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78 Cards in this Set
- Front
- Back
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What mask provides the most oxygen to a patient? |
Non rebreather |
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When does carpal tunnel hurt? |
At night |
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Who usually gets rheumatoid arthritis? |
Young women and the elderly |
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What are some nonpharmacological interventions for rheumatoid arthritis? |
Warm shower, frequent rest periods, splints at night, gentle ROM |
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What is the best way to decrease morning stiffness with rheumatoid arthritis? |
Warm shower |
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What medications are given for rheumatoid arthritis? |
NSAIDS daily Steroids for flareups |
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What are good exercises for someone with Stills? |
Swimming, bike riding LOW IMPACT |
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What are side effects of NSAIDS that nurses need to observe for? |
Dark stool (GI bleed) Coffee ground emesis (GI bleed) Ringing of the ears (Tinnitus) GI complications |
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What are the three Crappy's of Lupus? |
Crappy kidney Crappy heart Crsppy skin |
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What special skin intervention does Lupus require? |
Spf75 |
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What medications should be avoided eith Lupus? |
Dyes and -mycin antibiotics |
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What medication is given for Lupus? |
Steroids |
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What kind of rash might appear with Lupus? |
Butterfly across face |
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Is lupus a stress disorder? |
Yes! |
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Is rheumatoid arthritis a stress disorder? |
Yes |
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What foods should someone with gout avoid? |
Sardines, anchovies, smoked meats, shell fish, organ meat, tomatoes |
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What is a sign of colchecean toxicity? |
Nausea and vomitting |
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When will the nurse intervene with an amputee patient |
When they have sat up too long or lotion is applied to the stump |
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What should the patient do to the stump to promote circulation? |
Massage it! |
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Should a stump be elevated? |
Yes |
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How long should the nurse listen for bowel sounds in one quadrent? |
3 to 5 minutes |
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What is the order of an abdominal assessment? |
Inspection Auscultation Percussion Palpation |
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What bowel sounds indicate death? |
High pitched |
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What part of the stethoscope do you listen for bruits with? |
Bell |
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If an upper and lower GI series is ordered which one is done first? |
Lower then upper |
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What contrast is used in a GI series? |
Barium |
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When is the only time laxatives are acceptable? |
After a barium swallow |
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Do GI series require NPO? |
Yes for 8 hr |
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What is the number one nursing intervention for an abdominal paracentesis? |
Measure abdominal girth before and after and daily |
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What side should the patient be after a liver biopsy? |
Left, liver is ON the right |
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What kind of lubricant is used to insert an NG? |
Water based |
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What is the NURSES most accurate measure of NG placement? |
Ph of aspirate |
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What is the MOST accurate determination of NG placement? |
Xray |
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How should meds be administered via g tube? |
Crushed, one at a time, flush between with TAP water |
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What kind of hygiene should be maintained with an NG tube? |
Oral! |
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Does TPN ever have a piggy off of it? |
No |
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What is important to monitor with TPN? |
Hyperglycemia |
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What should a patient with GERD avoid? |
Eating before bed |
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What medications are given for GERD? |
-azole meds |
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What are side effects of -azole meds? |
Constipation, headache, nausea, diarrhea, abdominal pain |
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What should GI ulcer patients avoid. |
Spices, caffeine, nicotine, alcohol |
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When do gastric ulcers hurt? |
When EATING |
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When do duodenal ulcers hurt? |
When NOT eating? |
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What stops duodenal ulcer pain? |
Eating! |
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What medication coats ulcers? |
Sucralfale |
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What medication block the secretion of hydrochloric acid? |
Cimetidine |
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What medication neutralizes stomach acid? |
Antacids Sodium bicarb, calcium carb, mag hydrox |
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What is a common side effect of aluminum antacids? |
Constipation |
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What is a common side effect of magnesium based antacids? |
Diarrhea |
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What patients are at risk of dumping syndrome? |
Stomach stapling, partial or total gastrectomy |
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What are the signs and symptoms of dumping syndrome? |
Nausea, diarrhea, syncope, hypertension, dizziness, weakness |
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What is a major intervention to prevent dumping syndrome? |
No fluids with meals, small meals |
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What foods should dumping syndrome patients avoid? |
High carbs, sugars, salts, and fiber |
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Is crohn's a stress syndrome? |
Yes |
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How does Crohns present? |
Diarrhea, board-like abdomen, abdominal pain, STEATORRHEA |
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How do we know Crohn's treatment is working? |
Weight gain |
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What kind of output does an ileostomy have? |
ALWAYS liquid |
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Can diverticulum patients be delegated? |
NO RN ONLY |
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How does diverticulitis present? |
Severe LLQ pain |
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What foods must diverticulum patients avoid? |
Anything with seeds, high fiber |
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Should a patient with acute appendicitis perform a valsalva maneuver? |
NO could cause rupture |
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What is an indication of appendix rupture? |
SUDDEN relief of pain |
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What to do if an appendix ruptures? |
High fowlers |
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Is shigella reported to the health department? |
Yes |
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What is indicative of shigella |
Recent travel |
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Hoe long must new ostomy patients stay? |
72hr |
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Is a new ostomy patient delegatedable? |
No |
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What should a new stoma look like? |
Red and beefy |
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Should a new stoma ever be pink? |
NO |
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Is a transverse loop colostomy temporary? |
Usually. |
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How many stomas are there with transverse loop colostomies? |
2 |
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Is an end colostomy usually permanent? |
Yes |
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What kind of stool is produced with transverse loop and end colostomies? |
Formes |
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What ostomy has a risk for fluid and electrolyte imbalance? |
Ileostomy bc of always liquid stool |
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What should a patient avoid before a fecal occult blood test? |
NSAID, red meat, iron supplements, vitamin C |
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How many samples are taken for a fecal occult? |
Two from same poop but different locations |
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What indicates the presence of blood in a fecal occult test? |
BLUE BLOOD |
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Botulism presents similar to what other problem? |
A stroke! But presents bilaterally, not unilaterally. |
