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9 Cards in this Set
- Front
- Back
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What is the correct position to place a child after a tonsillectomy?
1. Prone 2. Supine 3. Trendelenburg 4. High Fowlers |
Prone or side-lying to promote drainage
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Early sign of increased ICP?
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Nausea
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Late signs of increased ICP?
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decrease in LOC, cushing's triad, and fixed dilated pupils.
OTHER LATE SIGNS: decreased motor response to command, decreased sensory response to painful stimuli, posturing, Cheyne-Stokes respirations, and papilledema |
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What is included in Cushing's triad?
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increased systolic blood pressure and widened pulse pressure, bradycardia, and irregular respirations
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The nurse ensures that which priority item is in the client's room after an above-the-knee amputation?
1. Surgical tourniquet 2. Dry sterile dressings 3. incentive spirometer 4. over-the-bed trapeze |
Surgical tourniquet is kept at the bedside in case of acute bleeding. Hemorrhage is the primary immediate complication of amputation
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Signs and symptoms of air embolism
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chest pain, dyspnea, hypoxia, anxiety, tachycardia, and hypotension
Nurse would also hear a loud churning sound over the pericardium on auscultation of the chest |
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Signs and symptoms of sepsis
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fever, chills, and general malaise
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Signs and symptoms of fluid overload
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increased intravascular volume, increased blood pressure and pulse rate. Also causes neck vein distention and the shifting of fluid into the alveoli, resulting in crackles
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What is lamivudine (Epivir)? What is it used for?
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nucleoside reverse transcriptase inhibitor and antiviral medication. It slows HIV replication and reduces the progression of HIV infection. Also used to treat Hep B and for prophylaxis in HCP at risk of acquiring HIV after occupational exposure
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