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When, if at all, is 5th disease contagious?
Yes, but only before a rash develops when pt usually has cold-like symptoms.
why is it better to lock up medications rather than place child-proof caps?
children can still open "child-proof" caps;
most common cause of poisoning is improper storage
the function of a booster seat is to ___ and they are indicated when a child is ____
allow the seat belt to be properly positioned over the child's chest and pelvis;
shorter than 4' 9" and weight >40 lbs
neostigmine (Prostigmin) is used to tx ____ and causes ____
what special steps are needed when administering iron dextran IM?
aspirate 0.2ml of air after drawing up, then change needle
do NOT massage site after
hypertension, 4+ proteinuria and edema; severe: BP > 150/100, headache, epigastric pain
what is the purpose of an amniocentesis? is a prior miscarriage a CI (contra-indication)?
to determine possible birth defects; no
meconium-stained amniotic fluid indicates ____
infant has likely experienced a recent episode of hypoxia
what is the diff between a spinal anaesthetic and an epidural?
spinal anaesthetic injects into the intravertebral space BEYOND the dura mater (into the subarachnoid space) and blocks PAIN AND MOVT; whereas an epidural injects into the intravertebral space ABOVE the dura mater and blocks PAIN ONLY
if hypoTN occurs as a result of an epidural, what position is best?
side-lying, NOT supine as will compress maternal vena cava
if pt has internal radiation tx, what is nursing priority?
RN should wear individual dosimeter badge to measure radiation exposure
insertion of contrast dye into the sub-arachnoid space (via lumbar puncture) to visualize the vertebral column
RN priority pre-myelogram?
encourage fluids, withhold phenothiazines and CNS depressants for 48 hrs (which lower seizure threshold) and check allergies
certain food allergies (i.e. bananas) may indicate an allergy to ___. The list includes ...
latex (commonly used in surgery); grapes, cherries, apricots, passion fruits, avocados, chestnuts, peaches and tomatoes
the most critical factor post-amputation in any extremity is ____
resulting circulation. Most LE amputations are the result of poor peripheral circulation (i.e. PVD) from diabetes or cardiac disease.
in prep for toilet training, the toddler needs to ____
be able to control anal and urethral sphincter, recognize urge to void/defecate and communicate this to parent(s)
during an anxiety attack, is the pt's sensory input incr or decr?
decr (since pt is unable to see hear, or function)
when might benztropine (Cogentin) be used other than to tx Parkinson's disease?
to counter Parkinsonian-like SE of antipsychotics/anti-depressants (recall antipsychotics/anti-depressants (i.e. Thorazine) can cause extra-pyramidal Sx, and benztropine (Cogentin) can help to reverse these)
post bleeding into joint for a hemophiliac pt, the RN should recommend ____
active ROM exercises (to prevent crippling effects of bleeding; note that passive ROM contraindicated as pt's pain level should dictate level of activity/stretching)
what is the opposite of Diabetes Insipidus?
SIADH (Syndrome of Inappropriate Anti-Diuretic Hormone), an EXCESS of ADH (from pituitary) causes water intoxication
neomycin sulfate (Neo-fradin): class & use
Abx to suppress intestinal bacteria (E. coli & Psuedomonas) pre-operatively
pt w/ a sensitivity to penicillins should take caution when using ____ due to a cross-allergy
cephalosporins (i.e. Cephalexine (Keflex))
when using crutches, follow the crutches w/ the weak|strong leg
strong (so that if you falter, the strong leg is already in motion to help regain balance)
vecuronium bromide (Norcuron): class and use
neuromuscular blocking agent used to promote skeletal relaxation while pt under mechanical ventilation
vecuronium bromide (Norcuron): common SE and RN priority
inability to blink, requiring eye care to avoid corneal abrasion
removal of the stapes bone of the middle ear to improve hearing (i.e. for pt w/ osteoclerosis, an abnormal mineralization of the temporal bone)
Warfarin sodium (Coumadin) thins the blood by ____
inhibits vit K clotting factors (i.e. inhibits the synthesis of prothrombin)
why might hypovolemic shock occur w/ bone fracture? what solution should be used to replace fluids?
since bone is highly vascularized; LR or 0.9% NS
what's the difference between rheumatoid arthritis and osteoarthritis?
RA is a chronic systemic inflammatory disease of the joints, whereas O is non-systemic and a degenerative disease of the synovial joint
for the following eye exam procedures, briefly explain the procedure and its purpose:
doll's eye oculocephalic reflex
turn pt's head side-to-side quickly and eyes should move in opposite direction; establishes intact reflex
direct light response
in darkened room w/ other eye covered, move bright light towards the midline of the face and into the open eye: pupil should shrink immediately; establishes intact reflex
move two fingers in "cross-figure" in front of pt's face, asking to follow fingertips; establishes conjugate gaze intact
touch cotton ball to cornea, pt should blink immediately; establishes normal reflex
levodopa (Levopa) treats ____ by ____
Parkinson's Disease; restoring dopamine levels in extrapyramidal centers
avoid excessive protein and use HBV (high biological value) proteins, low sodium & potassium and incr carbs
uretolithotomy: should the RN irrigate post-op?
NO! urine should drain clear (after initially a small amount of blood-tinged urine)
Crohn's disease is a form of regional ____ causing ____ and is characterized by ____
restriction in absorption of nutrients (esp. proximal colon);
weightloss, diarrhea and RLQ abdominal pain
for an Abx to remain effective, what must be maintained?
consistent blood level, therefore dosages should be equally spaced
verapamil (Calan): class, important SE and instructions
CCB (Ca Channel Blocker);
transient hypotension, incr liver enzymes;
take with meals
propantheline (Pro-Banthine): class, effect
anticholinergic that inhibits gastric secretions and decr GI motility
thrombocytopenia: major causes
vit B12 or folic acid deficiency, leukemia, sepsis, liver failure (deficiency in thrombopoeitin)
which is more important in determining premature labor: REGULAR contractions or cervical effacement and dilation?
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