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73 Cards in this Set
- Front
- Back
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most accurate method to assess a patients nutrition
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review the food pyramid w patient
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primary purpose to document initial assessment is to
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validate the medical diagnosis
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which would best assess location of symptom
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where does it hurt (can you point to...)
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18 month old child - round pot belly and lordosis swayback, bowed legs and large head
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normal toddler
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where would you asses for symmetry when performing inspection of the face
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lateral canthus and palpepral conjuctiva
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myocardial infarction priority intervention is
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relief of pain
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pt refusing to discuss -
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denial
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teaching plan for CAD focus is on
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patient reports low activity
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pt goes to ER with chest pain -list meds- what gives the most immediate implaction for the patient care -
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viagra
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pt describes chest pain which suggests a Myocardial infarction
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PT RELIEVED with NITROGLYCERIN
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Info given with patient with chronic stable angina - what help nurse confirm diagnosis -
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Pain increased over last several weeks = CHRONIC STABLE ANGINA
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following an Acute Myocardial Infatcation - patient ambulates in hospital hallway - which response indicates level should be decreased -
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Heart Rate increases from 66 to 90 beat per minute
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when doing Nitroglycerin the patient shoudl
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SIT DOWN before putting Nitroglycerin
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heart disease results in reduced stroke volume - what phsyiological response would be expected to maintain normal cardiac output
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INCREASED HR
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client ordered daily nitroglycerin - what action would help avoid tolderance to vasodilating effects of med
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remove patch over night
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pt agressiovely treated for D.K.A. must monitor for what
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DEhydration
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what is true concerning IGT impaired glucose tolerance
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it is usually asymotomatic
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pt has increase intake of fluid and voiding and appetite increasing- what does pt have
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HYPER GLYCEMIA
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what is true in regard to DKA AND HyperglycemichyperosmolarNon Ketosis HHNK
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KETONES are present in URINE of DKA -
NO KETONES ARE PRESENT IN HHNK |
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Signs and symptoms of HYPOGLYCEMIA include
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pale clammy skin weakness and INCREAED pulse
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research indicates best method to control blood sugar and increase risk for complication is
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administer 3-4 injections of INSULIN per day
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pain STOPS when walking- RN should
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palpate Dorsalis Pedis and Posterial Tibial Pulses
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after AAA - left flank pain, 20 ml/2 hor voiding - RN anticipates
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order for BUNCREATINE
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return of peristalsis POST AAA =
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passing flatus while ambulation
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avoid IM injections to prevent localized bleeding when being infused with
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heparin
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RN teach after SCLEROTHERAPY -
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compression stockings in bed
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Venous statis ulcer needs
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External Compression to heal
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PAD Teaching includes
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important to stop smoking
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Pt high risjk FOR DVT - what does nurse assess for
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leg swelling and pain
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RN history - 5 cm thoracic anuerysm -
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as if pt has difficulty swallowing
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help prevent lung cancer would be to instruct patient about
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smoking cessation
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2 chest tubes attached to suction - what should RN see when assessing proper function
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gentle bubbling !
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pt - 63 year old smoker -2 packs a day 45 years - early syymptoms of lung cancer
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e3arly symptoms are nonspecific but can be cough, sob, moderate exertion
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Liver scan - treatmnent for lung CA is different if
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cancer is spread to liver then confined to just lungs
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if lower test tube falls out, you must
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cover site with vasoline
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pt says brain tumor benign - doesnt need removal, RN says
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bc benign tumors can continue to get larger when htey are in a place that could cause damage to normal tissue, they need removal
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extreme body wasting, malnutrition
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cachexia
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radiation implant brachytherapy on pt bead, RN must
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use tongs to place implant in radiation container
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biotherapy priority RN diagnosis -
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impaired comfort r/t side effect of drug!
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at pt with increase stomcach tumor aattached to liver is scheduled for debulking process - outcome of surgery is
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to reduce tumor burden to adjacent therapy
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MICROPDRIP =
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60 GTT/MIN DRIP RATE
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stress IMPORTANT of excercise, normal body weight, low fat diet bc
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dietary fat with obesity can promote cancer growth
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genetic cancers
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can arise in cells with altered genes
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vitals 90/58 increased plse 138 rr 34 back severe pain, what is needed
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surgery asap
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PAD = a chronic sign of PAD =
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pROLONGED capillary refill
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Reynaulds
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excercise INDOORS, avoid cold if you can
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no leafy green vegetables with
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COUMADIN
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pt is recieving IV chemo and ask nurse why nurse is wearing precaution wear - rn best response i
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the drugs are powerful and i handle them everyday - the clothing protects me from accidentally absorbing these strong cancer killing drugs
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which role best describes suppressor genes in cancer dvelipment
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suprressor genes control the expression of ONCOGENES reducting the risk for cancer development
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in monitoring the plately count of patients with hodgkins lymphoma, the nurse identifies that this level is below 75,000 -
(niormal clot is 150-450) |
the nurse will avoid giving injections to the PT
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which pathological description of a tumor would you interprest as very malignant or high grade
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undifferentiated
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pt ask if he is going to die after dx of benign neooplasm- how to answer?
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benign neoplasm are localized encapsulated growths that are usually easily removed and rarely cause ddeath
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nurse understands staging refers to
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EXTENT of disease
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ID side effect of radiation therapy is MOST COMMON
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fatigue
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diabetes assessment for UTI what causes increasded susecptibility to these infections
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glycosuria (sugar in urine)
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when advising child 15 years old and there parents about insulin administration nurse should
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demonstartaion supervision and practive for child and her parents to learn injection and site roatetion techniques
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nurse primary goal when caring for a child with DM is
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maintain normal growth development
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who is the hardest to adjust to diabetes mellatitis
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adolsecents
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insulin facilitates what?
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uptake of glucose
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BGM OF 250 =
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HYPERGLYCEMIA
70-120 NORMAL |
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Unable to palpate =
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notify MD
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ACE inhibitor you must
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instruct client assistant with rising from bed
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NGT=
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Sit down before taking
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a abnormal heart valve is indicative of
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rheumatic fever
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impaired glucose tolerance is usually
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asymptomatic
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a DIABETES DIET TO THE NORMAL PERSON IS CONSIDERED
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HEALTHY
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A.M.I. = pain greater than
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30 minutes
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Stimulates pancreatic beta cells to release insulin
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meglitinides
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After breast cancer surgery, an accumulation of lymph can occur in the soft tissue of the involved extremity. This is known as
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Lymphedema
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The two primary screening tools to detect prostate cancer are
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DRE DIGITAL RECTAL EXAM
PSA PROSTATE SPECIFIC ANTIGEN |
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Hormome therapy is a possible choice for treating prostate cancer. This therapy will exert a
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Anti-androgen effect
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In chronic lymphocytic leukemia, the type of lympocyte that is involved is the
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b cell
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In Hodgkins lymphoma, the histologic examination will reveal which of the following
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Correct Reed - Sternberg cells
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