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54 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Tetanus and diphtheria are optional vaccination; what is the earliest age they can be given? |
2 months |
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What is a booster shot? |
An additional dose of vaccination to increase effectiveness |
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What are the side effects of immunizations? |
Low grade fever Tenderness Swelling at the site Child may become irritable |
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What medication should be given for these effects? |
Acetaminophen |
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Never give ______ to children experiencing these effects? |
Aspirin |
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When should the meningitis vaccination be given? |
Before going to college |
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If an adult women receives an MMR shot, what should you teach her? |
Wait 3 months before pregnancy |
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How soon can a child get the influenza vaccination? |
Not until six month |
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Do not give the influenza vaccination if the client is allergic to ______. |
Eggs |
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Do not give MMR if the client is allergic to ____ or _____. |
Eggs or Neomycin |
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What is active immunity? |
Stimulating the body to produce antibodies by giving a vaccine |
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What is passive immunity? |
Antibodies that are formed in another body but passed down for short term use ex. Breast milk |
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Inflammatory bowel disease two primary types? |
Crohn's disease and ulcerative colitis |
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Crohn's can be located where in the body? Signs? |
Anywhere in the digestive tract from mouth to anus. Signs are 3 - 4 soft stool, no blood, anorexia, fistula |
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What is Crohn's disease treatment? |
Anti inflammatory steroids NPO status - Bowel rest Surgery will not help, disease will reoccur |
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Ulcerative colitis location and Signs? |
Location is colon Signs bloody diarrhea and weight loss |
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Ulcerative colitis treatment? |
Anti inflammatory steroids NPO status - Bowel rest Surgery to remove affected area |
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Incentive spirometer is a method of ______ ______ that helps maximize lungs inflation |
Deep breathing |
Strict the pt. To place lips tightly around the mouth piece. |
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Incentive spirometry is used after surgery to prevent ______. |
Atelectasis |
Complete or partial collapse of a lung or a section (lobe) of a lung. |
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What is normal ICP pressure range? |
5 - 15 mm Hg |
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Common causes of ICP? |
Trauma Hemorrhage Edema tumors |
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Pt with ICP what do you assess? |
Level of conscious (it decreases as ICP increases) |
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What is the earliest sign of ICP? How would the pt appear? |
Decreased level of consciousness
Pt would appear restless, agitated, complaining of headaches |
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Babies with ICP physically present with? |
Bulging fontanelles |
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Late signs of ICP Are? |
Unilateral pupil dilation Hypertension or hypotension Bradycardia |
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ICP pt may complain of? |
Projectile vomiting without nausea |
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How will a vital sign appear with ICP? |
B/P up Temp up Resp up and down Heart rate up |
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What is widening pulse pressure and how is it related to ICP? |
When systolic blood pressure goes up and diastolic continues to go down so that they become further apart ex. 135/40 is a bad sign |
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What is Cushing triad? |
Three things: widening pulse pressure Cheyne stokes respiration Bradycardia |
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Initiate seizure precaution for an ICP pt and elevate HOB to? |
10 to 30 degrees, to promote jugular venous outflow |
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What medication will be prescribed for a ICP pt |
Anticonvulsants B/P medication Corticosteroids Diuretics |
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Tell an ICP pt not to ____, _____, Or _____. |
Strain Cough Or sneeze |
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Nursing intervention for an ICP pt would be ? |
Decrease environmental stimuli Maintain body temp Limited fluid intake Monitor intake and output |
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Instillation of ear medication should be at ______ temp why? |
Room temp if too hot or cold will have side effects nausea dizziness ect. |
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When administering ear meds to an adult, draw the pinna back and _____? |
Up |
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When administering ear meds to a child, draw the pinna back and _____. |
Down |
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How long should the head be tilted to allow med to travel the ear canal? |
5 minutes |
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Laminectomy surgery is the removal of _____ . |
Bone .... so the spinal cord can be seen |
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In a Laminectomy to move the pt after surgery How? |
Log roll this pt |
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What are the signs of lead poisoning? |
Signs more serious if larger amount ingested: Headache Abdominal pain Fatigue Muscle weakness And respiratory depression |
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How do you treat lead poisoning? And how are the agents given? And do not give _____ to induce vomiting. |
Treatment chelating agent It given by many IM injections Don't give ipecac to induce vomiting |
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Negligence is when a nurse does? |
Not provide appropriate care according to set standards |
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If a nurse does a treatment without consent, it is example of _______? |
Battery |
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If your pt falls out of bed because you forget to put up the side rails, this is ______. |
Neglect |
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Any NCLEX question that has the word "treatment" think? |
Assault |
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Advanced directives are important because they? |
Allow the pt to direct how/What Care they are to received if they become unable to make decisions in the future. |
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Are advance directives mandatory for a pt? |
No |
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The document that specifically makes a person to make decisions on another person's behalf is ____. |
Durable power of attorney |
The pt must be of sound mind to write a will |
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What is the cause of crackles? What is another name for crackles? |
Fluid or secretions in the airway. Rales |
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When do you hear crackles? What are some possible causes of crackles? |
You hear it on inspiration (sounds like rice krispies in milk) Causes are: pneumonia Edema Bronchities |
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What are the characteristics of wheeze? When do you hear wheeze? |
They are a high pitched musical sound You hear it on inspiration and expirations |
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What are possible causes of wheezing? |
Asthma Smoking Allergic reaction |
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______ air will help relieve symptoms of wheezing. |
Humidified |
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What are the characteristics of stridor? What is the cause of stridor? |
It's a high pitched harsh sound heard in the UPPER airway. Causes by Laryngeal spasm or swelling , croup, and epiglottitis |
It's often confused with wheezing Age group is children |
