Week 1 Flashcards
Which fetal presentation is associated with “back labor”?
The occiput posterior position.
What is the priority intervention with rhabdo?
Aggressive fluid resuscitation
Should incident reports be documented in the medical record?
No.
If a pt experiences orthostatic s/sx during orthostatic blood pressures what should the nurse do?
Discontinue measurements, return the patient to the recumbent position, and notify HCP
What cleansers are appropriate for a SLE rash?
Mild soap and water. No harsh chemicals, ever.
What are the 2 common side effects of isoniazid?
- Peripheral neuropathy (take B6 if necessary and report any s/sx)
- Hepatotoxicity (avoid alcohol and report any s/xx)
How should urine samples be collected from a catheter?
Aseptically from the port in the catheter tubing.
Don’t get it from the collection bag!!
What is the priority assessment when a pt arrives in 2nd stage labor?
Assessing the perineum to see if birth is imminent (bulging or crowning of the fetal presenting part)
What type of stethoscopes are used for pts on contact precautions?
Single use ones. In fact all equipment should either be single use or left in the room only for that patient.
What is the major complication (and priority) for an inguinal hernia?
Strangulated bowel
possibly indicated by increased, severe pain and n/v
What 3 things should the nurse know before placing a fetal scalp electrode?
- Cervical dilation
- Membrane Status
- History of bloodborne infections
What are the 2 major symptoms of an impending AAA?
-Abd/back pain
-a pulsatile mass
may also have a bruit
What is the normal magnesium lab range?
1.5-2.5 mEq/L
What is the therapeutic magnesium range in a pt w/ preeclampsia?
4-7 mEq/L
How often should a pt receiving continuous tube feedings be assessed for gastric tolerance?
Every 4 hrs.
Check for abd distention, gastric residual, etc.
What are the 4 things to look for when assessing sling fit?
- Elbow flexed at 90 degrees
- Hand is held slightly above elbow
- Sling ends in the middle of the palm, fingers visible
- Sling supports the wrist joint
Where and how should an Epipen be administered?
Into the mid-outer thigh area, even through clothing.
Be sure to hold for 10 seconds after injection.
When can FHR be detected by dopplar?
10-12 weeks gestation
Which type of infection is the greatest priority for isolation?
Airborne infections
This is because they can spread so quickly
What type of precautions are used for drug resistant organisms?
Contact precautions
What is the mnemonic for walking with a cane?
up with the good and down with the bad. The cane always moves before the weaker leg
Where are injections given in children <7months old?
In the vastus lateralis/anterolateral thigh
What is the normal WBC range?
4,000-11,000/mm3
[4.0-11.0×109/L]
Where is the phelobostatic axis?
On the chest at the level of the atria (4th intercoastal space at the midaxillary line)
What is the major adverse effect of hydroxychloroquine?
Retinopathy and visual disturbances. For this reason pts on this med should get an ophthalmologic exam every 6-12 months
What is the therapeutic phenytoin level?
10-20 mcg/mL
What are the 2 early s/sx of phenytoin toxicity?
Horizontal nystagmus and gait unsteadiness
Codeine is contraindicated in pts with what disease processes?
Chronic respiratory disease like asthma and COPD. They suppress the cough reflex which can lead to a build up in respiratory secretions and respiratory distress.
What 4 types of meds should be held before dialysis?
- Antihypertensives
- Antibiotics
- Digoxin
- Water Soluble Vitamins
Should diapers be over or under a Pavlik harness?
Under the harness
What should a child wear under a Pavlik harness?
A shirt and knee socks
What are the key signs of refeeding syndrome? (PPM +2)
Rapid declines in -Phosphorous -Potassium And/or -Magnesium And Fluid overload, thiamine deficiency
What is the normal range for phosphorous?
2.4-4.4 mg/dL
What is the most common side effect of phenazopyridine hydrochloride?
All bodily fluids will turn a bright red-orange.
Beware of staining.
What do the letters in APGAR score stand for?
Appearance Pulse Grimace Activity Respiratory Effort
What route is used to vaccinate hemopheliacs?
The subQ route, whenever possible
How is MAP calculated?
systolic bp+(diastolic bpx2)/3
What is cyanocobalamin?
Vitamin B12
What type of needle is used to draw up meds in a glass amp?
A fliter needle
What is the normal creatinine lab range?
0.6-1.3 mg/dL
What are the 2 main functions of the cerebellum?
- Coordination of voluntary movements
- Maintenance of balance and posture
How does primary open-angle glaucoma change the vision?
It decreases peripheral vision and causes “tunnel vision”
Where is a diastolic murmur best heard?
At the apex of the heart/5th intercoastal space, midclavicular line
This can be produced by mitral valve stenosis
What type of snack can help relieve morning sickness?
A high-protein snack on waking and/or at bedtime may help
What is a small bowel follow through?
A diagnostic exam that visualizes the small bowel through a series of xrays
Pts drink barium for the exam and must be NPO for 8 hours beforehand
What are the 3 characteristics of malignant hyperthermia?
- Hypercapnia (earliest sign)
- Generalized Muscle Rigidity
- Hyperthermia
What are 5 s/sx of bacterial meningitis in children under 2?
- Nuchal rigidity
- High-pitched cry
- Poor Feeding
- Frequent seizures
- Bulging fontanelles
How is ouput recorded using diapers?
Subtract the dry weight from the wet weight of the diaper.
1 gram of “wet weight” is equal to 1 mL of fluid
What 2 antibiotics are frequently used to treat C. diff.
- Oral vancomycin
- Metronidazole
When can systemic analgesia be given to a laboring pt?
When they are in the active phase of stage 1 labor (4-5 cm effaced with well established contractions)
When is it safe for a post MI or CABG pt to resume sexual activity?
When they can walk 1 block or climb 1 flight of stairs w/o symptoms
What is a potential complication with long-term NSAID use in pts with cardiovascular disease?
It can increase the risk of thrombotic events (MI, CVA).
These pts should be cautioned against taking these meds
What is placenta accreta?
Abnormal implantation of the placenta into the myometrium instead of the endometrium. When it attempts to separate, it causes life threatening hemorrhage
What is paraphimosis?
Progressive swelling of the foreskin after it is left in a retracted position for a long period of time
What 4 teaching points are critical for pts taking tetracyclines?
- Take on an empty stomach (1hr before meals)
- Avoid antacids or dairy products (affect absorption)
- Take with a full glass of water and remain upright afterwards
- Beware of photosensitivity and wear sunblock
How long after eliminating gluten from the diet to celiac pts experience GI symptom relief?
Within a few days
barley, rye, oats, wheat
