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178 Cards in this Set

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patient with impaired visual problem, what is prime objective?
patient with impaired visual problem, what is prime objective?

safety, clutter free
dry irritated eyes, what is the first implementation nurse will do?
dry irritated eyes, what is the first implementation nurse will do?

assess - find the cause
what is leukocytosis?
what is leukocytosis?

condition of decreased white blood cells
after a burn, what do you monitor for?
after a burn, what do you monitor for?

first 24 hours monitor fluid shift. after stable - monitor for infection
what is the most important way to prevent skin cancer?
what is the most important way to prevent skin cancer?

sunscreen, hat, cover up
what is the difference between spinal meningitis and encephalitis
what is the difference between spinal meningitis and encephalitis

encephalitis is the brain
patient severely burnt a couple days ago is now extremely
restless. what is possibility?
patient severely burnt a couple days ago is now extremely
restless. what is possibility?

cerebral hypoxia - lack of oxygen in the brain from fluid shift
isolation
isolation

protection
pt with shingles - what type of isolation?
pt with shingles - what type of isolation?

private room because it is a virus - both contact and airborne (virus)
what degrees is high fowlers position
what degrees is high fowlers position

90 degrees
sims position
sims position

on side with knees bent
prone
prone

on belly
lateral
lateral

on side
limited mobility. what do you do so not have pressure ulcers?
limited mobility. what do you do so not have pressure ulcers?

rotate every 2 hours
anti-emetic
anti-emetic

prevent nausea/vomiting
antihistamine
antihistamine

given for allergies
antihypertensive
antihypertensive

lowers blood pressure
antitussive
antitussive

anti cough
who do you not give antitussive meds to?
who do you not give antitussive meds to?

patients who have productive cough
how do you know your patient who is on antitussive, medication is
effective?
how do you know your patient who is on antitussive, medication is
effective?

patient is not coughing
what does age have to do with toxicity?
what does age have to do with toxicity?

with age, everything slows down. drugs do not metabolise as fast. Old people need less amount of drugs.
patient having difficulty breathing but are trying to eat. what position?
patient having difficulty breathing but are trying to eat. what position?

high fowlers
What's teratogenic?
What's teratogenic?

harmful to the fetus
before you give any female medication that is possibly
teritogenic, what to ask?
before you give any female medication that is possibly
teritogenic, what to ask?

are you pregnant?
what is one of the primary development tasks of an adolescent?
what is one of the primary development tasks of an adolescent?

finding one's identity
what is maslows heirarchy of needs? (basic necessities of life)
what is maslows heirarchy of needs? (basic necessities of life)

Physiological: breathing, food, water, sex, sleep

Safety: Security of : body, employment, resources, morality, the family, health, property

Love/Belonging: friendship, family, sexual intimacy

Esteem: self-esteem, confidence, achievement, respect of others, respect by others

Self-Actualization: morality, creativity, spontaneity, problem solving, lack of prejudice, acceptance of facts
patient has possible infiltrated IV. pulled out IV. what next?
patient has possible infiltrated IV. pulled out IV. what next?

moist warm cloth to vasodilate
first sign of possible thermal injury is?
first sign of possible thermal injury is?

erythema (redness)
stages of dying
stages of dying

denial, anger, grief, bargaining, acceptance
primary purpose of BVNPT? (board of vocational nursing and physch techs
primary purpose of BVNPT? (board of vocational nursing and physch techs

safety for the public
LVN and RN are working side by side. patient is diabetic, being
diabetic. patient is having chest pain. who does what?
LVN and RN are working side by side. patient is diabetic, being
diabetic. patient is having chest pain. who does what?

RN is assessing
what is patient/nurse best validation of effective communication?
what is patient/nurse best validation of effective communication?

positive feedback
interpreting data collection
interpreting data collection

understanding information
interpreting data, what does the information represent?
interpreting data, what does the information represent?

health problems of the patient so you can communicate and care for them
floaters in the eyes. what do you do?
floaters in the eyes. what do you do?

inspect eye, put a patch on eyes and send them to opthalmologist
subjective data vs. objective data
subjective data vs. objective data

a. subjective: patient feels
b. objective: sees
patients express pain differently
patients express pain differently

yes
how do you collect specimens?
how do you collect specimens?

sterile (surgical)
clear liquid diet
clear liquid diet

chicken broth, apple juice
full liquid diet
full liquid diet

pudding, ice cream, yogurt
bland diet
bland diet

non spicy
putting a pillow under upper leg of pt to keep them in lateral
position, will this help?
putting a pillow under upper leg of pt to keep them in lateral
position, will this help?

yes
patient has possible airborne precautions. until get them in
private room, what to do?
patient has possible airborne precautions. until get them in
private room, what to do?

put mask on them, SHUT THE DOOR
prevent spread of microorganisms
prevent spread of microorganisms

wash hands
What is hypoxia?
What is hypoxia?

lack of oxygen in the tissues
how do you use the catheter for suctioning so it doesn't cause hypoxia?
how do you use the catheter for suctioning so it doesn't cause hypoxia?

oxygenate first, catheter in (without pushing button), once inside 10-15 seconds to suction on way out
why is pain meds the first priority with oncology patient?
why is pain meds the first priority with oncology patient?

oncology - cancer. pain meds needed; could be palliative
what is PPE gear?
what is PPE gear?

gloves, mask, gown
chemotherapy drugs, what PPE used to administer?
chemotherapy drugs, what PPE used to administer?

gloves
what is neutropenic mean?
what is neutropenic mean?

neutropenia - low white blood cells?
pt neutropenic, what precautions?
pt neutropenic, what precautions?

reverse isolation, wear PPE, no fresh fruit or flowers, disposable utensils
BSE?
BSE?

breast self exam - during shower, after period once a month
patient having radium implant. what is it?
patient having radium implant. what is it?

radioactive therapy for cancer. flush the toilet 3 times. keep your
appointments - followup care. don't touch implants.
early sign of cancer?
early sign of cancer?

painless lesions, painless hematuria, change in moles or skin lesions, change in bowel and bladder habits, hoarseness sounding over period of time
myelosuppression?
myelosuppression?

bone marrow suppression
can bleeding gums relate to mylosuppression?
can bleeding gums relate to mylosuppression?

yes - no clotting, bone marrow suppression
tumor marker - T, N, M
tumor marker - T, N, M

T = tumor, N = node, M = metastasis
T1, N0, M0
T1, N0, M0

1 tumor, not in nodes, has not metastasized
signs and symptoms of infection?
signs and symptoms of infection?

fever, chills, sore throat, restlessness, cold sweat
HIV
HIV

human immunodeficiency virus = viral infection, don't die from
virus, die from secondary
prevent infection with HIV
prevent infection with HIV

stay away from crowds
HIV patient, how do you know going from HIV to AIDS?
HIV patient, how do you know going from HIV to AIDS?

T cells (CD4) less than 200. want to keep above 200
What do you call that determine CD4 count? what do you check?
What do you call that determine CD4 count? what do you check?

viral load - how much virus is in the CD4. determines HIV from AIDS
HIPPA?
HIPPA?

confidentiality of diagnosis, name/date of birth, communication, cannot photocopy info or share info. HIPPA is for everyone. no one can talk about the patient
vericose vein?
vericose vein?

contorted vessels - bad valves
symptom would have who have been diagnosed with vericose veins?
symptom would have who have been diagnosed with vericose veins?

achy throbby pain in legs
normal H&H?
normal H&H?

hemoglobin: F 12-16, M 14-18
hematocrit HGBx3
patient having transfusion, complaining of back ache (kidney destruction)
patient having transfusion, complaining of back ache (kidney destruction)

stop transfusion - having reaction. flush with normal saline, send bag to lab, get urine specimen, vital signs
digoxin
digoxin

cardiotonic - slows down and strengthens the heart rate. get apical heart rate above 60. if above 100 or lower than 60 - hold.
before giving digoxin, what to check?
before giving digoxin, what to check?

check digoxin lab levels and potassium levels. do not want to toxicate.
patient complains "they are not hungry" - anorexia and nausea, related to digoxin toxicity?
patient complains "they are not hungry" - anorexia and nausea, related to digoxin toxicity?

yes - hold medication of digoxin and check the labs
what comes first, left sided or right sided heart failure?
what comes first, left sided or right sided heart failure?

left sided heart failure
classic symptom of left sided heart failure?
classic symptom of left sided heart failure?

pulmonary edema, pink frothy sputum
right sided heart failure
right sided heart failure

peripheral edema or anasarca, jugular vein distention (JVD),
MI
MI

myocardial infarction (heart attack)
what do we ask before we do a coronary angiogram?
what do we ask before we do a coronary angiogram?

allergies to iodine or shellfish
femoral artery
femoral artery

in groin
coronary angiogram through femoral artery - position
coronary angiogram through femoral artery - position

flat with leg extended to prevent bending
nitroglycerin
nitroglycerin

cardiac - vasodilator. for angina or MI
how do you know if your patient is having an MI or angina?
how do you know if your patient is having an MI or angina?

after taking nitroglycerin 3x 5 min apart, angina lasts no longer
than 15 minutes. MI is continuous chest pain
what is profuse sweating have to do with MI?
what is profuse sweating have to do with MI?

fight or flight (epinephrine)
what is Questran packs (cholestyramine)?
what is Questran packs (cholestyramine)?

for hyperlipidemia - binds intestinal bile acids monitor for constipation
CAD
CAD

coronary artery disease
significant risk factors for CAD?
significant risk factors for CAD?

obesity while you are smoking
what is a calcium channel blocker?
what is a calcium channel blocker?

anti-hypertensive drug,
ends in "pine"
amlodipine
diltiazem
felodipine
what are side effects of calcium channel blocker?
what are side effects of calcium channel blocker?

blocks calcium across the cells. vessels are more relaxed. blood
pressure will lower. side effect: orthostatic hypotension. teach
patient slow position changes.
number one risk group at risk for hypertension?
number one risk group at risk for hypertension?

african american males
nose bleed have to do with hypertension?
nose bleed have to do with hypertension?

relieving pressure through nose bleeds - bad that it is happening.
unexplained bloody nose
unexplained bloody nose

check your blood pressure
who is more at risk for respiratory problems post-op?
who is more at risk for respiratory problems post-op?

obese people - pressure on chest
what is PACU stand for?
what is PACU stand for?

post anesthesia care unit - stabilize patient in PACU
until patient is conscious, what position to put post op patient
> (unconscious)?
until patient is conscious, what position to put post op patient (unconscious)?

laterally while unconscious. if they vomit, they don't aspirate
priority immediately after post-op
priority immediately after post-op

airway
kayexalate
kayexalate

lowers potassium
laxative
pyridium
pyridium

urinary analgesic
urine will be reddish-orange (normal)
cystitis
cystitis

inflammation of bladder
at risk: females due to shorter urethra and proximity between anus
and urethra is shorter
pylonephritis
pylonephritis

kidney infection number one cause is strep throat that did not get resolved
if had pyloneophritis, positive leukocytes?
if had pyloneophritis, positive leukocytes?

yes
glomularnephritis
glomularnephritis

infection of the glomelular
teach patient with glomularnephritis, what do you teach so not have recurring problems?
teach patient with glomularnephritis, what do you teach so not have recurring problems?

number one cause strep throat
treat strep throat - see a doctor.
kidney transplant - labs that kidneys are functioning properly
kidney transplant - labs that kidneys are functioning properly

BUN and CRT should be normal if working properly
know levels
Creatinine 0.5-1.5
BUN 10-25
accurate way to check O2
accurate way to check O2

ABG (arterial blood gas)
before ABG
before ABG

do allens test
ABG accurate way of checking what?
ABG accurate way of checking what?

lung function
patient has chronic kidney failure. when assessing, what are you
monitoring for?
patient has chronic kidney failure. when assessing, what are you
monitoring for?

I&O, BUN and CRT, edema, hypocalcemia
H pylori
H pylori

bacteria in the stomach that causes ulcers
gave patient meds for h. pylori, pulse rate is elevated, bp dropped, what does that mean?
gave patient meds for h. pylori, pulse rate is elevated, bp dropped, what does that mean?

bleeding (shock)
how do you get HBV?
how do you get HBV?

hepatitis B virus: blood and bodily fluids needle stick - IV, tattoos, drugs, blood transfusion
paralytic ileus
paralytic ileus

parastalsis stops (stops movement)
what do we do to a pt to prevent paralytic ileus after GI surgery?
what do we do to a pt to prevent paralytic ileus after GI surgery?

insert NG tube (nasogastric tube)
what is jaundice?
what is jaundice?

yellow, liver failure, bilirubin back up
cholelithiasis?
cholelithiasis?

gallstones - blocking bile duct will cause jaundice
why would schlera be jaundice (yellow) from cholelithiasis?
why would schlera be jaundice (yellow) from cholelithiasis?

bilirubin back up
acute pancreatitis - risk factor
acute pancreatitis - risk factor

alcohol abuse
chronic cholelithiasis
chronic cholelithiasis

fatty greasy foods cause inflammation of gallbladder
Tx: low fat high fiber diet, increase fluids
orthopedic
orthopedic

bones
what is an NSAIDS?
what is an NSAIDS?

nonsteroid anti inflammatory drug
motrin, ibuprofen
cannot take when having GI ulcer - will cause bleeding
gout
gout

buildup of uric acid
what foods or drinks cause gout?
what foods or drinks cause gout?

alcohol, organ meats, shrimp and lobster (shellfish)
where does gout affect the patient?
where does gout affect the patient?

big toe and ears
osteoarthritis
osteoarthritis

inflammation of bones
number one spot of osteoarthritis
number one spot of osteoarthritis

hips and knees
losing bone mass
rheumatoid arthritis
rheumatoid arthritis

hands
autoimmune disorder
when is the time of day that is mostly affect by pain with rheumatoid arthritis
when is the time of day that is mostly affect by pain with
rheumatoid arthritis

morning, when waking up
broken leg in long cast, what routinely doing?
broken leg in long cast, what routinely doing?

check CSMT (circulation, sensation, movement, temperature)
could swelling of toes be a symptom of compromised circulation with a cast?
could swelling of toes be a symptom of compromised circulation with a cast?

yes, being squished, no blood supply
for a patient who has compromised circulation with long cast,
what would he feel?
for a patient who has compromised circulation with long cast,
what would he feel?

numbness and tingling
where is femoral head located?
where is femoral head located?

hip socket
prosthesis
prosthesis

fake replacement
femoral head prosthesis, what to teach patient what NOT to do
with shoes or socks?
femoral head prosthesis, what to teach patient what NOT to do
with shoes or socks?

do not bend over. will pop out of socket
number one complication of fractured long bone?
number one complication of fractured long bone?

fatty emboli
why first focus of assessment of pt with fractured exremity to check area distal of fracture?
why first focus of assessment of pt with fractured exremity to check area distal of fracture?

compromised circulation
pt has fracture of neck of the femur, what would you expect to see?
pt has fracture of neck of the femur, what would you expect to see?

shortened and external rotation
open angle glaucoma. what is problem?
open angle glaucoma. what is problem?

too much pressure. will impair vision - peripheral
drug of choice: timoptic
snellen chart
snellen chart

vision test with letters to read
Delegate
Delegate

-Assign
What does saturated mean?
What does saturated mean?

-Soaked
What does lipodystrophy mean?
What does lipodystrophy mean?

-hardening of fat tissue.
Can a CNA give meds?
Can a CNA give meds?

-no
Patient doesn’t speak English language.
Patient doesn’t speak English language.

-get a translator.
What does noncompliant mean?
What does noncompliant mean?

-not following directions
What is neglect?
What is neglect?

-failure to provide care that is necessary to prevent or treat serious physical or emotional injury.
Ex. Not changing diaper
What is malpractice?
What is malpractice?

-type of negligence in, which the professional under a duty to act fails to follow generally accepted professional standards.
-doing something to harm patient
Assault
Assault

-physically or mental abuse or harm
Patient has bandage with skin still attached.
Patient has bandage with skin still attached.

-don’t rip it off or cut it off. (malpractice)
-get an order from the doctor
Before calling dr. about noncompliant patient?
Before calling dr. about noncompliant patient?

-Talk to patient, find out what is wrong
Can CNA and UAP do ROM?
Can CNA and UAP do ROM?

yes
Can CNA assess skin and assess O2 status?
Can CNA assess skin and assess O2 status?

no
Pt with saturated dressing, can CNA do vital signs
Pt with saturated dressing, can CNA do vital signs

yes
Can CNA do neurocheck?
Can CNA do neurocheck?

no
Teach pts about insulin injections?
Teach pts about insulin injections?

-rotate sights to prevent lipodystrophy.
if pt is unstable can CNA take for walk or to bathroom?
if pt is unstable can CNA take for walk or to bathroom?

no
What insulin has longest duration?
What insulin has longest duration?

-Ultra Lente
What is SIADH?
What is SIADH?

-Syndrome of inappropriate antidiuretic hormone
Is SIADH related to pancreas?
Is SIADH related to pancreas?

-No, its related to endocrine problem (from tumor, car accident)
Classic S/S of SIADH?
Classic S/S of SIADH?

-holding urine, weight gain, edema, hyponatremia, decreased urination
What is pheochromocytoma?
What is pheochromocytoma?

Tumor on the adrenal medulla (on top of kidneys). Causes release of catecolamines (norepi and epi)
What to you not do to pt with pheochromocytoma?
What to you not do to pt with pheochromocytoma?

Don’t palpate the abdomen (releases more catecolamines)
if pt is visually impaired, can they give themselves insulin injections with insulin pen?
if pt is visually impaired, can they give themselves insulin injections with insulin pen?

-no, they can’t dial the insulin pen (question the order)
What is myxedema?
What is myxedema?

-severe hypothyroidism
Why would pt with myxedema have dry skin?
Why would pt with myxedema have dry skin?

-yes, (fluid leaving bloodstream) hypothyroidism
What is adrenal?
What is adrenal?

-gland above kidney
Why in morning does hypoglycemia occur in pt with adrenal insufficiency?
Why in morning does hypoglycemia occur in pt with adrenal insufficiency?

-pt has decreased levels of corticosteroids which cause decrease in glucose levels.
Whats Proventil?
Whats Proventil?

-Bronchodilator, albuterol
Who gets proventil (albuterol)?
Who gets proventil (albuterol)?

-asthma or COPD pts
Whats common S/E of proventil (albuterol)
Whats common S/E of proventil (albuterol)

-palpatations
What’s auscultation?
What’s auscultation?

-listening
What’s adventitious?
What’s adventitious?

-abnormal
Respiratory sounds from asthma patient?
Respiratory sounds from asthma patient?

-wheezing (adventitious sounds)
Why need to monitor potassium levels when giving Lasix?
Why need to monitor potassium levels when giving Lasix?

-Lasix is potassium depleting (3.5-5.0)
What is spontaneous Pneumothorax?
What is spontaneous Pneumothorax?

-unilateral chest pain (air, pus, or fluid in space)
What’s emphysema?
What’s emphysema?

-avioli condition. Decrease in surface area. Capillarys die.
What is possible cause of (bilateral) pneumothorax in pt with emphysema?
What is possible cause of (bilateral) pneumothorax in pt with emphysema?

-collaspe of lung avioli, Bullae.
Best way to prevent spread of TB.
Best way to prevent spread of TB.

-cover mouth and nose
What acid base imbalance in pt with emphysema?
What acid base imbalance in pt with emphysema?

-respiratory acidosis
If pt has emphysema and running a fever, what is #1 thing to keep fever in check?
If pt has emphysema and running a fever, what is #1 thing to keep fever in check?

-hydrate with fluids and notify doctor.
What is atelectasis?
What is atelectasis?

-collapsed lung
after a few days Post op, pt c/o SOB and then no breath sounds?
after a few days Post op, pt c/o SOB and then no breath sounds?

-pt has atelectasis (collapsed lung)