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34 Cards in this Set
- Front
- Back
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when attaning a health history, what kind of question would you ask them pertaining to a health maintenence pattern?
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Do you sunscreen? Moistureizer? what do you use on your skin?
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if you notice your pt. has a flat red lesion how do you determain if it is realted to blood vessel dialation?
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If it blanches.
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How would you determain if your patient is cyanotic?
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Mucus membranes
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How should you treat excoriated (scalded) area?
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Cover it with a sterile dressing to protect it from infection
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What is the difference between and incisional biopsy and an excitional biopsy?
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Incisional biopsy is larger and takes whole lesion and some of the surrounding borders. Excitional is for smaller lestion.
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What is lichinification
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more you damage tissue harder it gets.
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What is petechiae?
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Pen point hemmorages. Has to do with bleeding, presents like a needle prik. NEEDS FURTER INVESTIGATION!!
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When you are aspiration a vesical for diagnostic testing how should you get the serous fluid out?
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Direct needle stick in the center of vesical
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In skin problems, what type of sunscreen is better protection?
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Physical, have zinc or tytanium
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Whats worse basel cell or squamous cell carcinoma?
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Squamous.
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What would you teach your pt. with squamous cell carcinoma around lips?
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STOP SMOKING--in skin use sunscreen
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What is the risk factor for malignant melenoma?
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Family history and sun exposure
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If you had a post op pt. for cosmetic sergery and site was cool and pale what could it be?
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Vascular system is impaired..needs imediate attention.
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How do you treat infantygo?
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Get rid of crust clean with soap and water.
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What does oral candiasis look like? What is the cause?
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White. Secondary to renal comprimise. Ask pt. what medications they are on
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Topical steroidal oinments used for dematitis, under what cercumstances should you discontinue use?
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Thinning or brusing of the skin.
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What are the treatments for ceriosis?
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Uv light.
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When treating Pt. with ceriosis with UV light what should you tell your pt. to do?
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Protect their eyes
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What should you as the nurse what is the most important thing for you to do when treating these skin disorders?
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WEAR GLOVES!
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What is a presure dressing used for after cosmetic surgery?
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Reduces risk of swelling
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what is acutain?
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Used to treat severe acne
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What should you tell women useing acutain?
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Not to use during pregnancy, should take regular pregnancy tests. VERY HAZERDUS TO FETUS!!
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In a fluid volume deficit, what would be an indicator of hypovolemic shock?
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increase HR is initial response, decrease blood pressure is what puts them into shock.
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In SIADH, what electrolye is that related too, which you would monitor?
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Sodium...SIADH causes water retention and a decreased sodium level
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Whats the best way to monitor fluid status?
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Daily Weights
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What is does K-wasting diuretic do to your pt. that would require them to get levels checked?
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Cause generalized weakness
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How fast can you infuse K?
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No faster than 10-20 mEq per hour.
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Can you IV push K?
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NO! that would be so wrong! :)
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what drug would you give to correct metabolic acidosis?
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base--bicarb
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What happens when a pt. serum protein levels are low?
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Pt. will have edema. B/C fluid is lost out of the vascular system into the tissues.
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Your pt. had sergery NG suction and they are in pain, and their ABG level of PO2 level is 30, what would you do for this pt?
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They're blowing off CO2-give them PAIN MEDICINE.
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If K level is greater or lower than normal levels what should you implement?
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Cardiac monitoring
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In pregnant women that have eclamcia they get Mg sulfate, what should you assess for?
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To assess for Mg. toxic level do DEEP TENDON REFLEXES.
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Who usually has hypomagnesium?
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Alcoholics
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