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51 Cards in this Set

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