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23 Cards in this Set
- Front
- Back
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Which of these clients should the nurse question the provider of care regarding the appropriateness for an order to administer an anticholinergic medication |
1. A client going to surgery for GI surgery 2. a client who is presenting with Parkinson's symptoms from an antipsychotic drug 3. a client who has glaucoma 4. a client who is going to surgery for an exploratory lap |
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During the history, a client reports a previous allergic reaction to penicillin. The provider of care orders cephalic lore what is the highest priority of care |
A start an IV B identify wrist bracelet for correct client identity C verify accuracy of order D monitor BUN and creatinine prior to administering the medication |
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CEF the Giant |
Gi: nausea vomiting diarrhea. I increase glucose values. A Anaphylaxis may occur, alcohol may cause vomiting. N nephrotoxicity. T thrombocytopenia |
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CORA coumadin |
C - check v/s, platelet count, PT O - observe for bleeding R - review bleeding protocol: ie electric razors, soft toothbrushes, excetera A - avoid aspirin: ASA, may use acetaminophen |
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Which statement made by the client discharged on coumadin would indicate a need for further teaching |
Number 1 I will need to use an electric razor number 2 I will observe my bowel movements for blood number 3 I will eat more broccoli and green leafy vegetables in my diet number 4 I will need to have periodic blood test to evaluate my levels |
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DROOPY DEUTERONOMY |
Depressed respirations Dizzy Drowsy Drug dependence Decreased blood pressure Decreased GI peristalsis and urine output |
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Pain scale |
1 - 3 mild 4 - 6 moderate 7 - 10 severe |
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After receiving shift report, which of these clients should be assessed initially |
Number 1 A 30 year old client receiving morphine and is complaining of lightheadedness number 2 a 40 year old client receiving morphine and is complaining of dizziness when getting out of bed quickly number 3 a 50 year old client receiving morphine and has respirations of 24 increased from 18 number 4 a 60 year old client receiving morphine and has respirations of 14 that have decreased from 22 |
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PERKY PERKOLATOR:: NARCAN |
Perspiration Pulse Puke Pain Pressure |
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Amino mice : can't hear, can't pee, can't feel |
Monitor BUN and creatinine I & O, 8th cranial nerve, Gentamycin Amikacin Kanamycin Neomycin Streptomycin Tobramycin |
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3 amino mice to the tune of three blind mice |
One can't feel, one can't hear, one can't P, there toxic mice all three. Vestibular function and audiograms should always be studied in patient care plans. Grab buns and creatinine quick as you can, yes 3 amino mice |
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Which of these clinical data finding would be the highest priority to report to the provider of care for a client who has been taking gentamicin |
Number one BUN of 15 number 2 nausea number 3 temperature 98.9 degrees number 4 tinnitus |
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Which statement made by the CNA indicates the nurse should intervene with a client who is taking streptomycin |
Number one the clients temperature is 99.1 degrees number 2 the client does not seem to hear me number 3 the client is requesting to walk number for the client is drinking a lot of water |
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What should be the priority plan for a client who is taking streptomycin |
One monitor vital signs prior to administering the medication to monitor the AST /alt 3 monitor the BUN and creatinine number for monitor the serum glucose |
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Rudolph the Red neck Reindeer |
Rudolph the Red Nosed Reindeer had an adverse side effect. From the drug vancomycin, must keep all labs in check. Caution with renal failure, hearing loss and allergies, take a temp and blood cultures, especially a CBC |
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What action should be a priority for a client who is receiving vancomycin over 30 minutes and begins presenting with a flushed neck and face |
Number one excessive clients temperature immediately number 2 administer the antihistamine that was ordered number 3 immediately discontinue the medication and call the doctor number for slow the rate of the medication infusion |
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Amphoterrible: amphotericin B |
Verse 1: amphotericin B, foe of fungus, you see. But's hard on the kidneys amphotericin B Verse 2: will kill histoplasmosis coccidiomycosis, this drugs really ferocious. Amphotericin B Chorus: strict I & O ( snap fingers twice). Kidney functions must know (snap fingers twice). Alt below 60. Ast below 40. Keep IV a'flow (snap fingers twice) Verse 3 so watch for low potassium level, and dig toxic signs as well. Catch problems before they swell. Amphotericin B |
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What lab values would be a most important event to evaluate for a client who is taking amphotericin B |
Number one AST /alt number to serum amylase number 3 serum glucose number for serum lipase |
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What clinical assessment findings should be a priority to report to the provider of care for a client who is taking amphotericin B |
1 anorexia to muscle cramps 3 spike T waves 4 skin hot and dry |
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Soggy SID salt |
So he said salt |
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Diabetes insipidus: DILUTE |
Dry I & O, daily weight Low specific gravity Urinates a lot Treat - pituitary hormone r E hydrate : rehydrate |
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Tune of B I N G O :: syndrome of inappropriate antidiuretic hormone |
S I A D H, S I A D H, S I A D H This hormone stops the pee-pee. Verse 1 Brain tumors, trauma, and bad bugs - A complication might be - S I A D H, S I A D H, S I A D H, S I A D H This hormone stops the pee-pee. Verse 2 Low output, sodium; gained weight and high S. Gravity S I A D H, S I A D H, S I A D H This hormone stops the pee-pee Verse 3 but, diabetes insipidus the opposite you'll see. P, p... Give IVs... P. P.... Give IV. P. P.... Give IV. Vasopressin they need. Verse 4 Hi output, sodium colon pounds lost, and low specific gravity. P pee... Give Abby, P pee... Give IV. P pee give Ivy. Vasopressin they need
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Which statement indicates a client with diabetes in syphilis needs additional information during the hospital discharge teaching |
Number one I will wait myself daily using the same scales number 2i will drink liquids equal to the amount of my urine output. Number 3 I will always wear my medical alert bracelet. Number for I will win myself off the vasopressin |
