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89 Cards in this Set
- Front
- Back
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What type of diagnosis should not be given Reglan?
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GI Bleed
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What type of med causes agitation with schizo?
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thorazine
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What is a use for Haldol?
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decrease assaultive behavior with severe anxiety
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What is most important NI for myelogram?
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encourage fluids before and after
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What tips for transfering a patient with side weakness?
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Stand on affected side of bed -- pivot on unaffected leg
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What type of orders should you follow for nclex?
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Nursing orders not doctor orders
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how often to check radium implant and what type of diet is prescribed?
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check every 8 hours and low residue diet to decrease stools
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What are signs of paralytic ileus after ab surgerY/
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N,V, increase distention
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When is extrusion reflex gone in baby?
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3 or 4 months
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What are signs of meningitis in child? What kind of precations?
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fever, poor feeding, irritable, bulging fontanel -- use droplet precations
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What are signs of lithium toxicity?
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diarrhea, vomit, drowsy, weakness, ataxia
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What does nurse do about unwanted attention?
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nurse should acknowledge and redirect
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What is going on when sustained contractions (over two minutes)
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uterus rupture -- fetal distresss -- stop pitocin
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Demorol and visteral together -- what is concern?
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Confusion
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What is side effect of compazine?
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Urinary retention
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What kind of decelerations do you call dr for during stress test?
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late decelerations
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When do you take hallucinating meds?
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bedtime
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What are overdosage signs for synthroid?
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nervous, can't sleep
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What do you do if two co-workers are discussing client?
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tell them to continue conversation in private
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What is possible comp. of impetigo
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glomerulonephritis (periorbital edema)
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What are signs of increased ICP? with bp
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increase systolic and widening pulse pressure
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What should AIDS patient's not handle?
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pet feces
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if there is a fever reaction with DTaP what do you do?
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give just DT next time
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with a neonate how long with no breathing -- when do you report it?
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longer than 15 seconds
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Who do you always include when making decisions about community placement?
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client
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What can you drink after consuming golytely? how do you reconsistute it?
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only water after and tap water to reconstitute it
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What temp. liquid to put in ear?
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warm -- cold can make dizzy
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What is concern with electrolytes with burns
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Hypokalemia can occur 3rd day after -- signs are weakness and lethargy
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What are signs of suicide risks?
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previous attempts and increased drug and alcohol use
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What are signs that parents are accepting of imperfect baby?
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willing to stroke and cuddle
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what is big side effect of mycin drugs?
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ototoxic
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If a child has conjunctivitis at school -- what should you do?
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call parents to pick up
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What do you drink with ferrous sulfate?
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o.j.
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What rate do you initially give blood at?
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5 ml/minute for 15 minutes
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What intereferes with digoxin absorption?
What food can cause increase in potassium loss? |
Question interferes with absorption
licorice will increase potassium loss |
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When do you take esidrex?
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Take in early afternoon to prevent nocturia
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What is concern with cystic fibrosis?
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thick yellow mucus
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How high do you hold enema bottle?
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12 - 18 above rectum
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what do you do with pain with peripheral vascular disease?
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walk till pain and then rest and then walk again
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What diet for vomiting?
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clear liquids
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what do you complete before you do physical assessment?
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heath history
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what can lead to toxicity with magnesium sulfate?
What is a sign of toxicity? what is antidote? |
decrease in urine output
absent patellar reflexes means hypermagnesia and you give calcium gluconate as antidote |
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when do you call the dr. with an moa?
What do you avoid? |
with headache or hypertension
tyramine |
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What is a sign of caregiver burnout?
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cluttered
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What is first step with cervical fusion to get them out of bed?
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raise HOB
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What do you watch for if someone has adrenalectomy?
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shock
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What drug you do avoid with aminophylline?
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no propanolol -- decreases metabolism and can lead to toxicity
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What is side effect of haldol?
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hypotension
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Should you take Dilantin if your pregnant
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No
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If a patient is having psychosis what is therapeutic approach?
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Identify bad behavior and tell what change needs to take place
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What precautions for cytomegalovirus?
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standard
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Does baby movement increase or decrease with onset of labor?
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decrease
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Can a nurse work with shingles?
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yes
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How do you position someone after cataract surgery?
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on back or unaffected side
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What type of medication do you avoid with glaucoma?
What is normal IOP? |
hydriatic (atropine, ephedrine) -- dilates pupils
IOP is 10-21 |
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What do you do with dementia patients?
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reinforce reality
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What does p. carinni pneumonia cause?
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hypoxemia and cyanosis
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What pt. teaching for doxycicline?
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don't take within 1 hour of bedtime -- no antacids within 1-3 hours of taking
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What about positioning with buck's traction?
Other positioning measures? |
Turns to unaffected side if fracture -- either side if no fracture
Elevate foot of bed |
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What does pyrazinamide cause?
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hyperuricemia
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What is somogyi effect?
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rebound hyperglycemia after hypoglycemia during the night.
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opisthotonos position is?
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up on head and heals with back arched during seizures
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What do you count with psychosocial issues?
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successes not failures
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What are signs of cocaine abuse?
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insominia, rhinorrea, facial pain
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Does insulin requirement increase during pregnancy?
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no
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What NI for haemophilius influenza meningitis?
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droplet precautions for atleast 24 hours
dark room, decrease stimuli (decreases seizure chance) -- possible fluid restrictions because ICP |
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What should pulse rate be with pacemaker?
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It should not drop below the set pace of the pacemaker.
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What do you do first if the flow slows down with peritoneal dialisys?
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first step is to turn client side to side -- second is to check tubing for kinks
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Can you take the pill when breast feeding?
What can you do? |
No -- you can be fit for diaphragm
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What helps reduce phatom pain in amputee?
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activity helps reduce frequency and degree
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When do you take Tagament?
When do you take amphojel in relation to it? |
with meals and at night
take amphojel one hour later because it will interfere with absorption |
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What happens if pregnant women has low rebella titer?
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pt. get rubella immunization right after delivery
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What are parts of low residue diet?
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baked chicken, buttered ride, plain gelatin
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What is first sign of pulmonary or cerebral emoboli?
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confusion
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What is purpose of z-track?
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meds that are irritating to subq or skin
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What are cataracts?
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lens less hydrated, more dense
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What does hot spot indicate for casts?
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indicates pressure
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Can you take a bath with colostomy?
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yes
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What does impentigo cause?
What does it look like (impentigo)? |
staph
reddish macule - vesicle - cruse, pruritis -- treat with antibiotics |
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What does elevating legs do?
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increases venous return -- not arterial supply
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What happens with peripheral arterial occlusion?
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can't distinguish between sharp and dull pressure
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What do you do first with really low blood sugar?
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institute seizure precautions
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What type of mouthwash causes dehydration and irritation?
What should you use? |
glycerin based
50:50 hydrogen peroxide and normal saline |
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What are things about chest tubes?
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suction control chamber should be constantly bubbling
water seal chamber -- airbubbles when exhale 500-1000 in first 24 hours |
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What precautions for herpes zoster?
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airborne and contact -- private room
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What NI for bone scan?
position, time , etc. |
you have to lie still -- takes on hour
fluid increase after tracer injection |
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What is the first thing to do with bladder retraining?
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first assess previous voiding habits
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What does genuflect mean?
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ritual prayer
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What equipment do you need with paracentesis?
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bp cuff
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