Nurs 128 Health Deviations Final Review

Front 1

seven p's for perfusion

Back 1

1. polar temp
2. pallor
3. puffiness
4. pain
5. parathesia
6. paralysis
7. pulselessness

Front 2

nursing interventions for knee athroplasty

Back 2

1.empty and record hemo-vac
2.give oxygen 2-3L/min
3. Incentive spirometer/ cough and deep breathing
4.bedrest for 24-48 hours
5.change dressing as ordered
6.neuro checks and vitals q4h

Front 3

nursing interventions for the area of knee replacement

Back 3

1. maintain position of operative area
2. physical therapy will initiate ambulation and Rx routine
3.encourage fluid intake
4.antiembolism stockings
5.avoid adduction and hyperflexion of hip
6.use toilet riser to prevent hyperflexion

Front 4

medical management for hip replacement

Back 4

place in bucks or russell's traction until surgery

Front 5

postoperative interventions for hip replacement

Back 5

1.wound and drain assessment
2.incentive spirometer and turning q2h
3.maintain leg abduction
4.antiembolic stockings; anticoagulation therapy
5.limit wt bearing on affected side
6. chairs and commode seats should raised to prevent flexion of hip beyond 60 degress

Front 6

patient teaching for open reduction internal fixation(orif)

Back 6

1.assess ability to understand
2. assist to dangle at bedside
3. no wt on operative side
4. pt will instruct ambulation and weight bearing
5.as pt progresses encourage continuing ambulation only with assistance

Front 7

patient teaching for a hip prosthetic implant

Back 7

1.avoid hip flexion beyond 60 degrees for approximately 10 days; beyond 90 degrees for 2-3 months
2.avoid adduction of the affected leg beyond midline for 2-3 months(maintain abduction)
3.maintain partial wt bearing for approx 2-3 months
4.avoid postioning on the operative side

Front 8

etiology of angina pectoris

Back 8

cardiac muscle deprived of oxygen, increased workload on the heart

Front 9

etiology of MI

Back 9

occlusion of a major coronary artery or one of its branches with subsequent necrosis of myocardium; most common cause is atherosclerosis; ability of the cardiac muscle to contract and pump blood is impaired

Front 10

etiology of htn

Back 10

vasoconstriction,a sustained elevated systolic blood pressure greater than 140 and or a sustained elevated diastolic bp greater than 90

Front 11

essential primary htn

Back 11

90-95% of all diagnosed cases

Front 12

secondary htn

Back 12

attributed to an identifiable medical diagnosis;

Front 13

arteriosclerosis

Back 13

thickening, loss of elasticity and clacification of arterial walls, resulting in decreased blood supply

Front 14

artherosclerosis

Back 14

narrowing of the artery due to yellowish plaques of cholesterol, lipids in the inner layers of the walls of large and medium sized arteries, is a type of arteriosclerosis

Front 15

arterial assessment(PATCHES)

Back 15

P=PULSES
A=APPEARANCE
T=TEMPERATURE
C=CAPILLARY REFILL
H=HARDNESS
E=EDEMA
S=SENSATION

Front 16

venous assessment

Back 16

1.first symptom usually edema
2.dark pigmentation
3.drynes and scaling
4. ulcerations
5. pain, aching and cramping
6. usually relieved by rest or elevation`

Front 17

signs and symptoms for benign prostatic hypertrophy

Back 17

frequent urination, difficulty starting urination, dysuria, frequent uti, hematuria, oliguria, nocturia

Front 18

turp post op

Back 18

bladder irrigations, urine will be pink to cherry red, suprapubic or abdominal dressing

Front 19

urinary retention signs and symptoms

Back 19

distended bladder, discomfort in plevic region, voiding frequent, small amounts

Front 20

interventions for urinary retention

Back 20

warm shower or sitz bath, natural voiding position if possible, urinary catheter, surgical removal of obstruction, analgesics

Front 21

signs and symptoms of neurogenic bladder

Back 21

infrequent voiding, incontinece, diaphorese, flushing, nausea prior to reflex incontinence

Front 22

interventions for neurogenic bladder

Back 22

bladder training, intermittent catherization

Front 23

endstage renal failure

Back 23

headache, lethargy, anorexia, pruritus, anuria, muscle cramps or twitching, dusky yellow tan or gray skin color, disorientation and mental lapses, anemia

Front 24

3 p's for DM type I II

Back 24

polyuria polydipsia polyphagia

Front 25

hyperthyroidism

Back 25

also called graves disease cause unknown, exaggeratiion of the metabolic process.

Front 26

assessment for hyperthyroidism

Back 26

edema of the anterior portion of the neck, inability to concentrate , memory loss,dysphagia, hoarseness, increased appetite, weight loss, nervousness, insomnia, tachycardia, htn, warm flused skin, fine hair, amenorrhea, elevated temp, diaphoresis, hand tremors`

Front 27

postoperative care for thyroidectomy

Back 27

voice rest, voice checks, avoid hyperextension of the neck, tracheotomy tray at bedside, assess for signs and symptoms of interanl and external bleeding, assess for tetany,assess for thyroid crisis

Front 28

Hypothyroidism clinical manesfestions

Back 28

hypothermia, intolerance to cold, weight gain, depression, impaired memory, slow thought process, lethargic, anorexia, constipation decreased libido, menstrual irregularities, thin hair, enlarged facial appearance, low hoarse voice, bradycardia, hypotension

Front 29

acute complications of DM

Back 29

coma, diabetic ketoacidosis, hyperglycemic hypersomolar nonketotic, hypoglycemic reaction, infection

Front 30

long term complications of DM

Back 30

diabetic retinopathy, cardiovascular problems, renal failure,