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75 Cards in this Set
- Front
- Back
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What is used to treat hyperkalemia?
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Sodium bicarb
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What is the most common cause of patients switching from peritoneal dialysis to hemodialysis?
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Peritonitis
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What is the clinical manifestation of gout?
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Inflammation and pain in the great toe
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A patient comes in with a bounding pulse, pitting dema, and moist crackles in the lungs what medication should be given?
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Lasix 40 mg
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what is a complication in cystoscopic examination?
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Urinary retention (bc sticking tube down urethra causes swelling and urinary retention)
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How long should a person be retaining urine before they get a straight cath?
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4-8 hours
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triage category signifying potentially life-threatening injuries or illnessess requiring immediate treatment
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Emergent
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What are the three categories for triage?
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ermergent
urgent nonurgent |
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These patients have highest priority, conditions are life threatening and should be seen immediately
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Emergent
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These patients have serious health problems but ot immediate life threatening ones, and must be seen within what time frame?
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Urgent
1 hour |
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These patients have episodic illnesses. In what time frame should they be addressed without increasing morbidity?
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Nonurgent
24 hours |
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What are the 5 levels of triage currently used in the U.S.?
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Resucitation
Emergent Urgent Non urgent Minor |
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In the 5 level triage these patients need treatment immediately to prevent death
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Resucitation
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In the 5 level triage these patients mya deteriorate rapidly and develop a mojor life-threatning situation or require time-sensitive management
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Emergent
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In the 5 level triage these patients have a non-life-threatning conditions but require two or more resources (such as imaging studies, medication administerd IV or IM routes, a Foley catheter or sedation) to provide care, if their vital signs deviate significantly from the baseline, they may require "up-triaging" to the emergent category
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Urgent
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In the level 5 triage these patients have non-life-threatening conditions and likely need only one resource to provide for their needs
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Non urgent
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In the 5 level triage these patients have no life threatening conditions and likely require no resources
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Minor
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What medication should you give a patient whose joints are unresponsive to nonsteroidal anti-inflammatory durgs (NSAIDs)
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Try Corticosteroids
ex. Prednisone |
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When is smallpox contagious?
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After rash appears
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If a patient has gout what foods should they avoid?
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Foods high in Purine
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What drug should be given to a person with rheumatic disease?
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Indomethacin
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When should you give indomethacin?
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Immediately after meals or with food, milk or anatacids to minimize GI side effects
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What type of medicine is indomethacin?
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NSAID, analgesic
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In triage during a mass casualty event what colors are used?
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red, yellow, green, black
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What does red mean in mass casualty triage?
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Immediate, 1st priority
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In a mass casualty incident the nurse is determining how to tag this patient: injuries are life threateing but survivable with minimal intervention, but can progress to expectant rapidly if treatment is delayed, what color should she tag this person
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Red
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What does a yellow tag mean in mass casualty triage?
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delayed, 2nd priority
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In a mass casualty incident the nurse is determing how to tage this patient: injuries are significant and require medical care but can wait hours without threat to life, what color should she tag this person?
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Yellow
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What does green mean in a mass casualty incident?
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minimal, 3rd priority
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In a mass casualty incident the nurse is determing how to tag this patient: injuries are minor and treatment can be delayed hours to days
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Green
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What does black mean in a mass casualty triage?
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expectant, 4th priority
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In a mass casualty incident a nurse is trying to figure out what color to tag this person: most likely to die, injuries are extensive and chances of survival are unlikely even with definitive care, what color should the nurse tag this person?
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Black
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What is the difference between osteoarthritis and rhuematioid arthritis?
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RA is an inflammatory disease, OA is a degenerative joint disease
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Why should you not let a patient's legs dangle or fall off of the operationg table?
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It can cause muscle and nerve damage by cutting off circulation
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What serum studies for rheumatic disorders indicates chronic inflammation?
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WBC
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What does black mean in a mass casualty triage?
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expectant, 4th priority
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What is a complication of urethral obstruction related to prostatic enlargement?
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UTI
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In a mass casualty incident a nurse is trying to figure out what color to tag this person: most likely to die, injuries are extensive and chances of survival are unlikely even with definitive care, what color should the nurse tag this person?
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Black
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In creating a nephrotic syndrome care plan a nursing diagnosis a nurse may use is?
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Excess fluid volume related to excessive protein lossess in the urine
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What is the difference between osteoarthritis and rhuematioid arthritis?
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RA is an inflammatory disease, OA is a degenerative joint disease
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What should you monitor for a patient who has systemic lupus erythemastosus (SLE)
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Monitor temp
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Why should you not let a patient's legs dangle or fall off of the operationg table?
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It can cause muscle and nerve damage by cutting off circulation
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What 2 labs would you look at for a patient who has kidney disease?
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BUN and creatinine
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What serum studies for rheumatic disorders indicates chronic inflammation?
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WBC
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When the blood pressure drops what does the body put in the blood stream to start the reaction?
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Renin
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What is a complication of urethral obstruction related to prostatic enlargement?
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UTI
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In creating a nephrotic syndrome care plan a nursing diagnosis a nurse may use is?
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Excess fluid volume related to excessive protein lossess in the urine
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What should you monitor for a patient who has systemic lupus erythemastosus (SLE)
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Monitor temp
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What 2 labs would you look at for a patient who has kidney disease?
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BUN and creatinine
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When the blood pressure drops what does the body put in the blood stream to start the reaction?
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Renin
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What is an effective way to see if fluid replacement therapy during the resucitative phase of a burn is working?
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Urinary output (very effective way of checking hydration)
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What type of burns have little or no pain and why?
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Full-thickness burns
Nerves are gone |
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What are three classic signs of rhuematoid arthritis?
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Joint swelling, stiffness, bilateral joint involvement
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In the acute phase of a burn patient what three things should the nurse do?
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wound care
Nutritional support prevention of complications such as infection |
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In the acute phase when the nurse is providing wound care, nutritional support, and prevention of infection what 4 labs will the nurse take notice of?
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Hyperkalemia, hyponatremia, elevated hematocrit, and metabolic acidosis
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What is a complication associated with full- or partial-thickness burns?
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Contractures
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When may airway obstruction related to upper airway edema occur?
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Up to 2 days after
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What is important for wound healing for burn patients?
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Early enteral feedings (protein)
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In a burn patient what intervention will assist in avoiding increased intestinal permeability and prevent early endotoxin translocation?
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Early enteral feeding
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A patient is diagnosed with nephrotic syndrome what does the nurse what do keep an eye on?
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Weight (want to make sure they are not gaining any weight)
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What is the most time consuming when providing burn care?
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wound care (has to be done sterile, takes a lot of time to clean, move patient, debride)
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What can be catergorized as a superficial partial thickness burn?
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Sunburn
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What patient is at greates risk for developing end-stage renal disease (ESRD)?
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A patient with diabetes mellitus with poorly controlled hypertension
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Why would you give a patient polystyrene sulfonate (Kayexalate)?
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helps lower serum potassium levels (patient poops out serum potassium)
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What is the best way to prevent infection?
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wash hands
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What would the nurse notice in a patient with chronic renal failure?
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Uremia (urine in the blood)
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What sign would tell you that a patient is rejecting a kidney transplant?
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Oliguria (low output of urine)
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A patient has osteoarthritis what are they at risk for?
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Obesity
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What is used to treat hyperkalemia?
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Sodium Bicarb
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The nurse suspects a patient has a leaking cerebral aneurysum by noticing what?
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Changes in the patients LOC
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What forms rapidly after a burn injury?
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Edema
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In a superficial burn how qucikly will edema form?
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within 4 hours after injury
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In a deeper burn edema will continue to form over a longer time period which would be?
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18 hours post injury
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What are the seven rights of medication administration?
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1. RIGHT PATIENT
2. RIGHT DRUG 3. RIGHT DOSE 4. RIGHT ROUTE 5. RIGHT TIME 6. RIGHT REASON (includes necessary assessments, i.e. VS, labs; evaluations to determine if medication should be held or given; i.e. patient NPO, patient on stool softener having diarrhea) 7. RIGHT DOCUMENTATION |
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What does ADPIE stand for?
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A assessment
D diagnosis P plan I implementation E eavaluation |
