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51 Cards in this Set
- Front
- Back
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What assessement finding would suggest the complication of AUTONOMIC DYSREFLEXIA?
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SEVERE Pounding headache....also can have urinary bladder spasm...but NOT WITH PAIN...PAIN IS NOT PERCEIVED
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how many mg/kg of iron per day is needed?
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women-15
men-10 pregnant=30 |
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s&s of HEMOLYTIC REACTION
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CHILLS, BACKACHE, CYANOSIS, CHEST PAIN, TACHYCARDIA, HEADACHE, hypOtension
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MOST important intervention after pt has been placed in physical restraints?
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check that the restraints have been applied correctly
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major sign of HYPOCALCEMIA
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positive Trousseau's sign..always think HYPER reflexes
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Pt on Lithium,should have an adequate intake of ?
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SODIUM...IF TOO LITTLE Na can equal toxicity
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What is the function of a Miller-Abbott Tube?
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removes fluid and gas from the small intgestines..often used for tx of paralytic ileus
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When is a PKU test performed?
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breastfed=one week old
bottlefed=3 days old |
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Common SE of Estrogen (initially)
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Nausea..will subside in a few weeks after starting therapy
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HIGHEST PRIORITY in caring for a pt with hypoparathyroidism
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cardiac dysrhythmias related to low calcium levels
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Purpose of Continous Bladder Irrigation?
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Prevents formation of clots that can lead to obstruction and spasm in the postoperative TURP pt
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Gastric Ulcer pain occurs when?
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about one half to one hour after meals
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An important nursing consideration for a pt with Myasthenia Gravis
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assess muscle groups toward the end of the day
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The reason a fluid challenge is given to a pt with possible acute renal failure is
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to rule out dehydration as the cause of oliguria
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Major SE of Haldol
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Blood dyscrasia and extrapyramidal symptoms
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What is Buergers Disease?
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An occlusive disease of the median and small arteries and veins
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Where does Buergers disease most commonly affect the pt?
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the distal upper and lower limbs
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Signs and symptoms assoc. with Buergers Disease=
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Intermittent Claudication
Ischemic pain of the digits at rest, aching pain more severe at night, cool numb or tingling sensation, extremities that are cool and red in the dependent position and develpoment of ulcerations in the extremities |
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When does the posterior fontanelle close?
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2-3 months
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SE's of Dilaudid
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hypOtension and respiratory depression
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Diet for pt with hypoparathyroidism?
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low in phosphorus ans HIGH in calcium
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1gr = how many mg?
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1gr=60mg therefore 10gr=600 mg
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signs of lithium toxixity
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fine tremors of the fingers, wrists, and hands and N/V/D
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pt with HYPOTHYROIDISM should avoid
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nARCOTICS
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PT WITH A CHEST TUBE. HOW WOULD YOU KNOW IF THE LUNG HAS RE-EXPANDED?
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THE FLUID IN THE WATERSEAL CHAMBER DOESNT FLUCTUATE WITH RESPIRATIONS
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Primary purpose of a paCE MAKER IS TO
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Increase the CO, which acts to regulate cardiac rythm
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Does a pt hypo or hypervetilate in respiratory acidosis?
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HYPOVENTILATION....
FOR CAUSES THINK OBSTRUCTION |
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Does a pt hypo or hypervetilate in respiratory alkalosis?
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HYPERVENTILATION.....
CAUSES THINK OVERSTIMULATION OF THE RESP. SYSTEM..LIKE HYSTERIA, HYPERVENTILATION, ANXIETY,ECT.. |
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A burn patient what is the order in which these two steps should be implemented?
Obtain wound cultures Debride wound of eschar using guaze sponges |
1st you would debride and then collect the wound culture
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Pt on Tetracycline needs to avoid?"
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the sun and milk
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What is used to diagnose interstitial cystitis?
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cytoscopy
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SE of Ditropan..think SE of antincholinergic
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dry mouth
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What would you see in a pt with nephrotic syndrome?
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edema formation
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Dexamethasone Suppresion Test
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used to determine the presence of major depression
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Trendelenburg Test
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used with patients who may have varicose veins
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Before infusion of Dopamine the nurse should?
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Assess patency of the IV
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Concepts of DEATH according to age
Preschooler, by age 7, by age 9, adolescent |
preschooler- death is temp. and gradual
by age 7-death is a punishment by age 9-death is inevitable and irreversible adolescent-death as a concept based on past experince |
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Diet for a child with Cystic Fibrosis=
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High protein, High calories and LOW fat
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Prior to an IVP (Intravenous Pyelogram) what should be done?
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A cleansing enema should be given the night before
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what is a myelogram?
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a lumbar puncure with injection of a contract medium, allowing x-ray visulaization of the vetebral canal
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How should a nurse position an elderly client who just had a prosthetic hip implant?
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side lying with the affected hip in abduction
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Purpose of a cuff on a tracheostomy?
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decrease the chance of aspiration into the trachea
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During pregnancy inculin needs........... and after they............
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increase, decrease
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How should the medication Parlodel be taken?
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with meals to decrease gi upset
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Cushings syndrome, a very High priority is to
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initiate measures to prevent fluid overload
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patiet with a detached retina would have
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brigh flashes of light and have a portion of the visual field that is darker
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Loss of peripheral vision occurs with.....
Loss of acuity occurs with..... |
Glaucoma
Cataracts |
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what does impetigo look like?
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honey crusted lesions
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what type of med is Sinequan? and hwta would be signs of an overdose?
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antidepressant and the pt would exhibit tremors and excitability
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what does a swan-ganz catheter measure
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neasures the pulmonary artery wedge pressure which indirently measures the pressure in the ventricles
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A post op abdominal abscess has a drain inserted what assessement is MOST important
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CHARACTER of the drainage
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