Finals 4Th Semester Part 1

Front 1

Sunburn priority

Back 1

Pain

Front 2

NPH

Back 2

Duration when is the patient going to feel hypoglycemia if administered at 0800 ?

Roughly 1400 peaks 4-12hrs

Front 3

Tumor lysis syndrome

Back 3

Hyperuricemia:

Give Allopurinol and Probenecid

Front 4

Hyperparathyroidism

Back 4

1. Decrease calcium in diet.

2. Increase fluids,

3. Cardiac arrest in crisis,

4. Monitor Airway postop

Front 5

Chvostek sign

Back 5

Tapping finger in front of patients ear at an angle of jaw.

Normal equals no facial grimacing when tapping (From hypoparathyroidism).

Increase calcium diet and vitamin D or give Ca gluconate IV.

Front 6

C. Neoformans will not cause

Back 6

Bacterial meningitis

Front 7

Battle sign is?

Back 7

Bruising in mastoid process due to fracture in the skull.

The bleeding can be from the ears and from the nose.

Front 8

Autonomic dysreflexia occurs when

Back 8

It occurs after spinal cord shock has resolved.

Front 9

What are the signs and symptoms of autonomic dysreflexia?

Back 9

Signs and symptoms are:

1. Pounding headache

2. Hypertension

3. Profuse diaphoresis

4. Nausea

5. Nasal congestion

6. Bradycardia

7. Spinal cord lesion above T6

8. It happens in rehab

Front 10

Neurogenic shock signs and symptoms are:

Back 10

Vasodilation, decreased BP, decreased respirations, decreased heart rate, loss of reflexes, flaccid, paralytic ileus, urinary retention.

Front 11

Cushing's Triad

Back 11

Will not have tachycardia.

Signs and symptoms of Cushing Triad are:

bradycardia, Bradypnea and hypertension

Front 12

Superior venacava syndrome

Back 12

First thing is radiation then chemo then anticoagulants and surgery.

Front 13

CSF is made where?

Back 13

Left ventricle

Front 14

Stroke: hard of learning, remembering what part of the brain is affected

Back 14

Part of the brain is frontal

Front 15

Most lethal wide dissemination of chemical weapon radiation + toxic chemical is

Back 15

Sarin and soman organophosphates

Front 16

Second stage of decontamination

Back 16

Take off patients clothes or hose down.

Front 17

Romberg's test for

Back 17

Balance and coordination

Front 18

Early signs of ICP are:

Back 18

Altered level of Consciousness, headache, weakness, papillary edema, restlessness, confusion and drowsiness.

Front 19

Late sign of ICP

Back 19

Increased SBP, widening pulse pressure, slow heart rate, Chyne Stokes respiration.

Normal ICP is 10-20mmhg.

Front 20

Patient in process of burn immediately

Back 20

Douse with cold water

Front 21

CPP less than 50 can cause what

Back 21

Irreversible damage.

Normal CPP is 70 to 100

Front 22

With TIA what happens

Back 22

All symptoms subside within 24 hours.

Front 23

Vasopressin is

Back 23

Antidiuretic hormone used to treat diabetes insipidus

Front 24

Hypothyroid

Back 24

Treat with Synthroid.

(hashimotos disease numbness, tingling of fingers, subnormal temp control and Pulse, at risk for CAD )

Front 25

Secondary to headache

Back 25

Aneurysm.

Primary no known cause

Front 26

Most common spinal cord injury is

Back 26

Motor vehicle accident (MVA)

Front 27

Loss of consciousness, tonic clonic

Back 27

Generalized seizure.

It is treated with phenytoin 10 to 20

Front 28

Seizures is most common in what age group?

Back 28

Before 20

Front 29

Stroke equal incident for men and women after reaching what age?

Back 29

55

Front 30

Bus accident who to rescue first?

Back 30

Man with sucking chest wound because other choices are not as serious.

Front 31

Truncal obesity, buffalo hump , moonface , acromegaly are symptoms of what?

Back 31

Cushing syndrome

Front 32

Most common valvuloplasty is

Back 32

Commissurotomy: It is a standard treatment for relief of mitral stenosis

Front 33

Parkinson disease is caused by

Back 33

Dopamine deficit

Front 34

Dopamine

Back 34

Dopamine is an inotropin used to treat low BP caused by heart attack, trauma, surgery, heart failure and serious medical conditions

Front 35

Multiple sclerosis most debilitating symptoms is

Back 35

Fatigue vs Pain

Front 36

Pituitary surgery the patient is at risk for

Back 36

Diabetes insipidus

Front 37

Nitroglycerin desired effect is

Back 37

Patient states no more chest pain

Front 38

8 QRS in 6 seconds

Back 38

80 beats per minute (bpm)

Front 39

How many hours after major burn when plasma oozing out

Back 39

24 to 36 hours

Front 40

Most common abused drug among nurses is

Back 40

Demerol Meperidine

Front 41

Assigned a new diabetes mellitus patient, patient teaching about disease

Back 41

Nurse

Front 42

Didn't teach, who's liable charge nurse or

Back 42

Nurse that was assigned

Front 43

Who can't do an admission

Back 43

Nurse assistant

Front 44

Nurse to decrease anxiety of family members do what?

Back 44

Update family

Front 45

A 70 year old patient with 480 blood sugar

Back 45

Hypersomal hyperglycemic nonketotic syndrome often occurs in older people ages 50 to 70 with no known history of Diabetes Mellitus Type 2

Front 46

Glucagon how does it work in the body?

Back 46

Glucagon is a hormone that is produced by the alpha cells.

It plays an active role in allowing the body to regulate the utilization of glucose + fat.

It is released in response to low blood sugar, breaks down glycogen into blood, activates glyconeogenesis and breaks down stored fat.

Front 47

For Ventricular dysrhythmia what drug is most commonly given

Back 47

Lidocaine or amiodarone

Front 48

For heart failure patient what should I do

Back 48

Weigh self daily at home

Front 49

For stroke patient what is the diagnostic test

Back 49

Non contrast CT: this determines ischemic or hemorrhagic

Front 50

Diet for heart patient

Back 50

Low sodium + low fat restricted diet.

Front 51

Stroke is the number

Back 51

Stroke is the number 3 cause of death in US.

Cardiovascular is number 1.

Front 52

Patient in PACU who just had cardiac cath plus given TPA or streptokinase, what is the immediate priority:

Back 52

Check site every 15mins

Front 53

Patient need further instruction after heart transplant when he states:

Back 53

Will take Coumadin for 3wks.

Take Imuran to prevent organ rejection.

Front 54

Nursing priority for elderly:

Back 54

Assess home for hazards or encourage Independence.

Front 55

Burn victim assessment calculation:

Back 55

Back 18% plus back arm 9% to 4.5%

Front 56

A patient with Burn victim upper torso is at risk for:

Back 56

Risk for Airway obstruction due to edema;

Can take as long as 48 hours.

Front 57

Primary cause of stroke or aneurysm:

Back 57

Hypertension

Front 58

With ICP treat patient with ?

Back 58

Mannitol (osmotic diuresis)

Front 59

Machinery sounds inside patients room cause

Back 59

Sensory overload

Front 60

Glasgow coma scale

Back 60

Very bad 3

Front 61

Insulin used for emergency is

Back 61

Give Regular Intravenous

Front 62

Poisoning ingestion give

Back 62

Activated charcoal

Front 63

Carbon monoxide poisoning signs and symptoms are

Back 63

Like intoxication, Tremors common nausea vomiting.

In blood turns to carboxyhemoglobin and decreases oxygen transportation.

Front 64

Full thickness burn signs and symptoms are:

Back 64

1. Leathery appearance,

2. Dry,

3. Elastic of the dermis destroyed,

4. Charred look

Front 65

Tidal volume 700 what does it mean?

Back 65

1. Normal title volume volume is 10 to 12 ml/kg.

2. If a patient weighs 70 kg a tidal volume of 700 to 840 is normal

Front 66

Hypothalamus controls what?

Back 66

Hypothalamus controls temp, respiration, BP, affects emotions, decrease anxiety , controls the release of pituitary hormones such as CRH, TRH, GH, GnRH, ADH.

Front 67

Stress

Back 67

All of the above

Front 68

Pheochromocytoma does what?

Back 68

Increase BP 250/150

It is tumor of the Adrenal medulla.

Front 69

Signs and symptoms of pheochromocytoma is 5Hs

Back 69

1. Hypertension,

2. Headache,

3. Hyperglycemia

4.

5.

Front 70

Harsh facial features, fingertips you will see

Back 70

Acromegaly.

Due to increased GH by anterior pituitary gland.

Cushing's increased sodium decreased potassium

Front 71

Patient at Risk for pulmonary edema what do you do?

Back 71

Auscultate lung sounds every 15 minutes

Front 72

Endotracheal suctioning what do you want for?

Back 72

Prevent atelectasis

Front 73

Ventricular rate is

Back 73

R to R (QRS to QRS)

Front 74

Tricuspid valve regurgitation is

Back 74

For right Ventricle to right Atrium

Front 75

Aorta (2 arteries) originates from left ventricle base

Back 75

Left coronary arteries x2

Front 76

What is a bigeminy?

Back 76

Is the occurrence of a PVC every other beat; arrhythmia

Front 77

QRS is what?

Back 77

Depolarize ventricles; contraction

Front 78

PVCs or ventricular dysrhythmias what do you give?

Back 78

Lidocaine bolus IV push of 50 to 100 milligram

Front 79

What is a problem with AV block 1 and 2?

Back 79

Bradycardia

Front 80

For cardiomyopathy :Enlarged heart what is the cause?

Back 80

Unknown cause

Front 81

Third degree AV block

Back 81

No relation between P and QRS

Front 82

Gillian Barre syndrome what do you see?

Back 82

Paresthesia lower extremities.

Then it proceeds to the upper extremities and attack peripheral nerve.

Front 83

Echocardiogram: high-pitched sound waves

Back 83

Bounce waves

Front 84

A patient's level of consciousness the patient's eyes both dilated, fixed, moves when stimulated is what?

Back 84

Semi-comatose

Front 85

Cranial nerve VIII

Back 85

Acoustic.

Hearing and equilibrium.

The deficit you will see tinnitus and vertigo

Front 86

DIC

Back 86

Cancer

Front 87

Risk for aneurysm is

Back 87

Stroke

Front 88

SIADH

Back 88

220 plasma osmolarity.

Restrict fluids

(Posterior pituitary associated with small cell cancer; hyponatremia <125)

Front 89

Hemorrhagic stroke what would you see

Back 89

Severe headache, vomiting and decreased carbon dioxide

Front 90

TPA

Back 90

0.9mg/kg maximum 90mg/day

Front 91

Cipro antibiotics is used to treat

Back 91

Anthrax (bacillus anthracis).

Give 500 mg po for 60 days

Front 92

Akinesia is

Back 92

Impairment of power of voluntary movement also known as muscle rigidity

Front 93

Sarin - chemical nerve toxic agent that:

Back 93

1. Inhibits cholinesterase.

2. Signs and symptoms are decreased level of Consciousness, seizures, copious secretions, apnea and death.

3. Treatment is atropine, benzodiazepine and pralidoxime.

Front 94

Fat as restricted for:

Back 94

Restrict for hyperglycemia

Front 95

Propranolol is used to treat?

Back 95

Treat cardiac dysrhythmias.

Propranolol is a Beta blocker used to decrease myocardial oxygen consumption.

Front 96

Lasix does what

Back 96

1. Decrease preload

2. Decrease circulating fluid

Front 97

Autonomic dysreflexia occurs when?

Back 97

Occurs after spinal cord injury above T6 due to distended bladder (most common).

Signs and symptoms are headache, increased BP, profuse sweating, bradycardia and nasal congestion.

Front 98

Chorea is

Back 98

Dyskinesia

Chorea is a neurologic disorder characterized by jerky involuntary movement affecting especially the shoulders, hips and face

Front 99

Atherosclerosis is

Back 99

Coronary artery hardening

Front 100

Decerebrate is

Back 100

Rigidly extended arms and legs, due brain stem lesion

Front 101

TPA Calculations

Back 101

Or Streptokinase calculations

Front 102

Dopamine calculations

Back 102

Practice it

Front 103

Nitro calculation

Back 103

Do not use kg