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224 Cards in this Set
- Front
- Back
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Q. NI 4 sickle cell anemia
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~hydrate pt
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Q. NI 4 skin tractions
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~maintain hanging freely
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Q. major S/S in gout
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~pain in great toe
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Q. 3 drugs used in gout
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~indomethacine (Indocin)
~probenecid (Benemid) ~allopurinol (Zyloprim) |
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Q. Post-op NI for lumbar puncture
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~supine 6-12hrs
~fluids ~check 4 redness/swelling/drainage ~assess movement of extremities/pulse |
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Q. what is a major s/s for detached retina?
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~sudden flashes of light
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Q: when positive on mantoux test, what do you do next?
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~xray
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Q: what is the position for thoracentesis?
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~leaning over bedside table
~sitting on side of bed w/feet on chair |
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Q: pt has TB, what type of isolation/precautions?
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~neg-pressure isolation
~airborne precautions ~N-95 mask, gloves, gown |
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Q: mother w/AIDs asks how the baby wont get AIDs
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~mother shouldnt breastfeed
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Q: pt has herpes (type 2). can they have sex?
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~yes bought they shouldnt
~use protection |
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Q: when a pt has had angina pectoris, what where they previously doing?
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~mowing the lawn
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Q: pt teaching for pacemakers?
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~metal detectors at airports
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Q: where should pts with Buerger's Dz live?
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~not in cold/hot weather
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Q: when child touches outlet, what do you do first?
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~stop source of elec current
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Q: NI 4 pt w/sunken eyeball, dry mucous membrane
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~check urine output
~if spec gravity incr, will show dehydrated |
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Q: pt w/clenching teeth
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~adminster meds inter
~assess pain |
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Q: what type of room 4 burn pt?
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~private rm
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Q: what type of room 4 burn pts?
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~isolation rm
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Q: what type of room 4 HIV/Hep B pt?
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~no isolation, only universal precuations
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Q: what type of room 4 pts w/diabetic ulcers?
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~
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Q: 30wk preemie w/high fever, no food intake, NI?
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~take immed 2 ER
~IV fluids ~will die of dehydration |
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Q: NI 4 pt w/full body burns
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~IV w/insulin, dextrose, & sugar
~fluids 2 incr U.O. ~Kayexalate |
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Q: when do you remove the IV?
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~2days after eating solids
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Q: NI on any acidosis?
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~give NaHCO3 (neutralizes acidity)
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Q: 2yr OD on ASA is considered what?
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~resp alkalosis
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Q: how do yo monitor O2 sat?
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~ABGs
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Q: pt takes diuril, what foods can you eat?
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~bananas
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Q: pt w/aldactone, which is not recommended?
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~potassium
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Q: how do you check if pos 4 DVT?
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~check 4 homan's sign
~straighten leg, dorsiflex foot ~pos if pain in calf |
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Q: what will happen when you ambulate a pt w/thrombophlebitis?
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~it will dislodge clot and go 2 heart
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Q: what procedure 2 remove varicose veins?
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~vein stripping
~ligation ~schlerotherapy (injec of dye 2 shrink vein, no circulation) |
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Q: which will cause a truck driver 2 have varicose veins? prolonged sitting or family hx?
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~family hx
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Q: pt was in car accident and needs CPR. what do you do?
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~jaw thrust
~never head tilt b/c of trauma |
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Q: pt in MVA, pit gland damaged, NI?
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~monitor UO
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Q: how do you make a pt w/graves dz sleep?
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~tape eyelids 2 prev cornea aggregation
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Q: what supplies are needed 4 thyroidectomy?
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~flashlight
~gloves ~trach tray ~suction |
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Q: for a DM pt, can you wash/soap feet?
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~only if you dry immed, yes
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Q: for a DM pt, can you soak feet in water all day?
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~no
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Q: for a DM pt, can you cut the nails?
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~no
~only trim |
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Q: what is the peak time 4 insulin pump?
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~2-4hrs
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Q: nx dx 4 pt w/anemia
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~chronic fatigue
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Q: sickle cell: trait + trait
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~trait or dz
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Q: sickle cell: trait + dz
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~dz
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Q: c/i for pt w/sickle cell dz
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~no high altitude areas
~no hot areas |
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Q: how do you adminster ferrous sulfate in 1yr?
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~dropper
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Q: how/why do you instill iron IM?
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~Dextran via z-track
~10secs to avoid staining |
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Q: a CNA is giving a bed bath for a pt w/skin traction. further teaching is needed if?
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~wts are on the floor
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Q: how far away from the feet/axilla should the crutches be?
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~2-3" from axila
~8" from feet |
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Q: NI for a wet cast?
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~allow 2 air dry
~no fan ~no blow dryer |
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Q: NI for a child whose cast is itching?
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~give benadryl
~tap lightly |
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Q: what do you do for cast w/crusted or uneven cast edges?
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~use petal tape 2 not touch skin
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Q: purpose of trochanter roll?
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~to prev external rotation of affected limb
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Q: pt having ORIF done is for?
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~hip fx
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Q: how do you take care of amputation post op?
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~extended, not flexed
~stump care |
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Q: NI for pt w/systemic lupus under the sun?
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~no hat
~use sunscreen |
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Q: PERRLA affects which cranial nerve?
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~cranial nerve #3
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Q: pt is considered brain dead if?
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~no EEG activity
~even if there is resp activity |
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Q: 4yr pt with toes curling when checking babinski reflex?
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~abnormal
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Q: pt w/IICP is on ventilator. you can hear gargling, but O2 is 100%. do you suction?
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~no
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Q: pt w/IICP is on ventilator. you can hear gargling, but O2 is 80%. do you suction?
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~yes, but minimize suctioning as much as possible
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Q: why doesnt the MD order narcotics/sedatives 4 pts w/IICP?
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~narcotics/sedatives mask LOC
~no versed, morphine ~only tylenol is okay |
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Q: what type of seizures does a 2yr have?
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~petit mal
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Q: 50yr w/vest restraint starts to seize. what is the next thing you're going to do after check airway?
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~remove 4m restraint
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Q: NI 4 15yr spinal cord injury w/infec?
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~give antibiotics
~rebound ~extremity can regenerate |
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Q: what is the purpose of test tape?
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~to check fluid for presence of glucose or nasal d/c
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Q: what is racoon's sign?
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~hemorrhaging spot around eyes
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Q: what is a battle sign?
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~purple-red spot behind ear
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Q: how do you move pt w/laminectomy?
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~log roll (move pt in 1 unit by 3 people: head, body, extremities)
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Q: NI for a drooling pt w/parkinson's dz?
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~put tissues in pocket
~no bibs (degrades pt) |
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Q: how do you check 4 ptosis?
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~have pt look @ ceiling
~pos: eyelids delayed/droop |
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Q: for a female, if the urinary catheter balloon has deflated immediately, what do you do?
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~remove the old one and begin with a new cath kit
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Q: a CNA is cleaning the pt and needs further teaching when?
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~the cath bath is on the floor or side rails
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Q: if a pt's nose starts to bleed during dialysis, what does that mean?
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~heparin OD
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Q: NI for radium implant?
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~cannot stay in rm >10mins
~no minors, preg, visitors ~dont move pt b/c rad implant might dislodge |
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Q: what type of room 4 pt w/100% full body burns?
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~isolation rm 4 infec
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Q: what type of room 4 20yr w/L leg burns?
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~isolation room
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Q: what do you say when a preg woman 20wks has syphillis and asks if she can get penicillin?
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~no
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Q: what is not good for preg women in the house?
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~no cat litter
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Q: a pt has active herpes type II asks if she can have sex?
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~yes but use condoms
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Q: can preg women have antacids?
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~yes but not sodium bicarbonates
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Q: preg woman 2mo asks how much insulin needed?
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~low dose
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Q: s/s of buffalo hump, moonface
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~cushing's syndrome
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Q: S/E 4 brethine/bricanyl
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~OB/resp
~bronchodilator ~S/E: tachycardia |
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Q: NI 4 fosamax
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~alendronate
~osteoporosis ~parathy: not supine, sit 30mins ~causes esophageal ulcers ~bone density test before xrays |
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Q: CBC 4 pt w/anemia?
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~WBC >15,000
~RBC low |
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Q: pt teaching 4 vasectomy?
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~still need birth control 4 1mo b/c there's still sperm
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Q: parkinsonian med teaching
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~take sinemet in morning
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Q: S/E seen in a pt who ingested aspirin?
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~S/E: nose bleed
~antiplatelet action |
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Q: food cources of iron?
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~cereal
~dried fruits |
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Q: NI 4 bumex?
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~diuretics
~taken in morning w/meals |
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Q: C/I 4 atropine?
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~C/I: glaucoma
~vasoconstrictor |
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Q: NI 4 methamucil?
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~give w/full glass of H2O
~fiber |
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Q: raisins & dry apricots are rich in?
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~iron
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Q: S/E of NSAIDs?
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~S/E: GI & occult bleeding
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Q: erikson's stages of development for infants?
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~trust vs mistrust
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Q: what is active stage labor?
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~complete dilation to end of delivery
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Q: ingestion of batteries?
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~metabolic alkalosis
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Q: NI 4 iron sulfate?
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~give w/OJ thru straw 2 avoid staining teeth
~iron supplement |
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Q: C/I 4 tums?
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~C/I: kidney stones, hypercalcemia, v-tach
~Ca salt |
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Q: S/E 4 tums?
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~S/E: bradycardia, GI probs (constipation), digoxin toxicity
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Q: C/I 4 iron sulfate?
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~C/I: tetracycline, antacids
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Q: S/E 4 iron sulfate?
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~S/E: dizziness, HA, syncope, hypotension
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Q: NI 4 cimetidine?
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~give w/meals @ bedtime
~tagamet |
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Q: action 4 atropine sulfate?
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~give 4 CPR
~incr HR ~causes tachycardia |
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Q: most common STD infec ?
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~chlamydia
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Q: teaching 4 heartburn?
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~small freq meals
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Q: bone marrow depressed d/t?
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~low leukocytes, low erythrocytes
~life-threatening S/E 4m chemo drugs b/c of low blood producing cells |
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Q: LVN assisting L&D should be concerned if observe what in late deceleration?
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~mother contracts and FHR decr
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Q: pt w/cushing's syndrome avoid what?
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~no individuals w/infec
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Q: NI 4 oral candidiasis?
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~nystatin (swish & swallow)
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Q: NI 4 recurrent thrombophlebitis?
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~swimming
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Q: NI 4 iron sulfate in 1yr?
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~dropper
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Q: S/E 4 ticlid?
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~S/E: petechiae
~anticoagulant |
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Q: type of room 4 scabies?
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~private room
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Q: NI 4 NG tube?
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~assess 4 placement
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Q: S/E 4 dilantin?
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~S/E: gingival hyperplagia
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Q: NI 4 dilantin?
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~NI: oral care
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Q: NI 4 digoxin?
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~take apical pulse 1min b4 admins
~hold if <60 |
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Q: action of zocor?
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~decr cholesterol
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Q: classification of pamelor?
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~antidepressant
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Q: other name 4 viagra?
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~sildenafil
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Q: NI for death of islam?
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~wrap body w/special cloth
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Q: NI 4 bronchospasms?
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~decr smoking
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Q: NI 4 aplastic anemia?
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~gown, gloves, surg mask (2 prev infec)
~not producing enuf cells (WBC, RBC) |
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Q: pt's position 4 thoracentesis?
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~sitting on bed
~leaning on bedside table |
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Q: s/s of magnesium sulfate toxicity?
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~decr tendon reflexes
~resp decr |
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Q: meds 2 CAD?
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~coumadin
~purpose: prev cerebral clots |
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Q: teaching 4 angina?
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~no large meals
~no overeating |
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Q: s/s of cirrhosis?
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~pruritus
~itching |
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Q: teaching 4 synthroid?
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~life-long tx
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Q: NI 4 diabetes insipidus?
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~mon I&O
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Q: s/s hyper/hypocalcemia?
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~tetany
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Q: purpose of trochanter roll?
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~prev external rotation of extremities
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Q: other name 4 allopurinol?
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~zytoprim
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Q: action 4 allopurinol?
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~gout
~decr uric acid |
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Q: post NI 4 laminectomy?
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~6-12hrs supine
~log roll |
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Q: where can you get CA?
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~working 4 asbestos company
~styrofoam cup company |
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Q: S/E 4 atropine?
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~S/E: dry mouth
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Q: teaching 4 isonizid?
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~effective if taken 6-12mo
~for tuberculosis ~INH |
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Q: s/s 4 herpes zoster?
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~shingles
~open lesions |
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Q: NI 4 mother w/herpes zoster?
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~when changing diapers, wear gloves
~no breastfeeding |
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Q: mon 4 head injury?
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~mon 4 HA immediately when moving pt
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Q: LVN needs to intervene if CNA cleans G tube with?
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~soap & H2O
~use NS |
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Q: how can you tell if a CVA pt has been abused?
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~bruising
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Q: how can you tell if a child has been abused?
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~bruising
~old fractures |
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Q: 30cc?
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~1ounce
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Q: S/E 4 levothyroxine?
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~S/E: fever
~for hypothyroidism |
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Q: when do you do a breast self exam for pre & post menopause?
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~pre: 1wk b4 menstruation
~post: same day qMo |
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Q: s/s of OCD?
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~repetitive rituals
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Q: death rituals 4 buddhist?
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~contemplation on dead body
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Q: NI 4 dilantin?
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~soft tooth brush
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Q: etio of otitis media?
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~common in children
~d/t short eustachian tube |
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Q: s/s of down syndrome?
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~protruding tongue
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Q: NI 4 baby w/cleft palate?
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~breastfeed in upright position
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Q: NI 4 sickle cell?
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~hydrate pt
~genetic counseling |
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Q: cause 4 glomerulonephritis?
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~childhood upper resp infec
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Q: C/I 4 sickle cell?
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~no hot air balloons
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Q: IDDM pt excercises @ 9am, when do you give insulin?
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~give insulin after exercise
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Q: NI 4 lice?
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~wash clothes in hot H2O & dryer
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Q: NI 4 dry cast?
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~palms of hand
~dont wet ~align properly ~check cap refill |
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Q: NI 4 skeletal traction?
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~clean pin site
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Q: diet 4 diverticulitis?
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~high fiber
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Q: diet 4 diverticulosis?
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~low residue
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Q: diet 4 cirrhosis?
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~
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Q: S/E 4 mevacor?
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~S/E: coughing @ night (antichol)
~lovastatin |
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Q: teaching 4 pernicious anemia?
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~life-long b12 injections
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Q: C/I 4 heparin SQ?
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~no massaging
~no aspirating |
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Q: NI 4 iron supp?
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~drink w/H2O 2 prev constipation
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Q: what is troponin level?
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~measures cardiac levels
~elev w/in 2hrs if pt had MI |
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Q: classification of coumadin?
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~anticoagulant
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Q: test 4 coumadin?
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~PT
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Q: antidote 4 coumadin?
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~vit K
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Q: test 4 heparin?
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~PTT
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Q: antidote 4 heparin?
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~protamine sulfate
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Q: S/E of nitroglycemics?
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~S/E: HA
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Q: most common cause of anginas?
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~mowing the lawn
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Q: reason why pt dies of MI?
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~family Hx
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Q: action 4 lovenox?
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~decr dose of heparin
~anticoagulant |
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Q: why do women get UTI?
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~short urethra
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Q: NI 4 pt w/stress incontinence?
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~kegel exercises
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Q: what is a crede cath?
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~manual manipulation of expelling urine
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Q: when collecting urine, dont do what?
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~dont touch inside of cup
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Q: S/E 4 elavil?
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~S/E: dry mouth, HA
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Q: other name 4 elavil?
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~amytriptyline
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Q: classification 4 elavil?
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~antidepressant
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Q: teaching 4 hypothyroidism?
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~no cold weather
~give blankets |
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Q: tests 2 decr CA?
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~tetany
~chevostek ~trousseau |
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Q: NI 4 thyroidectomy?
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~check dressings in back of neck 4 bleeding
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Q: why do pts get lipodystrophy?
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~insulin injections given at same site
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Q: diet 4 diabetes mellitus?
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~low Na
~low fat ~low carbs |
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Q: NI 4 pt w/abd pain, pruritus, tingling lower extremities, blurry eyes?
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~send to ER immed
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Q. 80yo has poor skin turgor, mucous intact, give fluids?
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~no. elderly tend to get overloaded easily.
~always have poor skin turgor |
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Q. 37wk baby with diarrhea, high fever, unable to take bottle. NI?
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~IV fluids immed
~bring to ER ~could die from dehydration |
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Q. pt w/fluid vol excess has trouble breathing. NI?
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~reposition & elev HOB
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Q. admit pt. what is blood gas analysis?
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~determines metab or resp, alkaline or acidic
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Q. if rangers are normal, what do you do?
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~document
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Q. main cause 4 metabolic acidosis?
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~diabetic acidosis
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Q. main causes 4 metabolic alkalosis?
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~gastric suctioning
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Q. what type of blood gas analysis for 2yo w/OD on aspirin?
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~resp alkalosis
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Q. what is the best way of assessing resp function?
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~ABG's
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Q. positiong 4 pt w/pneumonia & thoracentesis?
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~bad lung up
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Q. can preg women have xray?
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~yes
~but use shield |
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Q. 18yo has mantoux test. how do you know if pos?
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~10mm, induration
~mantoux test only showed exposed to TB, not dx |
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Q. after pt is pos 4 mantoux test, what do you do next?
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~xray
~acid-fast bacilus test will show pos 4 TB |
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Q. how do you pos 4 thoracentesis?
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~pt sit on side of bed and leaning over bedside table
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Q. post op NI 4 bronchoscopy?
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~NPO til gag reflex returns
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Q. #1 s/s for pulmonary emphysema?
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~barrel chest
~pursed lip breathing |
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Q. s/s for 4yo with asthma attack?
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~use of accessory muscles (intercostal muscles)
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Q. NI for 6yo anxious w/asthma?
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~calm child 2 decr anxiety
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Q. pos 4 asthma attack
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~high fowlers (90)
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Q. after MD inserts chest tube, what happens next?
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~chest xray to deter pos of tube
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Q. pt has chest tube. what do you monitor?
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~bubbling + fluctuation
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Q. where do you keep bottles for chest tubes?
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~below level of heart, not bladder
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Q. pt w/chest tube. after 2hrs, NI?
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~check 4 kinks
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Q. other names 4 mantoux test?
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~ID
~PPD ~TB test |
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Q. drug teaching 4 tuberculosis?
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~drugs taken 6-12mos
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Q. what type of room & precautions for AIDS pt?
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~isolation rm
~standard (blood & body fluid) precaution |
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Q. how many times do you do ELISA test for pt w/suspected AIDS?
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~2x
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Q. pt tested 4 AIDS. ELISA showed pos , neg. what do you do?
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~test again
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Q. pt tested 4 AIDS. ELISA showed pos, pos. what do you do?
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~western blot (1x)
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Q. pt tested 4 AIDS. ELISA showed neg, neg. what do you do?
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~test ELISA again in 6mo
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Q. pt tested 4 AIDS. western blot showed pos. what does that mean?
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~pt has AIDS
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Q. b4 inserting suction catheter, what do you do?
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~lub cath
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