowlers

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

levothyroxine

A

Synthetic Thyroxine (T4). Thyroid hormone replacement

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

Care of the client undergoing radiation treatment

A

body fluids will be contaminated and should be disposed of appropriately

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

Dietary education for the client with Cushing’s

A

eat foods high in calcium and vitamin D.

no alcohol or caffeine

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

Care of the client with Hashimoto’s thyroiditis

A

is hypothyroidism believed to be autoimmune in origin. It is of the type of autoimmune disorders known as organ specific because the body builds up antibodies against thyroid tissue only.

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

Client education about the spread of TB

A

airborne/droplet

anti tubercular therapy: rifampin, isoniazid, pyrazinadmide, streptomycin and ethambutol. 2-3 weeks continuous meds

encourage fluid intake
proper handwashing
cover mouth when coughing/sneezing

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

Give example of the 4 different types of immunity

A

Active natural: client gets disease. body makes antibodies

active artificial: client receives immunization

Passive natural: mother to child

Passive artificial: client received immunoglobulin containing someone else antibodies

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

Care of the client with thrombocytopenia

A

safety precautions. watch for bruising. check pt, ptt, INR

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

Care of the client with breast cancer

A

can metastasize to the bone

will have orange peel skin, dimpling, nipple discharge

meds:
tamoxifen, raloxifine, lupron

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

dexamethasone

A

Synthetic Adrenocortical Steroid. Anti-inflammatory, Diagnostic aid, Immunosuppressant.

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

spironolactone

A

Aldosterone antagonist, antihypertensive, diagnostic aid for primary hyperaldosteronism, diuretic (potassium sparing diuretic)

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

methimazole

A

Thioimidazole derivative. Antithyroid

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

Care of the client with Addison’s disease

A

treat with IV fluid
hydrocortisone
flonuet

low sodium. high potassium.
dysrhythmias
muscle weakness
bronze skin pigmentation

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

Care of the client with hypoparathyroidism

A

MONITOR CALCIUM LEVELS

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

Describe how vaccines affect the immune system

A

when a client receives an immunization, they get dead antigens and the body will make antibodies from it

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

Priority of care for the client receiving external radiation therapy

A

patient will be fatigued. will need periods of rest.

monitor:
skin blanching
mucositis, xerostomia
difficulty swallowing
gastroenteritis
CBC

do not wash off the x tattoos

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

Discuss the drug therapy for the HIV infected client

A

HAART therapy.

includes:
enfuvirtide (fuzeon)
maraviroc (selzentry)
delavirdine (descriptor)
interferon

used in combination with other antiretroviral meds to reduce medication resistance, adverse effects, and dosages.

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

Care of the client with hypothyroidism, including diet

A

Give Levothyroxine

everything is low and slow. Provide diet with fiber. lotion skin. allow rest periods. eat smaller more frequent meals.

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

Care of the client with hemolytic anemia

A

premature destruction (lysis) of RBC’s

monitor for hypoxemia.
Corticosteroid hormones and splenectomy may also be of benefit.

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

Client education; Care of the client pre/post cardiac catheterization

A

most definitive but most invasive test in the diagnosis of heart disease.

client is strapped to a table the cath lab and the table is turned during the procedure

local analgesic injected at the insertion site

client may have mild sedative but most be able to report any chest pain, pressure, or other symptoms.

informed consent

NPO 8 hr prior to procedure

report iodine/shellfish allergies

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

PTU

A

Thiourea Derivative. Antithyroid

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

Discuss the complications of immobility

A

risk for DVT

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

Care of the client receiving nitroglycerin for angina

A

nitro given sublingualy. if still having pain, repeat q5mins 3 times. No more than 3 pills. Call emergency services.

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

Care of the client with diabetic ketoacidosis

A

severe hyperglycemia >300

kussmaul respirations
fruity breath
type 1
increase in ketones in urine

asses:
airway
blood glucose level
vitals q15mins

administer:
IV fluids 0.9 then 0.45. check BG. then dextrose solution

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

Care of the client having MI

A

Monitor vitals q15 minutes until stable, then every hour

monitor continous cardiac monitoring

monitor hourly output

administer o2

administer meds: vasodilators like nitrostat, analgesics such as morphine to help control pain. streptase or activase.

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

Care of the client with hypothyroidism

A

increase activities gradually

apply anti embolism stockings and elevate the legs to promote venous return

encourage to turn cough and deep breath

provide meticulous skin care

administer levothyroxine

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

Care of the client with Grave’s Disease

A

see hyperthyroid

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

Care of the client using nasal prongs for oxygen delivery

A

Perform a respiratory assessment along with a complete set of vital signs, including oxygen saturation indicated via pulse oximetry. After assessing your patient, also document the patient’s skin color, level of consciousness, and other signs and any manifestations of hypoxia.

perform a skin assessment where the oxygen-delivery device comes into contact with the patient’s skin. Inspect the nose, the ears, and under the chin for redness, irritation, and skin breakdown. To help prevent irritation and skin breakdown, consider padding pressure areas when initiating oxygen therapy. Keeping the patient’s skin clean and dry can also help reduce the risk of skin irritation and breakdown

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

Care for the client receiving Furosemide

A

MUST MONITOR POTASSIUM LEVELS AND ENSURE CLIENT IS RECEIVING ADEQUATE FLUID INTAKE

40
Q

glipizide

A

Sulfonylurea. Antidiabeti

41
Q

insulin

A

Rapid-Acting: This insulin covers insulin needs for meals eaten at the same time as the injection. This type of insulin is often used with longer-acting insulin.

Short-Acting: Covers insulin needs for meals eaten within 30-60 minutes.

Intermediate Acting: Covers insulin needs for about half the day or overnight. This type of insulin is often combined with a rapid or short-acting type.
Long-Acting: Insulin needs for about one full day. This type is often combined, when needed, with rapid or short acting insulin.

42
Q

Care of the client receiving morphine sulfate

A

monitor respiratory rate

43
Q

erythropoietin

A

RBCs usually given for anemi

44
Q

Care of the client with hypertension

A 
encourage weight loss
encourage low sodium diet, low fat, low cholesterol
exercise program
alcohol and smoking cessation
administer antihypertensives
increase fiber with verapamil and stay away from grapefruit juice
change positions slowly
monitor for angioedema
45
Q

List chronic complications of diabetes mellitus

A

DKA and HHS

46
Q

Care of the client with left-sided heart failure

A

s/s: pulmonary edema, dyspnea, cough, fatigue, cool pale skin, s3 heart sounds, pink frothy sputum

47
Q

Education for the client undergoing chemotherapy (Neutropenia, pancytopenia, anemia)

A

encourage them to avoid crowds while undergoing chemotherapy

monitor fatigue, pallor, dizziness, and SOB
provider can provide epstein alfa and ferrous sulfate
monitor hgb values

48
Q

nitroglycerin

A

Nitrate. Antianginal, antihypertensive, vasodilator.

49
Q

clopidogrel

A

Thienopyridine derivative. Platelet aggregation inhibito

50
Q

heparin

A

Glycosaminoglycan. Anticoagulan

51
Q

Care for the client having sickle cell crisis

A

administer pain medications

RBC transfusions may occur in the crisis

52
Q

Care of the client with atelectasis

A

the collapse of lung tissue.

s/s:
diminished breath sounds at the bases

usually requires chest tube insertion

53
Q

Care of the client with diabetes insipidus

A

low ADH

provide fluids because they are giving them out frequently

treatment is vasopressin and DDAVP. Given for it’s side effects of retaining urine.

BP low. HR high. Low urine specific gravity

complications: dehydration and hypovolemia

54
Q

Care of the client with chronic emphysema

A 
treatment:
avoid tobacco
use bronchodilators and antibiotics
flu vaccine
pneumovax
low oxygen flow
nursing:
position high fowlers
deep breath, turn, cough
provide chest physiotherapy
avoid irritants: smoke, allergens, chemicals
increase fluid intake
55
Q

ferrous sulfate

A

trace Element, mineral. Antianemic, nutritional supplement.

56
Q

Care of the client who is HIV positive

A

treatment includes: antiretroviral agents, immunomodulatory agents, supportive therapy.

use standard precautions

use gloves for all contact with blood

always wash hands

maintain confidentiality

57
Q

Care of the client with Addisonian crisis

A 
risk factors include
stress
abrupt steroid withdrawal
infection
pregnancy
dehydration
58
Q

digoxin

A

Digitalis glycoside. Antiarrhythmic, cardiotoni

59
Q

Care of the client following a thyroidectomy

A 
keep in high fowlers position
assess back of neck for bleeding
ensure suction equipment is ready
check for laryngeal nerve damage
administer meds for pain
watch for hypocalcemia
60
Q

warfarin sodium

A

Coumarin derivative. Anticoagulant

61
Q

Care of the client receiving blood or platelet transfusion

A

safety blood precautions. double check all information. watch patient for 15 minutes while starting transfusion. monitor vitals.

62
Q

Indication for percutaneous transluminal coronary angioplasty (PTCA)

A

minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle.

Next, a long narrow tube called a diagnostic catheter is advanced through the introducer over the guide wire, into the blood vessel.

63
Q

Care of the client with SIADH

A

high ADH
Holding onto fluid
administer declomycin
monitor for hypervolemia, pulmonary edema (crackles), cerebral edema (change in LOC)

weight gain
low sodium serum
high urine specific gravity because retaining of water. low urine output.

64
Q

strptomycin

A

Aminoglycoside. Antibiotic.

65
Q

Care of the client with a tracheostomy

A

ALWAYS MONITOR AIRWAY

66
Q

Care of the client following surgery for laryngeal cancer (radical neck dissection)

A
  • figure out which alternate communication will be used post surgery
  • keep HOB elevated to reduce edema
  • report leakage from suture line, swallowing difficulty, or coughing when oral intake is resumed
  • will be required to try to speak q2 hours
67
Q

Assessment of the client with peripheral artery disease

A

subjective:
durning, cramping, and pain in legs
numbness or during pain primary in the feet
pain relieved by resting in dependent position

objective:
decreased cap refill
non palpable pulses
loss of hair on lower calf, ankle, and foot
dry, scaly, mottled skin
thick toenails
cold and cyanotic extremity
pallor of extremity with elevation
dependent rubor
muscle atrophy
ulcers and possible gangrene of toes
68
Q

Care of the client with lung cancer; complications

A 
superior vena cava syndrom is the #1 complication. 
s/s:
facial edema
nosebleeds
peripheral edema
dyspnea
late LOC

will use bronchodilators and corticosteroids

chest tube to be expected

69
Q

Care of the client prescribed warfarin sodium

A

place on bleeding precautions and make safety important

70
Q

Care of the client receiving erythropoietin

A

stimulates production of RBCs, given for anemia.

71
Q

Interpreting a TB skin test

A

SHOULD HAVE A WHEEL AFTER ADMINISTRATION. POSITIVE IF THE SKIN SURROUNDING TURNS RED.

72
Q

Care of the client taking digoxin

A

ALWAYS CHECK BP AND BPM PRIOR TO ADMINISTRATION.

73
Q

Care of the client with AID; priority complication

A

client is immunocompromised.

neutropenic precautions and also nutrition. high calories.

rest as much as possible.

74
Q

Care of the client with diabetes

A

type 1 insulin dependence
type 2 insulin resistance

monitor class signs (3 P’s)

75
Q

Care of the client with hyperthyroidism

A

clinical syndrome caused by excessive circulating thyroid hormone. Thyroid hormone exaggerates normal body functions and produces a hyper metabolic state and increased sympathetic nervous system

client will receive PTU, thionamides, methimazole, inderal, and Lugols solution

encourage periods of rest

increase protein, calories

provide eye protection

report 1 degree increase in temp immediately

avoid palpitation of the thyroid

adminsister antithyroid medications

76
Q

Discuss the side effects of dexamethasone

A

.

77
Q

Care of the client undergoing angiography

A

Must ask for allergies to shellfish/iodine. consent form is signed.

78
Q

common bronchdilators

A

advair
dulera
symbicort

79
Q

Care and risk factors for the client with melanoma

A

skin cancer
excision biopsy
s/s: red, white, blue color over a brown or black irregular, notched margin. irregular surface. may ulcerate
lymphadenopathy in metastasis.

80
Q

Care of the client receiving propylthiouracil

A

.

81
Q

Care of the client with myxedema

A 
maintain airway
continuous ecg monitoring
warming the client with blankets
monitoring body temp and BP
administer large doses of levothyroxine IV
monitor I and O
treat hypoglycemia with glucose
administer corticosteroids
watch for infection
82
Q

Know lab ranges: Ca, WBC, plt, RBC, BUN, Cr, Na, K, HgbA1c, glucose, HCT, hgb, CD4, T-cell count, liver function tests

A 
CA 9.5-10.0
WBC 5000-10000
PLT 150,000-400000
CREATININE
SODIUM 98-136
HBGA1C GOOD RANGE IS 4-6%
GLUCOSE 70-110
HCT
HBG
CD4 T CELL
83
Q

HAART

A

Enfuvirtide/Fuzeon: Infusion inhibitors. Blocks the fusion of HIV with the host cell

Maraviroc/Selzentry: Entry inhibitors

Zidovudine/Retrovir: Nucleoside reverse transcriptase inhibitors (NRTI’s). Interfere with the 	virus’s ability to convert RNA into DNA.

Delavirdine/Rescriptor and Efavirenz/Sustiva: Non-nucleoside Reverse Transcriptase inhibitors 	(NNRTI’s). Inhibit viral replication.

Atazanavir/Reyataz, Nelfinavir/Viracept, Saquinavir/Invirase, and Indinavir/Crixivan: Protease 	inhibitors. Inhibit and enzyme needed for the virus to replicate.

Raltegravir/Isentress: Integrase Inhibitors

Interleukin/Interferon: antineoplastic medication. Immunostimulant that enhances the immune 	response and reduces the production of cancer cells.
84
Q

furosemide

A

Sulfonamide. Antihypertensive, diuretic

85
Q

Care of the client with aplastic anemia

A

will be on neutropenic precautions

86
Q

Care of the client with thrombophlebitis/DVT

A

tx: lovenox, warfarin, regular heparin. thrombolytic therapy: activase. platelet inhibitors: abciximac (ReoPro), eptifibatide (integrilin.
monitor: aPTT, platelet counts, protamine sulfate (heparin antidote) is available, PT and INR receiving warfarin. bleeding precautions.

ensure vitamin K (warfarin antidote) is available. observe signs of bleeding. Bed rest with elevation of the affected arm or leg.

administer meds as prescribed. measure limb circumference daily. monitor SOB and chest pain. apply warm, moist soaks over affected areas. apply anti embolism stockings.

87
Q

tamoxifen

A

Nonsteroidal antiestrogen agent, partial estrogen agonist

88
Q

Care of the client receiving streptomycin

A

Aminoglycoside. Antibiotic.

89
Q

Care of the client prescribed methimazole

A

treats hyperthyroidism

90
Q

isoniazid

A

Acid Derivativexs. Antibiotic, Antitubercular.

91
Q

Care of the client following bronchoscopy

A 
client goes to PACU
check LOC, and for gag reflex return
once gag reflex returns, can give ice
provide oral hygiene 
monitor vitals
encourage deep cough and breath
92
Q

Care of the client receiving Lugol’s solution

A

Antihyperthyroid agent—In hyperthyroid patients, strong iodine produces rapid remission of symptoms by inhibiting the release of thyroid hormone into the circulation.

Prior to and following administration of radioactive isotopes and in radiation emergencies, strong iodine protects the thyroid gland by blocking the thyroidal uptake of radioactive isotopes of iodine.

93
Q

Client education for the client taking spironolactone

A

teaching client to avoid extra potassium intake. monitor I and O.

94
Q

Care of the client taking ferrous sulfate

A

monitor iron levels

95
Q

Caring for the client prescribed clopidogrel

A

PLAVIX.

platelet aggregation inhibitor

Term 3 Stanbridge (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions