question

Sign of thyroid storm?

answer

tremors

question

How to properly transfer patient from bed to chair?

answer

HOB up/chair parallel

question

How to properly ambulate with a cane?

answer

Up with good down with bad

question

What are normal age related changes?

answer

eye or chest changes

question

Good therapy for rheumatoid arthritis?

answer

music therapy

question

Where is the tragus?

answer

a small cartilaginous flap in front of the external opening of the ear

question

What is transphenoidal hypophysectomy?

answer

removal of pituitary gland through the nose

question

What are the most significant risk factors for bladder cancer?

answer

Smoking and previous cancers

question

Where to you auscultate to hear a bruit for a dialysis patient?

answer

At the AV fistuala (arteriovenous)

question

Name a complication of thyroidectomy:

answer

Bleeding behind the neck.

question

How to prepare a client for an MRI

answer

Wheelchair transporting and remove all metal

question

MAOI inhibitiors are used for what?

answer

Depression and for HTN

question

What foods to avoid with MAOI inhibitors?

answer

Tyramine containing ie: dried fruit, organ meats, red wine, cheese, alcohol

question

MAOI inhibitors can cause?

answer

HTN crisis

question

Mechanical Ventilators Low alarm means?

answer

Leak or disconnect, bag client

question

Mechanical ventilators High alarm means?

answer

Dry or obstruction, suction client

question

Symptoms of Addison's disease?

answer

Bronze, dehydrated, hyponatremia

question

Complications of burns?

answer

dehydration - need fluid replacement

question

What is used to reduce serum potassium in a renal patient?

answer

Kaexalate by mouth or retention enema or insulin and glucose IV

question

Ketoacidosis s/s's

answer

Fruity breath, Kussmal's respirations

question

Kussmal's respirations

answer

deep and rapid

question

Type ___ diabetics can get ketoacidosis?

answer

2

question

Internal radiation

answer

do not stand over pt's bed, visitors for 10 min, no pregnant or children (colds), limit time in room, call Nuclear department if become contaminated, nothing to leave room unless gone through scanner, food delivered by nurse, any vomit or excretions need to be handled special way, flush toilet three times after bathroom, WEAR BADGE, NO KID SITTING ON LAP

question

Hepatitis preicteric phase s/s's

answer

N/V, RUQ pain

question

Allen's test

answer

occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up, ulnar artery is good and you can carry on with ABG

question

Agranulocytosis

answer

The extreme reduction in the number of leukocytes or WHITE BLOOD CELLS in the blood.

question

Trousseau's sign

answer

A sign of HYPOCALCEMIA . Carpal spasm caused by inflating a blood pressure cuff above the client's systolic pressure and leaving it in place for 3 minutes.

question

What is a normal side effect of nitroglycerin therapy?

answer

Headache

question

Incident reports

answer

are not charted in the nurses notes

question

Smoke inhalation

answer

AIRWAY first

question

16 year old and pregancy?

answer

assess how the patient feels 1st

question

When to hold TPN?

answer

If temperature is elevated 101.0 F

question

Borderline personality

answer

personality disorder characterized by instability in many areas, as mood, identity, self-image, and behavior, and often manifested by impulsive actions, suicide attempts, inappropriate anger, or depression and POWERLESSNESS

question

What medications reduce the effectiveness of birth control?

answer

antibiotics such as AMPICILLIN, need another form

question

What needs to be taken before dental work is performed after a total knee replacement has been done?

answer

Prophylactic antibiotics

question

Do not what with a pressure ulcer?

answer

massage around the area

question

Compartment syndrome

answer

injury caused when tissues such as blood vessels and nerves are constricted within a space as from swelling or from a tight dressing or cast, PAIN WITHOUT MOVEMENT under a cast, BAD

question

A patient with shoulder pain who also has heart failure should be assessed _________.

answer

first

question

What to do with a patient with decreased appetite related to s/s's of depression from diagnosis of Myasthenia Gravis?

answer

Admit to psychiatric unit

question

Dilantin administration

answer

take with food, avoid antacids and milk

question

Lithium administration

answer

take with milk and maintain sodium

question

Foods to avoid with hypertension

answer

canned foods and soup, sodium

question

Transdermal

answer

a method of administering medication through the unbroken skin via patch or ointment, DO NOT NEED PLASTIC COVER WITH SHOWERS

question

Positioning for lumbar puncture

answer

supine (lay flat)

question

Dietary status for Barium enema?

answer

NPO

question

Can a family change the patient's organ donation wishes?

answer

YES, get the donation experts involved

question

Cardiac catherization

answer

80 ml in 3 hours is TOO LOW

question

PEG tube

answer

A feeding tube inserted through the stomach wall; Used to provide nutrition to pt's who can't feed themselves; Not used when pt. cant' digest and absorb - parenteral (IV) feeding is used no CRANBERRY

question

Walker

answer

Do not use for support

question

When are eye exams needed every year?

answer

After age 65

question

Breast Cancer

answer

\"my life won't be the same\"

question

calcium oxalate

answer

what kidney stones are made from, AVOID CAFFIENE

question

what can a 2 month old baby do?

answer

laugh

question

How often should a pacemaker battery be changed?

answer

every year

question

Do not shoot a gun on the side that a what is?

answer

pacemaker

question

What kind of room should a pt with suspected TB be placed in?

answer

Negative airflow private room

question

What will be auscultated in a patient with left sided heart failure?

answer

crackles

question

What kind of precautions are necessary for herpes?

answer

Contact/airborne

question

What medication should be avoided when also taking Coumadin?

answer

NSAIDS

question

What changes should be avoided with Lasix?

answer

Quick position changes

question

What side should you approach a stroke patient on?

answer

the unaffected side

question

What kind of milk can a 1 year old drink?

answer

whole (vit D)

question

Gingival Hyperplasia

answer

an enlargement of the gums frequently seen in pregnancy, in leukemia, or after prolonged use of phenytoin (Dilantin)

question

Dilantin normal range

answer

10-20, anticonvulsant

question

Hepatic encephalopathy

answer

clinical: complication of liver failure, disturbance in consciousness, seizures, asterixis, rigidity and hyperreflexia, also DECREASED PROTEIN and CRAZY MOVEMENT

question

safe lifting

answer

Lift from knees, don't bend back, UP TO HIP (teaching is needed)

question

Post thyroidectomy tingle around mouth what drug helps?

answer

calcium gluconate

question

calcium gluconate

answer

given IV to correct hypocalcemia

question

diabetes insipidus

answer

a rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys) characterized by the chronic excretion of large amounts of pale dilute urine which results in DEHYDRATION and extreme thirst

question

A food tray is considered what?

answer

a restraint

question

Need further teaching for a transfussion reaction of the nurse does what?

answer

discards the tubing in a waterproof bag

question

What should be avoided with a person with calculi?

answer

caffiene (cola or coffee)

question

Chron's disease

answer

inflammatory disease, occurs anywhere in the GI tract, most often effects terminal ileum, frequent remissions/exacerbations LOW RESIDUE DIET (no fruit), BLAND

question

A patient needs to follow up after surgery if what appears on the body?

answer

rashes all over

question

At risk for slander if patient is

answer

my neighbor

question

Monitor what if C7 injury?

answer

Pulse pressure

question

If BP is 156/98 what should the nurse do first?

answer

raise the HOB up

question

What equipment is needed for contact isolation?

answer

Gown and gloves

question

Does the LPN talk to the families?

answer

NO

question

What patient needs a room immediately?

answer

Had TB test with 10mm raised area at site

question

What does a normal stoma look like 8 hrs after surgery?

answer

red, moist just document d/t normal finding

question

tylenol does not contain

answer

aspirin

question

zithromax does not contain

answer

penicillin

question

informed consent is not accepted when?

answer

after medication has been taken (alters mental status)

question

Babinski

answer

infant reflex that causes toes to fan out when soles of feet are touched, babies have positive sign UNTIL YEAR 1

question

Guillian Barre

answer

ascending paralysis. Keep eye on respiratory system.

question

Plasmapheresis

answer

plasma is separated from whole blood and the rest is returned to the donor used with GUILLIAN BARRE SYNDROME

question

When thinking about delegation, what task is everyone responsible for?

answer

SAFETY

question

False imprisonment

answer

restraining an individual or restricting an individual's freedom a LAP BAND OR A TRAY on a GERIATRIC PATIENT

question

Post cardiac cath care

answer

bed rest, don't move legs for 4-6 hours (bleeding)

question

S/s of partial seizure

answer

picking at clothing, lip smacking

question

Celiac disease

answer

a disorder in children and adults, a disorder in children and adults inability to tolerate wheat protein (gluten); symptoms include foul-smelling diarrhea and emaciation; often accompanied by lactose intolerance

question

What kind of procedure is tracheostomy care?

answer

Sterile

question

What position for pneumonectomy?

answer

place on operative side

question

VRE precautions

answer

Contact precautions

question

Name airborne precaution diseases

answer

My (measles), Chicken (Varicella), Hez (Rubeola), TB

question

HIV

answer

avoid bird droppings, soil, cat litter

question

Toxoplasmosis

answer

protozoan (parasitic) infection associated with AIDS. Produces pneumonitis, hepatitis, and encephalitis

question

What signs show a patient is already dead?

answer

unconsious, pulseless, dilated pupils

question

How are wounds cleaned?

answer

inner to outer (to prevent spread of infection)

question

What medication is initially prescribed for Rheumatoid arthritis?

answer

NSAIDS

question

5 month old infant can do what?

answer

no head lag and rolls prone to back

question

normal 2 year old BP

answer

100/60

question

Cleft lip teaching

answer

provide frequent rest periods during feedings

question

Guillian Barre is a disease with _________ progression.

answer

rapid

question

Guillian Barre can cause

answer

neuromuscular respiratory failure

question

Example of negligence in nursing

answer

telling a suicidal bipolar patient that it is okay for them to refuse their medication

question

Example of battery in nursing

answer

placing hands on a client who said, \"don't touch me\"

question

Vomiting and diarrhea for an HIV patient is emergent or non emergent?

answer

Non emergent

question

A patient with abd pain who is 6 weeks pregnant could be experiencing what life threatening event?

answer

eptopic pregnancy

question

What kind of sputum is expected after bronchoscopy?

answer

blood tinged

question

How long is a mild to severe headache after lumbar puncture expected?

answer

hours to days

question

Automatism

answer

any reaction that occurs automatically without conscious thought or reflection (especially the undirected behavior seen in psychomotor epilepsy)

question

Normal after indewlling cath is removed

answer

dribbling, urinary frequency and burning

question

Elevate stump after amputation for how long to prevent what?

answer

1st 24 hours, prevention of hip or knee flexion contracture

question

Why put pneumonectomy pt on operative side?

answer

to promote lung expansion of unaffected lung

question

Car seat postion for baby?

answer

rear facing in back middle seat until 20 lbs

question

Under 12 car position?

answer

in back

question

Protective precautions

answer

barrier protection designed to prevent infection in clients who are severely compromised and highly susceptible to infection; also known as reverse isolation. low WBC's

question

HIV patient precautions

answer

increase protein intake, no birds, no crowds, no gardening

question

When does a baby get solid foods?

answer

6 mths of age

question

What solid foods are introduced when and how?

answer

rice cereal first then add fruits, veggies, meats. one per week, solids are to be pureed

question

No honey for infants why?

answer

botulism

question

What kind of toy for toddler with thrombocytopenia?

answer

stuffed toy

question

What kind of toy for preschooler with thrombocytopenia?

answer

finger paints

question

Thrombocytopenia

answer

a bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood, which impairs the clotting process, RISK FOR BLEEDING - don't want patient injured

question

Expected in ulcerative colitis?

answer

10 - 20 bloody stools per day

question

Cleft lip instructions

answer

feed upright, prone, no pacifiers, rest after each swallow, risk for aspiration

question

Freud phallic stage is what ages?

answer

3-6

question

Oedipus complex

answer

A boy's sexual desires toward his mother and feelings of jealousy and hatred for the rival father

question

Coarction of the aorta

answer

constriction or narrowing of the aortic arch or of the descending aorta **classic Sx: marked difference in the blood pressure and pulses of the upper and lower extremeties**

question

What is not expected with coarction of the aorta?

answer

high pitched murmur

question

What IS expected with coarction of the aorta?

answer

no femoral pulses, weight loss, increased BP in upper extremities

question

Acyanotic defects cause

answer

tachycardia, tachypnea, delay in growth and development

question

Cyanotic defects cause

answer

poor reflexes, bradycardia and fainting

question

Acellular pertussis vaccine

answer

less side effects vs whole cell, a vaccine that uses proteins from the microorganism rather than the whole cell to stimulate the process of active immunity.

question

What does an infant have if they have an olive shaped mass on their abdomen?

answer

Pyloric stenosis

question

pyloric stenosis

answer

narrowing of the pyloric sphincter that blocks the passage of food from the stomach into the duodenum, projectile vomiting

question

Hirschsprung's disease

answer

caused when parasympathetic innervation that causes normal peristalsis to a portion of colon is absent, results in abd obstruction and distention of bowel, FOWEL, RIBBON LIKE STOOL

question

AIDS patient given Zidovidine what should be assessed?

answer

CBC, hepatic & renal studies

question

Order of assessment for abdomen?

answer

Inspection, auscultation, palpation, percussion

question

What is the antidote for Heparin?

answer

Protamine sulfate

question

Hindu faith death practices

answer

only family members touch the body

question

Patient taking Lithium snack options

answer

tuna fish salad on saltine crackers (need sodium)

question

What electrolyte is needed for a patient taking digoxin or Bumex (bumetanide) or Torsemide (Demadex)?

answer

Potassium

question

Potassium containing foods

answer

avacado, grapefruit

question

What culture, gender and age is ulcerative colitis common in?

answer

Jewish, male, 30 - 50

question

What position should a patient with ulcerative colitis be in after eating?

answer

laying flat

question

How to detect correct placement of nasogastric tube other than an xray?

answer

30 cc of air, not fluid

question

Clear liquid

answer

broth, bouillon, fruit juices, jello, ice, hard candy, popsicles NOT ORANGE JUICE

question

Typical amt of penicillin prescribed for a child?

answer

50 mcg/kg/day

question

Who should sickle cell children avoid?

answer

children with infection

question

Sign of suicidal ideation?

answer

giving away personal belongings

question

When should antacids be administered? and what should they not be administered with?

answer

1-3 hrs after meals, Iron

question

What is NOT given for macular degeneration?

answer

Vitamin B6

question

congenital hypothyroidism

answer

Babies lack a thyroid hormone. Can cause poor growth or mental retardation, can be treated medically. COMMON TO SLEEP 6 HRS AT A TIME

question

Do not induce vomiting in what kind of poisoning?

answer

chemical ingestion

question

Avonex

answer

interferon beta-1A (Multiple Sclerosis Agent)

question

Meniere's disease

answer

a disease of the inner ear characterized by vertigo, nerve deafness, and a roar or buzzing in the ear, EXCESS FLUID IN EAR

question

Meniere's disease teaching

answer

low salt diet, avoid stress

question

glaucoma

answer

progressive visual impairment, loss of peripheral vision

question

macular degeneration

answer

loss of central vision

question

EEG preparation

answer

Not NPO, no caffeine before test

question

Blood patch

answer

A procedure in which a cerebrospinal fluid leak is closed by means of an injection of the patient's blood into the area used during spinal anesthesia

question

What foods should be avoided with oxalate kidney stones?

answer

spinach and rhubarb and Vit C foods

question

Age highest risk for testicular cancer?

answer

15-35 years

question

Ego vs. despair

answer

Erikson 8: final challenge of life where people try to achieve wisdom, spiritual tranquility, and acceptance of their lives OVER 65 YEARS OF AGE

question

Sustained release (SR)

answer

do not crush

question

Fibromyalgia

answer

sleep pattern disturbance

question

Myelogram

answer

X-ray of the spinal column using contrast medium, patient needs to be HYDRATED FOR AT LEAST 12 hours PRIOR to test

question

What topical agent is used for soft tissue injury?

answer

Aloe Vera

question

Herbal remedy for depression

answer

St. John's Wart

question

How to hold a cane?

answer

on unaffected side, move with affected extremity

question

Brethine

answer

Terbutaline. stops pre term labor and for asthma, watch for TACHYCARDIA, may decrease k

question

Order for rescussitation

answer

Verify unresponsiveness, call 911, chin lift

question

RACE

answer

rescue, alarm, contain, extinguish

question

Cocaine user will have these expected findings

answer

increased heart rate, decreased respirations, hallucinations

question

What kind of foods should be provided for a bipolar patient in the manic stage?

answer

finger foods (small attention span)

question

Elavil teaching

answer

take with food, dry mouth expected, use sunscreen

question

Major depression new admission do first

answer

search belongings for sharps

question

If patient gets fever and chills while getting a blood transfussion what should the nurse do?

answer

STOP, means reaction

question

How long are TB drugs taken and with what?

answer

9-12 mths, food

question

Kids should never have a pulse ox of less than what?

answer

95

question

After 2 weeks on a ventilator what is needed?

answer

trach, frequent oral care

question

Cystic fibrosis patient needs what with every meal?

answer

pancreatic enzymes

question

First action for MI?

answer

nitro under tongue

question

Patient with hypothyroidism who is also having palpitations and is jittery?

answer

Hold medication

Comp study – NUR 280 Galen

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