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84 Cards in this Set

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Steps in the nursing process
Assessment
Diagnosis
Planning
Implementation
Evaluation
ADPIE (A delicious pie)
Steps in the nursing process
Assessment
Analysis
Planning
Implementation
Evaluation
AAPIE (An apple pie)
Inflammation
Heat
Induration
Pain
Edema
Redness
HIPER
Acid-Base
Respiratory
Opposite
Metabolic
Equal
ROME
Cancer's early warning signs
Change in bowel or bladder
A lesion that does not heal
Unusual bleeding or discharge
Thickening or lump in breast or elsewhere
Indigestion or difficulty swallowing
Obvious changes in wart or mole
Nagging cough or persistent hoarsness
Unexplained weight loss
Pernicious Anemia
CAUTION UP
Cancer interventions
Comfort
Altered body image
Nutrition
Chemotherapy
Evaluate response to meds
Respite for caretakers
CANCER
Hypoglycemia
Tachycardia
Irritability
Restless
Excessive Hunger
Diaphoresis/Depression
TIRED
Adrenal gland hormones
Gluccocorticoids (Sugar)
Mineralcorticoids (Salt)
Androgens (Sex)
SSS (Sugar, Salt, Sex)
Pulmonary edema
Morphine
Aminophylline
Digitalis

Diuretics (Lasix)
Oxygen
Gases (Blood Gases ABG's)
MAD DOG
Circulatory checks
Pain
Paresthesia
Paralysis
Pulse
Pallor
5 P's
Hypertension nursing care
Daily weight
Intake and output (I & O)
Urine output
Response of BP
Electrolytes
Take pulses
Ischemic Episodes (TIA)
Complications (4 C's)
DIURETIC
Hypertension complications
Coronary artery disease (CAD)
Coronary rheumatic fever
Congestive heart failure (CHF)
Cardio vascular accident (CVA)
4 C's
Complications of a trauma client
Tissue perfusion problems
Respiratory problems
Anxiety
Unstable clotting factors
Malnutrition
Altered body image
Thromboembolism
Infection
Coping problems
TRAUMATIC
Cyanotic defects
Tetralogy of fallot
Truncus arteriosus
Transportation of the great vessels
Tricuspid atresia
4 T's
Cranial nerves (sensory, motor, or both)
OLfactory-----sensory
OPtic-----sensory
OCculomotor-----motor
TROchlear-----motor
TRIgeminal-----both
Abducents-----motor
Facial-----both
VEstibulocochlear-----sensory
Glossopharyngeal-----both
VAgus-----both
Spinal accessory-motor
Hypoglossal-----motor
OLympic-----Some
OPium-----Say
OCupies-----Marry
TROubled-----Money
TRIathletes-----But
After-----My
Finishing---Brother
VEgas-----Says
Gambling-----Big
VAcations-----Breasts
Still-----Mean
High-----More
Nursing care for sprains and strains
Rest
Ice
Compression
Elevation
RICE
Care of a client in traction
Temperature (extremity, infection)
Ropes hang freely
Alignment
Circulation Check (5 P's)
Type and location of fracture
Increase fluid intake
Overhead trapeze
No weight on bed or floor
TRACTION
OB non-stress test
Non-reactive
Non-stress is
Not good
3 N's (3 negative in a row to interpret results)
Severe pre-eclampsia
Hemolysis
Elevated
Liver function tests
Low
Platelet count
HELLP
Assessment tests for fetal well-being
Amniocentesis
L/S ratio
Oxytocin Test
Non-stress test
Estriol level
ALONE
Evaluation of episiotomy healing
Redness
Edema
Ecchymosis
Discharge, Drainage
Approximation
REEDA
Post-partum assessment
Breasts
Uterus
Bowels
Bladder
Lochia
Episiotomy/lacerations/c-section
BUBBLE
Tracheal esophageal fisula
Choking
Coughing
Cyanosis
3 C's
Cleft lip post-op care
Choking
Lie on back
Evaluate airway
Feed slowly
Teaching

Larger nipple opening
Incidence increased in males
Prevent crust formation and aspiration
CLEFT LIP
ADL's (Activities of daily living)
Bathing
Ambulation
Toileting
Transfers
Eating
Dressing
BATTED
IADL's (Instrumental activities of daily living)
Shopping
Cooking and cleaning
Using telephone or transportation
Managing money and medications
SCUM
Bleeding precautions
Razor electric/blades
Aspirin
No neeles (esp. in small gauge)
Do decrease in needle sticks
Injury (protect from)
RANDI
Canes
Cane
Opposite
Affected
Leg
COAL
Walkers
Walker
With
Affected
Leg
Wandering Wilma's Always Late
Common causes of transient incontinence
Delirium
Infection
Atrophic urethra
Pharmaceuticals
Psychologic
Excess urine output
Restricted mobility
Stool impaction
DIAPERS
Promotion of normal elimination
Position
Output
Offer fluids
Privacy
Exercise
Report results

Size (amount)
Consistency
Occult Blood
Odor
Peristalsis
POOPER SCOOP
Emergency trauma assessment
Airway
Breathing
Circulation
Disability
Examine
Fahrenheit
Get vitals
Head to toe assessment
Intervention
ABCDEFGHI
Trauma surgery
Allergies
Medications
Past medical history
Last meal
Events surrounding injury
AMPLE
Dyspnea
Pulmonary bronchial constriction
Possible foreign body
Pulmonary embolus
Pneumothorax
Pump failure
Pneumonia
6 P's
Lidocaine toxicity
Slurred speech
Altered central nervous system
Muscle twitching
Seizures
SAMS
These Drugs Can Interact
Theophyline
Dilantin
Coumadin
Iosone (erythromycin)
TDCI
Serious complications of oral birth control pills
Abdominal pain
Chest pain
Headache
Eye problems
Severe leg pain
ACHES
Emergency drugs to lean on
Lidocaine
Epinephrine
Atropine sulfate
Narcan
LEAN
Drugs for bradycardia and low BP
Isoproterenol
Dopamine
Epinephrine
Atropine Sulfate
IDEA
Cholinergic crisis
Salivation
Lacrimation
Urination
Defecation
SLUD
Depression Assessment
Sleep disturbances
Interest decreased
Guilty feelings
SIG
Energy decreased
Concentration decreased
Appetite
Psychomotor function decreased
Suicidal ideations
CAPS
Alzheimer's Diagnosis
Amnesia
Anomia
Apraxia
Agnosia
Aphasia
5 A's
Major symptoms of a manic attack
Distractability
Indiscretion
Grandiosity

Flight of ideas
Activity increase
Sleep deficit
Talkative
DIG FAST
Blindness
Preventable
Painless
Permanent
3 P's
Symptoms of leukemia
Anemia
Neutropenia
Thrombocytopenia
ANT
Exercise guide for diabetic fitness
Frequency (3x's/wk)
Intensity( 60-80% of max. HR)
Time
FITT
Symptoms of hypoxia
Early:
Restlessness
Anxiety
Tachycardia/Tachypnea

Late:
Bradycardia
Extreme restlessness
Dyspnea
RAT BED
Symptoms of hypoxia in pediatrics
Feeding difficulty
Inspiratory Stridor
Nares flares
Expiratory grunting
Sternal retractions
FINES
Management of asthma
Adrenergics (Albuterol)
Steroids
Theophylline
Hydration (IV)
Mask (oxygen)
Antibiotics
ASTHMA
Epiglottitis
Airway closed
Increased pulse
Restlessness

Retractions
Anxiety Increased
Inspiratory stridor
Drooling
AIR RAID
Blood flow through the cardiac valves
Tricuspid
Pulmonic
Mitral
Aortic
Try Pulling My Aorta
Immediate treatment of a miocardial infarction client
Morphine
Oxygen
Nitroglycerine
ASA
MONA
Treating CHF
Upright position
Nitrates (in low dose)
Lasix
Oxygen
Aminophylline
Digoxin

Fluids (decrease)
Afterload (decrease)
Sodium restriction
Test (digoxin level, ABG's, K level)
UNLOAD FAST
Make sure dementia client does not have problems with...
Drugs and alcohol
Eyes and ears
Metabolic and endocrine disorders
Neurologic disorders
Tumors and trauma
Infection
Arteriovascular disease
DEMENTIA
Osteoporosis risk factors
Alcohol use
Corticosteroid use
Calcium low
Estrogen low
Smoking
Sedentary lifestyle
ACCESS
Who needs dialysis?
Check:

Acid-Base problems
Electrolyte problems
Intoxications
Overload of fluids
Uremic symptoms
Check the vowels: AEIOU
Prostate problems are no...
Frequency
Urgency
Nocturia
FUN
BRAT diet for severe dehydration
Bananas
Rice
Apple sauce
Toast
Gluten free diet
Rye
Oats
Wheat
ROW
Assess changes in senile dementia
Judgment
Affect
Memory
Cognition
Orientation
JAMCO
Diabetes mellitus-type 1 signs and symptoms
Polyuria
Polydypsia
Polyphagia
3 P's
Right-sided heart failure
Hepatomegaly
Edema (Bipedal)
Ascites
Distended neck veins
HEAD
Left-sided heart failure
Cough
Hemoptysis
Orthopnea
Pulmonary congestion (crackles/rales)
CHOP
Hyperkalemia management
Kayexalate (orally/enema)
Insulin
Na HCO3
Diuretics (Furosemide and thiazides)
KIND
Management of myocardial infaction
Morphine
Oxygen
Nitrates (nitroglycerin)
Aspirin
Thrombolytics
Anti-coagulants
Stool softeners
MONATAS
Electrolytes
Potassium
Inside
Sodium
Outside
PISO
Eating disorder: ANOREXIA
Amenorrhea delayed
No organic factors account for weight loss
Obviously thin but feels fat
Refusal to maintain normal body weight
Epigastric discomfort (common)
X-symptoms (peculiar symptoms)
Intense fears of gaining weight
Always thinking of foods
ANOREXIA
Eating disorder: BULIMIA
Binge eating
Under strict dieting
Lacks control over-eating
Induced vomiting
Minimum of two binge eating episodes
Increase/persistent concern of body size/shape
Abuse of diuretics and laxatives
BULIMIA
Findings of a bulimia client
Weight loss of 15% of original body weight
Amenorrhea
Social withdrawal
History of high activity and achievement
Electrolyte imbalance
Depression/distorted body image
WASHED
Outcome of alcoholism
Brain damage
Alcoholic hallucinosis
Death
BAD
Behavioral Problems of alcoholism
Denial
Dependency
Demanding
Destructive
Domineering
5 D's
Situations requiring crisis situation
Ruthless
Abusive
Personal
Experience
RAPE
Warnings signs of child abuse/neglect
Child's excessive knowledge on sex and abusive words
Hair growth in various lengths
Inconsistent stories from the child and parent(s)
Low self esteem
Depression

Apathy, no emotion
Bruised
Unusual injuries
Serious injuries
Evidence of old injuries not reported
CHILD ABUSE
Heart murmurs
Stenosis
Partial obstruction
Aneurysms
Septal defect
Mitral regurgitation
SPASM
Hyperthyroidism signs and symptoms
Tremor
Heart rate up
Yawning (fatigueability)
Restlessness
Oligomenorrhea and amenorrhea
Intolerance to heat
Diarrhea
Irritability
Sweating
Muscle wasting and weight loss
THYROIDISM
Difference between miotic and mydriatic substances (effects)
Miotic:little word=little pupil
Mydriatic: big word=big pupil
Anticholinergic side effects
can't see
can't pee
can't spit
can't shit
Most common causes of post-op fever
Wind (think pneumonia, splinting, incentive spirometer exercises not done, DB+coughing not done)
Water (dehydration)
Wound (infection, dehiscence)
Walking (PE)
Wonder drug (appropriate antibiotic)
5 W's
Acute pancreatitis
Idiopathic

Gallstone
Etoh
Trauma
Steroids
Mumps (paramyxovirus) and other viruses (EBV, CMV)
Autoimmune
Scorpion sting/snake bite
Hypercalcemia, hyperlipidemia and hypothermia
Ercp
Drugs, duodenal ulcers
I GET SMASHED
Causes of hyperkalemia (increased K+)
Medications (ACE inhibitors, NSAIDS)
Acidosis
Cellular destruction
Hypoaldosteronism, hemolysis
Intake (excessive)
Nephrons, renal failure
Excretion (impaired)
MACHINE
Signs and symptoms of hyperkalemia (increased K+)
Muscle weakness
Urine, oliguria, anuria
Respiratory distress
Decreased cardiac contractility
ECG changes
Reflexes, hyperreflexia, or areflexia (flaccid)
MURDER
Signs and symptoms of hypernatremia (increased sodium)
Fever (low grade), flushed skin
Restless (irritable)
Increased fluid retention and increased BP

OR

Skin flushed
Agitation
Low-grade fever
Thirst
Edema (peripheral and pitting)
Decreased urinary output, dry mouth
FRIED or SALT
Signs and symptoms of hypocalcemia (decreased calcium)
Convulsions
Arrhythmias
Tetany
Spasms and stridor
CATS