Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
179 Cards in this Set
- Front
- Back
|
acute post-infectious glomerulonephritis |
no longer in the kidneys. not a priority. |
|
|
probable pregnancy times |
positive urine pregnancy test, uterine enlargement, hedgars sign and chadwicks sign. |
|
|
fluid needed after tpn |
give hypertonic dextrose solution after stopping feeding |
|
|
side effects of isoniazid |
periphral neuropathy, n/v, thrombocytopenia, epigastric. need b6 to prevent neuropathy. |
|
|
patient with troubled central line |
place on left side in trendelenburg |
|
|
prosethitic fiting for above the knee ambutation |
aka given rigid cast that prevents bleeding. |
|
|
bilateral parotoid gland enlargement |
sign of chronic vomit, not a priority. a hoarse voice that is barely audible is the priority. |
|
|
phenazopyradine |
UTI analgesic |
|
|
signs of heat stroke |
hypotension, tachypnea, tachycardia, bizarre behavior. |
|
|
lithium toxicity |
n/v, slurred speech, muscle weakness. |
|
|
pain relief for sciatic nerve |
elevate at 45 degress and flex the knees. |
|
|
what to think when you see aspirin |
ASPIRIN = BLEEDING |
|
|
assessment of mysthenia gravis |
muscle weakness that improves with rest, ptosis, diplopia. |
|
|
risks for post partum hemmorhage |
rapid labor with a small fetus |
|
|
rule for time outs |
1 minute for every age . starting from being a toddler. |
|
|
diaphormatic excursion |
done on posterior chest. checks for movement . |
|
|
major effects of lung cancer |
will cause SIADH |
|
|
trigeminal neuralgia aka tic doulerex |
causes agonizing facial pain, patients want to commit suicide. treat with tegretol aka carpenzamide/anti seizure. |
|
|
contraindication for the flu vaccine |
eggs |
|
|
when is BUN elevated |
salt and water depletion - fluid deficit
|
|
|
cleft pallate repair |
done after 18 months. don't put ANYTHING in the mouth. |
|
|
implementation of PAD |
never heat the legs directly using any form of heat. should heat the abdomen instead which will cause a reflex in the eggs. |
|
|
assessment of vaginal discharge |
indicates super infection |
|
|
preventions of constipation |
soluble and insoulable fiber. need to drink atleast 8 glasses of water. |
|
|
fire safety |
Protect from injury Report from injury Contain the fire
Rescue or remove the patient Activate the fire alarm Contain Extinguish the fire |
|
|
assessment of GERD |
burning epi gastric pain relieved by laying down |
|
|
what is phenylzine sulfate |
aka nardil. an MAOI. cant have maoi with banana because it has tyramine |
|
|
wilms tumor |
cancer of the kidneys. monitor the abdomen, can have hypertension |
|
|
what is phenelzine sulfate |
MAOI, dont have wth tyramine |
|
|
conversion reaction |
an experience presents its self physiologically. is a form of repression. |
|
|
what accident for school aged children |
bicycle and sports related injuries. |
|
|
use of nystatin |
do not use commercial mouthwash, swallow the nystatin, give soft bland foods. |
|
|
surgery and corticoid steriods |
requires increased dosage due to trauma |
|
|
CABG |
minimal bleeding, pain for 6-12 weeks, swelling of donor site is normal |
|
|
draining abdominal absess |
assess character - sangious, serosangious or purulent |
|
|
autonomic dysreflexia |
have patient sit uprght then empty the bladder. |
|
|
alcoholism hallucnations |
delusions or halluic means worsening of the withdrawal. |
|
|
anemia diet |
high protein, high iron and vitamin |
|
|
early signs of lithium toxicity |
n/v, slurred speech, muscle weakness, diarrhea, thirst, polydipsia. |
|
|
advanced signs of lithium toxicity |
hand tremors, ataxia |
|
|
assessment of ms |
urinary retention, hyperactive reflex, tingling, facial pain, decreased memory |
|
|
incontinent alzheimers patient |
toilet at regular periods |
|
|
problems with hip spica cast |
cast syndrome. patient presents bloated, abdominal pain, n/v, |
|
|
hyperactive bowel sounds |
greater than 30 |
|
|
position for embolus |
left lying lateral trendelberg |
|
|
wilms tumor |
measure abdominal girth. only treatment is surgery |
|
|
bucks tracito |
inspect skin 3x a day, turn to unaffected side, dorsiflex affected side, elevate foot of the clients bed |
|
|
when does the fetus suck thumb |
20 weeks |
|
|
beta blockers and diabetes |
block the symptoms of hypoglycemia |
|
|
fundus after birth |
6-12 hours at the umbilicus. moves 1 finger a day after that. |
|
|
ssri and dilusion hyponatremia |
at rsk for seizures |
|
|
central venous catheter implementation |
inserted into the right side of body, place patient on left side. tilt head away, postion with head down, PATIENT SHOULD NOT DEEP BREATH.perform valsalva |
|
|
contraindications for a central line |
excess amount of fluid or discharge at the insertion sitewhich indicates a thrombus or infection. |
|
|
HIV outside the body |
doesnt survive for long. destroyed by hot water and detergent |
|
|
sucralfate |
forms a protective barrier over the ulcer |
|
|
what is a scleral buckle |
used for a retinal detachment. do not irrigate and wear an eye shield. assess for any strain |
|
|
foods cross sensitive with latex |
tomatoes/avocado/ peach/grapes/. all fruits and veggies except spinach |
|
|
creatinine clearance test |
do not increase protein, patient should rest, increase fluids and put urine on ice/cold |
|
|
high risk countries for tb |
asia, middle east, africa, latin america, NOT EUROPE, and carribean. |
|
|
symptoms of placenta previa |
painless, sudden bleeding in third trimester |
|
|
abruptio placenta |
painful bleeding, abdomen is tender, painful and ridgid. |
|
|
blood glucose monitoring in the elderly |
renal threshold for is elevated, glucose wont appear in the urine. |
|
|
before a cardiac cath assessment |
may have diminshed pulses, may have cool extremeties |
|
|
calcium and lead |
calcium inhibits the absorbtion of lead, decreases its affects. |
|
|
how to elavuate babys lung funtion |
done with the l/s ratio using amniocentesis. |
|
|
cholecytitis |
seen with right upper quadrant pain |
|
|
addisons crisis |
restless, rapid and weak pulse. |
|
|
presence of pincer grasp |
9 months |
|
|
HIPPA and sig other |
can share medical info with this person |
|
|
assessment of etopic pregnancy |
left lower quadrant pain and vaginal spotting |
|
|
signs of lithium toxicity |
fine hand tremors are normal, coarse hand tremors show toxicty. along with ataxia, tinnitus, slurred speech, and muscle weakness. |
|
|
M.S assessment |
do not overexcete muscles during attack, can make it worse. avoid heat and humidity, can make it worse. should sleep on stomach during an attack to avoid legs being contracted. |
|
|
COPD and oxygen therapy |
if the patient is oxygenated too quickly they will have a decreased respiratory drive and can go into lung failure. |
|
|
interventions for flail chest |
monitor the clients vital signs for shock, pain meds, turn cough deep breath, abg, doesnt need surgery patient will get peep. |
|
|
classification of indomethacin |
NSAID |
|
|
patho of cateracts |
the lens gradually lose moisture and their density increases. lens are less hydrated |
|
|
increase in whitish vaginal secretions |
expected during first trimester |
|
|
assessment of spontaneous abortion |
frank, red, vaginal bleeding. with moderate cramps. |
|
|
assessment of etopic pregnancy |
unilateral dull pain |
|
|
assessment of autonomic dysreflexia |
severe pounding headache, profuse sweating, bradycardia and HYPERTENSION, nasocongestion and piloerection. |
|
|
frequency of pku test |
done at discharge and should be repeated within 2 weeks |
|
|
assessment of intestinal obstruction |
hyper active bowel sounds above level of obstruction and hypoactive sounds below. see n/v, abdominal distention but no bleeding. |
|
|
use of miller abbot tube |
remove fluid and gas from the small intestine. |
|
|
what are cataracts |
opaque and dense areas of eyes |
|
|
risk factors for GERD |
fat, forty, female, fertile. |
|
|
stages of chronic renal failure |
1st phase - kidneys are still working at a moderate level. will never rejuvinate, need life style changes. wont concentrate urine and patient goes more often
2nd phase - 30 - 60 gfr. patient begins to see oliguira, edema,
3rd phase - need to dialysis |
|
|
cataracts surgery |
done in 2 hrs, go home that day. patient will need to get a flu shot to decrease risk of increased ICP. |
|
|
hemophilia with joint pain |
indicates bleeding into the joint. treat with RICE, rest/ice/compression/elevation |
|
|
normal IOP |
10-21 |
|
|
IV rate for KVO |
20 ml/hr |
|
|
indication of full bladder during pregnancy |
fundus below the umbilicus, deviated to the right of midline and boggy, |
|
|
effect of lumbar lesion |
cause parasthesia, pain, weakness and atrophy. |
|
|
nagel's rule |
add 7 days to the FIRST day of the period and subtract 3 months |
|
|
dexamethasone test |
tests how well body uses cortisol. may be used to assess presence of major depression. |
|
|
cataracts surgery implementation |
client can lay supine but should not lay on the affected side. |
|
|
only medication given through TPN |
insulin and food. |
|
|
not expected with head injury |
patient should not be vomitted |
|
|
assessment of HTN crisis with an MAOI |
headache, nasea, rapid heartbeat and vomit. |
|
|
suture line that is red |
red = infection. should be pink. slight swelling under the suture line is normal |
|
|
cleaning a tube feeding |
rinse the feeding bag every 4 hours and change the formula every 4 hours. |
|
|
purpose of cough and deep breathing |
cough and deep breathng improves and maintans good gas exchange. helps with removal of carbon dioxide to prevent respiratory acidosis. |
|
|
early decels |
occur early in the contraction and are due to compression of the fetal head. |
|
|
assessment of a seizure |
ask the patient what they were doing because seizures have precursors or triggers. |
|
|
night before the IVP |
need a cleasing enema the night before for visualization of the urinary tract |
|
|
assessment of guillian bairre syndrome |
respiratory failure, flaccid parlysis, urinary retention. |
|
|
assessment of hiatal hernia |
awakening at night with heartburn, dont typically see pain during the day. |
|
|
when can the child jump with both feet |
at 3 years of age |
|
|
compulsive behavior |
helps the client avoid undesirable thoughts and maintain some control over guilt and anxiety. unconsious attempt to control or relieve tension. |
|
|
tricyclic antidepressants |
slow dosing. most common TCA is amitriptyline and imipramine. blocks reuptake of NE, so everything goes down. see hypotension, and anticholinergic effects. |
|
|
diabetes during pregnancy |
increase insuling during pregnancy and decrease after preg |
|
|
hypoglycemia in an infant |
below 25. see cyanosis, tacypnea, irregual rythems, weak cry and lethargy. mottling of the skin is predictive of cold stress. |
|
|
give rho gam |
baby is rh-POSITIVE and mother is negative. the baby has antibodies that the mother doesnt have, needs to treat the mother. |
|
|
deudonal ulcers |
pain after meals. |
|
|
him implant implementation |
avoid flexion beyond 60 degrees, avoid internal rotation and abduction |
|
|
paraplegia |
only affects the legs. quadruiplegia affects everything. |
|
|
aspirin during pregnancy |
can cause fetal hemorrhage |
|
|
special consideration with prochlorperazine |
an anti emetic. cant be mixed in a syringe with anything else |
|
|
implementation for antiembolism stocking |
should never be removed from the patient. wear the entire time of hospitilzation except for during a bath. |
|
|
normal reaction for a masectomy |
normal to cry less than 1 month after and will have trouble adjusting. |
|
|
sucralfate |
coats the stomach to prevent ulcers, best 1 hour before meals. seperate from other med by 2 hrs |
|
|
withdrawal from narcotics |
similar to the flu. see fever, runny nose, yawning, muscle and joint pain, diarrhea. |
|
|
normal AST and ALT |
10 -40 |
|
|
self cath timing |
initally every 2-3 then goes up to every 6-8 |
|
|
acute phase of rape |
express reactions and feelings, begin to deal with it and develop insight before medical. |
|
|
severe to panic anxiety |
do not encourage client to express feelings and precursors. may need seclusion or meds |
|
|
reversing neuroleptic malignant syndrome |
see ridigty, tachypnea, fever, tachycardia. give dantrolene |
|
|
assessment of hemolytic reaction |
naseu, vomit, lower back pain, hematuria. more serious than fluid overload or allergic reaction. |
|
|
epidora meds |
decreased narcotic, same level of sedative |
|
|
side effects of terbutaline |
tachycardia and hypoglycemia |
|
|
antipsychotics can cause |
can cause postural hypotension |
|
|
procainamide |
anti arrythmic |
|
|
precautions for cmv |
standard precautions |
|
|
time to take h2 blockers |
take h2 blockers once a day at the time of sleep |
|
|
school aged children |
takes learn time to read and write. initally give them responsibility around the house. |
|
|
signs of hyponatremia |
headache, lethargy, muscle twitching, convulsion, diarhea, fingerprinting of the skin. |
|
|
pregnant client with MS |
reduction in the amount of pain meds required |
|
|
ambulation with gout |
patients movements should not be restricted can increase the problem. avoid constant weight bearing. |
|
|
insulin after fetus delivery |
blood sugar levels will suddenly fall because of a decreased need for insulin. |
|
|
what is biperidan |
antiparkison |
|
|
assessment of kaposi sarcoma |
small painless purplish/brown spots. important to keep skin clean |
|
|
restraining a pysch patien that has caused harm |
not battery |
|
|
head injury elevation |
30 degrees |
|
|
SLE and pregnancy |
should be in remission 5 months, normal gestation, wait 2 years to get pregnant with sle |
|
|
second degress burns |
creams lotion and ointments should not be applied to the burn. remove clothing and wrap in a sheet. |
|
|
spread of hep b |
blood and body fluids. can be spread thru sex. |
|
|
reaction to vaccine |
low grade fever , 12-24 hrs |
|
|
risk for breast cancer |
after 50, early period, genetics |
|
|
assessment of mys. gravis |
muscle weakness improved by rest, ptosis and diplopia |
|
|
cardiac cath |
NPO 8-12 hrs, bed rest for 8 |
|
|
mantoux test |
indicates client was exposed to tb doesnt necessarly mean he has it. needs to have an xray |
|
|
assessment of disseminated intravascular coagulation |
client is oozing blood from the site and incision |
|
|
assissting patient walking with cane |
stand slightly behind the client and on the strong side |
|
|
hepatitis b vaccine |
repeated at 1 month and 6 months |
|
|
spina bifida myelomenigocele |
nerves that are restored and cant be repaired. corrective surgery will not change the disability |
|
|
fluid volume deficit always |
DAILY WEIGHTS |
|
|
how often to breast feed |
should be done every 2-3 hours. dont use oils or massage the breasts. |
|
|
sign of impending convulsion |
epigastric pain |
|
|
child in the hospital at 2 yrs |
should provide comfort by using normal rituals as the patient would have at home |
|
|
cause of mitral valve stenosis |
rheumatic fever |
|
|
tube feeding |
can be assigned to lpn |
|
|
over use of patient controled narcotics |
call md if the patient is itchy. client is normal if they get sleepy, |
|
|
stastics |
non therapeutoc to paitent |
|
|
impetigo |
high infectious bacterial disease. see honey crusted lesions on the face |
|
|
tic doulerex |
eat soft warm foods. only symptom is extreme facial pain |
|
|
use of glucagon |
only if the patient is unconsious |
|
|
appendectomy |
first drainage changed by the physician |
|
|
ls ratio |
greater than 2:1 is adequate |
|
|
chlorpromazine |
antiemetic, has anticholinergic affects |
|
|
reducing stress on the suture line |
30 - 45 degrees |
|
|
gastrotomy tube |
flush with 30 ml |
|
|
h2 blockers |
taken with meals and at bedtime |
|
|
complication of isonizod |
dark urine and fatigue |
|
|
during surgery and insulin |
hold the dose and use a sliding scale |
|
|
transition phase of birth |
use short, shallow respirations |
|
|
giving medication to an infant |
place in an emoty nipple and allow the patient ot suck on the med |
|
|
client with confusion and dementia |
put them on a regular schedule |
|
|
3 month old |
give them a rattle |
|
|
san ganz catheter |
pressure in the ventricles |
|
|
s3 |
left sided heart failure |
