Pytania

Front 1

Fetal complications in placenta previa

Back 1

Intrauterine growth restriction

Front 2

Peripheral Artery Disease (PAD)

Symptom

How to assess

Back 2

Leg pain when walking

ABI

Front 3

ABI index

Back 3

SBP in ankle : SBP in the arm

<0,9 PAD

<0,4 pain at rest, development of ulcers and gangrene

Front 4

Fetal HR

Back 4

110-160

Front 5

Hiatal hernia

Polski

Causes

Symptoms

Life threatning complication

Back 5

Przepuklina rozworu przełykowego

Coughing, vomiting, pregnancy, obese

If occurr as in GERD: heartburn, bloating

Gastric volvulus (more often with paraesophageal hernias) stomach twists >180 °: abdominal pain and distention, retching without vomiting

Front 6

Beonchodilators

SE

Overuse

Back 6

Tremors, nervousness, ^HR

Resp failure, urinary retention (anticholinergic effect)

Front 7

Tumor Lysis Syndrome

Changes in

Symptoms

Prevention

Back 7

^Uric acid, K, ¥Ca,

Dark urine, seizures, hallucinations, muscle cramps, ♡palpitation, AKI

Iv fluids, allopurinol &rasburicase( clear uroc acid from blood)

Front 8

Stress incontinenve >

Back 8

Disturbed body image

Can be managed

Front 9

Fractured ankle

Actions

Assess

Back 9

Immobilize, ice, elevate

Assess: swelling, capillary refill, T, movement, hematoma, sensation

Front 10

5P- assessing neurovascular state

Back 10

Pain, pallor, pulse, parasthesia, paralysis

Front 11

G-tube > ^ risk for

Back 11

Aspiration pneumonia

Front 12

Normal urine output:

Back 12

1-2 ml/kg/h

Front 13

PRN

Back 13

Pro re nata = as needed

Front 14

Aortic aneurysm

Pain

Top priority, then

Back 14

In the back and shoulders

¥ BP < prn anti-HTN meds then

Provider, then EKG

Front 15

Carotid artery

Pol

Back 15

Tętnice szyjne

Front 16

Venous disorder > pain in leg

Priority

Back 16

Assess and palpate legs

Front 17

After cataract surgery

Back 17

Report:yellow/green drainage, sunglasses when outside, eye drops if imolant (2-4weeks), bend at knee (not waist), avoid coughing and sneezing

NOT necessary: eye patch

Front 18

Hyoerosmolar hyperglycemic syndrome (HHS)

Comatose state

Interventions

Monitor

Back 18

Patent airways, stable VS

Isotonic fluids (0,9/ringer), insulin iv

Sat, glucose, Na, K

Front 19

Suspected drug use of coworker

Back 19

Not confront, report to nursing manager

Front 20

Menieres disease

Ss

Back 20

Inner ear, mostly one ear

Vertigo (~20mins,<1day), tinnitus, hearing loss, feeling of fulness in ear

Front 21

DTaP vaccine

Back 21

Diphteria, Tetanus, Pertussis

2,4,6 months

15-18 ms

4-6years

11-12 yrs

Front 22

Meningococcal meningitis- precautions

Back 22

Droplet

Front 23

ABCDE- primary survey in ED

Back 23

Airway breathing circulation disability exposure&environment

Front 24

Enoxaparin > ^risk for

Back 24

Thrombocytopenia

If - hold the dose , assess for bleeding

Front 25

Petechiae

Cause

Back 25

Easy bruising on the skin and mucous membranes

Thrombocytopenia

Front 26

Most common complication after bowel surgery

Back 26

Internal bleeding

Front 27

Symptomatic PVC

Back 27

Beta blocker

Front 28

Menopause ss

Back 28

Hot flashes, insomnia, vaginal dryness, weight gain

Front 29

EMG (electromyography)

Back 29

Watch electrical response of muscles

No anesthesia

Front 30

Types of fractures

Greenstick

Bend

Buckle fracture

Back 30

Bend barely beyond the limit, slight break, usually closed and in children

Bend beyond 45°, but no break

Common in young children(porous bone is compressed)- raised bulge at the fracture site

Front 31

Rib fractures

Highest concern of concurrent injuries

The most fractures, but lowest possibility of concurrent injuries

Back 31

Right side, 1-2 (cervical spine trauma, major vessels injuries, injury of brachial plexus)

8-11

Front 32

Best intervention to promote lung expansion / improve atelectasis

Back 32

Incentive spirometry

Front 33

Shallow breathing after surgeey can cause

Back 33

Atelectasis

Front 34

Phenyloketonuria

restrict

Eliminate

Back 34

Dairy, meat, eggs

Aspartame

Front 35

Lymphedema <cancer surgery

Therapy

Back 35

Compression garments

Front 36

Therapy

GERD, heartburn

Gastroparesis

IBS

Candidosis

Back 36

IPP

Gut motility stimulator (metoclopramide)

Diet modification

Antifungal ie fluconazole

Front 37

Developmental coordination disorder

Back 37

Ss depend on severity of condition

Starts in childhood, persists into adulthood, NOT necessarily worsens with age

Manage < occupational&physical therapies

Front 38

Phlebostatic axis

Back 38

4th intercostal space at the mid-anterior-posterior diameter

Reference point: CVP monitor- 0 the system

Front 39

When Ss of stable angina

Back 39

Physical (exercises)/ emotional stress

Front 40

Parkland formula

Back 40

Fluid resuscitation in burns

4ml x % x kg in 24 hours

Half in 8 hours

Front 41

Parkland formula- children receive maintenance fluid in addidtion at rate of

Back 41

4ml/kg for first 10kg

2ml/kg for second 10 kg

1ml/kg >20 kg

Front 42

Miotic

Mydriatic meds

Back 42

Constrict

Dilate

Front 43

What is used for:

Hydrochloorthiazide

Heparin

Back 43

Diuretic- HTN, congestive HF, cirrhosis

MI, pulmonary embolism

Front 44

Chest tube > ^ risk of developing of

Hot to prevent that

Back 44

Pneumothorax (air builds up in pleural cavity & further collapses the lung)

Avoid clamping the tube, always keep drainage container below clients chest

Front 45

^bilirubin > phototherapy

Back 45

Expose skin (not genitals), avoid creams and lotions, eye protection (closed eyelids), monitor skin T

Front 46

HEENT assessment

Back 46

Head eyes ears nose throat

Hearing aids, pupillary response, dentition

Front 47

Retinal detachment ss

Back 47

Floaters, ring in the visual field,photopsia (flashes of light), blurry vision, loss of central/peripheral vision, painless

Front 48

Red conjuctiva can indicate

Back 48

Infection

Front 49

Low Calcium imoact on ♡

Back 49

<8,4

Prolonged action potential & inefficient contractility > prolonged ST &QT

Front 50

Presenting part (ie shoulders) with umbilical cord under it

Back 50

NOT reinsert, wrap cord loosely in sterile towel saturated with warm saline, elevate presenting part to relieve pressure on the cord, reposition client into a knee chest position

Front 51

HIV positive mom- antibodies in baby that may falsely indicate positive HIC

V

Back 51

For 18 months

Antiretroviral meds for newborn

Front 52

Suspected HIV in newborn

Back 52

Adm vaccines but not live ones (after confirmation that HIV is negative)

Front 53

Condition that effects musculoskeletal system during pregnancy

Back 53

^lumbosacral curve >low back pain

Also calves cramps (2&3 trimester), carpal tunnel syndrome (usually both hands),

Relaxation of joints can occur (especially pelvic joints) NOT swelling

Front 54

Denial

Back 54

Help to recognize the painful feelings

NOT reassure

Acting out is not okay

Front 55

Postpartum depression first choice med

Back 55

Sertraline (SSRI) - passes to milk, but no immediate effects

In addition : Hormone replacement therapy

Front 56

Priority goals for a kid with burn injuries

Back 56

Prevent heat loss &infection, replace fluids

Front 57

Symptomatic hypoglycemia in ER

Back 57

Glucagon, continuous infusion of dextrose, recheck glycemia in 15 mins

Front 58

If pulmonary edem occurs in HF need to

Back 58

^ diuresis

Front 59

Pain relief in terminal cancer

Back 59

Around-the clock dosing gives better pain relief than as-needed

Front 60

Early sign of hypovolemic shock

Back 60

^HR

Progression of shock> ^ depth of RR

Front 61

Digoxin what it is and how works

Indications

Ae

Back 61

Cardiac glycoside, ^contractility of ♡

Second line treatment in HF (narrow therapeutic range&potential for AE)

GI disturbances, neuro abnormalities, ¥HR/ irrwgularities, ocular disturbances

Front 62

After mastectomy

Back 62

do NOT use razor, no BP &blood drawn, info to all doctors, wear thick mitt hand covers when cooking and touching hot pans

Front 63

Morphine- priority action

Back 63

Encourage to cough and deep breath ( suppresses cough reflex and respiratory reflex)

Front 64

Dystocia

Pol

Priority action

Back 64

Urodzenie główki i zatrzymanie porodu

Monitor for changes in the condition of the mother and fetus

Front 65

Arm cast, complaints of pain at the wrist, first action

Back 65

Check for parasthesia & paralysis

Front 66

Cataract- priority

Back 66

Altered vision due to opacity of the ocular lens

Front 67

Angina pectoris , chest pain

Back 67

Administer up to 3 nitroglycerin tablets 5 mins apart from each other if pain is unrelieved, in the meantime check BP

Front 68

Pleural effusion, chest tube

Fluctuation of water in the water seal chamber

Responding well to treatment

Drainage stops suddenly

Back 68

Normal

Amount of drainage gradually decreasing

Assess for kink/ blockage

Front 69

Hallmarks of digoxin toxicity

Back 69

Anorexia, nausea, vomiting

Front 70

CT with oral contrast - remain NPO at last

Back 70

3 hours before the test

Front 71

MRSA in wound- precautions

Back 71

Contact: gloves, mask, gown

Front 72

Assistive personnel

Back 72

Client in strict bed rest- noninvasive interventions, skin care, ROM exercises, ambulation, grooming, hygiene measures, urine specimen collection, bed bath, frequent ambulation, taking VS

NOT: colostomy irritations, tube feedings, difficulty swallowing food& fluids

Front 73

ACEI ending

Indication

First dose syncope

Back 73

-pril

HTN

FIRST DOSE- MONITOR BP

excessive hypotension, can occur in HF, Na/volume- depleted

Front 74

Most effective teaching method

Back 74

Teach back: ensure safety& mutual understanding

Front 75

Homeless people, which funding should be addressed first

Back 75

Complaints of....

Front 76

Delegate to Nursing Practitioner

Back 76

Wound irrigations & dressing changes

Front 77

Factors when planning the assignment

Back 77

Acuity level of clients, clients needs, workers needs&abilities

Front 78

The smaller Gauge - the... needle

Back 78

Bigger

Front 79

S&s of excess fluid in HF

Back 79

Dyspneic, crackles on ausculation, ^BP&RR

Front 80

Increased uric acid causes ....kalemia

Back 80

Hyper

Front 81

Hypokalemia > ECG

Back 81

U waves, inverted T waves, depressed ST

Front 82

Administration of K

Back 82

Infusion pump, monitor urine output, monitor iv site for infiltration or phlebitis, label

Front 83

Crohn, lactose intolerance can cause

Back 83

Hypocalcemia

Front 84

Hypocalcemia > ECG

Back 84

Prolonged ST&QT

Front 85

Hyperkalemia > ECG

Back 85

Tall peaked T, widened QRS

Front 86

Meds that can cause hyponatremia

Back 86

Diuretics

Front 87

Hyponatremia can cause .... bowel

Back 87

Hyperactive

Front 88

Malnutrition can cause

Back 88

Decrease in phosphorus

Front 89

Insensible loss

Back 89

~800 ml daily- inegumentary output

Front 90

2 conditions that can cause volume excess

Back 90

Kidney disease, diabetes mellitus

Front 91

Traumatic burn > ....kalemia

Back 91

Hyper

Front 92

Suction from ng tube can cause which abg imbalance

Back 92

Metabolic alkalosis

Front 93

Diabetic ketoacidosis causes what type of respirations

Back 93

Kussmauls