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Terms in this set (115)
What patient disease often causes POLYARTHRALGIA?
lupus pts experience fatigue/weakness d/t inflammatory response and joint pains
Low Hgb and Hct means...
decreased ability of body to carry O2--> activity intolerance
Anti anxiety meds should not be taken with...
(ie. alprazolam) alcohol
Left sided tracheal shift from midline suggests...
Topiramate is an... & considerations
Take with 2000-3000 ml of h2o to prevent kidney stones
DO NOT take with hormonal contraceptives. only NON-hormonal
Lumbar Puncture is inserted at level ....
L3-L4. posterior iliac crest
Head positioning while feeding a CVA patient
Forward and slightly flexed to prevent aspiration and facilitate swallowing
Skeletal traction weight should never...
be removed without an order! even with repositioning. painful and interrupts line of pull.
Febrile Reaction to Blood Transfusion Sx
fever, chills, nausea, headache. stop blood & give aspirin
Hemolytic reaction to blood transfusion sx
Nausea, vomiting, pain in lower back, hematuria
stop blood - obtain urine specimen - maintain blood volume & kidney perfusion
Allergic reaction to blood transfusion sx
urticaria, pruritis, fever,
Stop blood - give dyphenhydramine - administer O2
Circulatory overload reaction to blood transfusion
stop blood, position upright, give o2
ECT Electroconvulsive Therapy
for depression, mania, agitation
Side Effects: headache, difficulty with short & long term memory, confusion,
Should NOT see: backache
anti anxiety meds for dementia pts...
can actually increase confusion
Following start of mechanical ventilation...watch for...
hypotension from decreased CO
Inflammatory Bowel Disease DIET
High calorie, high protein, low residue
avoid whole grain breads
Diabetes pts should always wear...
slippers around the house
Shoes with NATURAL fibers rather than manmade allow perspiration to DRY, prevent skin breakdown
AVOID nylons, can interfere w circulation
Acute GallBladder Inflammation DIET
High Carbs, High Protein, LOW FAT!!!
BRCA 1 Genetic mutation is r/t...
High Risk for lung cancer
History of smoking
Person is choking and becomes cyanotic...your first move:
fist quickly thrust into abdomen
NO finger sweep! can't reach it
Symptoms of eye cataract
Partial or total opacity of lens
Cant see clearly
See things distorted and blurred
Pupil changes from black to grey to milky white
If patient has radioactive implant...
Stand 6 feet away when talking with
Shield should be placed on HALLWAY Side of bed to protect caregivers and visitors
NOT AT FOOT OF BED
After tube feeding, place pt in this position....
RIGHT SIDE to facilitate emptying of stomach
Chest Drainage System... what you should/shouldnt see
1. Water in suction control chamber should continuously bubble, slowly, steadily, gently
2. Fluid in water seal chamber should fluctuate with respirations; RISE with INSPIRATION, FALL with EXPIRATION
3. Bubbles in water seal chamber on expiration, coughing, sneezing -- shows system is removing air from pleural space
If water in fluid seal chamber does not move...
Lung has re-expanded (desired)
Obstruction of chest tube (lying on tubing, kinking, clotting, fibrin, dependent loops)
Patient who underwent diuresis in hospital, watch for...
hypotension, dec circulating volume, tachycardia, s/s of hypokalemia
Anemic Diet... (LOW Hgb & Hct)
High protein, high iron, high vitamins
Happens after GI surgery
Food moves too quickly from stomach to small bowel
Pt with dumping syndrome should...
eat smaller meals more frequently
lie down after eating
avoid fluids with meals
NOT eat bread with each meal (high fiber??)
Hindu patient death, family does..
priest pours water into mouth
family washes body
tie string around neck of dead
Buddist family after pt dies...
close door for chanting around patient
Clopridogel can cause...
low blood pressure
increased risk of bleeding; avoid hard hitting sports like raquet ball
regular check ups/blood tests
If patient is anxious...
avoid offering alternatives
Blood at a venipuncture site and around the IV catheter in someone who has SEPTIC SHOCK
indicates DIC (disseminated intravascular coagulation) life threatening
Sepsis often causes...
Vena Cava Syndrome
In pregnant women,
feel dizzy and clammy when lying on back
Pre Eclampsia Symptoms
Bilateral dependent edema
Fluttering sensation may occur with....
Counting respirations with hands on the wrist is...
a trick so patients are not aware you're counting RR
BP in pt with masectomy
take on opposite side of surgery
Weighing person with crutches...
can use crutches to support weight while being measured, then subtract weight of crutches later
Temp in pt with Rhinoplasty
DO NOT TAKE ORALLY!
Cant breathe through nose due to packing in both nostrils
When teaching client to walk with a cane, stand on their...
strong side and slightly behind
Take with meals and before bed
Car accident with open chest wound and tracheal deviation. What do you do for the wound?
Loosely cover with sterile Dressing.
Don't tightly cover b/c then air can't escape
Increased RR & Decreased BP in a thermal injury/burn patient is concern for...
burn wound sepsis
Spreads with direct contact. Don't share dishes/utensils.
Don't have to be isolated.
Easy way to administer oral meds for 4 month old...
place in a nipple have mom have baby suck
Examples of 2 year old actions
Parallel play- plays near others but not with them
Builds 6-7 block towers
Retrieves objects when asked to do so
Examples of 3-4 year old actions
Puts toys Away alone
4: uses sentences of 4-5 words
Neutropenic patient room
Limit/screen health care personnel
Can be fatal for them
It can treat menstrual problems, growth hormone overproduction, Parkinson's disease, and pituitary tumors. It can also stop breast milk production. In addition, this medication can help control blood sugar levels in patients with type 2 diabetes.
Cystic Fibrosis Trait/passing on genes
Both parents must carry the gene
Low Plt and RBC count is risk for...
injury! not clotting well
use 90-120 mm suction
#12 or #14 french catheter
Use TWIRLING while applying suction as you take it out
Pt on thrombolytic therapy is at risk for bleeding and shouldn't receive what type of med administration?
Why do chest tube drainage systems stop bubbling?
Lungs re inflated. usually good.
Need X RAY to confirm tho
Milking chest tube drainage
only done with order
Treats and prevents gout attacks
Should NOT be taken with avorstatin
Most common cause of mitral valve stenosis
Rheumatic fever, with subset complication of carditis
If LATE DECELS occur during oxytocin...what did you do?
1. Stop the oxytocin
2. Place pt on left side to inc blood flow to placenta
3. Give O2 8L via mask
4. Increase fluid infusion/rate so more volume present for transfer of O2 to fetus
are periods of shyness normal for a 7 year old?
should grow independence
nightmares are common at this age
form of behavior modification
used with deep muscle relaxation to decrease extreme response to anxiety provoking things
used for phobic disorders, which are learned responses and can be unlearned
blood doesn't clot normally
don't give blood thinners
High increase in pulse rate in asthma attack indicates
decrease in oxygenation of tissues
Signs of impending convulsion/seizures in a pregnant woman
BP of 154/92
+3 pitting edema fingers
Tx for addisons disease
corticosteroids and mineralocorticoids for REST OF LIFE
deficiency in glucocorticoids
How to treat a relaxed uterus post partum
Put infant to pt's breast (produces natural oxytocin to contract it)
Assess bladder for fullness
Drinks to prevent UTI and promote acidic urine
NO CITRUS! like OJ or lemonade
S3 ventricular gallop is an early sign of...
heart failure, especially in elderly
i think its more normal in young adults?
In Hyperthyroidism, metabolism moves at a higher rate.. everything INCREASES.
So you'd see anxiety, extreme nervousness
How to take off mask in droplet precautions
Wash hands BEFORE removing mask to prevent spread to face
What's the best way to assess for fluid volume deficit?
Weight, assess for gain/loss
Sodium & Addison's disease...
Sodium should be increased during periods of stress
Because there is an excretion of Sodium
Requires sodium intake to prevent hypotension
They take STEROIDS which increase sodium RETENTION
EYE CONJUNCTIVITIS sx and handling
Foreign body sensation
Extremely contagious! Infected employees can't work til sx resolve in 3-7 days. send employee home.
Concern with tests like an IVP (intravenous pyelogram)?
Allergies to IODINE
Can cause anaphylaxis
What do you NEVER do with traction?
Release the weight
Class/technique for safe and effective child birth
Breathing & stroking abdomen
What kind of breathing during 1st stage of labor?
Pant breathing! Rapid, shallow breaths
(hoo, hee hoo ha)
Signs of overdose: excitability, tremors
Pre op diet is recommended to be....
Symptoms of overdose ie. aspirin
Most common complication following an MI....
Dysrhythmias (ventricular = most dangerous )
Hemodynamic Monitoring measures
blood inside veins, heart, arteries
Blood flow and o2 level in blood
Swan- Ganz Catheter Measures..
the pulmonary artery wedge pressure
--> an indirect measure of pressure in the left ventricle
Sx of Increasing ICP in infant...
high pitched cry!!!
Watch for urinary retention (anticholinergic reaction)
Should you massage post op patient legs?
No, can cause emboli
Typically more injurious to underlying tissue you may not see
Are ileostomys irrigated?
Concerned if stoma is tight with dec amount of stool
Best way to prep 5 year old for a lumbar puncture
Do a mock run through
Position for liver biopsy
Supine with arms above head
Raises ribs to expose liver
Needle inserted between two of the lower ribs or right under the right rib cage
from interview or from health history
Preterm infants are generally delivered...
36 weeks 6 days or less
Dementia schedules should be
organized, routine, reinforced, repeated
Pt recovering from surgery ambulating in the hallway gets dull pain in leg....
PUT on bed rest and ELEVATE extremity
Turn q 2 hours to unaffected side
HOB up 15-20
No foot board
What technique used with abdominal wound irrigation?
Sx of LOW RED BLOOD CELL COUNT
Lack of O2!
Dizziness and pallor
Tachycardia - body tries to compensate for lack of o2
Isoniazid & concern
Concern: Fatigue & Dark urine (hepatic disfunction)
2,000 mL/24 hours is ____ for a 10 year old child
excessive! too much
Concern of baby when mag sulfate is given to mom...
Can cause slowing of RR and hyporeflexia
(Normal newborn RR: 30-60)
Mag Sulfate use in pregnancy...
stops pre term labor
Alcohol based mouthwashes do what to mucous membranes...
dry them out
can ppl w colostomies swim?
NPO after midnight
Packed Red Blood Cells are usually given to...
people with previous allergic reaction to blood
b/c this is washed of plasma, white blood cells, and platelets
Client stands with feet together and arms at sides
Close eyes and hold position
POSITIVE rombergs sign is when they lose balance
r/t brain/vestibular function
Cheyne Stroke Respirations
rhythmic respirations with periods of apnea
indiace a metabolic dysfunction in cerebral hemisphere or basal gangia
totally irregular in rhythm and depth
conductive vs sensorineural hearing loss
physical blockage vs neuro issue/nerve
skin checks for pt with restraints is every...
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