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Nclex review prep

QuestionAnswer
IF THE PH AND THE BICARB ARE BOTH IN THE SAME DIRECTION THEN IT IS? METABOLIC EX. pH 7.30 AND HCO3 IS 20 THIS IS METABOLIC ACIDOSIS BECAUSE THEY ARE BOW GOIN DOWN. ITS ACIDOSIS WHEN WHEN THE pH IS LOW AND ALKALOSIS WHEN THE pH IS HIGH.
WHAT ARE THE SIGNS AND SYMPTOMS OF ACID-BASE IMBALANCE? RULE IS: AS THE pH GOES, SO DOES MY PATIENT EXCEPT FOR POTASSIUM. EX. IF THE pH IS UP THE PATIENT IS UP EXCEPT FOR POTASSIUM
IS MAC KUSSMAULS METABOLIC OR RESPIRATORY AND IS IT ALKALOSIS OR ACIDOSIS? IT IS METABOLIC ACIDOSIS
CAUSES OF ACID-BASE IMBALANCE..IF IT IS LUNG AS YOURSELF ARE THEY OVER OR UNDERVENTILATING? iF OVER VENTILATING IT IS? IF THEY ARE OVER VENTILATING IT IS? UNDERVENTILATING--PICK RESPIRATORY ACIDOSIS(PNEUMONIA-PCA PUMP TO MUCH) OVERVENTILATING-PICK RESPIRATORY ALKALOSIS(ANXIETY) GO WITH THE O2 SAT ON THIS...
CAUSE OF ACID-BASE IMBALANCE..IF IT IS NOT LUNG THEN IT IS? IF THE PATIENT HAS PROLONGED GASTRIC SUCTION OR VOMITING PICK? FOR EVERYTHING ELSE PICK? METABOLIC---METABOLIC ALKALOSIS(LOOSING ACID) METABOLIC ACIDOSIS---WHENEVER YOU HAVE NO CLUE PICK METABOLIC ACIDOSIS
THE # 1 PROBLEM IN ABUSE IS? DENIAL
WHAT IS DEPENDENCY? WHEN THE ABUSER GETS THE SIGNIFICANT OTHER TO DO THINGS FOR THEM OR MAKE DECISIONS FOR THEM
WHAT IS CODEPENDENCY? WHEN THE SIGNIFICANT OTHER DERIVES POSITIVE SELF-ESTEEM FROM DOIN THINGS FOR OR MAKING DECISIONS FOR THE ABUSER
HOW DO U TREAT DEPENDENCY / CODEPENDENCY? 1. SET LIMITS AND ENFORCE THEM. AGREE IN ADVANCE ON WHAT REQUESTS ARE ALLOWED, THEN ENFORCE THE AGREEMENT. 2. WORK ON THE SELF-ESTEEM ON THE CODEPENDENT PERSON. 3. MANIPULATION
WHAT IS WERNICKE'S (KORSAKOFF'S) SYNDROME? PSYCHOSIS INDUCED BY VITAMIN B1 (THIAMINE) DEFICIENCY.
WHAT IS THE PRIMARY SYMPTOM OF WERNICKE'S (KORSAKOFF'S) SYNDROME? AMNESIA WITH CONFABULATION (MEMORY LOSS AND MAKING UP STORIES BECAUSE THEY CANT REMEMBER)
WHAT ARE THE CHARACTERISITICS OF WERNICKE'S SYNDROME? A. PREVENTABLE TAKE B1 VITAMIN B. ARRESTABLE STOP IT FROM GETTING WORSE BY TAKING B1 3. IRREVERSIBLE BRAIN CELLS ARE DEAD
WHAT DO THEY GIVE IN WERNICKE'S SYNDROME? ANTABUSE / REVIA
WHAT IS THE ONSET AND DURATION OF ANTABUSE / REVIA? 2 WEEKS
WHAT IS THE PATIENT TEACHING FOR ANTABUSE / REVIA? AVOID ALL FORMS OF ALCOHOL TO AVOID NAUSEA, VOMITING, AND POSSIBLE DEATH. EX MOUTHWASH, PERFUMES, COLOGNES, AFTERSHAVES, ANY OTC THAT SAYS ELIXIR, INSECT REPELLANTS, VANILLA EXTRACT, VINIGERETTES, ALCOHOL BASED HAND SANITIZERS
WHAT ARE THE SIGNS AND SYMPTOMS OF UPPERS? EVERYTHING GOES UP. EX HR, RR, CONDUCTIVITY, GI MOTILITY, REFLEXES (+4), MUSCLE SPASTIC, EYES DILATE, INCREASED BOWEL SOUNDS
WHAT ARE THE SIGNS AND SYMPTOMS OF DOWNERS? EVERYTHING GOES DOWN...EX. HR, RR, LOC, FLACIDITY, 1-0 REFLEXES ( 2 IS NORMAL)
IN OVERDOSE / INTOXIFICATION "I HAVE TO MUCH..." SO TO MUCH UPPER MAKES EVERYTHING GO? AND TOO MUCH DOWNER MAKES EVERYTHING GO? TOO MUCH UPPER EVERYTHING IS UP TO MUCH DOWNER EVERYTHING IS DOWN (DEPRESSED STATE)
IN WITHDRAWAL..." I DONT HAVE ENOUGH..." SO TOO LITTLE UPPER EVERYTHING IS? TOO LITTLE DOWNER EVERYTHING IS? TOO LITTLE UPPER EVERYTHING IS DOWN TOO LITTLE DOWNER EVERYTHING IS UP
WHAT DO U ALWAYS ASSUME WITH DRUG ADDICTION IN THE NEWBORN? INTOXICATION ( NOT WITHDRAW) AT BIRTH UNTIL 24 HRS AFTER 24 HRS IT IS WITHDRAWAL
WHAT IS THE DIFFERENCE BETWEEN ALCOHOL WITHDRAWAL SYNDROME VS DELIRIUM TREMENS? EVERY ALCOHOLIC GOES THRU AWS WITHIN 24 HRS, ONLY A MINORITY GET DELIRIUM TREMENS. AWS IS NOT LIFE-THREATENING. DTS CAN KILL U. PATIENTS WITH AWS ARE NOT DANGER TO THEMSELVES OR OTHERS. PATIENTS WITH DT'S ARE DANGEROUS TO SELF AND OTHERS
WHAT DO U THINK WHEN U HEAR AMINOGLYCOSIDES? A MEAN OLD MYCIN
WHAT IS AMINOGLYCOSIDES? ITS AN ANTIBIOTIC USED TO TREAT SERIOUS INFECTIONS, LIFE-THREATENING INFECTIONS, GRAM (-) INFECTIONS, AND RESISTANT INFECTIONS
WHAT DO ALL AMINOGLYCOSIDES END IN? -MYCIN
IF IT ENDS IN WHAT THROW IT OFF THE MYCIN LIST? -THROMYCIN
WHAT ARE THE TOXIC EFFECTS OF AMINOGLYCOSIDES? OTOTOXICITY AND NEPHROTOXICITY * MYCIN = MICE = EARS
WHAT SHOULD U MONITOR WITH AMINOGLYCOSIDES? HEARING, BALANCE, TINITUS AND CREATININE LEVELS(KIDNEY FUNCTION)
WHAT CRANIAL NERVE IS AMINOGLYCOSIDES TOXIC TO? THE 8TH CRANIAL NERVE *THE NUMBER 8 DRAWN INSIDE THE EAR REMINDS U OF THE 8TH NERVE
HOW OFTEN AND WAT ROUTE OF ADMINISTRATION DO U GIVE AMINOGLYCOSIDES? Q8 HRS OR LESS IM OR IV DO NOT GIVE PO
IN WHAT TWO CASES WOULD U GIVE AMINOGLYCOSIDES PO? HEPATIC ENCEPHALOPATHY AND PRE-OP BOWEL SURGERY WHO CAN STEROLIZE MY BOWEL? NEOKAN NEOMYCIN AND KANAMYCIN
WHAT IS THE TROUGH AND PEAK FOR AMINOGLYCOSIDES GIVEN SUBLINGUAL? TROUGH---30 MIN BEFORE NEXT DOSE PEAK---5-10 MIN AFTER DISSOLVED
WHAT IS THE TROUGH AND PEAK FOR AMINOGYLCOSIDES GIVEN IV? TROUGH---30 MIN BEFORE NEXT DOSE PEAK---15-30 MIN AFTER THE DRUG IS FINISHED
WHAT IS THE TROUGH AND PEAK FOR AMINOGLYCOSIDES WHEN GIVEN IM? TROUGH---30 MIN BEFORE NEXT DOSE PEAK---30-50 MIN AFTER GIVING THE DRUG
WHAT ARE CALCIUM CHANNEL BLOCKERS? THEY ARE VALIUM FOR UR HEART...THEY ARE A NEGATIVE INO, CHRONO, AND DROMO
CCB'S ARE WAT IN INOTROPIC? THEY ARE WEAK
CCB'S ARE WHAT IN CHRONOTROPIC? THEY ARE SLOW
CCB'S ARE WHAT ION DROMOTROPIC? THEY ARE BLOCKS / SLOWS CONDUCTION
WHAT DO CALCIUM CHANNEL BLOCKERS TREAT? A - ANTIHYPERTENSIVE (LOWERS BP) AA - ANTI ANGINAL (CALM DOWN TO BEAT SLOWER) AAA - ANTI ATRIAL ARRYTHMIAL
WHAT ARE THE SIDE EFFECTS OF CALCIUM CHANNEL BLOCKERS? HEADACHE AND HYPOTENSION *MEASURE BP BEFORE GIVING HOLD IF SYSTOLIC IS UNDER 100
WHAT DO CALCIUM CHANNEL BLOCKERS END IN? -ZEM -DIPINE (DIPPING IN THE CALCIUM CHANNEL) VERAPAMIL ( THEE EXCEPTION)
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF LITHIUM (ANTIMANIA)? THERAPEUTIC---0.6-1.2 TOXIC---GREATER THAN 2
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF LANOXIN (DIGOXIN)? THERAPEUTIC---1-2 TOXIC---GREATER OR = TO 2
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF AMINOPHYLLINE (ANTISPASMODIC)? THERAPEUTIC---10-20 TOXIC---GREATER THAN OR = TO 20
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF DILANTIN (SEIZURE MED)? THERAPEUTIC---10-20 TOXIC---GREATER THAN OR = TO 20
WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF BILIRUBIN? THERAPEUTIC--*NEONATES ELEVATED RANGE 10-20 TOXIC--GREATER THAN OR = TO 20 * HARD TO BRING BACK USUALLY DIE 20 IS IRREVERSIBLE STAGE
WHAT DOES HYPERKALEMIA DO TO THE BODY? IT DOES SAME AS THE PREFIX EXCEPT FOR HR AND URINE OUTPUT. SO EVERYTHING GOES UP EXCEPT FOR HR AND URINE OUTPUT.
WHAT DOES HYPOKALEMIA DO TO THE BODY? IT DOES THE SAME AS THE PREFIX EXCEPT FOR HR AND URINE OUTPUT. SO EVERYTHING GOES DOWN EXCEPT HR AND URINE OUTPUT
WHAT DOES HYPERCALCEMIA DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES DOWN
WHAT DOES HYPOCALCEMIA DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES UP.
WHAT DOES HYPERMAGNESEMIAS DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES DOWN. ** IN A TIE NEVER PICK MAGNESIUM. IF SYMPTOM INVOLVES NERVE OR SKELETAL MUSCLE PICK CALCIUM, FOR ANY OTHER SYMPTOM PICK KALEMIA(POTASSIUM)
WHAT DOES HYPOMAGNESEMIAS DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES UP. ** IN A TIE, NEVER PICK MAGNESIUM. iF SYMPTOM INVOLVES NERVE OR SKELETAL MUSCLE PICK CALCIUM FOR ANY OTHER SYMPTOM PICK KALEMIAS(POTASSIUM)
WHAT DOES HYPERNATREMIA DO TO THE BODY? DEHYDRATION
WHAT DOES HYPONATREMIA DO TO THE BODY? OVERLOAD
WHAT IS THE EARLIEST SIGN OF ANY ELECTROLYTE DISORDER? NUMBNESS AND TINGLING (PARASTHESIA)
WHAT IS THE UNIVERSAL SIGN/SYMPTOM OF ELECTROLYTE IMBALANCE? MUSCLE WEAKNESS (PARESIS)
WHAT IS THE ELECTROLYTE TREATMENT? 1. NEVER PUSH POTASSIUM IV 2. NOT MORE THAN 40 mEq OF K+ PER LITER OF IV FLUID 3. GIVE D5-D50 + REGULAR INSULIN TO DECREASE K+ (THE HIGHER THE # THE FASTER IT GOES) 4. KAYEXALATE: A DRUG THAT LITERALLY GETS THE POTASSIUM OUT
WHAT IS HYPERTHYROIDISM? HYPER-METABOLISM
WHAT ARE THE SIGNS AND SYMPTOMS OF HYPERTHYROIDISM? THIN, WEIGHT LOSS, IRRITABLE, AGGITATED, TACHYCARDIA, HYPERTENSION, HOT (COLD INTOLERANCE)(HEAT INTOLERANCE),EXOTHALMUS (BULGING EYES)GASY BOWELS, DIARRHEA
WHAT DISEASE IS HYPERTHYROIDISM? GRAVES DISEASE *REMEMBER RUN YOURSELF INTO THE GRAVE
WHAT ARE THE TREATMENT OPTIONS FOR HYPERTHYROIDISM? A. I 131 - RADIOACTIVE IODINE (MUST FLUSH 2-3 TIMES AFTER URINATING--CALL HAZMAT IF URINE HITS THE FLOOR B. PTU(PROPYLTHIOURACIL) C. SURGICAL REMOVAL = THYROIDECTOMY
WHAT IS A TOTAL THYROIDECTOMY AND WHAT IS THE PATIENT AT RISK FOR? REMOVAL OF THE COMPLETE THYROID NEED LIFELONG HORMONE REPLACEMENT--AT RISK FOR MAINTAINING CALCIUM LEVELS-HYPOCALCEMIA
WHAT IS SUBTOTAL THYROIDECTOMY AND WHAT IS THE PATIENT AT RISK FOR? REMOVAL OF PART OF THE THYROID---AT RISK FOR THRYOID STORM
WHAT ARE THE SIGNS AND SYMPTOMS OF A THYROID STORM? SUPER GRAVES DISEASE (ON STEROIDS)--EXTREMELY HIGH FEVER 104^, EXAGGERATED VITAL SIGNS--200HR,PSYCOTIC DELIRIUM, ACTING CRAZY TEMPORARILY
WHAT IS THE TREATMENT FOR A THYROID STORM? GET THE TEMP DOWN, GIVE HIGH FLOW RATES OF OXYGEN, ICE PACKS THEN COOLING BLANKETS---NEED 5 ICE PACKS--ARMPITS, GROIN AND BACK OF NECK--STAY WITH UR PATIENT!!!!
WHAT ARE THE POST-OP RISKS FOR A THYROIDECTOMY? FIRST 12 HOURS--AIRWAY AND HEMORRAGE 12-48 HOURS FOR TOTAL--TETANY(LOW CALCIUM) 12-48 HOURS FOR SUB-TOTAL STORM
WHAT IS HYPOTHYROIDISM? HYPO-METABOLISM
WHAT ARE THE SIGNS AND SYMPTOMS OF HYPOTHYROIDISM? WEIGHT GAIN, TIRED, LOW BP, LOW PULSE RATE, ORTHOSTATIC HYPOTENSION, FAINTING, ALWAYS COLD, TOLERATE HEAT
WHAT IS THE TREATMENT FOR HYPOTHYROIDISM? HORMONE REPLACEMENT
WHAT IS THE NAME OF THE DISEASE WITH HYPOTHYROIDISM? MYEXEDEMA
WHAT IS THE CAUTION WITH HYPOTHYROIDISM? DO NOT SEDATE THEY ARE ALREADY THERE
WHAT ARE TWO ADRENAL CORTEX DISEASES? ADDISON'S AND CUSHING'S
WHAT IS ADDISON'S DISEASE? IT IS THE UNDER SECRETION OF ATHE ADRENAL CORTEX
WHERE IS THE ADRENAL CORTEX LOCATED? NEXT TO THE KIDNEY
WHAT ARE THE SIGNS AND SYMPTOMS OF ADDISON'S DISEASE? HYPER PIGMENTATION (BRONZE - TAN), SHOCK AT THE DROP OF A HAT (LOOK STRONG + HEALTHY BUT WEAKEST)
WHAT IS THE TREATMENT FOR ADDISON'S DISEASE? REPLACE THE HORMONES(STEROIDS)(CORTICOSTEROIDS)--SONE ****ADD-A-SONE
WHAT IS CUSHING'S DISEASE? IT IS THE OVER SECRETION OF THE ADRENAL CORTEX
WHAT ARE THE SIGNS AND SYMPTOMS OF CUSHING'S DISEASE? MOON FACE, IRRITABILITY, IMMUNOSUPPRESION, BUFFALO HUMP, HIRSUTISM(HAIRY), BRUISES EASILY, CENTRAL OBESITY, HYPERGLYCEMIA, ATROPY, STRIATE(STRETCH MARKS), LOOSING POTASSIUM, GYNECOMASTIA, RETAINS WATER
WHAT IS THE TREATMENT FOR CUSHING'S DISEASE? ADRENALECTOMY----TOO MUCH SO WE TAKE IT OUT
WHAT INFECTIOUS DIEASES WOULD BE IN CONTACT PRECAUTIONS? HERPATIC INFECTIONS(SHINGLES, HERPES) STAPH INFECTIONS(MRSA), INTERIC INFECTIONS(INTESTINE--HEP A, ECOLI, ROTOVIRUS), AND RSV
WHAT IFECTIOUS DISEASES WOULD BE IN DROPLET PRECAUTIONS? MENINGITIS, INFLUENZA, PLUS CHILDHOOD DISEASES SUCH AS WHOOPING COUGH(PERTUSIS), DIPTHERIA, AND THE MUMPS
WHAT INFECTIOUS DISEASES WOULD BE IN AIRBORNE PRECAUTIONS? MEASLES, TB, CHICKEN POX, AND SARS
IN WHAT ORDER DO U PUT ON PERSONAL PROTECTIVE EQUIPMENT? GOWN, MASK, GOGGLES, AND GLOVES
IN WHAT ORDER DO U TAKE OFF PERSONAL PROTECTIVE EQUIPMENT? ABC ORDER GLOVES, GOGGLES, GOWN AND MASK
DO U PUT ON THE PERSONAL PROTECTIVE EQUIPMENT INSIDE OR OUTSIDE THE ROOM? OUTSIDE
DO U TAKE OFF THE PERSONAL PROTECTIVE EQUIPMENT INSIDE OR OUTSIDE THE ROOM? INSIDE EXCEPT FOR THE MASK IN AIRBORNE U TAKE IT OFF OUTSIDE THE ROOM
WHAT DO U NEED IN CONTACT ISOLATION? PRIVATE ROOM W/ DOOR OPEN--UNLESS TWO WITH SAME DISEASE GLOVES HANDWASHING DISPOSABLE SUPPLIES GOWN IF DOING PT CARE
WHAT DO U NEED IN DROPLET ISOLATION? PRIVATE ROOM--CAN PUT TWO IN SAME MASK HANDWASHING PT WEAR FILTER REPIRATOR MASKS DISPOSABLE SUPPLIES NOT ESSENTIAL BUT GOOD IDEA
WHAT DO U NEED IN AIRBORNE ISOLATION? PRIVATE ROOM W/ DOOR CLOSED MASK SPECIAL FILTER RESPIRATOR MASKS PT WEAR MASK WHEN LEAVING ROOM--SHOULDNT LEAVE THE ROOM DISPOSABLE SUPPLIES NEGATIVE AIR FLOW GOWN--NOT PRIORITY BUT INCLUDE IT HANDWASHING SP
IN WHAT ORDER DO U DRAW UP CLOUDY AND CLEAR INSULIN? CLEAR THEN CLOUDY----R THEN N
FOR IM INJECTIONS WHAT NEEDLE DO U USE? GUAGE AND LENGTH HAVE TO HAVE A 1 IN IT **I LOOKS LIKE 1
FOR SQ INJECTIONS WHAT NEEDLE DO U USE? GUAGE AND LENGTH HAVE TO HAVE A 5 IN IT **S LOOKS LIKE 5
HOW DO U GIVE HEPARIN? U EITHER GIVE IT IV OR SQ NEVER ORAL
WHAT IS THE ANTEDOTE FOR HEPARIN? PROTAMINE SULFATE
WHAT IS THE LAB TEST THAT MONITORS HEPARIN? PTT
CAN HEPARIN BE USED IN PREGNANCY? YES
HOW SOON DOES HEPARIN WORK? RIGHT AWAY
HOW SOON DOES COUMADIN WORK? TAKES DAYS TO WORK
HOW DO U GIVE COUMADIN? ONLY ORAL NEVER ANY OTHER WAY
HOW LONG CAN U TAKE COUMADIN? FOR THE REST OF UR LIFE
HOW LONG CAN U TAKE HEPARIN? SHOULD NOT BE ADMINISTERED AFTER 21 DAYS
WHAT IS THE ANTEDOTE FOR COUMADIN? VITAMIN K
WHAT IS THE LAB TESTS THAT MONITORS COUMADIN? INR
CAN COUMADIN BE USED IN PREGNANCY? NO
WHAT DIURETICS ARE K+ WASTING? ONLY THE ONE ENDING IN "X" AND DIURIL ALL OTHERS ARE SPARING
WHAT IS BACLOFEN(LIORESAL)? MUSCLE RELAXANT **WHEN UR ON UR BACK LOAFEN YOUR ON BACLOFEN
WHAT ARE THE SIDE EFFECTS OF BACLOFEN? DROWSINESS, MUSCLE WEAKNESS
WHAT IS THE PT TEACHING FOR BACLOFEN? DONT DRINK DONT DRIVE DONT TAKE CARE OF CHILDREN UNDER THE AGE OF 10
WHAT DO U NEED TO DECIDE IN PRIORITIZATION OF PATIENTS? WHO IS SICKEST OR HEALTHIEST
WHAT HAS NOTHING TO DO WITH UR DECISION IN PRIORITIZATION? AGE AND GENDER
WHAT IS IMPORTANT TO PAY ATTENTION TO IN PRIORITIZATION QUESTIONS? THE MODIFYING PHRASE
WHAT IS THE FIRST RULE FOR PRIORITIZATION? ACUTE BEATS CHRONIC
WHAT IS THE SECOND RULE OF PRIORITIZATION? FRESH POST-OP(FIRST 12 HRS) BEATS MEDICAL OR SURGICAL
WHAT IS THE THIRD RULE OF PRIORITIZATION? UNSTABLE BEATS STABLE
WHAT IS THE FOURTH RULE OF PRIORITIZATION? (CAUTION USE ONLY AS A TIE BREAKER) THE MORE VITAL THE ORGAN THE HIGHER THE PRIORITY
PUT THE ORGANS IN ORDER ACCORDING TO HOW VITAL THEY ARE: PANCREAS, LIVER, BRAIN, HEART, KIDNEYS, LUNGS. BRAIN, LUNGS, HEART, LIVER, KIDNEYS, PANCREAS
WHAT RESPONSIBILITES WOULD U NOT DELEGATE TO AN AIDE? ASSESSMENTS EXCEPT V.S. + ACCUCHECKS NOT ALLOWED TO DO MEDS EXCEPT OTC BARRIER CREAMS NOT ALLOWED TO CHART ABOUT THE PT (JUST WHAT THEY DO) NOT ALLOWED TO DO TREATMENTS EXCEPT ENEMAS DO NOT LET THEM DO CATHERIZATIONS UNLESS NO CHOICE THEY CAN DO AD
WHAT IS SOMETHING U DO NOT DELEGATE TO FAMILY? SAFETY
HOW DO U INTERVENE WITH INNAPPROPRIATE BEHAVIOR OR STAFF? TELL THE SUPERVISOR INTERVENE IMMEDIATELY-TAKE OVER TALK TO THEM LATER ON WHEN APPROPRIATE IGNORE IT
WHAT DO U DO IF THE BEHAVIOR OF THE STAFF IS ILLEGAL? TELL SUPERVISOR
WHAT DO U DO IF THE BEHAVIOR OF THE STAFF IS PUTTING THE PT OR THE STAFF MEMBER IN IMMEDIATE DANGER OF PYSICAL OR PSYCHOLOGICAL HARM? INTERVENE IMMEDIATELY
WHAT DO U DO IF THE BEHAVIOR OF THE STAFF IS LEGAL NOT HARMFUL BUT SIMPLY INAPPROPRIATE? TALK TO THEM LATER
WHAT ARE THINGS THAT MAKE A PT STABLE? CHRONIC ILLNESS, POST-OP > THAN 12 HRS, REGIONAL OR LOCAL ANESTHESIA, LAB ABNORMALITIES OF A OR B LEVEL, UNCHANGED ASSESSMENT, USE OF THE PHRASES: READY FOR DISCHARGE, ADMITTED LONGER THAN 24HRS AGO, IF EXPERIENCING THE NORMAL S+S OF THE DISEASE
WHAT ARE THINGS THAT MAKE A PT UNSTABLE? ACUTE ILLNESSES, POST-OP < THAN 12 HRS, GENERAL ANESTHESIA, LAB ABNORMALITIES OF C OR D LEVEL, CHANGE IN ASSESSMENTS, USE OF THE PHRASES: NEWLY ADMITTED, NOT READY FOR DISCHARGE, JUST RETURNED, IF U R EXPERIENCING UNEXPECTED S+S OF THE DISEASE
WHAT ARE SOME THINGS THAT ARE ALWAYS UNSTABLE REGARDLESS OF THE SITUATION? HYPOGLYCEMIA, HEMMORRHAGE, HIGH FEVERS ABOVE 104, PULSELESSNESS AND BREATHLESSNESS
WHAT ARE THE PHASES OF NURSE - PATIENT RELATIONSHIP IN PYSCHIATRIC? THE PRE-INTERACTION PHASE THE INTRODUCTORY PHASE(ORIENTATION) THE WORKING PHASE(THERAPEUTIC PHASE) THE TERMINATION PHASE
WHAT IS THE PURPOSE OF THE PRE-INTERACTION PHASE? FOR THE NURSE TO EXPLORE HIS/HER OWN FEELINGS. TO PREVENT JUDGEMENTAL, INTOLERANT REACTIONS
WHAT IS THE LENGTH OF THE PRE-INTERACTION PHASE? BEGINS WHEN YOU LEARN YOU ARE GOIN TO BE CARING FOR SOMEONE AND ENDS WHEN YOU MEET THEM
WHAT ARE THE CORRECT ANSWER(S) FOR THE PRE-INTERACTION PHASE? THE NURSE WILL EXPLORE HIS/HER OWN FEELINGS ABOUT
WHAT IS THE PURPOSE OF THE INTRODUCTORY PHASE? TO ESTABLISH TRUST AND EXPLORE/ASSESS
WHAT IS THE LENGTH OF THE INTRODUCTORY PHASE? BEGINS WHEN U FIRST MEET THE PATIENT AND ENDS WHEN A MUTUALLY AGREED-UPON CARE PLAN IS IN PLACE
WHAT ARE SOME KEY WORD PHRASES TO LET U KNOW THAT IT IS IN THE INTRODUCTORY PHASE? DURING THE INITIAL INTERVIEW....UPON ADMITTING THE PATIENT....ON ADMISSION....AT YOUR FIRST FEW MEETINGS WITH....WHILE ASSESSING....ON THE DAY OF ADMISSION....WHILE FORMULATING NURSING DIAGNOSES....
WHAT ARE THE CORRECT ANSWERS FOR THE INTRODUCTORY PHASE? THEY SHOULD BE VERY TOLERANT, ACCEPTING, EXPLORATIVE, PROBING, NOSY(ASSESS--HIGH PRIORITY). BE WARM(EARN TRUST) AND FUZZY
WHAT IS THE PURPOSE OF THE WORKING PHASE? TO IMPLEMENT THE PLAN OF CARE
WHAT IS THE LENGTH OF THE WORKING PHASE? FROM THE FINSIHED CARE PLAN UNTIL DISCHARGE
WHAT ARE SOME KEY WORD PHRASES TO LET U KNOW THAT IT IS IN THE WORKING PHASE? DURING THE THERAPEUTIC INTERVIEW...WHILE IMPLEMENTING THE CARE PLAN...WHILE WORKING ON THE CARE PLAN GOALS...DURING TREATMENT SESSIONS...DURING THERAPY...IN YOUR WEEKLY SESSION...THREE DAYS AFTER ADMISSION...AFTER IMPROVING
WHAT ARE THE CORRECT ANSWERS FOR THE WORKING PHASE? THEY SHOULD BE VERY FOCUSE, DIRECTIVE, TOUGH. IN SOME WAYS THESE ANSWERS WILL SEEM STERN AND SLIGHTLY UNFRIENDLY. SET LIMITS AND ENFORCE PROPER COMMUNICATION
WHEN DOES THE TERMINATION PHASE BEGIN? ON ADMISSION
IS IT OK TO GIVE OR RECEIVE GIFTS FROM UR PTS IN PYSCH? NO--NEVER THIS INCLUDES HUGS, KISSES, COMPLIMENTS, OPINIONS, HOLDING HANDS, PLACING AN ARM AROUND, ETC
IS IT OK TO GIVE ADVICE TO PYSCH PTS? NO LET THE PT FORMULATE OWN SOLUTIONS AND ALTERNATIVES **REMEMBER GIVING ADVICE AND SETTING LIMITS IS NOT THE SAME THING
WHAT ARE SOME KEY WORD PHRASES TO AVOID IN PYSCH PTS? SUGGEST THAT...ADVISE THE PT TO...TELL THE PT TO...IF I WERE YOU, I WOULD...YOU SHOULD...YOU OUGHT TO...YOU SHOULD NOT DO...DONT DO...RECOMMEND THAT... **ALWAYS SAY "AND WHAT DO U THINK U SHOULD DO, MR. SMITH"
IS IT OK TO GIVE GUARANTEES TO PYSCH PTS? NO---U CANNOT PREDICT THE HUNMAN MIND OR KNOW ANOTHER'S EXPERIENCE
WHAT ARE SOME KEY WORD PHRASE TO AVOID TO PYSCH PTS FOR GUARANTEES? IF U...THEN..., YOU WILL IMOPROVE IF YOU...WE CAN... **U DESTROY THE TRUST IF THE GUARANTEE DOES NOT HAPPEN...U CAN GUARANTEE SAFETY AND PYSCH DRUGS
WHAT ARE THE DIFFERENT CATEGORY OF PSYCHOTROPIC DRUGS? PHENOTHIAZINES TRICYCLIC ANTIDEPRESSANTS BENZODIAZEPINES MONOAMINE OXIDASE(MAO) INHIBITORS LITHIUM PROZAC HALADOL(HALOPERIDOL) CLOZARIL(CLOZAPINE) ZOLOFT(SERTRALINE)
WHAT DO ALL PSYCH DRUGS CAUSE? LOWER BP WEIGHT CHANGES
WHAT DO PHENOTHIAZINES END IN? -ZINE
WHAT ARE THE SIDE EFFECTS OF PHENOTHIAZINES? **REMEMBER ABCDEFG A-ANTICOLINERGIC(PRIMARILY DRY MOUTH) B-BLURRED VISION C-CONSTIPATION D-DROWSINESS E-EXTRAPYRAMIDAL SYNDROME(LOOKS LIKE PARKINSON'S DISEASE F-PHOTOSENSITIVITY(SKIN BURNS EASILY) G-AGRANULOCYTOSIS(IMMUNOSUPPRESSED)
WHAT IS THE NURSING CARE FOR PHENOTHIAZINES? TREAT SIDE EFFECTS. #1 NURSING DIAGNOSIS IS SAFETY
WHAT DOES DECONATE MEAN? AFTER THE NAME OF THE DRUG MEANS IT IS A LONG ACTING IM FORM GIVEN TO A NON COMPLIANT PTS.
WHAT ARE THE ACTIONS OF PHENOTHIAZINES? LARGE DOSES--ANTI-PYSCHOTIC(DELUSIONS, HALLUCINATIONS,ILLUSIONS) SMALL DOSES--ANTI-EMETIC(NAUSEA) MAJOR TRANQUILIZERS(BIG GUN TO TRANQUILIZING)
WHAT ARE TRYCYCLIC ANTIDEPRESSANTS? THEY ARE MOOD ELEVATORS TO TREAT DEPRESSION EX ELAVIL, TOFRANIL, AVENTYL, DESYREL
WHAT ARE THE SIDE EFFECTS OF TTRICYCLIC ANTIDEPRESSANTS? A-ANTICHOLINERGIC(DRY MOUTH) B-BLURRED VISION C-CONSTIPATION D-DROWSINESS E-EUPHORIA(OVERWHELMING SENSE OF HAPPY HAPPY JOY JOY
HOW LONG DO U HAVE TO TAKE TRICYCLIC ANTIDEPRESSANTS BEFORE BENEFICIAL EFFECTS TAKE PLACE? 2-4 WEEKS
WHAT ARE BENZODIAZIPINES? ANTIANXIETY MEDS(CONSIDERED TO BE MINOR TRANQUILIZERS)
WHAT DO BENZODIAZEPINES ALWAYS HAVE IN THE NAME? -ZEP
WHAT IS THE PROTOTYPE DRUG FOR BENZODIAZEPINES? DIAZEPAM(VALIUM)----ITS A BIGGIE
WHAT ARE THE INDICATIONS FOR BENZODIAZEPINES? INDUCTION OF ANESTHETIC MUSCLE RELAXANT ALCOHOL WITHDRAWAL SEIZURES--ESPECIALLY STATUS EPILEPTICUS FACILITATES MECHANICAL VENTILATION
DOES BENZODIAZEPINES WORK SLOWLY OR QUICIKLY? QUICKLY
HOW LONG CAN U BE ON BENZODIAZEPINES? MUST NOT TAKE MORE THAN 2-4 WEEKS KEEP ON VALIUM UNTIL ELAVIL KICKS IN
WHAT ARE THE SIDE EFFECTS OF BENZODIAZEPINES? ANTICHOLINERGIC(DRY MOUTH) BLURRED VISION CONSTIPATION DROWSINESS
WHAT IS THE #1 NURSING DIAGNOSIS WHILE TAKING BENZODIAZEPINES? SAFETY
WHAT IS MONOAMINE OXIDASE INHIBITORS(MAO)? ANTIDEPRESSANT
WHAT ARE THE DRUG NAMES OF MAO INHIBITORS? MAR-PLAN NAR-DIL PAR-NATE
WHAT ARE THE SIDE EFFECTS OF MONOAMINE OXIDASE(MAO) INHIBITORS? ANTICHOLINERGIC(DRY MOUTH) BLURRED VISION CONSTIPATION DROWSINESS
WHAT ARE THE INTERACTIONS OF MONOAMINE OXIDASE(MAO) INHIBITORS? TO PREVENT SEVERE, ACUTE, SOMETIMES FATAL HYPERTENSIVE CRISIS, THE PATIENT MUST AVOOID ALL FOODS CONTAINING TYRAMINE
WHAT ARE FOODS THAT CONTAIN TRYAMINE IN THEM? AVOID BANANAS,AVACADOS,RAISINS(ANY DRIED FRUIT) ANY GRAINS MADE W?ACTIVE DRY YEAST, ORGAN MEATS,CURED,DRIED,PICKLED, SMOKED MEATS,HOT DOGS,YOGURT,CHEESE EXCEPT MOZZERELLA +COTTAGE,ALCOHOL,ELIXIRS,SOY SAUCE,LICORICE, CAFFEINE, TINCTURES
WHAT ARE THE DRUG INTERACTIONS OF MONOAMINE OXIDASE(MAO) INHIBITORS? TEACH THE PTS NOT TO TAKE OVER THE COUNTER MEDS UNLESS THEY ARE PRESCRIBED
WHAT IS LITHIUM? AN ELECTROLYTE--USED FOR TREATING BIPOLAR DISORDER(MANIC-DEPRESSION) IT DECREASES THE MANIA
WHAT ARE THE SIGNS OF TOXICITY OF LITHIUM? TREMORS, METALLIC TASTE, SEVERE DIARRHEA **HOLD DRUG CALL DR FAIRLY SOON
WHAT IS THE #1 INTERVENTION FOR LITHIUM? INCREASE FLUID INTAKE
WHAT DO U DO IF THE PT IS SWEATING AND THEY ARE ON LITHIUM AND ARE TOXIC? GIVE THEM AN ELECTROLYTE SOLUTION AS WELL AS FLUIDS
WHAT PROLONG'S LITHIUM'S HALF LIFE CAUSING LITHIUM TOXICITY? LOW SODIUM LEVELS
WHAT DECREASES THE EFFECTIVENESS OF LITHIUM? HIGH SODIUM LEVELS
WHAT IS PROZAC? IT IS AN SSRI (SIMILAR TO A TRICYCLIC ANTIDEPRESSANT--SAME INFO)
WHAT ARE THE SIDE EFFECTS FO PROZAC? ANTICHOLINERGIC(DRY MOUTH) BLURRED VISION CONSTIPATION DROWSINESS EUPHORIA
HOW LONG DOES IT TAKE FOR BENEFICIAL EFFECTS TO TAKE PLACE? 2-4 WEEKS
HOW LONG CAN U BE ON PROZAC? FOREVER
WHAT DOES PROZAC CAUSE? INSOMNIA **SO GIVE BEFORE 12 NOON...IF BID GIVE AT 6AM AND 12 NOON DO NOT GIVE AT BEDTIME
WHAT DO U NEED TO WATCH FOR WHEN CHANGING THE DOSE OF PROZAC FOR AN ADOLESCENT? SUICIDE
WHAT ARE THE SIDE EFFECTS FOR LITHIUM? THE 3 P'S PPING(POLYURIA) POOPING(DIARRHEA) PARASTHESIA
WHAT ARE THE SIDE EFFECTS OF HALDOL? ANTICHOLINERGIC(DRY MOUTH), BLURRED VISION CONSTIPATION DROWSINESS EXTRAPYRAMIDAL SYNDROME PHOTOSENSITIVITY AGRANULOCYTOSIS
WHAT CAN ELDERY PTS DEVELOP FROM OVERDOSE OF HALDOL? NMS(NEUROLEPTIC MALIGNANT SYNDROME--A POTENTIALLY FATAL HYPERPYREXIA(FEVER) WITH TEMP OF 104 OR HIGHER.
WHAT SHOULD THE DOSE OF HALDOL FOR ELDERLY PTS? SHOULD BE HALF OF USUAL ADULT DOSE
WHAT IS CLOZARIL(CLOZAPINE) USED TO TREAT? SEVERE SCHIZOPHRENIA
WHAT IS THE ADVANTAGE OF CLOZARIL(CLOZAPINE)? IT DOES NOT HAVE THESE SIDE EFFECTS: ANTICHOLINERGIC, BLURRED VISION, CONSTIPATION, DROWSINESS, EXTRAPYRAMIDAL SYNDROME, PHOTOSENSITIVITY
WHAT IS THE DISADVANTAGE OF CLOZARIL(CLOZAPINE)? IT DOES HAVE THE SIDE EFFECT AGRANULOCYTOSIS(VERY BADLY IN SOME PEOPLE)
WHAT IS ZOLOFT? IT IS ANOTHER SSRI LIKE PROZAC
WHAT DOES ZOLOFT CAUSE? INSOMNIA---BUT IT CAN BE GIVEN IN THE EVENING
WHAT DRUG INTERACTIONS DOES ZOLOFT HAVE? ST. JOHNS WART(SADH--SWEATING,APPREHENSION(IMPENDING SENSE OF DOOM),DIZZINESS, HEADACHE) WARFARIN(COUMADIN)--WATCH FOR INCREASED BLEEDING(MUST LOWER DOSE OF COUMADIN OR U WILL BLEED)
WHAT ANSWER DO U PICK IN A TIE FOR NUTRITION? EITHER CHICKEN(BAKED OVER FRIED) OR FISH
WHAT ANSWER DO U NEVER PICK FOR NUTRITION? NEVER PICK CASSEROLES FOR CHILDREN
WHAT TYPE OF FOODS DO U PICK FOR TODDLERS? FINGER FOODS
WHAT DO U DO FOR PRESCHOOLERS REGARDING NUTRITION? NOTHING LEAVE THEM ALONE---ONE MEAL A DAY IS OKAY
WHAT IS SOMETHING U NEVER DO IN NUTRITION? NEVER MIX MEDICATION IN CHILDREN'S FOOD
WHAT IS THE MOST COMMONLY TESTED AREA IN PHARM? SIDE EFFECTS
HOW DO U KNOW WAT SIDE EFFECT TO PICK FOR DRUG QUESTIONS? IF U KNOW WHAT A PARTICULAR DRUG DOES GO WITH THE SIDE EFFECT IN THE SAME BODY SYSTEM WHERE THE DRUG IS WORKING--IF U HAVE NO CLUE WHAT IT DOES LOOK TO SEE IF ITS PO, IF SO PICK G.I. SIDE EFFECTS
WHAT IS THE ACE OF SPADES ANSWER IN OB? CHECK FETAL HR
WHAT IS THE FIRST THING U ASSESS IN A MED-SURG SITUATION? LOC
WHAT IS THE FIRST THING U DO IN A MED-SURG SITUATION? ESTABLISH AN AIRWAY
WHAT ARE THE 3 RULES OF GROWTH AND DEVELOPMENT QUESTIONS? THEY R ALL BASED ON GIVE CHILD MORE TIME RULE 1 WHEN IN DOUBT, CALL IT NORMAL RULE 2 WHEN IN DOUBT, PICK THE OLDER AGE RULE 3 WHEN IN DOUBT, PICK THE EASIER TASK
WHAT ARE SOME GENERAL GUESSING SKILLS FOR THE NCLEX? RULE OUT ABSOLUTE(ALWAYS, NEVER, EVERY, ALL) IF 2 ANSWERS SAY THE SAME THING, NEITHER IS RIGHT(TACHYCARDIA, RACING HEART) IF 2 ANSWERS ARE OPPOSITES, ONE OF THEM IS PROBABLY RIGHT(HYPERKALEMIA,HYPOKALEMIA)
WHAT DO U PICK IN QUESTIONS WITH 1 PT 4 NEEDS? PICK THE ONE THAT IS HIGHEST PRIORITY
WHAT IS THE SESAME STREET RULE FOR ANSWERING NCLEX QUESTIONS? ONE OF THE THINGS IS NOT LIKE THE OTHERS, ONE OF THESE THINGS JUST DOESNT BELONG
WHAT IS THE PURPOSE FOR CHEST TUBES? IT IS TO RE-ESTABLISH NEGATIVE PRESSURE IN PLUERAL SPACE
WHAT DOES THE CHEST TUBE REMOVE IN A PNEUMOTHORAX? AIR-BUBBLING IS GOOD
WHAT DOES THE CHEST TUBE REMOVE IN A HEMOTHORAX? BLOOD-DRAINS OUT
WHAT DOES THE CHEST TUBE REMOVE IN A PNEUMOHEMOTHORAX? AIR AND BLOOD (BUBBLE-DRAIN)
WHAT ARE THE LOCATIONS OF CHEST TUBES? APICAL--HIGH FOR AIR--LABEL A BASILAR--LOW FOR BLOOD--LABEL B
WHAT DO U DO IF THE WATER SEAL BREAKS IN CHEST TUBES? CLAMP, CUT TUBE AWAY FROM DEVICE, PUT INTO STERILE WATER(OR ANY WATER IF U HAVE NOTHING ELSE), UNCLAMP
WHAT DO U DO IF THE CHEST TUBE COMES OUT? COVER WITH GLOVED HAND VASOLINE DRESSING, DRY STERILE DRESSING AND TAPE IT TO CHEST WALL
WHAT ARE THE RULES FOR CLAMPING THE CHEST TUBE? NEVER CLAMP LONGER THAN 15 SEC W/OUT DR'S ORDER USE RUBBER TIPPED DOUBLE CLAMP
WHAT ARE THE FOUR DEFECTS PRESENT IN TETRALOGY OF FALLOT? **REMEMBER VARIED PICTURES OF A RANCH VENTRICULAR DEFECIT PULMONARY STENOSIS OVERRIDING AORTA RIGHT HYPERTROPHY
WHAT IS THE DIFFERENCE BETWEEN A PSYCHOTIC AND A NON PSYCHOTIC? A NON-PSYCHOTIC PERSON HAS INSIGHT AND IS REALITY BASED A PSYCHOTIC PERSON HAS NO INSIGHT AND IS NOT REALITY BASESD
WHAT IS DELUSIONS? A DELUSION IS A FALSE FIXED BELIEF OR IDEA OR THOUGHT. THERE IS NO SENSORY COMPONENT
WHAT ARE THE 3 TYPES OF DELUSIONS? PARANOID OR PERSECUTORY, GRANDIOSE, AND SOMATIC
WHAT IS PARANOID OR PERSECUTORY DELUSIONS? FALSE, FIXED BELIEF THAT PEOPLE ARE OUT TO HARM U
WHAT IS GRANDIOSE DELUSIONS? FALSE, FIXED BELIEF THAT U ARE SUPERIOR TO OTHER PEOPLE
WHAT IS SOMATIC DELUSIONS? FALSE,FIXED BELIEF ABOUT UR BODY
WHAT IS HALLUCINATIONS? A FALSE, FIXED SENSORY EXPERIENCE
WHAT ARE THE 5 TYPES OF HALLUCINATIONS? AUDITORY--HEAR THINGS--MOST COMMON VISUAL--SEE THINGS TACTILE--FEEL THINGS GUSTATORY--TASTING OLFACTORY--SMELLING
WHAT IS AN ILLUSION? A MISINTERPRETATION OF REALITY--IT IS A SENSORY EXPERIENCE
WHAT IS THE DIFFERENTIATION BETWEEN ILLUSIONS AND HALLUCINATIONS? WITH ILLUSIONS THERE IS REFERENT(SOMETHING THEY MISINTERPRET) IN REALITY
WHEN DEALING WITH A PT EXPERIENCING DELUSIONS, HALLUCINATIONS, OR ILLUSIONS WHAT IS THE FIRST THING U ASK URSELF? WHAT IS THEIR PROBLEM?
WHAT IS FUNCTIONAL PSYCHOSIS? SCHIZOPHRENICS SCHIZOAFFECTIVES MAJOR DEPRESSION MANIC
WHAT IS PSYCHOSIS OF DEMENTIA? AOZHEIMERS WEIRNICKIS HEAD INJURY **IT ONLY GETS WORSE
WHAT IS PSYCHOTIC DELIRIUM? LOOSE TOUCH WITH REALITY THEY GET BETTER
WHAT ARE THE 4 STEPS USED TO TEACH REALITY IN FUNCTIONAL PSYCHOSIS PTS? ACKNOWLEDGE THEIR FEELING PRESENT REALITY(U TELL THEM WHAT REALITY IS) SET A LIMIT(PRACTICE IT) ENFORCE THE LIMIT
DOES A FUNCTIONAL PSYCHOSIS PT HAVE THE ABILITY TO LEARN REALITY? YES
DOES A PSYCHOSIS OF DEMENTIA PT HAVE THE ABILITY TO LEARN REALITY? NO
WHAT ARE THE TWO STEPS TO DEAL WITH PSYCHOSIS OF DEMENTIA PTS? ACKNOWLEDGE THEIR FEELINGS REDIRECT THEM
WHAT IS PSYCHOTIC DELIRIUM? AN EPISODIC TEMPORARY STUNNIN DRAMATIC SECONDARY LOSS OF REALITY DUE TO CHEMICAL IMBALANCE
WHAT ARE THE 2 STEPS IN DEALING WITH PSYCHOTIC DELIRIUM PTS? ACKNOWLEDGE FEELING REASSURE SAFETY IT WILL GO AWAY
WHAT IS THE FLIGHT OF IDEAS? ONLY WRITE IN PHRASES
WHAT IS THE WORD SALAD? CANNOT MAKE A PHRASE
WHAT IS NEOLOGISMS? MAKE UP WORDS THAT DONT EXIST
WHAT IS NARROWED SELF-CONCEPT? WHEN A PSYCHOTIC REFUSES TO LEAVE THE ROOM OR CHANGE THEIR CLOTHING(UNTIL THEY ARE READY)
WHAT IS THE IDEAS OF REFERENCE? WHEN U THINK OTHER PEOPLE ARE TALKING ABOUT U
WHAT ARE THE 3 PRINCIPLES FOR CHOOSING APPROPRIATE TOYS FOR KIDS? IS IT SAFE IS IT AGE APPROPRIATE IS IT FEASIBLE(CAN U ACTUALLY DO IT)
WHAT ARE SOME SAFETY CONSIDERATIONS FOR TOYS FOR KIDS? NO SMALL TOYS FOR CHILDREN UNDER 4 NO METAL TOYS IF OXYGEN IN USE BEWARE OF FOMITES(NON LIVING OBJECT THAT HARBORS) BAD--STUFFED ANIMALS,PLUSH TOYS GOOD--HARD PLASTIC ACTION FIGURINES
WHAT IS THE FIRST AND SECOND BEST TOY FOR 0-6 MTHS OLD(SENSORIMOTOR)? BEST TOY--MUSICAL MOBILE SECOND--LARGE AND SOFT
WHAT IS THE FIRST AND SECOND BEST TOY FOR 6-9 MTHS OLD(OBJECT PERMANENCE)? BEST TOY--COVER/UNCOVER(JACK-IN-THE BOX) SECOND--SOMETHING LARGE AND FRIM MATERIAL (WOOD, PLASTIC)
WHAT IS THE FIRST AND SECOND BEST TOY FOR 9-12 MTHS OLD(SPEECH)? BEST TOY--VERBAL TOY(TICKLE ME ELMO,SEE N SAY)
WHAT IS THE BEST TOY FOR 1-3 YRS OLD? PUSH-PULL (POPCORN TOY--WAGON) THEY WORK ON GROSS MOTOR AND ARE CHARACTERIZED BY PARRELLEL PLAY--BESIDE BUT NOT WITH
WHAT DO 3-6 YR OLDS(PRESCHOOLERS) WORK ON? FINE MOTOR AND BALANCE
HOW DO 3-6 YR(PRESCHOOLERS) OLDS PLAY? CO-OPERATIVE PLAY--PLAY WITH ONE ANOTHER VERY SOCIAL
WHAT DO 3-6 YR OLDS(PRESCHOOLERS) LIKE TO DO? THEY LIKE TO PRETEND
WHAT ARE THE 7-11YR OLDS(SCHOOL AGE) CHARACTERIZED BY? **THE THREE C'S COLLECTING THINGS CREATING THINGS COMPETITIVE
HOW DO THE 12-18 YR OLDS(ADOLESCENTS) PLAY? THEIR PLAY IS PEER GROUP ASSOCIATION(BE WITH THEIR FRIENDS
WHEN WOULD U NOT LET TEENAGERS HANG OUT IN EACH OTHERS ROOMS? FRESH POST-OP IMMUNOSUPPRESSED CONTAGIOUS ILLNESSES
WHAT IS THE NAGELE'S RULE? 1ST DAY OF LAST MENSTRUAL PERIOD ADD 7 DAYS SUBTRACT 3 MONTHS
WHAT IS THE AMOUNT OF THE TOTAL WEIGHT GAIN DURING PREGNANCY? 28LBS + OR - 3
HOW MUCH WEIGHT SHOULD U GAIN DURING THE 1ST TRIMESTER? 1LB PER MONTH----3 MONTHS 3LBS
HOW MUCH WEIGHT SHOULD U GAIN DURING THE 2ND AND 3RD TRIMESTER? 1 LB PER WEEK
HOW DO U CALCULATE HOW MUCH WEIGHT THE PT HAS GAINED DURING THE PREGNANCY? THE # OF WEEKS SHE IS - 9
WHEN IS THE FUNDAL HEIGHT PAPABLE? NOT UNTIL WEEK 12
WHAT ARE THE POSITIVE SIGNS OF PREGNANCY? FETAL SKELETON ON X-RAY FETAL PRESENCE ON ULTRASOUND AUSCULTATION OF THE FETAL HEART RATE EXAMINER PALPATES THE FETAL MOVEMENT/OUTLINE
WHAT ARE THE PROBABLE / PRESUMTIVE SIGNS OF PREGNANCY? ALL URINE AND BLOOD PREGNANCY TEST CHADWICKS SIGN--CERVICAL COLOR CHANGE-CYANOSIS GOODELLS SIGN--CERVIX SOFTENS HEGARS SIGN--UTERUS SOFTENS
WHAT IS THE PATTERN FOR OFFICE VISITS FOR PREGNANT PTS? ONCE A MONTH UNTIL 28 WEEKS ONCE EVERY TWO WEEKS UNTIL WEEK 36 ONCE A WEEK UNTIL DELIVERY OR 42 WEEKS
WHAT IS THE RANGE OF Hgb(HEMOGLOBIN) DURING PREGNANCY? NORMAL NON PREGNANT--12-16 FIRST TRIMESTER--CAN DROP TO 11 AND BE NORMAL SECOND TRIMESTER--10.5 QNE BE NORMAL THIRD TRIMESTER--10 AND BE NORMAL
WHAT IS VENTRICULAR ASYSTOLE? A LACK OF QRS DEPOLARIZATIONS
WHAT IS ATRIAL FLUTTER? RAPID P-WAVE DEPOLARIZATIONS IN A SAW(FLUTTER)-TOOTH PATTERN
WHAT IS ATRIAL FIBRILLATION? CHAOTIC(FIBRILLATION)- QRS DEPOLARIZATIONS
WHAT IS VENTRICULAR FIBRILLATION? CHAOTIC QRS DEPOALRIZATIONS
WHAT IS VENTRICULAR TACHYCARDIA? WIDE, BIZARRE(TACHYCARDIA) QRS'S
WHAT IS QRS DEPOLARIZATION? ALWAYS REFERS TO SOMETHING VENTRICULAR(NOT ATRIAL, JUNCTIONAL, OR NODAL)
WHAT IS THE P WAVE? REFERS TO ALWAYS AND ONLY ATRIAL
WHEN SHOULD U BE CONCERNED ABOUT PVC'S? IF THERE IS MORE THAN 6 PER MINUTE IF THERE IS 6 IN A ROW IF THE PVC FALLS ON THE T-WAVE OF PREVIOUS BEAT
WHAT ARE THE LETHAL ARRHYTHMIAS? ASYSTOLE V-FIB
WHAT IS A POTENTIALLY LIFE-THREATENING ARRHYTHMIA? V-TACH
WHAT IS THE TREATMENT FOR PVC'S? VENTRICULAR LIDOCAINE
WHAT IS THE TREATMENT FOR V-TACH? LIDOCAINE
WHAT IS THE TREATMENT FOR SUPRVENTRICULAR ARRHYTMIAS? ADENOCARD(TREATS ATRIAL PROBLEMS) BETA BLOCKERS(LOL) CALCIUM CHANNEL BLOCKERS DIGOXIN(LANOXIN)
WHAT IS THE TREATMENT FOR V-FIB? EPINEPHRINE, O2
WHAT IS THE TREATMENT FOR ASYSTOLE? 1ST--EPINEPHRINE 2ND--ATROPINE
HOW DO U TREAT MORNING SICKNESS DURING THE FIRST TRIMESTER OF PREGNANCY? DRY CARBOHYDRATES BEFOR U GET OUT OF BED
HOW DO U TREAT URINARY INCONTINENCE DURING THE FIRST AND THIRD TRIMESTER OF PREGNANCY? VOID EVERY 2 HRS
HOW DO U TREAT DYSPNEA DURING THE SECOND AND THIRD TRIMESTER OF PREGNANCY? LEAN FORWARD ARMS ON THE TABLE (TRIPOD POSITION)
HOW DO U TREAT BACK PAIN DURING THE SECOND AND THIRD TRIMESTER OF PREGNANCY? PELVIC - TILT EXERCISES(TILT PELVIC FORWARD)
WHAT IS THE MOST CALID SIGN OF LABOR? ONSET OF REGULAR CONTRACTIONS THAT RESULTS IN DILATION
WHAT IS DILATION? OPENING OF THE CERVIX (0-10)
WHAT IS EFFACEMENT? THINNING OF THE CERVIX (THICK-100%)
WHAT IS STATION IN LABOR AND BIRTH? RELATIONSHIP OF FETAL PRESENTING PART TO MOMS ISCHIAL SPINE. **CRITICALLY IMPORTANT
WHAT IS ENGAGEMENT? STATION 0 BABYS HEAD IS OUT
WHAT IS LIE IN LABOR AND BIRTH? RELATIONSHIP BETWEEN SPINE OF BABY AND SPINE OF MOM
WHAT IS PRESENTATION IN LABOR AND BIRTH? PART OF BABY THAT ENTERS THE BIRTH CANAL FIRST
WHAT ARE THE FOUR STAGES OF LABOR AND BIRTH? STAGE 1--LABOR(CERVIX AND EFFACEMENT) STAGE 2--DELIVERY OF THE BABY(UTERINE CONTRACTIONS=BABY) STAGE 3--DELIVERY OF THE PLACENTA(UTERINE CONTRACTIONS=PLACENTA) STAGE 4--RECOVERY(1ST 2 HR AFTER DELIVERY OF THE PLACENTA
DESCRIBE THE LATENT PHASE DURING THE FIRST STAGE OF LABOR AND DELIVERY? 0-4CM DILATED CONTRACTION FREQUENCY--5-30 MIN APART DURATION OF CONTRACTIONS--15-30 SEC INTENSITY OF CONTRACTIONS--MILD
DESCRIBE THE ACTIVE PHASE DURING THE FIRST STAGE OF LABOR AND DELIVERY? 5-7CM DILATED CONTRACTION FREQUENCY--3-5 MIN APART DURATION OF CONTRACTIONS--30-60 SECONDS INTENSITY OF CONTRACTIONS--MODERATE
DESCRIBE THE TRANSITION PHASE DURING LABOR AND DELIVERY? 8-10 CM DILATED CONTRACTION FRQUENCY--2-3 MIN APART DURATION OF CONTRACTIONS--60-90 SECONDS INTENSITY OF CONTRACTIONS--STRONG
CONTRACTIONS SHOULD NOT BE CLOSER THAN_____ OR THEY SHOULD NOT BE LONGER THAN__________ TWO MINUTES 90 SECONDS
HOW DO U ASSESS THE CONTRACTIONS? FREQUENCY: BEGINNING OF ONE CONTRACTION TO THE BEGINNING OF THE NEXT CONTRACTION DURATION: BEGINNING TO END OF ONE CONTRACTION INTENSITY: PURELY SUBJECTIVE OF CONTRACTION. PALPATE WITH ONE HAND OVER THE FUNDUS W/ FINGERTIPS
WHAT ARE THE COMPLICATIONS DURING LABOR? PAINFUL BACK LABOR PROLAPSED CORD
WHAT DO U DO FOR PAINFUL BACK LABOR? POSITION HER IN KNEE - CHEST (ON HANDS AND KNEES WITH BUTT UP HEAD DOWN) SOMEONE PUSH ON HER SACRUM WITH FIST OR TENNIS BALL
WHAT DO U DO FOR PROLAPSED CORD DURING LABOR? PUSH THE BABY'S HEAD OFF CORD POSITION HER IN KNEE CHEST, TRENDELENBURG, HIPS ON PILLOW ***SUPER HIGH PRIORITY***
WHAT ARE THE INTERVENTIONS FOR ALL OTHER COMPLICATIONS OF LABOR AND BIRTH? ****REMEMBER LION PIT**** L- LEFT SIDE I - IV INCREASE O - OXYGENATE N - NOTIFY DR. PIT - PITOSIS IF RUNNING DURING A CRISIS STOP IT..
WHAT IS THE RULE FOR PAIN MEDS DURING LABOR? DO NOT GIVE SYSTEMIC PAIN MEDS TO A WOMAN IN LABOR IF THE BABY IS LIKELY TO BORN WHEN THE MED PEAKS
WHAT DO U DO FOR LOW FETAL HR? ITS BAD IF UNDER 100 DO LION--LEFT SIDE, IV INCREASE, OXYGENATE, NOTIFY DR.
WHAT DO U DO FOR HIGH FETAL HR? IT WILL BE HIGHER THAN 160 ITS OK JUST DOCUMENT MOM WILL HAVE FEVER IF ANYTHING IS WRONG
WHAT DO U DO FOR LOW BASELINE VARIABILITY? IT STAYS THE SAME--THIS IS BAD--DO LION (LEFT SIDE, INCREASE IV, OXYGENATE, NOTIFY DR.)
WHAT DO U DO FOR HIGH BASELINE VARIABILITY? BABYS HR ALL OVER THE PLACE--THIS IS GOOD--JUST DOCUMENT
WHAT DO U DO FOR LATE DECELERATIONS? THIS IS BAD--DO LION( LEFT SIDE, INCREASE IV, OXYGENATE, NOTIFY DR)
WHAT DO U DO FOR EARLY DECELERATIONS? BABYS HR MIRRORS --THIS IS OK--JUST DOCUMENT--IT MEANS BABYS HEAD IS PRESSED ON
WHAT DO U DO FOR VARIABLE DECELERATIONS? NO PATTERN TO CONTRACTIONS--THIS IS BAD-VERY BAD--PROLAPSE--PUSH POSITION
WHAT DO U DO IN THE SECOND STAGE OF LABOR AND DELIVERY? IN WHAT ORDER.. 1. DELIVER THE HEAD 2. SUCTION THRU THE MOUTH AND NOSE(REMEMBER ALPHABETICAL 3. STOP PUSHING CHECK FOR NUCHAL CORD(CORD AROUND BABYS NECK) 4. START PUSHING AGAIN--DELIVER SHOULDERS AND BODY 5. MUST PUT ID BAND ON BABY BEFORE IT LEAVES THE DELIVERY ARE
WHAT DO U DO IN THE THIRD STAGE OF LABOR? MAKE SURE IT ALL COMES OUT--BLEEDING AND INFECTION WITHIN 48-72 HRS IF NOT LOOK FOR 3 VESSESL CORD (AVA) (2 ARTERIES 1 VEIN)
WHAT ARE THE 4 THNGS U DO 4 TIMES AN HOUR IN THE 4TH STAGE OF LABOR AND DELIVERY? VITAL SIGNS--ASSESS FOR S&S OF SHOCK--PRESSURES UP, RATES ARE DOWN FUNDUS--IF BOGGY, MASSAGE. IF DISPLACED, VOID, CATH CHECK PERINEAL PAD--EXCESSIVE LOCHIA=PAD SAT IN < OR = TO 15 MIN ROLL HER ONTO HER SIDE AND CHECK FOR BLEEDING UNDER THE PT
HOW LONG IS THE PT IN RECOVERY FOR AFTER LABOR AND DELIVERY? 2 HRS
WHAT DO U ASSESS IN POSTPARTUM? REMEMBER BUBBLE HEAD B- BREASTS U- UTERINE FUNDUS B- BLADDER B- BOWEL L- LOCHIA E- EPISIOTOMY H- HEMOGLOBIN AND HEMATOCRIT E- EXTREMITY A- AFFECT D- DISCOMFORT
HOW DO U ASSESS THE UTERINE FUNDUS DURING POSTPARTUM? TONE: FIRM OR BOGGY LOCATION: MIDLINE HEIGHT: r/t UMBILICUS
HOW DO U ASSESS THE LOCHIA DURING POSTPARTUM? COLOR--RUBRA(RED), SEROSA(PINK), ALBA(WHITE) AMOUNT--MODERATE= 4-6 INCHES ON PAD/HR EXCESSIVE=SATURATED PAD IN 15 MINUTES OR LESS ODOR CLOTS
HOW DO U ASESS THE EXTREMITIES DURING POSTPARTUM? PRIMARILY THE LEGS PULSES, EDEMA, S&S OF THROMBOPHLEBITIS ASSESS CALF MEASUREMENTS (CIRCUMFERENCE)
WHAT ARE THE OB MEDICATIONS THAT STOPS LABOR? TERBUTALINE(BRETHINE) MAGNESIUM SULFATE
WHAT ARE THE OB MEDS THAT STIMULATES LABOR? PITOCIN(OXYTOCIN) METHERGINE
WHAT ARE THE OB MEDS FOR FETAL/NEONATAL LUNG MEDS? BETAMETHASONE(STEROID) SURVANTA(SURFACTANT)
WHAT DOES TERBUTALINE DO? CAUSES MATERNAL TACHYCARDIA--AND STOPS LABOR
WHAT DOES MAGNESIUM SULFATE DO? IT STOPS LABOR SHUTS IT DOWN SUPRESSES RESPIRATIONS REFLEX DEPRESSION DECREASE IN LOC
WHAT DOES PITOCIN DO? STIMULATES LABOR UTERINE HYPERSTIMULATION CLOSER TO 2 MIN LONGER THAN 90 SEC
WHAT DOES METHERGINE DO? ONLY TO CONTROL PORT PARTAL BLEEDING HYPERTENSION
WHAT DOES BETAMETHASONE DO? INCREASES MOTHERS GLUCOSE MOM GETS IT GIVEN BEFORE BABY BORN GIVEN IM INJECTION AND CAN BE REPEATED
WHAT DOES SURVANTA DO? GIVEN TO BABY GIVEN AFTER BABY IS BORN GIVEN TRANSTRACHEAL BLOW IT IN THRU A VENTILATOR
IN WHAT ORDER DO U DRAW UP INSULIN? CLEAR THEN CLOUDY R THEN N
WHAT SIZE NEEDLE DO U USE FOR IM INSULIN INJECTIONS? GUAGE AND LENGTH MUST HAVE A 1 IN IT **I LOOKS LIKE 1**
WHAT SIZE NEEDLE DO U USE FOR SQ INSULIN INJECTIONS? GUAGE AND LENGTH MUST HAVE A 5 IN IT **S LOOKS LIKE 5**
HOW QUICK DOES HEPARIN WORK? WORKS RIGHT AWAY
HOW DO U GIVE HEPARIN? IV OR SQ NEVER ORALLY
HOW LONG CAN HEPARIN BE ADMINISTERED? SHOULD NOT BE ADMINISTERED AFTER 21 DAYS
WHAT IS THE ANTEDOTE FOR HEPARIN? PROTAMIN SULFATE FOR OVERDOSE
WHAT IS THE LAB TEST THAT MONITORS HEPARIN? PTT
IS HEPARIN SAFE TO USE DURING PREGNANCY? YES
HOW LONG DOES IT TAKE FOR COUMADIN TO WORK? TAKE DAYS TO WORK
HOW DO U GIVE COUMADIN? ONLY GIVEN ORALLY NEVER ANY OTHER WAY
HOW LONG CAN U TAKE COUMADIN? FOR THE REST OF UR LIFE
WHAT IS THE ANTEDOTE FOR COUMADIN? VITAMIN K
WHAT IS THE LAB TEST THAT MONITORS COUMADIN? INR
CAN COUMADIN BE USED DURING PREGNANCY? NO
WHAT DO K WASTING DIURETICS END IN? ONLY THE DIURETICS ENDING IN -X AND DIURIL **ALL OTHER ARE K SPARING
WHAT ARE THE SIDE EFFECTS OF BACLOFEN(LIORESAL))? DROWSINESS MUSCLE WEAKNESS
WHAT IS BACLOFEN(LIORESAL)? A MUSCLE RELAXANT WHEN UR ON UR BACK LOAFIN UR ON UR BACLOFEN
WHAT IS THE PT TEACHING FOR BACLOFEN(LIORESAL)? DPMT DRINK DONT DRIVE DON TAKE CARE OF CHILDREN UNDER THE AGE OF 10
WHAT IS PIAGETS STAGE OF ITELLECTUAL DEVELOPMENT FOR 0-2 YR OLDS? SENSORIMOTOR
WHAT IS PIAGETS STAGE OF INTELLECTUAL DEVELOPMENT FOR 3-6 YR OLDS? PRE-OPERATIONAL PRESCHOOLER
WHAT IS PIAGETS STAGE OF INTELLECTUAL DEVELOPMENT FOR 7-11 YR OLDS? CONCRETE OPERATIONS
WHAT IS PIAGETS STAGE OF INTELLECTUAL DEVELOPMENT FOR 12-15 YR OLDS? FORMAL OPERATIONS
WHAT IS THE CHARACTERISITICS OF 0-2 YR OLDS(SENSORIMOTOR)? TOTALLY PRESENT ORIENTED ONLY THINK ABOUT WHAT THEY SENSE OR ARE DOING RIGHT NOW---THERE IS NO PAST OR PRESENT
WHAT IS THE CHARACTERISTICS OF 3-6 YR OLDS(PRE-OPERATIONAL)? FANTASY ORIENTED, ILLOGICAL NO RULES IMMAGINATIVE NO LOGIC OR REASON
WHAT IS THE CHARACTERISTICS OF 7-11 YR OLDS(CONCRETE OPERATIONS)? RULE ORIENTED LIVE AND DIE BY THE RULES CANNOT BE ABSTRACT LOGICAL
WHAT IS THE CHARACTERISTICS OF 12-15 YR OLDS(FORMAL OPERATIONS)? ABLE TO THINK ABSTRACTLY UNDERSTAND CAUSE - EFFECT THINK LIKE AN ADULT
WHAT ARE THE TEACHING GUIDELINES FOR 0-2 YR OLDS(SENSORIMOTOR)? WHEN--NOW--NO PRETEACHING WHAT--WHAT U ARE DOING HOW--VERBALLY
WHAT ARE THE TEACHING GUIDELINES FOR 3-6 YR OLDS(PRE-OPERATIONAL)? WHEN--PRE TEACH HAS TO BE DONE ON THE DAY OF THE PROCEDURE WHAT--WHAT U R GOING TO BE DOING AND HOW OR WHAT THEY ARE GOING TO FEEL HOW--USING PLAY, DOLLS, STORIES, TOYS
WHAT ARE THE TEACHING GUIDELI9NES FOR 7-11 YR OLDS(CONCRETE OPERATIONS)? WHEN--TEACH DAYS AHEAD WHAT--YOU ARE GOING TO DO AND HOW OR WHAT THEY ARE GOING TO FEEL HOW--DONT USE PLAY USE AGE APPROPRIATE VIDEOS AND READING MATERIAL
WHAT ARE THE TEACHING GUIDELINES FOR 12-15 YR OLDS(FORMAL OPERATIONS)? WHEN--LIKE AN ADULT WHAT--LIKE AN ADULT HOW--LIKE AN ADULT
WHAT ARE THINGS THAT MAKE A PT STABLE? CHRONIC ILLNESS, POST OP > THAN 12 HRS, REGIONAL OR LOCAL ANESTHESIA,LAB ABNORMALITIES OF A OR B LEVEL, UNCHANGED ASSESSMENTS. EXPERIENCING THE EXPECTED S&S USING KEY PHRASES AS: READY 2 BE DISCHARGED, ADMITTED LONGER THAN 24 HRS AGO
WHAT ARE THINGS THAT MAKE A PT UNSTABLE? ACUTE ILLNESSES, POST-OP < THAN 12 HRS, GENERAL ANESTHESIA, LAB ABNORMALITIES OF C OR D,CHANGES IN ASSESSMENTS, EXPERIENCING UNEXPECTED S&S, KEY PHRASES: JUST RETURNED, NEWLY DIAGNOSED, NOT READY FOR DISCHARGE
WHAT MAKES A PT ALWAYS UNSTABLE? HYPOGLYCEMIA HEMMORRHAGE HIGH FEVERS ABOVE 104 PULSELESSNESS AND BREATHLESSNESS
IF THERE IS BUBBLING INTERMITTENTLY IN THE WATER SEAL OF THE CHEST IS THIS GOOD OR BAD? GOOD
IF THERE IS CONTINUOUSLY BUBBLING IN THE WATER SEAL IS IT GOOD OR BAD? BAD....FIND LEAK IN SYSTEM AND TAPE IT
IF THERE IS INTERMITTENTLY BUBBLING IN THE SUCTION CONTROL CHAMBER OF THE CHEST TUBE IS IT GOOD OR BAD? BAD.....TURN UP WALL SUCTION
IF THERE IS CONTINUOUSLY BUBBLING IN THE SUCTION CONTROL CHAMBER OF THE CHEST TUBE IS IT GOOD OR BAD? GOOD
WHAT ARE THE TWO THINGS THAT ALL CHD KIDS WILL HAVE WETHER TROUBLE OR NOT? MURMUR ECHOCARDIOGRAM
WHAT ARE THE FOUR DEFECTS PRESENT IN TETRALOGY OF FALLOT? VENTRICULAR DEFECIT PULMONARY STENOSIS OVER-RIDING AORTA RIGHT HYPERTROPHY **REMEMBER THE PHRASE VarieD PictureS Of A Ranch....
WHAT IS TRouBLe? EVERY CONGENITAL HEART DEFECT IS EITHER TROUBLE OR NO TROUBLE SHUNTS BLOOD R - L BLUE (CYANOTIC) WHOSE NAME START WITH T IS TROUBLE EX. TRANSPOSITION OF THE VESSEL TRICUSPID ATRISIA #1 EXCEPTION LEFT VENTRICULAR HYPOPLASTIC SYNDROME
HOW DO U MEASURE CRUTCHES, CANES, AND WALKERS? 2-3 FINGERWIDTHS BELOW ANTERIOR AXILLARY FOLD TO A POINT LATERAL TO AND SLIGHTLY IN FRONT OF THE FOOT.
WHEN IS THE HANDGRIP PROPERLY PLACED WHEN USING CRUTCHES, CANES AND WALKERS? WHEN THE ANGLE OF THE ELBOW FLEXION WILL BE 30 DEGREES
WHAT IS 2 PT GAIT? START IN CRUTCH NEUTRAL POISTION(TWO THINGS TOUCHING DOWN) STEP 1--MOVE ONE CRUTCH & OPPOSITE FOOT TOGETHER STEP 2--MOVE OTHER CRUTCH FOOT TOGETHER (2 PTS TOGETHER FOR A 2 PT GAIT)
WHAT IS A 3 PT GAIT? STEP 1--MOVE TWO CRUTCHES AND BAD LEG TOGETHER STEP 2--MOVE GOOD FOOT (3 PTS TOUCH DOWN AT ONCE)
WHAT IS A 4 PT GAIT? **EVERYTHING MOVES SEPARATELY STEP 1--ONE CRUTCH STEP 2--OPPOSITE FOOT STEP 3--OTHER CRUTCH STEP 4--OTHER FOOT
WHAT IS A SWING THROUGH? ITS USED FOR NON WEIGHT BEARING FOR EX AMPUTATION
WHEN DO U USE EACH GAIT? USE THE EVEN NUMBERED GAITS WHEN WEAKNESS IS EVENLY DISTRIBUTED(BILATERALLY). TWO PT FOR MILD PROBLEM FOUR PT FOR SEVER PROBLEM(WHEN 1 LEG AFFECTED) USE ODD NUMBERED GAITS WHEN ONE LEG IS ODD(UNILATERAL PROBLEM)
WHICH FOOT LEADS WHEN GOIN UP AND DOWN STAIRS ON CRUTCHES? **REMEMBER UP WITH THE GOOD AND DOWN WITH THE BAD THE CRUTCHES ALWAYS MOVE WITH THE BAD LEG
WHICH SIDE DO U HOLD THE CANE ON? THE GOOD SIDE
HOW DO U ADVANCE THE CANE? WITH THE WEAK SIDE FOR A WIDE BASE OF SUPPORT
HOW DO U USE THE WALKER? PICK IT UP SET IT DOWN....WALK TO IT **CONVINCE THEM TO TIE THEIR BELONGINGS TO THE SIDE AND NOT THE FRONT
WHAT IS A HIATAL HERNIA? REGURITATION OF ACID INTO ESOPHAGUS, BECAUSE UPPER STOMACH HERNIATES UPWARD THROUGH THE DIAPHRAGM. 2 CHAMBER STOMACH
WHAT IS THE DUMPING SYNDROME? POST-OP GASTRIC SURGERY COMPLICATION IN WHICH GASTRIC CONTENTS DUMP TOO QUICKLY INTO THE DUODENUM
HOW DO THE GASTRIC CONTENTS MOVE IN A HIATAL HERNIA? THEY MOVE IN THE WRONG DIRECTION AT THE CORRECT RATE
HOW DO THE GASTRIC CONTENTS MOVE IN THE DUMPING SYNDROME? THEY MOVE IN THE CORRECT DIRECTION AT THE WRONG RATE
WHAT ARE THE S&S OF A HIATAL HERNIA? GERD---HEARTBURN, INDEGESTION WHEN U LIE DOWN AFTER U EAT
WHAT ARE THE S&S OF THE DUMPING SYNDROME? ACUTE ABDOMINAL DISTRESS-CRAMPING,BLOATING,DIARRHEA,DISTENTION DRUNK-UNSTEADY GAIT, SLURRED SPEACH, HEADACHE, CONFUSION SHOCK--PALE, COLD,CLAMY, INCREASED RR AND WEAK, AND LOWERED BP
WHAT IS THE TREATMENT FOR HIATAL HERNIA? HOB DURING & 1ST HOUR AFTER MEALS--HIGH FOWLERS AMOUNT OF FLUIDS W/MEALS--HIGH AMTS OF FLUIDS CARBOHYDRATE CONTENT OF MEALS--HIGH CARBOHYDRATE DIET
WHAT IS THE TREATMENT FOR THE DUMPING SYNDROME? HOB DURING AND 1 HR AFTER MEALS--LIE DOWN FLAT ON THE LEFT SIDE AMOUNT OF FLUIDS WITH MEALS--LOW FLUIDS PRACTICALLY NONE BETWEEN MEALS CARBOHYDRATE CONTENT OF MEALS--LOW CARB DIET HIGH PROTEIN
WHAT IS CREATININE THE BEST INDICATOR OF? KIDNEY FUNCTION
WHAT IS THE NORMAL RANGE FOR CREATININE? 0.6 - 1.2
WHAT DO U DO IF THE CREATININE LEVEL IS ELEVATED? ITS JUST ABNORMAL DR WILL DO SOMETHING PT WONT DIE
WHAT IS THE NORMAL LEVEL FOR INR? 2'S AND 3'S
WHAT DOES INR MONITOR? COUMADIN THERAPY
WHAT DO U DO IF THE COUMADIN LEVEL IS ELEVATED? > OR = TO 4 ITS CRITICAL DO SOMETHING HOLD COUMADIN ASSESS BLEEDING(FOCUSED) PREPARE TO GIVE A VITAMIN (K) CALL THE RN OR DR
WHAT IS THE NORMAL LEVEL FOR POTASSIUM? 3.5 - 5.3
WHAT DO U DO IF THE POTASSIUM LEVEL IS ELEVATED? LOW ITS CRITICAL DO SOMETHING--ASSESS HEART(EKG)--PREPARE TO GIVE POTASSIUM--CALL RN OR DR 5.4 - 5.9 --ITS CRITICAL--HOLD POTASSIUM--ASSESS HEART--PREPARE KAYEXOLATE--CALL RN OR DR > OR = TO 6 --DEADLY DANGEROUS DO EVERYTHING NOW AND FAST..MORE NURSES
WHAT IS THE NORMAL LEVEL OF pH? 7.35 - 7.45
WHAT DO U DO IF THE pH IS ELEVATED? IF IN THE 6'S ITS DEADLY DANGEROUS SEVERE ACIDOSIS ASSESS VS CALL RN OR DR NOT COMPATIBLE WITH LIFE
WHAT IS THE NORMAL LEVEL FOR BUN? 8 - 25
WHAT DO U DO IF THE BUN IS ELEVATED? ITS TO BE CONCERNED WITH--ASSESS/MONITOR CHECK FOR DEHYDRATION
WHAT IS THE NORMAL LEVEL FOR Hgb(HEMAGLOBIN)? 12 - 18
WHAT DO U DO IF THE Hgb LEVEL IS ABNORMAL? 8 - 11 ASSESS/MONITOR---BLEEDING MALNOURISHED <8 CRITICAL DO SOMETHING--ASSESS BLEEDING, PREPARE TO GIVE BLOOD, CALL RN OR DR
WHAT IS THE NORMAL LEVEL FOR HCO3(BICAR)? 22 - 26
WHAT IS THE NORMAL LEVEL FOR CO2(CARBON DIOXIDE)? 35 - 45
WHAT DO U DO WHEN THE HCO3 LEVEL IS ABNORMAL? NOTHING
WHAT DO U DO IF THE CO2 LEVEL IS ELEVATED? IN 50'S - ITS CRITICAL DO SOMETHING--ASSESS LUNG STATUS, PURSED LIP BREATHING-PROLONGED EXHALE, -- CALL RESPIRATORY, CALL RN OR DR IN 60'S--DEADLY DANGEROUS-DO SOMETHING NOW-- ASSESS RESPIRATORY--PREPARE TO INTUBATE &VENTILATE--CALL RESP,RN,DR
WHAT IS THE NORMAL LEVEL FOR HEMATOCRIT? 36 - 54
WHAT DO U DO IF THE LEVEL FOR HEMATOCRIT IS ABNORMAL? BE CONCERNED
WHAT IS THE NORMAL LEVEL FOR PO2(OXYGEN)? 78-100
WHAT DO U DO IF THE OXYGEN LEVEL IS ABNORMAL? LOW70-77-CRITICAL DO SOMETHING--ASSESS LUNG STATUS-PULSE OX, GIVE OXYGEN NASAL CANNULA LOW< OR = TO 60'S DEADLY DANGEROUS DO SOMETHING NOW--ASSESS RESP.,O2 SAT,PREPARE TO INTUBATE&VENTILATE,CALL RESP, RN AND DR
WHAT IS THE NORMAL LEVEL FOR O2 SAT? 93-100
WHAT DO U DO IF THE O2 SAT IS LOWER THAN 93? ITS CRITICAL DO SOMETHING--ASSESS RESPIRATORY--GIVE OXYGEN--CALL RESPIRATORY, RN, DR THEN DOCUMENT
WHAT IS THE NORMAL LEVEL OF BNP(BRAIN NATURITIC PEPTIDE)? UNDER 100
WHAT IS BNP A GOOD INDICATOR OF? CHF
WHAT IS THE NORMAL LEVEL OF SODIUM? 135 - 145
WHAT DO U DO IF THE SODIUM LEVEL IS ABNORMAL BE CONCERNED **IF CHANGE IN LOC ITS CRITICAL DO SOMETHING---SAFETY
WHAT IS THE NORMAL LEVEL FOR RBC'S? 4 MILLION TO 6 MILLION
WHAT DO U DO IF THE LEVEL FOR RBC'S IS ABNORMAL? BE CONCERNED---WATCH FOR MALNUTRITION AND BLEEDING
WHAT DOES LAMINECTOMY MEAN? REMOVAL OF THE VERTEBRAL SPINOUS SPROCESSES
WHAT IS THE REASON FOR A LAMINECTOMY? TO TREAT NERVE ROOT COMPRESSION
WHAT ARE THE S&S OF NERVE ROOT COMPRESSION? PAIN PARASTHESIA(NUMBNESS AND TINGLING) PARESIS(MUSCLE WEAKNESS)
WHAT ARE THE LOCATIONS FOR A LAMINECTOMY? CERVICAL--NECK THORACIC--UPPER BACK LUMBAR--LOWER BACK
WHAT IS THE MOST IMPORTANT PRE-OP ASSESSMENT IN THE CERVICAL LAMINECTOMY? DIAPHRAGM, ARMS, AND HANDS(BREATHING,ROM)
WHAT IS THE MOST IMPORTANT PRE-OP ASSESSMENT IN THE THORACIC LAMINECTOMY? COUGH AND BOWEL (HOW THEY COUGH AND HOW ARE THEIR BOWELS)
WHAT IS THE MOST IMPORTANT PRE-OP ASSESSMENT FOR THE LUMBAR LAMINECTOMY? BLADDER AND LEGS AND FEET
WHAT IS THE # 1 POST-OP ANSWER ON THE NCLEX? LOG ROLL-LIE FLAT
WHAT ACTIVITY/MOBILIZATION STRATEGY POST-OP FOR LAMINECTOMY? DO NOT DANGLE THESE PTS(SIT ON EDGE OF BED WITH LEGS HANGING? MAY WALK, STAND, OR LIE DOWN WITHOUT RESTRICTIONS DONT SIT LONGER THAN 30 MIN
WHAT DO U WATCH FOR IN A CERVICAL LAMINECTOMY? WATCH FOR PNUEMONIA--DONT BREATHE SO WELL
WHAT DO U WATCH FOR IN A THORACIC LAMINECTOMY? PNEUMONIA--DONT COUGH
WHAT DO U WATCH FOR IN A LUMBAR LAMINECTOMY? URINARY RETENTION
WHAT IS A LAMINECTOMY WITH FUSION? IT INVOLVES TAKING A BONE GRAFT FROM THE ILIAC CREST
WHAT ARE THE DISCHARGE TEACHINGS OF TEMPORARY RESTRICTIONS IN LAMINECTOMIES? DONT SIT FOR LONGER THAN 30 MIN LOG ROLL AND LIE FLAT FOR 6 WEEKS NO DRIVING FOR 6 WEEKS DO NOT LIFT MORE THAN 5LBS FOR 6 WKS
WHAT ARE THE DISCHARGE TEACHINGS OF PERMANENT RESTRICTIONS? WILL NEVER BE ALLOWED TO LIFT BY BENDING AT WAIST(BEND AT KNEES CERVICAL--NEVER BE ALLOWED TO LIFT OBJECTS ABOVE THERE HEAD--REGARDLESS OF WEIGHT NO HORSEBACK RIDING, OFF TRAIL BIKING, JERKY AMUESEMENT PARK RIDES, ETC
WHAT ARE THE 4 STEPS TO ANSWERING EMPATHY? IF AN EMPATHY ?..WILL HAVE A QUOTE & EACH ANSWER WILL HAVE A QUOTE PUT URSELF N THE CLIENT'S SHOES SAY THEIR WORD AS IF U REALLY MEANT THEM AS URSELF IF I SAID THOSE WORDS & REALLY MEANT IT HOW WOULD I FEEL..CHOOSE THE ANSWER THAT REFLECTS THAT FEELING
WHAT IS IMMEDIACY REGARDING PSYCHIATRIC QUESTIONS? THE BEST PSYCH ANSWERS COMMUNICATE TO THE PT THAT THE NURSE IS WILLING TO DEAL WITH THE PAT'S PROBLEM RIGHT THEN AND RIGHT THERE...BETTER ANSWER TO KEEP THEM TALKING
WHAT ARE KEY PHRASES TO AVOID IN ANSWERING ?'S WITH PSYCH PTS(IMMEDIACY)? REFER PT TO HAVE U SPOKEN TO UR....ABOUT THIS? WHY DONT U TALK TO UR ....ABOUT THIS? AVOID CHANGING THE SUBJECT UNLESS U ARE REFOCUSING A PT WHO IS AVOIDING THE SUBJECT OF THE THERAPEUTIC SESSION
WHAT ARE THE BEST PSYCH ANSWERS FOR CONCRETNESS? THOSE ANSWERES THAT SAY EXACTLY WHAT THEY MEAN IN A LITERAL SENSE---WORD FOR WORD AVOID KEY PHRASES--SLANG,FIGURATIVE SPEECH, SAYINGS, PROVERBS, VERSES, POETRY, STORIES, PARABLES, ALLEGORIES, NEOGLOGISMS
WHAT ARE THE BEST PSYCH ANSWERS FOR EMPATHY? ARE THOSE ANSWERS THAT COMMUNICATE TO THE PT THAT THE NURSE ACCEPTS THE PTS FEELINGS AS BEING VALID, REAL AND WORTHY OF ACTION
WHAT ARE KEY PHRASES U AVOID IN PSYCH QUESTIONS? DONT WORRY DONT FEEL YOU SHOULDNT FEEL I WOULD FEEL ANYBODY WOULD FEEL NOBODY WOULD FEEL MOST PEOPLE WOULD FEEL
WHAT ARE THE S&S OF DIABETES? POLYURIA--URINATE ALOT POLYDYPSIA--DRINK ALOT POLYPHAGIA--EAT ALOT
WHAT IS THE TREATMENT FOR TYPE 1 DIABETES? DIET--LEAST IMPORTANT INSULIN--MOST IMPRTANT EXERCISE
WHAT IS THE TREATMETN FOR TYPE 2 DIABETES? DIET--MOST IMPORTANT ORAL HYPOGLYCEMIC PILL--LEAST IMPORTANT ACTIVITIES
LIST THE ONSET, PEAK AND DURATION FOR R=REGULAR INSULIN(RAPID AND RUN) ONSET--1HR PEAK--2HRS DURATION--4HRS SHORT ACTING--CLEAR INSULIN--IV DRUG OF CHOICE
LIST THE ONSET, PEAK AND DURATION FOR N=NPH INSULIN(NOT SO FAST NOT IN THE BAG)? ONSET--6HRS PEAK--8-10HRS DURATION--12HRS INTERMEDIATE ACTING--CLOUDY SUSPENSION **DO NOT DRIP IV CAN KILL THEM
LIST THE ONSET, PEAK AND DURATION FOR HUMALOG(INSULIN LISPRO)? ONSET--15 MIN PEAK--30 MIN DURATION--3 HRS CLEAR--NOT IVDRIP--INSULIN PUMP-FASTEST ACTING--MUST GIVE WHEN THEY START TO EAT
LIST THE DURATION FOR LANTUS(LARGINE)? DURATION--12-24 HRS LONG ACTING--SLOW ABSORPTION--NO PEAK--ONLY INSULI U CAN GIVE SAFELY AT BEDTIME..
WHAT DOES EXERCISE DO TO INSULIN? IT POTENTIATES IT
IF U EXERCISE MORE U NEED MORE OR LESS INSULIN? LESS
IF U EXERCISE LESS U NEED MORE OR LESS INSULIN? MORE
WHAT MUST U DO ON SICK DAYS IF UR A DIABETIC? TAKE INSULIN TAKE SIPS OF WATER TO STAY HYDRATED STAY ACTIVE AS POSSIBLE
WHAT IS THE CAUSE TO LOW BLOOD SUGAR? NOT ENOUGH FOOD TOO MUCH INSULIN TOO MUCH EXERCISE
WAT IS THE DANGER FOR LOW BLOOD SUGAR? PERMANENT BRAIN DAMAGE
WHAT ARE THE SIGNS AND SYMPTOMS OF LOW BLOOD SUGAR? DRUNK + SHOCK SLUGGISH, LSURRED SPEACH, IMPARIED REFLEXES, SLOWED REACTION, LABILE, UNSTEADY GAIT, LOWER BP, INCREASED PULSE THREADY, PALE, COLD, CLAMMY, AND HEADACHE
WHAT IS THE TREATMENT FOR LOW BLOOD SUGAR? ADMINISTER RAPIDLY METABOLIZABLE CARBOHYDRATE(SUGAR) IDEAL COMBINATION 1 SUGAR AND A STARCH OR PROTEIN EX. OJ AND BREAD IF UNCONSCIOUS--IM GLUCAGON OR IV DRIP D10-D50
WHAT ARE THE CAUSES OF HIGH BLOOD SUGAR? TOO MUCH FOOD NOT ENOUGH EXERCISE NOT ENOUGH MEDICATION # 1 CAUSE IS ACUTE VIRAL UPPER RESPIRATORY INFECTION WITHIN THE LAST WEEK OR TWO
WHAT ARE THE S&S OF DKA? DEHYDRATED(LOOK) KETONES IN BLOOD AND URINE ACIDOSIS
WHAT IS THE TREATMENT FOR DKA? HIGH FLOW RATE IV - ADULTS AT LEAST 200/HR REGULAR INSULIN IN BAG
IN DIABETES WHAT ARE THE 2 LONG TERM COMPLICATIONS RELATED TO? POOR TISSUE PERFUSION PERIPHERAL NEUROPATHY
WHICH LAB TEST IS THE BEST INDICATOR OF LONG TERM BLOOD GLUCOSE CONTROL? HEMOGLOBIN--A1C
IN ABRUPTIO PLACENTA, THE PLACENTA________ FROM THE UTERINE WALL__________. SEPARATES, PREMATURELY
ABRUPTIO PLACENTA USUALLY OCCURS IN (PRIMI,MULTI) GRAVIDA OVER THE AGE OF______? MULITGRAVIDA, 35 (HTN, TRAUMA, COCAINE)
HOW IS THE BLEEDING OF ABUPTIO PLACENTA DIFFERENT FROM THAT IN PLACENTA PREVIA? USUALLY WITH PAIN IN ABRUPTIO BUT NOT IN PLACENTA PREVIA, BLEEDING MORE VOLUMINOUS IN PREVIA
IF U ARE THE NURSE STARTING THE IV ON THE CLIENT WITH ABRUPTIO PLACENTA, WHAT GUAGE NEEDLE SHOULD U USE? 18 GUAGE --TO GIVE BLOOD IF NECESSARY
HOW OFTEN SHOULD YOU MEASURE THE VS, VAGINAL BLEEDING, FETAL HR DURING ABRUPTIO PLACENTA? Q 5-15 MIN FOR BLEEDING AND MATERNAL VS--CONTINOUS FETAL MONITORING, DELIVER AT EARLIEST SIGN OF FETAL DISTRESS
HOW IS AN INFANT DELIVERED WHEN ABRUPTIO PLACENTA IS PRESENT? USUALLY C-SECTION
IS THERE A HIGHER OR LOWER INCIDENCE OF FETAL DEATH WITH ABRUPTIO PLACENTA COMPARED TO PLACENTA PREVIA? HIGHER
IN WHAT TRIMESTER DOES ABRUPTIO PLACENTA MOST COMMONLY OCCUR? THIRD
SHOULD VOMITING BE INDUCED AFTER INDESGESTION OF CLEANING PRODUCTS? NO
AT WHAT AGE ARE ACCIDENTAL POISIONINGS MOST COMMON? 2 YRS OLD
IF A CHILD SWALLOWS A POTENTIALLY POISONOUS SUSTANCE, WHAT SHOULD BE DONE FIRST? CALL MEDICAL HELP
SHOULD VOMITING BE INDUCED AFTER INDEGESTION OF GASOLINE? NO--NOT FOR GAS OR ANY OTHER PETROLEUM PRODUCTS
WHEN TAKING A CHILD TO THE ER AFTER ACCIDENTAL POISIONING HAS OCCURRED WHAT MUST ACCOMPANY THE CHILD TO THE ER? THE SUSPECTED POISON
AN ELDERLY CLIENT IS A (HIGH/LOW) RISK FOR ACCIDENTAL POISONING? HIGH--DUE TOO POOR EYESIGHT
WHAT TYPES OF CHEMICALS CAUSE BURNS TO ORAL MUCOSA WHEN INGESTED? LYE, CAUSTIC CLEANERS
CHILDREN AT HIGHEST RISK FOR SEIZURE ACTIVITY AFTER INGESTION ARE THOSE WHO HAVE SWALLOWED _____ AND _____. DRUGS AND INSECTICIDES
CAN IMPAIRED SKIN INTEGRITY EVER BE AN APPROPRIATE NURSING DIAGNOSIS WHEN POISONING HAS OCCURRED? YES, WHEN LYE OR CAUSTIC AGENTS HAVE BEEN INGESTED
SCHOOL AGE CHILDREN ARE (HIGH/LOW) RISK FOR ACCIDENTAL POISONING? HIGH
WHAT IS THE CAUSATIVE ORGANISM OF ACNE? P. ACNES (PROPIOIBACTERIUM ACNES)
WHAT STRUCTURES ARE INVOLVED IN ACNE VULGARIS? THE SEBACEOUS GLANDS
NAME 3 DRUGS GIVEN FOR ACNE? VITAMIN A, ANTIBIOTICS, RETINOIDS
DIETARY INDISCRETIONS ARE A CAUSE OF ACNE (T/F)? FALSE
WHAT ARE THE 3 CAUSATIVE FACTORS IN ACNE VULGARIS? HEREDITY. BACTERIAL, HORMONAL
UNCLEANLINESS IS A CAUSE OF ACNE(T/F)? FALSE
WHAT IS THE MOST COMMON RETINOID GIVEN TO PEOPLE WITH ACNE? ACCUTANE
ACCUTANE IS AN ANALOG OF WHICH VITAMIN? VITAMIN A
WHAT IS THE MOST COMMON SIDE EFFECT OF ACCUTANE? INFLAMMATION OF THE LIPS
WHAT SIDE EFFECT IS MOST IMPORTANT IN HEALTH TEACHING IN ACCUTANE ADMINISTRATION? IT CAN CAUSE BIRTH DEFECTS
WHAT IS THE ANTIBIOTIC MOST COMMONLY GIVEN TO CLIENTS WITH ACNE? IT CAN CAUSE BIRTH DEFECTS. TETRACYCLINE
HOW LONG WILL IT TAKE FOR THE PERSON TO SEE RESULTS WHEN ACNE IS BEING TREATED? 4 TO 6 WEEKS
DOES STRESS MAKE ACNE WORSE? YES
HOW OFTEN SHOULD THE CLILENT WITH ACNE WASH HIS FACE EACH DAY? TWICE A DAY
WHAT INSTRUCTIONS DO U GIVE TO A CLIENT TAKING TETRACYCLINE? TAKE IT ON AN EMPTY STOMACH AND AVOID THE SUNLIGHT (PHOTOSENSITIVITY)
WHAT ARE COMEDONES? BLACKHEADS AND WHITEHEADS
WHAT VIRUS CAUSES AIDS? HIV--HUMAN IMMUNODICIENCY VIRUS
THE AIDS VIRUS INVADES HELPER ____ _____? T--LYMPHOCYTES (CD4 CELLS)
AIDS IS TRANSMISSABLE THROUGH WHAT 4 ROUTES? BLOOD, SEXUAL CONTACT, BREAST FEEDING, ACROSS PLACENTA IN UTERO
HIV IS PRESENT IS ALL BODY FLUIDS (T/F)? TRUE, BUT NOT TRANSMITTED BY ALL--ONLY BLOOD, SEMEN AND BREAST MILK
NAME THE FIVE RISK GROUPS FOR AIDS. HOMOSEXUAL/BISEXUAL MEN,IV DRUG USERS, HEMOPHILIACS, HETEROSEXUAL PARTNERS OF INFECTED PEOPLE, NEWBORN CHILDREN OF INFECTED WOMEN
WHAT IS THE FIRST TEST FOR HIV ANTIBODIES? ELISA
WHAT TEST CONFIRMS ELISA? WESTERN BLOT
WHICH TEST IS THE BEST INDICATOR OF THE PROGRESS OF HIV DISEASE? THE CD4 COUNT
A CD4 COUNT OF UNDER _____ IS ASSOCIATED WITH THE ONSET OF AIDS-RELATED SYMPTOMS. 500
A CD4 COUNT OF UNDER ______ IS ASSOCIATED WITH THE ONSET OF OPPORTUNISTIC INFECTIONS. 200
GIVE 6 SYMPTOMS OF HIV DISEASE. ANOREXIA, FATIGUE, WEAKNESS, NIGHT SWEATS, FEVER, DIARRHEA
WHICH TWO CLASSES OF DRUGS ARE GIVEN IN COMBINATION FOR HIV SERO-POSITIVITY? NRTI'S (NUCLEOSIDE REVERSE TRANSCRIPTEASE INHIBITORS) AND PI'S (PROTEASE INHIBITORS)
WHAT DO THESE DRUGS DO? (NRTI'S AND PI'S) THEY PREVENT REPLICATION
WHAT DOES THE PHYSCIAN HOPE TO ACHIEVE WITH THESE DRUGS? (NRTI'S AND PI'S) A DELAYED ONSET OF AIDS FOR AS LONG AS POSSIBLE. (USUALLY CAN DELAY ONSET FOR 10-15 YRS)
WHAT IS THE MOST COMMON NRTI USED? AZT ( ZIDOVUDINE)
WHAT IS THE MOST CHALLENGING ASPECT OF COMBINATION OF DRUG THERAPY FOR HIV DISEASE? THE NUMBER OF PILLS THAT MUST BE TAKEN IN 24 HRS CAN BE OVERWHELMING. THE FREQUENCY ALSO MAKES IT HARD TO REMEMBER--AN ALARM WRISTWATCH IS USED
CLIENTS WITH AIDS (GAIN/LOSE) WEIGHT? LOSE
THE TYPICAL PEUMONIA OF AIDS IS CAUSED BY ______ ______. PNEUMOCYSTIC CARINII
WHAT TYPE OF ORAL/ESOPHAGEAL INFECTIONS DO AIDS PTS GET? CANDIDA
WHAT IS THE #1 CANCER THAT AIDS PTS GET? KAPOSI'S SARCOMA
KAPOSI'S SARCOMA IS A CANCER OF THE ______. SKIN
CAN AIDS PTS ALSO GET LYMPHOMAS? YES
WAT LAB FINDINGS ARE PRESENT IN AIDS? DECREASED RBC, WBC, AND PLATELETS
IF THE AIDS PT HAS LEUKOPENIA THEY WILL BE ON _____ ______. PROTECTIVE(REVERSE) ISOLATION
WITHOUT LEUKOPENIA THE AIDS PT WILL BE ON _____ ______ PRECAUTIONS. STANDARD PRECAUTIONS OR BLOOD AND BODY FLUID PRECAUTIONS
WHEN THE AIDS PT HAS A LOW PLATELET COUNT, WHAT IS INDICATED? BLEEDING PRECAUTIONS: NO IM'S, NO RECTAL TEMPS, OTHER BLEEDING PRECAUTIONS
DOES AIDS REQUIRE A SINGLE ROOM? YES---IF WBC COUNTS ARE LOW
WHEN DO U NEED A GOWN WITH AIDS? IF U ARE GOIN TO GET CONTAMINATED WITH SECRETIONS
WHEN DO U NEED A MASK WITH AIDS? NOT USUALLY UNLESS THEY HAVE AN INFECTION CAUSED BY AN AIRBORNE BUG
WHEN DO U NEED GOGGLES WITH AIDS? SUCTIONING, CENTRAL LINE START, ARTERIAL PROCEDURES
IF AN AIDS PTS BLOOD CONTAMINATES A COUNTER TOP, WITH WHAT DO U CLEAN? 1:10 SOLUTION OF BLEACH AND WATER
ARE ALL ARTICLES USED BY AIDS PTS DOUBLE-BAGGED? NO---ONLY THOSE CONTAMINATED WITH SECRETIONS
CAN AIDS PTS LEAVE THE FLOOR? YES--UNLESS WBC'S ARE VERY LOW
IS DIETARY PROTEIN LIMITED IN AGN(ACUTE GLOMERULAR NEPHRITIS)? NOT USUALLY--HOWEVER IF THERE IS A SEVERE AZOTEMIA THEN IT MAY BE RESTRICTED--AZOTEMIA MEANS NITROGENOUS WASTES IN THE BLOOD--INCREASED CREATININE AND BUN
WHAT IS THE BEST INDICATOR OF RENAL FAILURE? THE SERUM CREATININE
AGN(ACUTE GLOMERULAR NEPHRITIS HAS A POOR PROGNOSIS (T/F)? FALSE, THE VAST MAJORITY OF ALL CLIENTS RECOVER COMPLETELY FROM IT
HOW CAN AGN (ACUTE GLOMERULAR NEPHRITIS) BE PREVENTED? BY HAVING ALL SORE THROATS CULTERED FOR STREP AND TREATING ANY STREP INFECTIONS
WHAT IS THE MOST IMPORTANT INTERVENTION IN TREATING AGN(ACUTE GLOMERULAR NEPHRITIS)? BEDREST--THEY CAN WALK IF HAEMATURIA, EDEMA, HYPERTENSION ARE GONE
WHAT IS THE MOST COMMON DIETARY RESTRICTION FOR AGN? MODERATE SODIUM RESTRICTION. FLUID RESTRICTION IS #2 IF EDEMA IS SEVERE
WHAT ARE THE URINALYSIS FINDINGS IN AGN? HEMATURIA, IS USUALLY FOUND ONLY IN DISEASES ENDING IN -ITIS PROTEINURIA +3 TO +4 SPECIFIC GRAVITY UP
HOW LONG AFTER STREP INFECTIONS DOES AGN DEVELOP? 2 TO 3 WEEKS AFTER INITIAL INFECTION
HOW DO U ASSESS FLUID EXCESS IN THE CHILD WITH AGN? DAILY WEIGHT
WHAT ORGANISM CAUSES AGN? GROUP A BETA HEMOLYTIC STREP
WHAT HAPPENS TO THE KIDNEY IN AGN? IT BECOMES CLOGGED WITH ANTIGEN-ANTIBODY COMPLEXES WHICH THEN CAUSE INFLAMMATION AND LOSS OF FUNCTION
HOW OFTEN ARE VITAL SIGN MEASUREMENTS TAKEN IN AGN? Q 4 HRS WITH BP
WILL THE CLIENT HAVE HYPO OR HYPER TENSION WITH AGN? WHY? HYPERTENSION, BECAUSE OF FLUID RETENTION
WHAT ARE THE FIRST SIGNS OF AGN? PUFFINESS OF THE FACE, DARK URINE
WHAT ARE THE THREE ADULT STAGES OF DEVELOPMENT CALLED? EARLY(YOUNG) ADULTHOOD, MIDDLE ADULTHOOD, LATER ADULTHOOD
WHAT IS THE AGE RANGE FOR YOUNG (EARLY) ADULTHOOD? 19 - 35 YRS OF AGE
WHAT IS THE AGE RANGE FOR MIDDLE ADULTHOOD? 35 - 65 YRS OF AGE
WHAT IS THE AGE RANGE FOR LATER ADULTHOOD? 65 YRS OF AGE TO DEATH
WHAT IS THE DEVELOPTMENTAL TASK FOR EARLY ADULTHOOD? INTIMACY VS ISOLATION
WHAT IS THE DEVELOPMENTAL TASK FOR MIDDLE ADULTHOOD? GENERATIVITY VS STAGNATION
WHAT IS THE DEVELOPMENTAL TASK FOR LATER ADULTHOOD? EGO INTEGRITY VS DESPAIR
"TIME IS TOO SHORT TO START ANOTHER LIFE, THOUGH I WISH I COULD," IS AN EXAMPLE OF ________. DESPAIR
"IF I HAD TO DO IT OVER AGAIN, I'D LIVE MY LIFE JUST ABOUT THE SAME," IS AN EXAMPLE OF ________. EGO INTEGRITY
WHAT DOES AKA MEAN? ABOVE THE KNEE AMPUTATION
WHAT DOES BKA MEAN? BELOW THE KNEE AMPUTATION
IF THE PATIENT HAD AN AKA THEY SHOULD LIE ______ SEVERAL TIMES PER DAY. PRONE--TO PREVENT FLEXION CONTRACTURE
WHAT WILL PREVENT HIP FLEXION CONTRACTURE AFTER AKA? LAYING PRONE SEVERAL TIMES A DAY
THE # 1 CONTRACTURE PROBLEM IN AKA IS _______ OF THE _____. FLEXION OF THE HIP
WHAT IS THE # 1 CONTRACTURE PROBLEM AFTER BKA? FLEXION OF THE KNEE
HOW DO U PREVENT FLEXION CONTRACTURE OF THE KNEE AFTER BKA? REMIND THE PT TO STRAIGHTEN THEIR KNEE CONSTANTLY WHILE STANDING
TO PREVENT POST-OP SWELLING, THE STUMP SHOULD BE_____ FOR____TO____HRS. ELEVATED, 12 TO 24 HRS
HOW OFTEN SHOULD A STUMP BE WASHED? DAILY
WHEN A STUMP IS WRAPPED, THE BANDAGE SHOULD BE TIGHEST_______ AND LOOSEST______. DISTALLY, PROXIMALLY
OF AFTER A RIGHT BKA, THE CLIENT C.O PAIN IN HIS RIGHT TOE, HE IS EXPERIENCING ___________. PHANTOM LIMB SENSATION
PHANTOM LIMB SENSATION IS NORMAL (T/F). TRUE
WILL PHANTOM LIMB SENSATION SUBSIDE? IN A FEW MONTHS
IS IT ACCEPTABLE FOR THE PT TO PUSH THE STUMP AGAINST THE WALL? YES, THIS IS ONE WAY TO TOUGHEN A STUMP SO IT WILL NOT BREAKDOWN DUE TO THE WEAR AND TEAR OF THE PROSTHETIC LEG; HITTING IT WITH PILLOWS IS ANOTHER GOOD METHOD
AN ANEURYSM IS AN ABNORMAL ______________ OF THE WALL OF A(N) (ARTERY OR VEIN). WIDENING (IT IS ALSO WEAKENING). ARTERY
WHAT ARTERY IS WIDENED IN A THORACIC ANEURYSM? THE AORTA
CAN AN ANEURYSM RESULT FROM AN INFECTION? FROM SYPHILIS? YES, YES
THE MOST COMMON SYMPTOM OF ABDOMINAL ANEURYSM IS ________________. A PULSATING MASS ABOVE THE UMIBLICUS
WHICH ANEURYSM IS MOST LIKEY TO HAVE NO SYMPTOMS....ABDOMINAL OR THORACIC? THE ABDOMINAL IS MOST OFTEN "SILENT". NO SYMPTOMS
WHICH ARE VS ARE MOST IMORTANT TO MEASURE IN CLIENTS WITH ANEURYSM? THE PULSE AND THE BP
AN ANEURYSM WILL MOST AFFECT WHICH OF THE FOLLOWING...THE BP OR THE PULSE? THE PULSE---MANY TIMES THE ANEURYSM WILL RUPTURE AND MUCH BLOOD WILL BE LOST BEFORE THE BLOOD PRESSURE STARTS TO CHANGE
WHAT ACTIVITY ORDER IS THE CLIENT WITH AN ANEURYSM SUPPOSED TO HAVE? BEDREST---DO NOT GET THESE PEOPLE UP
IF THE CLIENT WITH ANEURYSM IS PHYSICALLY UNSTABLE, SHOULD YOU ENCOURAGE TURNING, COUGHING, AND DEEP BREATHING? NO---NO TURNING, COUGHING, OR DEEP BREATHING UNTIL THE CLIENT IS STABLE
WHAT CLASS OF DRUGS IS THE CLIENT WITH AN ANEURYSM MOST LIKELY TO BE ON? ANTIHYPERTENSIVES
WHAT IS THE BIG DANGER WITH ANERUYSMS OF ANY TYPE? RUPTURE---LEADS TO SHOCK AND DEATH
IF AN ANEURYSM RUPTURE HOW WOULD U KNOW IT? DECREASED LOC(RESTLESSNESS), TACHYCARDIA(INCREASED PULSE RATE), HYPOTENSION(THESE ARE THE SIGNS OF SHOCK)
IF AN ANEURYSM RUPTURES WHAT IS THE #1 PRIORITY? GET THEM TO THE OPERATING ROOM ASAP
IS THERE ANYTHING THAT CAN BE DONE FOR THE CLIENT WITH A RUPTURED ANEURYSM BEFORE THEY GET TO THE OPERATING ROOM? YES---IF AVAILABLE, U CAN GET THEM INTO ANTI-SHOCK TROUSERS BUT NOT IF THIS CAUSES A DELAY IN GETTING THEM TO THE OPERATING ROOM
THE POST-OP THORACIC ANEURYSM IS MOST LIKELY TO HAVE WHICH TYPE OF TUBE? CHEST TUBE, BECAUSE THE CHEST WAS OPENED
THE POST-OP ABDOMINAL ANEURYSM REPAIR CLIENT IS MOST LIKELY TO HAVE WHICH TYPE OF TUBE? NG TUBE DECOMPRESSION OF BOWEL
IF U CARE FOR A CLIENT WHO IS POST-OP FOR A REPAIR OF A FEMORAL/POPLITEAL RESECTION WHAT ASSESSMENT MUST U MAKE EVERY HR FOR THE FIRST 24 HRS? CHECK THE DISTAL EXTREMITY FOR COLOR, TEMP, PAIN AND PULSE--ALSO MUST DOCUMENT
WHAT CAUSES ANGINA PECTORIS? DECREASED BLOOD SUPPLY TO MYOCARDIUM, RESULTING IN ISCHEMIA AND PAIN
DESCRIBE THE PAIN OF ANGINA PECTORIS. CRUSHING SUBSTERNAL CHEST PAIN THAT MAY RADIATE
WHAT DRUG TREATS ANGINA PECTORIS? NITROGLYCERIN
HOW MANY NITROGLYCERIN TABS CAN U TAKE BEFORE U CALL THE DR? THREE TABLETS
HOW MANY MINUTES SHOULD LAPSE BETWEEN THE NITROGLYCERIN PILLS U TAKE? FIVE MINUTES, REMEMBER U CAN TAKE UP TO 3 NITROGLYCERINE TABLETS 5 MINUTES APART. IF NO RELIEF, CALL MD
HOW DO U TELL IF THE CLIENT HAS ANGINA OR AN MI? THE PAIN OF THE TWO IS VERY SIMILAR; THE WAY TO TELL THE DIFFERENCE IS IF NITROGLYCERIN AND REST RELIEVE THE PAIN, ITS ANGINA. IF NITRO AND REST DO NO RELIEVE THE PAIN, ITS PROBABLY AN MI
BY WHAT ROUTE DO U TAKE NITROGLYCERIN? SUBLINGUAL
WHAT IS THE ACTION OF NITROGLYCERIN? DILATES CORONARY ARTERIES TO INCREASE BLOOD SUPPLY AND REDUCES PRELOAD
WHAT ARE THE TOP 2 SIDE EFFECTS OF NITROGLYCERIN? HEADACHE AND HYPOTENSION
WHAT PRESENTATION MUST THE NURSE TAKE WHEN ADMINISTERING TOPICAL NITROGLYCERIN PASTE? WEAR GLOVES---NURSE MAY GET A DOSE OF THE MEDICINE
EVERYONE WITH ANGINA NEEDS BYPASS SURGERY(T/F). FALSE
ANOREXICS ARE USUALLY ___________ UNDER THE AGE _______. FEMALES, 25
THE DIAGNOSIS IS MADE WHEN THERE IS A WEIGHT LOSS OF ________% OR MORE OF BODY WEIGHT. 15%(WEIGH < 85% OF NORMAL BODY WT.) HOSPITALIZE IF 30% WT LOSS
A MAJOR MENTAL/EMOTIONAL NURSING DIAGNOSIS SEEN IN ANOREXIA NERVOSA IS _________. ALTERED BODY IMAGE
THE PULSE RATE OF ANOREXICS IS TACHYCARDIC OR BRADYCARDIC? BRADYCARDIC
LIST THE MOST COMMON GYNECOLOGIC SYMPTOM OF ANOREXIC NERVOSA. AMENORRHEA
WHAT IS FOUND OVER THE BODY OF THE CLIENT WITH ANOREXIA NERVOSA? LANUGO---SOFT DOWNY HAIR
WHAT IS THE TOP PRIORITY IN THE CARE OF THE CLIENT WITH ANOREXIA NERVOSA? INTAKE OF ENOUGH FOOD TO KEEP THEM ALIVE, HAVE THEM GAIN WEIGHT
THE BEST GOAL TO EVALUATE THE PROGRESS OF THE CLIENT WITH ANOREXIA NERVOSA IS ___________. AN ADEQUATE WEIGHT GAIN
WHAT IS THE APGAR SCALE? IT IS A QUICK OBJECTIVE METHOD TO COMPARATIVELY EVALUATE THE VITAL FUNCTIONS OF THE NEWBORN
WHEN IS THE APGAR SCORING PERFORMED ON INFANTS? AT 1 MIN AND AGAIN AT 5 MIN AFTER BIRTH
NAME THE 5 CRITERIA THAT ARE RECORDED ON AN APGAR SCALE. CARDIAC STATUS, RESPIRATORY EFFORT, MUSCLE TONE, NEUROMUSCULAR IRRITABILITY(REFLEXES), AND COLOR
THE TOTAL APGAR SCORE CAN RANGE FROM _____ TO _____. 0 - 10
THE MAXIUMUM SCORE AND INFANT CAN RECEIVE ON ANY ON OF THE 5 CRITERIA IS __________. 2
THE LOWEST SCORE AN INFANT CAN RECEIVE ON ANY ONE CRITERION OF THE APGAR IS ________. 0
A 10 ON THE APGAR MEANS THE BABY IS ________. IN TERRIFIC HEALTH
A 0 ON THE APGAR MEANS THE BABY IS __________. BAD, THE BABY IS STILLBORN
ON HEART RATE OR CARDIAC STATUS, A 2 MEANS THAT THE HR IS (ABOVE/BELOW) THAN 0 BUT LESS THAN __________. ABOVE, 100
ON THE RATE CRITERIA AN INFANT SCORES A 1 IF THEIR HEART RATE IS (GREATER/LESS) THAN 0 BUT LESS THAN_______________. GREATER, 100
IN ORDER TO SCORE A 0 ON HR THE INFANT MUST HAVE A RATE OF_________. ZERO
A HIGH SCORE OF 2 IS GIVEN FOR RESPIRATORY EFFORT IF THE NEWBORN ______ ________. CRIES VIGOROUSLY
AN INFANT IS GIVEN A SCORE OF 1 IF THEIR RESPIRATIONS ARE __________ OR ____________. SLOW, IRREGULAR
AN INFANT IS GIVEN A SCORE OF 0 FOR RESPIRATORY EFFORT IF ________. THEY DO NOT BREATHE
IN ORDER TO GET A SCORE OF 2 ON MUSCLE TONE THE INFANT MUST _______ ________. MOVE SPONTANEOUSLY(ACTIVELY)
TO GET A SCORE OF 1 ON THE APGAR FOR MUSCLE TONE THE NEWBORN MUST PLACE THEIR EXTREMETIES IN ____________. FLEXION
A NEWBORN RECEIVES A SCORE OF 0 ON MUSCLE TONE WHEN THERE IS _________ ___________. NO MOVEMENT(LIMP)
TO SCORE THE MAXIMUM OF 2 PTS ON NEUROMUSCULAR REFLEX IRRITABILITY THE INFANT MUST _______. CRY
IF THE NEONATE________. THEY WILL SCORE A 1 ON NEUROMUSCULAR IRRITABILITY. GRIMACES
TO RECEIVE A 0 ON REFLEX (NEUROMUSCULAR) IRRITABILITY THE NEONE MUST EXHIBIT______ _____. NO RESPONSE
TO SCORE A MAXIMUM SCORE OF 2 ON COLOR THE CHILD MUST BE __________ _______. TOTALLY PINK
IF THE CHILDS ______ ARE ______ AND THE TRUNK-FACE ABDOMEN ARE _____, THE CHILD SCORES 1 ON COLOR. EXTREMETIES ARE BLUE(CYANOTIC), PINK
TO GET A 0 ON COLOR THE INFANT IS _______/_______. TOTALLY BLUE, PALE
WHEN A HEALTHY CHILD RECEIVES A 9 ON THE APGAR THEY MOST LIKELY GET A 1 ON _______. COLOR, MOST HEALTHY BABIES HAVE ACROCYANOSIS ON THE 1 MIN APGAR BUT GET A 10 ON THE 5 MIN (ACROCYANOSIS IS BLUE EXTREMITIES, PINK BODY)
APPENDICITIS IS AN ______ OF THE APPENDIX DUE TO __________. INFLAMMATION, OBSTRUCTION
APPENDICITIS OCCURS MOST IN WHAT AGE GROUP? 15 - 35
WHAT IS THE MOST COMMON COMLICATION OF APPENDICITIS? PERITONITIS
WHAT FOLLOWS THE RIGHT UPPER QUADRANT(RUQ) ABDOMINAL PAIN OF APPENDICITIS? NAUSEA AND VOMITING
WHAT IS THE FIRST SIGN OF APPENDICITIS? RIGHT UPPER QUADRANT PAIN
WHERE DOES THE PAIN OF APPENDICITIS FINALLY END UP? RIGHT LOWER QUADRANT
WHAT IS THE NAME OF THE RIGHT LOWER QUADRANT (RLQ) ABDOMINAL PAIN WHERE APPENDICITIS PAIN FINALLY LOCALIZES? McBIRNEY'S POINT
WHAT IS PRESENT WHEN REBOUND TENDERNESS IS PRESENT? PERITONEAL INFLAMMATION
WHEN THE PAIN OF APPENDICITIS GOES AWAY THE CLIENT IS IMPROVING. (T/F) FALSE---RUPTURE HAS OCCURRED
WHAT IS THE HIGHEST THAT THE TEMP WILL BE IN APPENDICITIS? 102 F
WHAT BLOOD COUNT IS ELEVATED IN APPENDICITIS? WBC
WHAT IS THE NAME FOR AN ELEVATED WBC? LEUKOCYTOSIS
WHAT IS THE ONLY TREATMENT RECOMMENDED FOR APPENDICITIS? SURGERY---APPENDECTOMY
BEFORE THE CLIENT WITH SUSPECTED APPENDICITIS SEES THE PHYSICIAN WHAT SHOULD BE AVOIDED? NO PAIN MEDS, NO ENEMAS OR LAXATIVES, NO FOOD(NPO)
TO LESSEN PAIN PLACE THE CLIENT IN _______ POSITION. FOWLERS(USE POST-OPERATIVELY ALSO)
NEVER APPLY _____ TO THE AREA OF THE APPENDIX? HEAT, IT CAUSES RUPTURES
AFTER APPENDECTOMY, DOCUMENT IN THE NURSES NOTES THE RETURN OF ________. BOWEL SOUNDS(PERISTALIS)
NAME THE 5/6 ESSENTIAL NUTRIENTS. CARBOHYDRATES, FATS, PROTEINS, VITAMINS, MINERALS, WATER
THE MAJOR SOURCE OF ENERGY FOR THE BODY IS ____________. CARBOHYDRATES
CARBOHYDRATES PROVIDE _____ K CALORIES PER 1 GRAM. FOUR
SUCROSE IS A SUGAR FOUND IN ________ AND ________. FRUTIS AND VEGETABLES
IS GLYCOGEN EATIN IN FOODS? NO IT IS A STORED FORMED OF GLUCOSE MANUFACTURED BY THE LIVER
WHAT IS GLYCOGEN? A STORED FORM OF GLUCOSE/ENERGY
LACTOSE IS A SUGAR FOUND IN __________. MILK
WHEN THE BODY DOES NOT RECEIVE ENOUGH CARBOHYDRATES IT BURNS __________ AND ______. PROTEINS AND FATS
THE MOST CONCENTRATED SOURCE OF ENERGY FOR THE BODY IS____________. FATS
FATS PROVIDE ___________ K CALORIES PER 1 GRAM. NINE
FATS CARRY VITAMINS _____, _____, _____, AND _____. A, D, E, K
THE NUTRIENT NEEDED MOST FOR GROWTH AND REPAIR OF TISSUES IS ___________. PROTEIN(SECOND BEST---VITAMIN C)
PROTEINS PROVIDE _______ K CALORIES PER 1 GRAM. FOUR
VITAMINS AND MINERALS PROVIDE ENERGY FOR THE BODY (T/F). FALSE--THEY ARE NECESSARY FOR A BODYS CHEMICAL REACTION
WATER IS PRESENT IN ALL BODY TISSUES. (T/F) TRUE (EVEN BONE)
WATER ACCOUNTS FOR _______ TO ______% OF AN INFANTS TOTAL WEIGHT. 70 - 75 %
WATER ACCOUNTS FOR ________ TO __________ OF AN ADULTS TOTAL WEIGHT. 50 - 60 %
NAME THE 4 BASIC FOOD GROUPS. MILK & CHEESE, MEAT & LEGUMES, VEGETABLES & FRUITS, BREAD & CEREAL
AN INDIVIDUAL IS OVERWEIGHT IF THEY ARE ______% ABOVE THE IDEAL WEIGHT. 10 %
AN INDIVIDUAL IS OBESE IF THEY WEIGH ______% ABOVE THE IDEAL WEIGHT. 20%
WHAT SOLUTION AND MATERIAL ARE USED TO CLEANSE THE EYES OF AN INFANT? PLAIN WATER, COTTON BALLS, AND WASHCLOTHES
CAN U USE COTTON SWABS TO CLEAN THE EYES, NARES OR EARS OF AN INFANT? NO THIS IS DANGEROUS
CAN U USE THE SAME COTTON BALL/WASHCLOTH EDGE FOR BOTH EYES. NO IT WOULD CROSS CONTAMINATE
SHOULD U COVER AN UNHEALED UMBILICAL SITE WITH THE DIAPER? NO FOLD THE DIAPER DOWN
WHAT TEMPERATURE IS APPROPRIATE FOR THE WATER USED TO BATHE AN INFANT? 100 - 105 F
WHAT IS THE # 1 PURPOSE OF A TEPID SPONGE BATH? LOWER THE BODY TEMP DURING A FEVER
HOW SHOULD THE TEMP OF THE WATER BE TESTED IF NO THERMOMETER IS AVAILABLE? DROPPING WATER ON INSIDE SURFACE OF UR FOREARM
WITH WHICH BODY PART DO U BEGIN WHEN BATHING AN INFANT? EYES, ALWAYS
WHEN CLEANSING AN INFANTS EYE, CLEANSE FROM OUT TO INNER CANTHUS? NO INNER TO OUTER
SHOULD U RETRACT THE FORESKIN OF A 5 WEEK OLD MALE, UNCIRCUMSIZED INFANT TO CLEANSE THE AREA? NO, NOT UNTIL FORESKIN RETRACTS NATURALLY AND WITHOUT RESISTANCE--THEN IT SHOULD BE RETRACTED, CLEANSED AND REPLACED
WHEN SPONGE-BATHING WITRH TEPID WATER THE CORRECT TEMP IS__________. 98.6 F
HOW MANY DAYS DOES IT TAKE FOR THE UMBILICAL STUMP TO FALL OFF? 7 TO 14
THE PRIMARY REASON WHY AN INFANT IS DRAPED DURING THE BATH IS TO PROVIDE PRIVACY. (T/F) FALSE, THE PRIMARY PURPOSE OF DRAPING IS TO PREVENT CHILLING
U MAY USE FRICTION TO REMOVE VERNIX CASEOSA FROM AN INFANTS SKIN.(T/F) FALSE, IT CAUSES DAMAGE/BRUISING
WHAT SOLUTION IS COMMONLY USED FOR CARE OF THE UMBILICAL CORD? 70% ALCOHOL TO PROMOTE DRYING(TREND IS TOWARD SOAP AND WATER)
WHAT CRANIAL NERVE IS AFFECTED IN BELLS PALSY? #7, FACIAL NERVE
WHAT IS THE # 1 SYMPTOM OF BELLS PALSY? ONE-SIDED(UNILATERAL) FACIAL PARALYSIS
COMPLETE RECOVERY FROM THE PARALYSIS OF BELLS PALSY SHOULD OCCUR IN _____ TO ______ MONTHS. 4 TO 6 MONTHS
IN ADDITION TO THE FACIAL PARALYSIS, THE SENSE OF _________ IS ALSO AFFECTED. TASTE
WILL THE PT BE ABLE TO CLOSE THEIR EYE ON THE AFFECTED SIDE? NO
GIVE 3 EYE INTERVENTIONS FOR THE CLIENT WITH BELLS PALSY. DARK GLASSES, ARTIFICIAL TEARS,COVER EYE AT NITE
AS THE PROSTATE ENLARGES IT COMPRESSES THE ___________ AND CAUSES URINARY __________. URETHRA, RETENTION
AT WHAT AGE DOES BPH(BENIGN PROTATIC HYPERTROPHY) OCCUR? MEN OVER 50 YRS OF AGE
IN BPH THE MAN HAS (INCREASED/DECREASED) FREQUENCY OF URINATION. INCREASED
IN BPH THE FORCE OF THE URINARY STREAM IS (INCREASED/DECREASED). DECREASED
THE MAN WITH BPH HAS A _____-STREAM OF URINE. FORKED
THE MAN WITH BPH HAS HESITANCY. WHAT DOES THIS MEAN? DIFFICULTY STARTING TO VOID
WILL THE MAN WITH BPH HAVE ENURESIS, NOCTURIA OR HEMATURIA? ENURESIS--NO, NOCTURIA--YES, AND HEMATURIA--MAYBE
WHAT IS THE BEST WAY TO SCREEN MEN FOR BPH? DIGITAL RECTAL EXAM
SHOULD FLUIDS BE FORCED OR RESTRICTED IN BPH? FORCED
WHAT DOES TURP STAND FOR? TRANSURETHRAL RESECTION OF THE PROSTATE
THE MOST RADICAL PROSTATE SURGERY IS THE ________ PROSTATECTOMY. PERINEAL
WHAT TYPE OF DIET IS USED IN BPH? ACID ASH
WHAT IS THE PRIMARY PURPOSE OF A 3-WAY CONTINOUS BLADDER IRRIGATION(CBI) AFTER TURP? TO KEEP THE CATHETER CLEAR OF CLOTS AND TO DRAIN URINE
WHAT SOLUTION IS USED FOR CBI? NORMAL SALINE (0.9 NaCl)
HOW FAST DO U RUN THE CBI? AT WHATEVER RATE IT TAKES TO KEEP THE URINE FLOWING AND FREE OF CLOTS
WHAT DRUG IS ISED TO TREAT BLADDER SPASM? B&O SUPPOSITORIES
SHOULD U TAKE A RECTAL TEMP AFTER PROSTATECTOMY? GIVE STOOL SOFTENERS? NO RECTAL TEMPS, YES STOOL SOFTENERS
YOU SHOULD CALL THE MD AFTER TURP WHEN U SEE ________ THICK _______, ________ CLOTS, AND ________ URINE DRAINAGE ON THE DRESSING. BRIGHT THICK BLOOD, PERSISTENT CLOTS, PERSISTENT URINE ON DRESSING(DONT CALL MD FOR TRANSITORY CLOTS AND URINE ON DRESSING)
IF U SEE AN INCREASE IN THE BLOOD CONTENT OF URINE COMING OUT OF THE CATHETER, U WOULD FIRST____________. PULL CAREFULLY ON THE CATHETER TO APPLY LOCAL PRESSURE ON THE PROSTATE WITH THE FOLEY BALLON
IF U SEE CLOTS IN THE TUBING U WOULD FIRST _______________. INCREASE THE FLOW RATE
WHAT EXERCISES SHOULD THE POST-PROSTECTOMY PT DO UPON DISCHARGE? WHY? PERINEAL EXERCISES, START AND STOP STREAM OF URINE, BECAUSE DRIBBLING IS A COMMON BUT TEMPORARY PROBLEM POST-OPERATIVELY
WILL THE POST-PROSTATECTOMY PT BE IMPOTENT? IF TURP, NO IMPOTENCE,IF PERINEAL PROSTATECTOMY, YES IMPOTENCE
HOW OFTEN SHOULD THE URINARY DRAINAGE BAG BE EMPTIED? EVERY 8 HRS
WHAT IS THE MOST COMMMON PROBLEM DUE TO CATHERIZATION? URINARY TRACT INFECTIONS(UTI)
WHAT IS THE MOST COMMON ORGANISM TO CAUSE UTI WITH CATHERIZATION? E. COLI
WHAT IS THE MOST COMMON ROUTE FOR ORGANISMS TO ENTER THE BLADDER WHEN A CATHERIZATION IS USED? UP THROUGH THE INSIDE OF THE CATHETER IN THE DAYS FOLOLOWING CATHERIZATION
NAME SOME FOODS THAT MAKE ACID URINE. CRANBERRY JUICE, APPLE JUICE,(AVOID CITRUS JUICES----THEY MAKE ALKALINE URINE)
WHAT IS IMPORTANT ABOUT THE LEVEL OF THE URINARY DRAINAGE BAG? NEVER HAVE THE BAG AT A HIGHER LEVEL THAN THE BLADDER
HOW IS THE CATHETER TAPED IN A MALE CLINET? TO THE LATERAL THIGH OR ABDOMEN
HOW IS THE CATHETER TAPED IN A FEMALE CLIENT? TO THE UPPER THIGH
WHAT URINARY pH PREVENTS UTI? ACIDITY, LOW pH
SHOULD THE DRAINAGE BAG EVER TOUCH THE FLOOR? NO
IS IT OKAY TO ROUTINELY IRRIGATE INDWELLING CATHETERS? NO
WHAT AGENTS ARE BEST FOR CATHETER CARE? SOAP AND WATER
WHAT IS THE MOST EFFECTIVE WAY TO DECREASE UTI WITH CATHETERS? KEEP THE DRAINAGE SYSTEM CLOSED, DO NOT DISCONNECT JUNCTIONS OF TUBING
GIVE SOME SIGNS OF INFECTION IN A FOLEY CATHETER? CLOUDY URINE, FOULD SMELLING URINE HEMATURIA
IS URINARY INCONTINENCE AN INDICATION FOR CATHERIZATION? NO
GIVE 3 APPROPRIATE INDICATIONS FOR BLADDER CATHERIZATION? URINARY RETENTION, TO CHECK FOR RESIDUAL, TO MONITOR HOURLY OUTPUT
WHAT ARE THE TOP 2 DIAGNOES FOR A CLIENT WITH A CATHETER? WHICH ONE IS #1? #1 - POTENTIAL FOR INFECTION; POTENTIAL IMPAIRMENT OF URETHRAL TISSUE INTEGRITY
WHAT IS SYSTOLE? THE MAXIMAL FORCE OF THE BLOOD ON ARETERY WALLS(THE TOP NNUMBER)
WHAT IS DIASTOLE? THE LOWEST FORCE OF BLOOD ON ARTERY WALLS (THE BOTTOM NUMBER)
ACCURATE BLOOD PRESSURE IS OBTAINED BY USING A CUFF THAT HAS A WIDTH OF ________ OF THE ARM. TWO-THIRDS
WHICH ARTERY IS MOST COMMONLY USED TO MEASURE BLOOD PRESSURE? BRACHIAL
CAN THE THIGH EVER BE USED TO OBTAIN A BLOOD PRESSURE? YES, BUT THIS IS RARE
WHEN PRESSURE IS AUSCULTATED THE FIRST SOUND HEARD IS THE _________ MEASUREMENT. SYSTOLIC
THE CHANGE IN THE CHARACTER OF THE SOUNDS IS KNOWN AS THE _________. FIRST DIASTOLIC SOUND
WHEN 2 VALUES ARE GIVEN IN A BLOOD PRESSURE (EX. 120/80), THE 80 STANDS FOR THE CHANGE IN SOUNDS OR CESSATION OF SOUNDS? CESSATION OF SOUNDS
WHAT IS THE NORMAL ADULT BLOOD PRESSURE? 120/80
ABNORMALLY HIGH BLOOD PRESSURE IS CALLED_______. HYPERTENSION
WHAT IS THE PULSE PRESSURE? THE DIFFERENCE BETWEEN THE SYSTOLIC AND THE DIASTOLIC BLOOD PRESSURE
THE CESSATION OF SOUNDS IS KNOWN AS THE ___________. SECOND DIASTOLIC SOUND
WHEN 2 VALUES ARE GIVEN IN A BLOOD PRESSURE THE FIRST IS THE ________ MEASUREMENT. SYSTOLIC
IF U DEFLATE THE CUFF TOO SLOWLY, THE READING WILL BE TOO HIGH OR LOW? WHY? HIGH, VENOUS CONGESTION MAKES THE ARTERIAL PRESSURE HIGHER (INCREASE RESISTANCE)
IF U USE TOO NARROW OF A CUFF THE READING WILL BE TOO HIGH OR LOW? HIGH
VASOCONSTRICTION WILL _____ BLOOD PRESSURE. INCREASE
VASODILATATION WILL _______ BLOOD PRESSURE. DECREASE
SHOCK WILL _______ BLOOD PRESSURE. DECREASE
INCREASED INTRACRANIAL PRESSURE WILL _______ THE PULSE PRESSURE. INCREASE OR WIDEN
IF MY BLOOD PRESSURE IS 190/110, WHAT IS MY PULSE PRESSURE? 80 mm Hg
WHAT BLOOD TEST MUST BE DONE BEFORE A TRANSFUSION? TYPE AND CROSS MATCH
WHAT DOES A TYPE AND CROSS MATCH INDICATE? WHETHER THE CLIENTS BLOOD AND DONOR BLOOD ARE COMPATIBLE
WHAT SHOULD THE NURSE MEASURE BEFORE STARTING A TRANSFUSION? THE VITAL SIGNS
WITH WHAT SOLUTION SHOULD BLOOD BE TRANSFUSED? 0.9 NORMAL SALINE
HOW MANY NURSES ARE REQUIRED TO CHECK THE BLOOD? 2
WHAT HAPPENS WHEN BLOOD IS ADMINISTERED WITH DEXTROSE IV'S? THE CELLS CLUMP TOGETHER AND DONT FLOW FLOW WELL
IF A TRANSFUSION REACTION OCCURS WHAT SHOULD THE NURSE DO FIRST? STOP THE BLOOD FLOW, START RUNNING THE SALINE
HOW LONG CAN UNIT OF BLOOD BE ON THE UNIT BEFORE IT MUST BE STARTED? LESS THAN 1/2 HOUR
WHAT SHOULD THE NURSE DO WITH THE IV LINE IF TRANSFUSION REACTION IS SUSPECTED? KEEP IT OPEN WITH SALINE
IF A TRANSFUSION REACTION IS SUSPECTED, WHAT TWO SAMPLES ARE COLLECTED AND SENT TO THE LAB? URINE AND BLOOD
IF A UNIT OF BLOOD IS INFUSED THROUGH A CENTRAL LINE IT MUST BE___________. WARMED
WHICH OF THE FOLLOWING ARE SIGNS OF TRANSFUSION REACTION? BRADYCARDIA, FEVER, HIVES, WHEEZING, INCREASED BLOOD PRESSURE, LOW BACK PAIN LOW BACK PAIN, WHEEZING, FEVER, HIVES
WHAT ARE THE 3 TYPES OF TRANSFUSION REACTIONS THAT CAN OCCUR? HEMOLYTIC, FEBRILE, AND ALLERGIC
WHAT WOULD U DO FIRST IF U SUSPECTED TRANSFUSION REACTION? STOP THE BLOOD AND START THE SALINE
WHAT ARE THE SIGNS AND SYMPTOMS OF A FEBRILE TRANSFUSION REACTION? LOW BACK PAIN, SHAKING, HA,SAME AS HEMOLYTIC--INCREASING TEMPS, CONFUSION, HEMOPTYSIS
WHAT ARE THE S&S OF A HEMOLYTIC TRANSFUSION REACTION? SHIVERING, HA, LOW BACK PAIN, INCREASED PULSE AND RESPIRATION, DECREASING BP, OLIGURIA, HEMATURIA
WHAT ARE THE S&S OF AN ALLERGIC REACTION TO A TRANSFUSION? HIVES--UTICARIA, WHEEZING, PRURITUS, JOINT PAIN(ARTHRALGIA)
GIVE 3 REASONS FOR A BLOOD TRANSFUSION? RESTORE BLOOD VOLUME SECONDARY TO HEMORRHAGE, MAINTAIN HEMOGLOBIN IN ANEMIA, REPLACE SPECIFIC BLOOD COMPONENTS
WHAT DOES BLOOD-TYPING MEAN? CHECK FOR SURFACE ANTIGEN ON THE RED BLOOD CELL
WHEN DOES TYPING AND CROSS MATCHING NEED TO BE DONE? WHENEVER A CLIENT IS TO GET A BLOOD PRODUCT. IT IS ONLY GOOD FOR 24 HRS
WHAT DOES BLOOD CROSS MATCHING MEAN? MIXING A LITTLE OF THE CLIENTS BLOOD WITH THE DONOR BLOOS AND LOOKING FOR AGGLUTINATION
WHEN ARE HEMOLYTIC TRANSFUSION REACTIONS LIKELY TO OCCUR? IN THE FIRST 10 - 15 MIN
WHEN IS A FEBRILE REACTION LIKELY TO OCCUR? WITHIN 30 MIN OF BEGINNING THE TRANSFUSION
WHAT TEST IDENTIFIES Rh FACTOR? COOMBS TEST DETECTS ANTIBODIES TO Rh
WHAT IS THE DIFFERENCE BETWEEN WHOLE BLOOD AND PACKED CELLS? PACKED CELLS DONT HAVE NEARLY AS MUCH PLASMA OR VOLUME AS WHOLE BLOOD DOES
WHAT WOULD U DO IF THE CLIENT HAD AN INCREASING TEMP AND WAS TO GET BLOOD? CALL THE MD BECAUSE BLOOD IS OFTEN HELD WITH AN ELEVATED TEMP
HOW LONG SHOULD IT TAKE FOR ONE UNIT OF BLOOD TO INFUSE? FROM 1 HR TO 3 HRS
HOW LONG SHOULD U STAY WITH THE PT AFTER BEGINNING A TRANSFUSION? AT LEAST 15 - 30 MIN
WHAT BLOOD TYPE IS THE UNIVERSAL RECIPIENT? AB
WHAT BLOOD TYPE IS THE UNIVERSAL DONOR? O
WHAT IS THE ROUTINE FOR VITAL SIGN MEASUREMENT WITH A TRANSFUSION? ONCE BEFORE ADMINISTRATION AND Q 15 MIN X2 AFTER ADMINISTRATION IS BEGUN, THEN Q HR X1 AFTER TRASFUSION HAS STOPPED
WHAT IV SOLUTION IS HUNG WITH A BLOOD TRANSFUSION? 0.9 NORMAL SALINE, NO GLUCOSE
WHAT GUAGE NEEDLE IS USED WITH A BLOOD TRANSFUSION? LARGE GUAGE, 18 GUAGE
WHAT OTHER THINGS ARE APPROPRIATE TO DO AFTER A REACTION? CALL MD, GET A BLOOD SAMPLE, GET URINE SAMPLE, MONITOR VITALS, SEND BLOOD TO LAB
CAN BLOOD BE GIVEN IMMEDIATELY AFTER REMOVAL FROM REFRIGERATION? NO, IT HAS TO BE WARMED FIRST FOR ONLY ABOUT 20-30 MIN
WITH WHAT SOLUTION AND WHEN SHOULD A BREAST FEEDING MOTHER CLEANSE THE AREOLA? PLAIN WATER, BEFORE AND AFTER EACH FEEDING
FOR A WOMAN WHO DOESN'T HAVE RETRACTED NIPPLES, IS TOWEL DRYING OR AIR DRYING BETTER? AIR DRYING OF THE NIPPLES IS BEST
THE GOAL IS FOR THE INFANT TO BREAST FEED FOR ______ MIN PER SIDE. 20 MIN
HOW DOES A MOTHER BREAK THE SUCTION OF THE BREAST FEEDING INFANT? SHE INSERTS HER LITTLE FINGER INTO THE SIDE OF THE INFANTS MOUTH
WHEN SHOULD THE BREAST FEEDING INFANT BE BURPED? AFTER FEEDING FROM EACH BREAST
ASSUMING NO MASTITIS, ON WHICH SIDE SHOULD BREAST FEEDING BEGIN? BEGIN NURSING ON THE SIDE THAT THE BABY FINISHED ON THE LAST FEEDING
HOW LONG CAN BREAST MILK BE REFRIGERATED? 24 HRS
HOW LONG CAN BREAST MILK BE FROZEN? 6 MTHS
IN WHAT TYPE OF CONTAINER SHOULD BREAST MILK BE STORED? SEALED PLASTIC BAGS
CAN U MICROWAVE FROZEN BREAT MILK IN ORDER TO WARM/THAW IT? NEVER
WHICH 2 NUTRIENTS IS BREAST MILK LOWER IN? FLOURIDE AND IRON
WHAT SHOULD U TELL A BREAST FEEDING MOTHER ABOUT HER MILK SUPPLY WHEN SHE GOES HOME FROM THE HOSPITAL? MILK SHOULD COME IN BY POSTPARTUM DAY 3. BREASTFEED EVERY 2-3 HRS TO ESTABLISH GOOD MILK SUPPLY
CAN A WOMAN ON ORAL CONTRACEPTIVES BREAST-FEED? SHOULD NOT USE OCP DURING FIRST 6 WKS AFTER BIRTH BECAUSE THE HORMONES MAY DECREASE MILK SUPPLY. ESTROGEN IS NOT RECCOMMENDED. NON-HORMONAL METHODS ARE RECCOMMNEDED. REMEMBER BREASTFEEDING IS AN UNRELIABLE CONTRACEPTIVE
WHAT IS ANOTHER NAME FOR BUERGER'S DISEASE? THROMBOANGIITIS OBLITERANS
WHICH EXTREMITIES ARE AFFECTED BY IT? LOWER ONLY
WHICH SEX DOES IT AFFECT MOST OFTEN? MALES
THE GROUP WITH THE HIGHEST INCIDENCE OF BUERGER'S DISEASE IS________. SMOKERS
UPON WALKING THE PT WITH BUERGER'S DISEASE EXPERIENCES __________ ___________. INTERMITTENT CLAUDICATION
WHAT IS INTERMITTENT CLAUDICATION? PAIN IN CALF UPON WALKING
A FIRST DEGREE BURN IS PALE OR RED? RED
A FIRST DEGREE BURN HAS VESICLES (T/F). FALSE
A SECOND DEGREE BURN IS PALE OR RED? RED
A SECOND DEGREE BURN IS DULL OR SHINY? SHINY
A SECOND DEGREE BURN HAS VESICLES (T/F). TRUE
A SECOND DEGREE BURN IS WET OR DRY? WET
A THIRD DEGREE BURN IS WHITE OR RED? WHITE
A THIRD DEGREE BURN IS WET OR DRY? DRY
A THIRD DEGREE BURN IS HARD OR SOFT? HARD
OF FIRST, SECOND AND THIRD DEGREE BURNS WHICH HAS LESS PAIN? WHY? THIRD DEGREE BURNS, NERVE DAMAGE HAS OCCURRED
FOR WHAT PURPOSE DO U USE THE RULE OF NINES? TO ESTIMATE THE PERCENTAGE OF BODY SURFACE BURNED; IS NOT USED FOR CHILDREN
IN THE RULE OF NINES, THE AND NECK RECEIVE ___________; EACH ARM RECEIVES________. 9%, 9%
IN THE RULE OF NINES, THE FRONT TRUNK GETS ________, THE POSTERIOR TRUNK GETS_______, EACH LEG GETS_________, AND THE GENITALIA GETS______. 18%, 18%, 18%, 1%
WHAT IS THE ONLY IM GIVEN TO A BURN PT? TETANUS TOXOID--IF THEY HAD A PREVIOUS IMMUNIZATION; TETANUS ANTIOXIN--IF THEY HAVE NEVER BEEN IMMUNIZED BEFORE (OR IMMUNE GLOBULIN)
IN THE EMERGENT PHASE DO U COVER BURNS? (IN THE FIELD). YES, WITH ANYTHING CLEAN AND DRY
SHOULD U REMOVE ADHERED CLOTHING? NO
NAME THE 3 PHASES OF BURN. SHOCK, DIURETIC, RECOVERY
FLUID MOVES FROM THE _______ TO THE ______ ______ IN THE SHOCK PHASE. BLOODSTREAM, INTERSTITIAL SPACE
THE SHOCK PHASE LASTS FOR THE FIRST ______ TO _______ HRS AFTER A BURN. 24 - 48 HRS
DURING THE SHOCK PHASE OF A BURN IS POTASSIUM INCREASED OR DECREASED? INCREASED, BECAUSE OF ALL THE CELLS DAMAGED. THE K+ IS RELEASED FROM DAMAGED CELLS
WHAT ACID-BASE DISORDER IS SEEN IN THE SHOCK PHASE OF A BURN? METABOLIC ACIDOSIS
WHAT IS THE #1 THERAPY IN THE SHOCK PHASE? FLUID REPLACEMENT/RESUCITATION
WHAT IS THE SIMPLE FORMULA FOR CALCULATING FLUID REPLACEMENT NEEDS IN THE FIRST 24 HRS AFTER A BURN? 3CC X Kg X % BURNED PER DAY EX. 70Kg WITH 50% BURN 3 X 70 X 50 = 10,500 CC
IF THE MD ORDERS 2,800 CC OF FLUID IN THE FIRST 24 HOURS AFTER A BURN, ONE-_______ OF IT MYST BE INFUSED IN THE FIRST EIGHT HOURS. HALF (OR 1,400CC)
WHAT BLOOD VALUE WILL DICTATE IV FLOW RATE? THE HEMATOCRIT
HOW WILL U KNOW THE PT HAS ENTERED THE FLUID MOBILIZATION OR DIURETIC PHASE? THE URINE OUTPUT WILL INCREASE
HOW LONG DOES THE FLUID MOBILIZATIONOR DIURETIC PHASE OF A BURN LAST? 2 - 5 DAYS
IN THE DIURETIC PHASE, K+ LEVELS FALL OR RISE? FALL--REMEMBER DIURESIS ALWAYS CAUSES HYPOKALEMIA
IF THE NURSE ACCIDENTALLY RUNS THE IVS AT THE SHOCK PHASE REATE DURING THE DIURETIC PHASE THE PT WILL EXPERIENCE ________ ________. PULMONARY EDEMA
THE BURN PT WILL BE ON _______ URINE OUTPUT AND DAILY ________. HOURLY, WEIGHT
SULFAMYON CREAM ________. BURNS
SILVER NITRATE CREAM _______ THE ________. STAINS, SKIN
PAIN MEDS SHOULD BE ADMINISTERED ________ MIN BEFORE ________ CARE. 30 MIN, WOUND CARE
WHEN USING SILVER NITRATE, THE DRESSINGS MUST BE KEPT __________. WET
WHAT IS CURLINGS ULCER? WHY IS IT A PROBLEM IN BURN PTS? WHAT DRUG PREVENTS IT? IT IS A STRESS GI ULCER, U GET THESE WITH ANY SEVERE PHYSICAL STRESS. TAGAMENT, ZANTAC, PEPCID(ANY H2 RECEPTOR ANTAGONIST), PROTONIX PRILOSEC
NEOPLASM REFERS TO BENIGN AND MALIGNANT TUMORS. (T/F) TRUE
WHICH TYPE OF TUMOR IS MORE MALIGNANT? DIFFERENTIATED OR UNDIFFERENTIATED? UNDIFFERENTIATED IS WORSE TO HAVE(HIGHLY DIFFERENTIATED IS BETTER TO HAVE)
WHEN CANCER SPREADS TO A DISTANT SITE IT IS CALLED __________. METASTASIS
THE CAUSE OF CANCER IS KNOWN. (T/F) FALSE
A PERSON SHOULD HAVE A YEARLY WORK UP EXAM FOR CANCER DTECTION OVER THE AGE OF _________. 40
IN GENERAL, CANCER DRUGS HAVE SIDE EFFECTS IN WHICH 3 BODY SYSTEMS? GI, HEMATOLOGIC(BLOOD), INTEGUMENTARY
WHAT ARE THE 3 MOST COMMON CHEMOTHERAPEUTIC GI SIDE EFFECTS? NAUSEA AND VOMITING, DIARRHEA, STOMATITIS(ORAL SORES)
CLIENTS RECEIVING CHEMOTHERAPY MUST BE NPO. (T/F) FALSE
IT IS PERMISSABLE TO GIVE LIDOCAINE VISCOUS AC (BEFORE MEALS) IF THE PT HAS CHEMOTHERAPEUTIC STOMATOSIS. (T/F) TRUE
WITH WHAT SOLUTION SHOULD THE CLIENT WITH CHEMOTHERAPEUTIC STOMATISITS RINCE PC( AFTER MEALS)? H2O2---HYDROGEN PEROXIDE
WHAT LUBRICANT CAN SAFELY BE APPLIED TO THE CRACKED LIPS OF CHEMOTHERAPY STOMATITIS? K-Y JELLY
NAME THE 3 HEMATOLOGIC SIDE EFFECTS OF CHEMOTHERAPY. THROMBOCYTOPENIA, LEUKOPENIA, ANEMIA
WHICH CELLS ARE LOW IN THROMBOCYTOPENIA? PLATELETS
WHAT DRUG SHOULD NOT BE GIVEN TO THE PT WITH CHEMOTHERAPEUTIC THROMBOCYTOPENIA? ASA(ASPIRIN)
WHEN SHOULD THE NURSE WITHHOLD IM INJECTIONS IN THE CLIENT ON CHEMOTHERAPY? ONLY WHEN THEIR PLATELET COUNT IS DOWN
WHAT ARE THE 3 OBJECTIVE SYMPTOMS/SIGNS OF THROMBOCYTOPENIA? EPISTAXIS, ECCHYMOSIS, PETECHIAE
WHAT IS EPISTAXIS? NOSE BLEEDS
WHAT IS ECCHYMOSIS? BRUISING
WHAT IS PETECHIAE? QSMALL DOT-LIKE PINPOINT HEMORRHAGES ON THE SKIN
WHAT BLOOD CELL IS LOW IN LUEKOPENIA? WBC
WHEN THE ABSOLUTE NEUTROPHIL COUNT (ANC) IS BELOW ____ THE PERSON ON CHEMOTHERAPY WILL BE PLACED ON REVERSE ISOLATION? 500
WHAT IS THE # 1 INTEGUMENTARY SIDE EFFECT OF CHEMOTHERAPY? ALOPEICA
WHAT IS ALOPECIA? HAIR LOSS
THE HAIR LOSS DIE TO CHEMOTHERAPY IS USUALLY TEMPORARY. (T/F) TRUE
CAN SCALP TOURNIQUETS PREVENT CHEMOTHERAPY ALOPECIA? IN SOME CASES YES
CAN ICE PACKS TO THE SCALP PREVENT CHEMOTHERAPY ALOPECIA? IN SOME CASES YES
CD(CARDIOVASCULAR DISEASE) RANKS _____ AMONG THE LEADING CAUSES OF MATERNAL DEATH. FOURTH
WHAT IS THE #1 CAUSE OF CD OF PREGNANCY? RHEUMATIC HEART DISEASE
PREGNANCY REQUIRES A __________ INCREASE IN THE CARDIAC OUTPUT. 30 - 50%
WHAT IS THE #1 CAUSE OF MATERNAL DEATH IN CD OF PREGNANCY? DECOMPENSATION
WHAT IS MEANT BY DECOMPENSATION? FAILURE OF THE HEART TO MAINTAIN ADEQUATE CIRCULATION
WHAT WILL U SEE WHEN U OBSERVE THE NECK OF A CLIENT WITH CD OF PREGNANCY? MURMURS
WHAT WILL U HEAR WHEN U AUSCULTATE THE HEART OF THE CLIENT WITH CD OF PREGNANCY? CRACKLES-RALES
IF THE CLIENT WITH CD OF PREGNANCY EXPERIENCES SUDDEN HEART FAILURE WHAT IS THE MOST COMMON THING U WILL SEE? SUDDEN ONSET OF SHORTNESS OF BREATH---DYSPNEA
WHAT IS THE #1 TREATMENT OF CD DURING PREGNANCY? REST
WHAT ARE THE 3 MOST COMMON DRUGS GIVEN TO WOMEN WITH CD IN PREGNANCY? DIURETICS, HEPARIN, DIGITALIS
WHY ARE DIURETICS GIVEN TO WOMEN WITH CD OF PREGNANCY? TO PROMOTE DIURESIS, WHICH WILL LOWER CIRCULATION BLOOD VOLUME, DECREASE PRELOAD, DECREASE THE AMOUNT OF BLOOD THE HEART PUMPS
WHY ARE ANTICOAGULANTS (HEPARIN ONLY) GIVEN TO WOMEN WITH CD OF PREGNANCY? TO PREVENT THROMBOPHLEBITIS DUE TO VENOUS CONGESTION, USUALLY IN THE LEGS
WHY IS DIGITALIS GIVEN TO WOMEN WITH CD OF PREGNANCY? TO INCREASE THE STRENGTH OF THE HEART AND TO DECREASE THE RATE, RESTS THE HEART WHILE MAKING IT MORE EFFICIENT
CAN A WOMAN WITH CD OF PREGNANCY BE GIVEN ANALGESICS DURING LABOR? YES, IN FACT THEY SHOULD BE GIVEN ANALGESICS, MAY GET TOO ANXIOUS WHICH IS BAD FOR THE HEART
CAN MORPHINE BE GIVEN TO A WOMAN WITH CD DURING LABOR? YES, EVEN THOUGH IT NEGATIVELY AFFECTS THE FETUS, REMEMBER MORPHINE DECREASES PRELOAD AND PAIN WHICH RESTS THE HEART
WHAT IS THE COMMON DIETARY MODIFICATION FOR THE WOMAN WITH CD WHO SHOWS SIGNS OF DECOMPENSATION? DECREASED SODIUM, DECREASED WATER(RESTRICTION)
IS A C-SECTION MADATORY FOR DELIVERY OF A WOMAN WITH CD OF PREGNANCY? NO
SECOND TO REST, WHAT IS VERY IMPORTANT TREATMENT FOR CD OF PREGNANCY? WEIGHT CONTROL
HOW LONG MUST THE WOMAN WITH CD OF PREGNANCY BE ON BED REST AFTER DELIVERY? AT LEAST ONE WEEK
WHAT NUTRIENTS SHOULD BE SUPPL;IED IN THE DIET OF THIS WOMAN? IRON, FOLIC ACID, PREVENT ANEMIA(ANEMIA ALWAYS MAKES THE HEART WORK MORE)
WHAT ARE THE TWO MOST COMMON SUBJECTIVE COMPLAINTS OF THE WOMAN WHO IS DEOMPENSATING DURIN LABOR? SOB, PALPITATIONS
IN ADDITION TO THE THINGS U ASSESS FOR IN EVERY WOMAN DURING LABOR, WHAT ADDITIONAL ASSESSMENT MUST U MAKE FOR A WOMAN WITH CD? U MUST ASSESS LUUNG SOUNDS FREQUENTLY
HOW OFTEN MUST U ASSESS THE LUNG SOUNDS DURING THE FIRST STAGE OF LABOR? DURING ACTIVE LABOR? DURING TRANSITIONS LABOR? EVERY 30 - 10 MIN
IN WHICH POSITION SHOULD A WOMAN WITH CD LABOR BE? SEMI RECUMBENT, HOB UP
THE NURSE SHOULD LIMIT THE CLIENTS EFFORTS TO ________ _______ DURING THE LABOR WHEN CD IS PRESENT. BEAR DOWN
WHAT IS THE BIG DANGER TO STAFF WHEN CARING FOR A CLIENT WITH CESIUM IMPLANT? RADIATION HAZARD
WHAT ARE THE 3 PRINCIPLES TO PROTECT YOURSELF FROM RADIATION HAZARD TIME, DISTANCE, SHIELDING
WILL THE WOMAN WITH A CESIUM IMPLANT HACE A FOLEY? YES
FROM WHERE SHOULD THE NURSE PROVIDE CARE TO THE CLIENT WITH CESIUM IMPLANT? THE HEAD OF THE BED
HOW CAN THE WOMAN WITH CESIUM IMPLANT MOVE IN BED? ONLY FROM SIDE TO SIDE
WHAT FOUR SYMPTOMS SHOULD BE REPORTED TO THE PHYSICIAN? PROFUSE CAGINAL DISCHARGE, ELEVATED TEMP, NAUSEA, VOMITING(THESE INDICATE INFECTION AND PERFORATION)
SHOULD PREGNANT STAFF CARE FOR A CLIENT WITH A CESIUM IMPLANT? NO
CAN THE WOMAN WITH A CESIUM IMPLANT HAVE THE HOB ELEVATED? YES, ONLY TO 45 DEGREE MAXIMUM
FROM WHERE SHOULD THE NURSE TALK TO THE CLIENT? THE ENTRANCE TO THE ROOM
IS BED REST NECESSARY WHEN A WOMAN HAS CESIUM IMPLANT IN PLACE? YES, ABSOLUTE BED REST
WHAT TYPE OF DIET IS THIS WOMAN ON? LOW RESIDUE
NO NURSE SHOULD ATTEND THE CLIENT MORE THAN ______ HRS PER DAY. ONE HALF HOUR
WHAT WOULD U DO IF THE IMPLANT CAME OUT? PICK IT UP WITH FORCEPS ONLY--NEVER TOUCH WITH HAND EVEN IF U ARE WEARING GLOVES
SHOULD THE NURSE PROVIDE PEINEAL CARE FOR THE CLIENT WITH AN IMPLANT? NO, RISK OF RADIATION HAZARD
WHAT PART OF UR HAND DO U USE TO HANDLE A WET CAST? THE PALM
UPON WHAT DO U SUPPORT A CAST WHILE IT DRIES? PILLOWS (NO PLASTIC COVERS)
HOW LONG DOES IT TAKE A CAST TO DRY? 24 HRS
SHOULD U COVER A WET CAST? NO
SHOULD U USE A HEAT LAMP OR HAIR DRYER OR FAN TO HELP DRY A CAST? NO--HEAT LAMP AND HAIR DRYER YES--FAN
WHAT S%S WOULD U REPORT IF THEY WERE PRESENT AFTER CAST APPLICATION? NUMBNESS, TINGLING, BURNING, PALLOR, UNEQUAL OR ABSENT PULSES, UNEQUAL COOLNESS
IF THERE IS INFLAMMATION UNDER A CAST, IT WILL BE EVIDENT IN A _____ SPOT. HOT
TO PREVENT IRRITATION OF THE SKIN NEAR THE EDGES OF A CAST THE EDGES SHOULD BE________. PETALED
WHAT TYPE OF CAST CAUSES CAST SYNDROME? A BODY CAST
WHAT CAUSES CAST SYNDROME? ANXIETY AND STRESS LEADING TO SYMPATHOADRENAL SHUT-DOWN OF THE BOWEL
WHAT IS THE #1 SYMPTOM OF CAST SYNDROME? NAUSEA AND VOMITING DIE TO BOWEL OBSTRUCTION
WHAT IS THE # 1 TREATMENT OF CAST SYNDROME? NPO, AND NG TUBE FOR DECOMPRESSION
A DRY CAST IS GRAY OR WHITE? WHITE
A DRY CAST IS DULL OR SHINY? SHINY
A DRY CAST IS FULL RO RESONANT TO PERCUSSION? RESONANT
TRACTION IS USED TO ______ A FRACTURE, RELIEVE _________ _________ AND PREVENT DE-________. REDUCE AND IMMOBILIZE, MUSCLE SPASMS; DEFORMITIES
CAN SKIN TRACTION BE REMOVED FOR SKIN CARE? YES
CAN THE CLIENT BE REMOVED FROM SKELETAL TRACTION? NO
NAME 3 TYPES OF SKIN TRACTION. BUCKS, BRYANTS, PELVIC
NAME 3 TYPES OF SKELETAL TRACTION. CRANIAL TONGS, THOMAS SPLINTS WITH PEASON ATTACHMENTS, 90 DEGREES TO 90 DEGREES
WHAT TUPE OF TRACTION IS MOST COMMONLY USED FOR HIP FRACTURE IN ADULTS? BUCKS
WHAT TYPE OF TRACTION IS MOST COMMONLY USED FOR HIP FRACTURE IN CHILDREN? BRYANTS
IN WHAT POSITION SHOULD THE BED BE IF THE PT IS IN PELVIC TRACTION? SEMI-FOWLERS WITH KNEE GATCHED
TO INSURE THE BRYANTS TRACTION IS WORKING THE CHILDS HIP/SACRUM SHOULD BE__________. OFF THE BED ENOUGH TO SLIP A HAND BETWEEN THE SACRUM AND THE BED
PATIENTS IN RUSSELLS TRACTION ARE PARTICULARLY PRONE TO __________ THROMBOPHLEBITIS
WHEN A PATIENT IS IN A BUCKS TRACTION THEY MAY TURN TO THE ________ SIDE? UNAFFECTED
DEFINE CATARACT? OPACITY OF THE CRYSTALLINE LENS
IS SURGERY DONE IMMEDIATELY UPON DIAGNOSIS OF CATARACT? NO, THEY USUALLY WAIT UNTIL IT INTERFERES WITH ACTIVITIES OF DAILY LIVING
WHAT 3 MOST COMMON VISUAL DEFECTS OCCUR WITH CATARACT CLOUDINESS, DIPLOPIA(DOUBLE VISION), PHOTOPHOBIA(SENSITIVITY TO LIGHT)
WHAT ARE THE 2 COMMON TREATMENTS OF CATARACT? LASER, SURGICAL REMOVAL. SURGERY CALLED INTRAOCULLAR OR EXTRAOCULAR LENS EXTRACTION
WHAT DOES THE EYE LOOK LIKE WHEN A CLIENT HAS CATARACTS? CLOUDY, MILKY-WHITE PUPIL
WHAT WILL THE CLIENT BE WEARING AFTER CATARACT REMOVAL? A PROTECTIVE PATCH/SHIELD ON THE OPERATIVE EYE FOR 24 HRS, THEN A METAL SHIELD (AT NIGHT ONLY) FOR 3 WEEKS
WHEN THE CLIENT ASKS ABOUT THE USE OF GLASSES OR CONTACTS AFTER CATARACT SURGERY WHAT WOULD YOU SAY? IF AN INTRAOCULAR LENSE IS IMPLANTED THEY WILL NOT NEED GLASSES. IF NO LENSE IS IMPLANTED, THEN CONTACTS WILL BE FITTED 3 MONTHS POST-OPERATIVELY, TEMPORARY THICK GLASSES GIVEN IMMEDIATELY BUT WILL GET A DIFFERENT PRESCRIPTION IN 2 - 3 MONTHS
WHAT WILL BE A HIGH PRIORITY NURSING DIAGNOSIS FOR A CLIENT POST CATARACT SURGERY? SAFETY
SHOULD THE CLIENT AMBULATE INDEPENDANTLY AFTER CATARACT SURGERY? NO, DEPTH PERCEPTION IS ALTERED
WHAT POSITIONS ARE TO BE AVOIDED AFTER CATARACT SURGERY? LYING FACE DOWN. ALSO, DO NOT LIE ON OPERATIVE SIDE FOR A MONTH
WHAT ARE THE POST-OP SIGNS OF HEMORRHAGE INTO THE EYE? SEVERE PAIN, RESTLESSNESS
WHAT MOVEMENTS ARE TO BE AVOIDED AFTER CATARACT SURGERY? COUGHING, SNEEZING, BENDING AT THE WAIST, STRAINING AT STOOL, RUBBING OR TOUCHING EYES, RAPID HEAD MOVEMENTS
WHAT POSITIONS ARE OKAY AFTER CATARACT SURGERY? DO NOT LIE ON OPERATIVE SIDE; DO NOT LIE ON BACK
SHOULD U USE TALCUM POWDER WITH A POST-OPERATIVE CATARACT CLIENT? NO, MAY CAUSE SNEEZING; ALSO SHOULD AVOID PEPPER
WHAT ARE THE 3 SIGNS OF INCREASED INTRAOCULAR PRESSEURE? [AIN(MODERATE TO SEVERE), RESTLESSNESS, INCREASED PULSE RATE
WHAT IS A MAJOR OBJECTIVE IN CARING FOR A CLIENT AFTER SURGICAL CATARACT REMOVAL? TO PREVENT PRESSURE IN OR ON THE EYES
WHEN THE LENS IS TO BE EXTRACTED FOR CATARACT WHAT DRUGS ARE GIVEN PRE-OP? MYDRIATICS, DILATORS, ANTIBIOTIC DRUGS(GTTS)
WHAT 3 DRUGS ARE GIVEN POST-OP? STOOL SOFTENERS, ANTIEMETICS, ANALGESICS(MILD TO MODERATE)
GIVE 5 CAUSES OF CATARACTS? INJURY, CONGENITAL, EXPOSURE TO HEAT, HEREDITY, AGE
CELIACS DISEASE IS A ___________ DISEASE. MALABSORPTION
THE CLIENT WITH CELIACS CANNOT TOLERATE _________. GLUTEN
GLUTEN IS A ___________. PROTEIN
WHAT DOES GLUTEN DO TO THE INTESTINES OF THE CLIENT WITH CELIACS DISEASE? IT DESTROYS THE LINING OF THE INTESTINE
THE STOOLS OF A CLIENT WITH CELIACS DISEASE ARE _____, ________, AND _______ ________. LARGE, GREASY, FOUL-SMELLING
CLIENTS WITH CELIACS DISEASE DO NOT ABSORB WHAT MINERAL? IRON
CLIENTS WITH CELIACS DISEASE DONT ABSORB FATS; THEREFORE THE DONT ABSORB _______ _______ _______. FAT SOLUBLE VITAMINS
WHAT ARE THE 4 FAT SLOUBLE VITAMINS? A, D, E, K
MALABSORPTION OF WHICH VITAMIN LEADS TO BLEEDING DISORDER? VITAMIN K, REMEMBER DO NOT MIX UP POTASSIUM WITH VITAMIN K
WHAT WILL THE ABDOMEN OF CLIENTS WITH CELIACS DISEASE LOOK LIKE? DISTENDED WITH FLATUS
WHAT IS THE #1 TREATMENT OF CELIACS DISEASE? GLUTEN-FREE DIET
VEGGIES ARE ALLOWED OR NOT ALLOWED? ALLOWED
FRUITS ARE ALLOWED OR NOT ALLOWED? ALLOWED
GRAINS OF ALL KINDS ARE PROHIBITED. (T/F) FALSE
WHAT GRAINS ARE ALLOWED IN A GLUTEN-FREE DIET? RICE AND CORN
WHAT GRAINS ARE NOT ALLOWED IN A GLUTEN-FREE DIET? WHEAT, OATS, RYE, ALFALFA, BARLEY
ARE FOODS MADE WITH WHEAT, OAT, OR RYE FLOUR ALLOWED? NO
IS MILK ALLOWED ON A GLUTEN-FREE DIET? YES
ARE MEATS ALLOWED ON A GLUTEN-FREE DIET? YES, BUT WATCH FOR BREADED MEATS AND HOT DOGS/LUNCH MEATS---MAY HAVE GRAIN IN THEM AND ARE NOT ALLOWED
ARE EGGS ALLOWED ON A GLUTEN-FREE DIET? YES
IS COMMERCIAL ICE CREAM ALLOWED ON A GLUTEN-FREE DIET? NO, EVEN THOUGH IT IS A MILD PRODUCT, COMMERCIAL ICE CREAM HAS GRAIN IN IT
ARE PUDDINGS ALLOWED ON A GLUTEN-FREE DIET? NO, FOR THE SAME REASON ICE CREAM ISNT
WHICH SOUPS ARE NOT ALLOWED ON A GLUTEN-FREE DIET? CREAMED SOUPS--THESE OFTEN HAVE FLOUR
THE #1 PROBLEM WITH CENTRAL LINES IS ______. INFECTION
HOW OFTEN SHOULD CENTRAL LINE DRESSINGS BE CHANGED? QOD--EVERY OTHER DAY
WHAT TYPE OF DRESSING IS APPLIED TO A CENTRAL LINE INSERTION SITE?
CAN DRUGS BE PIGGYBACKED INTO CENTRAL---TPN? NO, USE ANOTHER LUMEN
WHEN CHANGING CENTRAL LINE TUBING THE PATIENT SHOULD BE TOLD TO _________. TURN HIS HEAD AWAY FROM SITE, HOLD BREATH, AND PERFORM THE VALSALVA MANEUVER
IF A CENTRAL LINE IS FOUND ACCIDENTALLY OPEN THE PATIENT SHOULD BE POSITIONED ON HIS ______ _______. LEFT SIDE
A CVA IS A _______ OF BRAIN CELLS DUE TO DECREASED ________ _________ AND ______. DESTRUCTION; BLOOD FLOW AND OXYGEN
WOMEN HAVE A (HIGHER/LOWER) INCIDENCE OF STROKE THAN MEN? LOWER
NAME THE 3 TYPES OF CVA. EMBOLUS, THROMBUS, HEMORRHAGE
USE OF ORAL CONTRACEPTIVES INCREASE THE RISK OF CVA. (T/F) TRUE
CHRONIC ABUSE OF ALCOHOL INCREASES RISK OF CVA. (T/F) FALSE
OBESITY INCREASES THE RISK OF CVA. (T/F) TRUE
SMOKING INCREASES THE RISK OF CVA. (T/F) TRUE
ATRIAL FIBRILLATION INCREASES THE RISK OF CVA. (T/F) TRUE, EMBOLI PARTICULARLY
WHAT IS A TIA? TRANSIENT ISCHEMIC ATTACK, WARNING SIGN OF IMPENDING CVA (TRANSIENT NEUROLOGIC DEFICITS OF ANY KIND CAN LAST 30 SEC TO 24 HRS)
DO PTS EXPERIENCING A CVA HAVE A HEADACHE? YES
THE FIRST SIGN OF CVA IS USUALLY A _______. CHANGE IN LOC
THE ACTIVITY ORDER IN EARLY MANAGEMENT OF CVA IS ____________. ABSOLUTE BED REST
THE PT WITH A RECENT CVA IS MOST LIKELY TO HAVE FLUIDS RESTRICTED OR FORCED? RESTRICTED
HOW FAR SHOULD THE HOB BE UP AFTER A CVA? 30 DEGREES
CAN THE STROKE VICTIM BE TURNED SID-TO-SIDE? YES
HOW OFTEN SHOULD THECVA PT BE TURNED AND REPOSITIONED? EVERY 2 HRS
THE CVA PT SHOULD BE TURNED ONTO HIS PARALYZED SIDE NO LONGER THAN 2 HRS. (T/F) FALSE, THE PT SHOULD NOT BE ON THEIR PARALYZED SIDE FOR MORE THAN 20 MIN.
ROM EXERCISES SHOULD OCCUR EVERY 2 HRS. (T/F) FALSE--EVERY FOUR HRS OR THREE TIMES A DAY IS ENOUGH
TO PREVENT URINARY INCONTINENCE, THE CVA PT SHOULD BE CATHERIZED. (T/F) FALSE--REMEMBER INCONTINENCE WILL NEVER BE ALLOWED AS A REASON FOR CATHERIZATION
WHICH TYPE OF PARALYSIS IS TYPICAL OF CVA--PARAPLEGIA, HEMIPLEGIA OR QUADRIPLEGIA? HEMIPLEGIA
WHAT ANATOMICAL FACT ACCOUNTS FOR THE LEFT SIDE OF THE BODY BEING CONTROLLED BY THE RIGHT BRAIN? THE MOTOR--PYRAMIDAL--TRACTS CROSS OVER TO THE OTHER SIDE (DECUSSATE IN THE MEDULLA)
IF THE PT HAS RIGHT HEMIPLEGIA, HE CANNOT MOVE HIS _____ AND ________ THE STROKE WAS ON THE ________ SIDE OF THE BRAIN. RIGHT ARM, RIGHT LEG, LEFT
WHAT IS HEMIANOPSIA SHOULD BE TAUGHT TO _________. SCAN
WHAT IS SCANNING? MOVING THE HEAD FROM SIDE TO SIDE TO SEE THE WHOLE FIELD OF VISION.
IF THE CLIENT HAS RIGHT HOMONYMOUS HEMIANOPSIA, THE FOOD ON THE ______ SIDE OF THE TRAY MAY BE IGNORED. RIGHT
AFTER MEALS THE NURSE MUST ALWAYS CHECK ______ OF THE CVA CLIENT FOR __________. MOUTH(OR CHEEK); FOOD
SHOULD A CVA PT HAVE ALL 4 SIDE RAILS UP AT ALL TIMES? SHOULD THEY BE RESTRAINED? SIDE RAILS YES. RESTRAINTS NO--UNLESS THEY ARE A DANGER TO SELF OR OTHERS
WHEN A PT DOES NOT UNDERSTAND INCOMING LANGUAGE HE IS SAID TO HAVE _______ APHASIA. RECEPTIVE
WHEN THE CVA CLIET UNDERSTANDS YOUR QUESTION BUT CANT RESPOND VERBALLY CORRECTLY, HE IS SAID TO HAVE ________ APHASIA. EXPRESSIVE
WHAT IS GLOBAL APHASIA? BOTH RECEPTIVE AND EXPRESSIVE
APHASIA IS MOST COMMON IF THE STROKE OCCURRED IN THE (DOMINANT/NON-DOMINANT) HEMISPHERE OF THE BRAIN. DOMINANT
HOW DO U TELL WHICH SIDE OF THE PERSONS BRAIN IS DOMINANT? IT IS THE SIDE THAT CONTROLS THEIR DOMINANT HAND, EX. A LEFT HANDED PERSON HAS A DOMINANT RIGHT HEMISPHERE AND CONVERSELY A RIGHT HAND PERSON HAS A DOMINANT LEFT HEMISPHERE
FOR WHICH TYPE APHASIA ARE SLOW, SHORT, SIMPLE DIRECTIONS MOST USEFUL? EXPRESSIVE
THE LOSS OF THE ABILITY TO PERFORM PURPOSEFUL, SKILLED ACTS, EX. BRUSHING TEETH, IS CALLED _________. APRAXIA
CYTOXAN CYCLOPHOSPHAMIDE HEMORRHAGIC CYSTITIS
CISPLATIN PERIPHERAL NEUROPATHY, CONSTIPATION, OTOTOXICITY
DTIC-DOME FLU-LIKE SYMPTOMS
BLEOMYCIN PULMONARY FIBROSIS
ADRIAMYCIN CARDIOTOXICITY
VINCRISTINE PERIPHERAL NEUROPATHY, CONSTIPATION
METHOTREXATE TOXIC TO JUST ABOUT EVERY ORGAN EXCEPT TO HEART, TOXICITY MADE WORSE WITH ASPIRIN
THE INFANT FEARS ______ MOST WHEN HOSPITALIZED. SEPARATION FROM LOVE OBJECT
THE TODDLER FEARS _______ MOST WHEN HOSPITALIZED. SEPARATION FROM FAMILY
THE PRESCHOOLER FEARS SEPARATION AS WELL AS _______ WHEN HOSPITALIZED. MUTILATION--REMEMBER PRESCHOOLERS HAVE VIVID IMAGINATIONS .....FANTASY
THE TODDER AND PRESCHOOLER WILL THINK THAT ILLNESS IS CAUSED BY _____________. SOMETHING THEY DID WRONG
THE SCHOOL-AGED HOSPITALIZED CHILD IS AFRAID OF SEPARATION FROM_________. AGE GROUP
THE SCHOOL-AGED CHILD PERCEIVES THE CAUSE OF ILLNESS TO BE EXTERNAL OR INTERNAL? EXTERNAL, SHE KNOWS THE ILLNESS IS NOT A RESULT OF BAD BEHAVIOR
THE ADOLESCENT WHO IS HOSPITALIZED FEARS SEPARATION _______ FROM AND LOSS OF _______. PEERS, INDEPENDENCE
PRESCHOOLERS MAY REQUIRE PHYSICAL RESTRAINT DURING PAINFUL PROCEDURES. (T/F) TRUE
WHICH AGE GROUP ENGAGES IN STALLING TACTICS BEFORE PAINFUL PROCEDURES? SCHOOL-AGED
WHICH AGE GROUPS ARE MOST LIKELY TO PHYSICALLY RESIST THE NURSE DURING PROCEDURES? SCHOOL-AGED, ADOLESCENTS
TODDLERS MAY REQUIRE PHYSICAL RESTRAINT FOR PAINFUL PROCEDURES. (T/F) TRUE
THE MEATS THAT ARE HIGHEST IN CHOLESTEROL ARE ________ MEATS. ORGAN MEATS, LIVER, HEART, BRAIN, KIDNEYS
EGG WHITE IS (HIGH/LOW) IN CHOLESTEROL? LOW
THE MEATS THAT ARE SECOND HIGHEST IN CHOLESTEROL ARE THE ________. SHELL SEAFOOD----SHRIMP, CRAB, LOBSTER
EGG YOLK IS (HIGH/LOW) IN SHOLESTEROL? HIGH
THE 3 MEATS LOWEST IN CHOLESTEROL ARE _______, _________ AND ________. CHICKEN, PORK, MUTTON
MILK IS (HIGH/LOW) IN CHOLESTEROL. LOW
IS CHEESE HIGH IN CHOLESTEROL? ONLY MODERATE, NOT REALLY THAT HIGH
WHICH OILS ARE HIGH IN CHOLESTEROL? ANIMAL OILS
IS CHOLESTEROL A TRIGLYCRIDE? NO
DO PLANT FOODS CONTAIN ANY CHOLESTEROL? NO, NOT MANY
WHAT IS OTITIS MEDIA? CHRONIC INFECTIOUS/INFLAMMATORY DISEASE OF THE MIDDLE EAR
IS OTITIS A DISEASE OF THE ADULT OR CHILD? USUALLY THE CHILD
WHAT PART OF THE EAR IS INVOLVED IN OTITIS MEDIA? MIDDLE EAR
WHAT ARE THE 2 COMMON SUBJECTIVE SIGNS OF OTITIS MEDIA? HEARING LOSS, FEELING OF FULLNESS IN THE EAR
WHAT ARE THE 2 OBJECTIVE SIGNS OF OTITIS MEDIA? HYPERPYREXIA(FEVER), DRAINAGE FROM EAR
WHAT COMMONLY HAPPENS SECONDARY TO OTITIS MEDIA? PERFORATION OF THE EAR DRUM
DO ALL THE CHILDREN WITH OTITIS MEDIA NEED TUBES IN THEIR EARS? NO
WHAT ARE THE TWO MOST COMMON MEDICAL TREATMENTS FOR OTITIS MEDIA? SYSTEMIC ANTIBOTICS, ANTIBIOTIC EAR DROPS
WHAT IS THE MOST SEVERE COMPLICATION OF OTITIS MEDIA? MENINGITIS OR MASTOIDITIS
WHAT IS CHOLESTEATOMA? AN EPIDEMIAL CYST IN THE EAR HIGHLY ASSOCIATED WITH OTITIS MEDIA
WHAT ARE THE RESTRICTIONS TO BE FOLLOWED WHEN TUBES ARE IN A CHILDS EAR? NO SWIMMING, NO SHOWERING, NO DIVING
WHAT IS CLEFT LIP? THE LIP IS OPEN TO THE NARES
WHAT IS CLEFT PALATE? THE ROOF OF THE MOUTH IS OPEN TO THE NASOPHARYNX
IS IT POSSIBLE TO HAVE ONLY ONE: CLEFT LIP OR CLEFT PALATE? YES, YOU CAN HAVE ONE OR THE OTHER OR BOTH
WHEN WILL THE CLEFT LIP BE REPAIRED? BETWEEN 10 WEEKS AND 6 MONTHS
WHEN IS CLEFT PALATE REPAIRED? BETWEEN 1 AND 5 YEARS OF AGE
WHY IS CLEFT LIP REPAIRED EARLY? (2 REASONS) FEEDING IS EASIER AFTER REPAIR AND APPEARANCE AFTER REPAIR IS MORE ACCEPTABLE TO PARENTS
DESCRIBE THE NIPPLES ON BOTTLES USED TO FEED BABIES WITH CLEFT LIP. LARGE-HOLED, SOFT NIPPLES
THE INFANT WITH CLEFT LIP/CLEFT PALATE NEEDS MORE FREQUENT ___________. BUBBLING/BURPING
CHILDREN WITH CLEFT LIP/CLEFT PALATE SHOULD BE FED IN WHAT POSITION? AN ALMOST UPRIGHT POSITION
WHAT IS THE #1 COMPLICATION OF CLEFT LIP/PALATE? ASPIRATION
CHILDREN WITH CLEFT LIP AND CLEFT PALATE HAVE LONG TERM PROBLEMS WITH _________, ______, AND ________. HEARING, SPEECH, TEETH
IN HOW MANY SURGERIES IS CLEFT PALATE REPAIRED? TWO SURGERIES--ONE AT 12-18 MTHS, THE LAST AT 4 TO 5 YEARS
WHY IS FINAL REPAIR OF THE PALATE DELAYED INTIL 4 TO 5 YRS OF AGE? EARLIER SURGERY WOULD INTERFERE WITH TOOTH DEVELOPMENT
HOW ARE CLEFT LIP AND CLEFT PALATE PRIMARILY TREATED? SURGICAL REPAIR
IS THE INFANT RESTRAINED BEFORE REPAIR? NO, JUST AFTER REPAIR
SHOULD CHILDREN WITH CLEFT PALATE BEFORE SURGERY BE ALLOWED TO CRY? TO BREAST FEED? YES, THEY CAN CRY; MAY BREAST-FEED WITH SIMPLE CLEFT LIP HOWEVER PALATE INTERFERES WITH FEEDING
AFTER REPAIR OR CLEFT LIP IS THE INFANT ALLOWED TO CRY? TO BREAST-FEED? NO, THE INFANT WHOULD BE HELD TO PREVENT CRYING; THE INFANT IS NOT ALLOWED TO BREAST-FEED BECAUSE SUCKING IS NOT GOOD AFTER LIP REPAIR
AFTER CLEFT LIP REPAIR, WHAT DEVICE WILL THE BABY WEAR? A LOGAN BOW
WHAT IS THE PURPOSE OF A LOGAN BOW? TO PREVENT STRESS ON THE SUTURE LINE
WITH WHAT DEVICE WILL THE INFANT BE RESTRAINED AFTER REPAIR? ELBOW RESTRAINTS
HOW DO U CARE FOR AN INFANT WITH A LOGAN BOW? REMOVE THE GAUZE BEFORE FEEDING AND CLEASE AFTER FEEDING WITH PEROXIDE AND SALINE
CAN CLEFT LIP/PALATE BABIES SLEEP ON THEIR BACKS? YES
WHAT POSITION IS CONTRAINDICATED AFTER CLEFT LIP REPAIR? NEVER LIE ON THEIR ABDOMEN
WHAT WILL BE USED TO FEED THE INFANT AFTER CLEFT LIP REPAIR? A DROPPER/SYRINGE WITH RUBBER TIP DISCOURAGE SUCKING
WHAT MUST THE MOTHER DO AFTER FEEDING THE BABY WHO HAS HAD CLEFT LIP/PALATE REPAIR? RINSE THE INFANTS/CHILDS MOUTH WITH WATER
WHAT IS A COLOSTOMY? A SURGICALLY CREATED OPENING OF THE COLON OUT ONTO THE ABDOMEN WALL
NAME THE 3 MOST COMMON REASONS FOR A COLOSTOMY? CANCER, DIVERTICULITIS, ULCERATIVE COLITIS
WHAT IS MEANT BY THE TERM TEMPORARY COLOSTOMY? A COLOSTOMY THAT IS NOT INTENDED TO BE PERMANENT--THE BOWEL WILL BE RECONNECTED AT A LATER DATE AND THE CLIENT WILL DEFECATE NORMALLY
WHAT IS MEANT BY THE TERM DOUBLE-BARREL COLOSTOMY? A PROCEDURE WHERE THE COLON IS CUT AND BOTH ENDS ARE BROUGHT OUT ONTO THE ABDOMEN
COLOSTOMIES PERFORMED FOR CANCER TEND TO BE (TEMPORARY/PERMANENT). PERMANENT
COLOSTOMIES PERFORMED FOR A GUNSHOT ARE USUALLY (TEMPORARY/PERMANENT). TEMPORARY
IN A DOUBLE-BARREL COLOSTOMY, FROPM WHICH STOMA(BARREL) WILL THE STOOL COME OUT? PROXIMAL
A FRESH NEW STOMA IS _____, _______, AND ______. RED, LARGE, NOISY
WHEN A CLIENT VOICES EMBARRASSMENT OVER THE NOISES THEIR COLOSTOMY MAKES ON THE FIRST POST-OP DAY, WHAT WOULD U SAY? THE NOISE WILL GO AWAY IN A FEW DAYS TO A WEEK
WHAT BEHAVIOR ON THE PART OF THE CLIENT IS THE BEST INDICATOR THAT THEY HAVE ACCEPTED THEIR STOMA? WHEN THEY DO THEIR OWN STOMA CARE
BY WHAT DAY POST-OP SHOULD THE CLIENT BEGIN TO TAKE CARE OF THEIR OWN STOMA? BY THE 3RD TO 4TH DAY, THEY SHOULD BE LOOKING AT IT AND ASKING QUESTIONS BY DAY 2
THE MORE COLON IS REMOVED THE MORE ______ THE STOOL LIQUID
WHAT TECHNIQUE IS USED TO REMOVE FECES AND FLATUS FROM THE BOWEL THROUGH A COLOSTOMY? COLOSTOMY IRRIGATION
HOW MANY TIMES PER DAY WILL THE CLIENT IRRIGATE A COLOSTOMY? ONCE
WHICH SOLUTION IS USED TO IRRIGATE A COLOSTOMY? TAP WATER
HOW WARM SHOULD THE IRRIGATION SOLUTION BE? WARMER THAN BODY TEMPATURE, EX. 99-100
IN WHAT POSITION SHOULD THE CLIENT BE WHEN THEY IRRIGATE THEIR COLOSTOMY? SITTING
CHF CAN BE RIGHT SIDED, LEFT SIDED, OR BOTH SIDED. (T/F) TRUE--LEFT SIDED USUALLY COMES FIRST
WHAT DOES RIGHT SIDED CHF MEAN? RIGHT VENTRICLE HAS DECOMPENSATED
WHAT DOES LEFT SIDED CHF MEAN? LEFT VENTRICLE HAS DECOMPENSATED
CHF CAN RESULT FROM MI. (T/F) TRUE
WHEN CARDIAC OUTPUT FAILS, NAME THREE WAYS THE HEART WILL TRY TO COMPENSATE. VENTRICLE WILL HYPERTROPHY, DILATE AND HEART RATE WILL INCREASE
WHAT IS MEANT BY CARDIAC DECOMPENSATION? IT MEANS THAT THE COMPENSATORY MECHANISMS-HYPERTROPHY, DILATION, TACHYCARDIA ARE NOT WORKING AND THE HEART HAS FAILED
NAME THE 3 GROUPS OF DRUGS USED TO TREAT CHF? DIURETICS, DIGITALIS,VASODILATORS
WHYAT IS THE ACTIVITY ORDER FOR CLIENTS WITH CHF? BED REST
WHAT SPECIAL ITEM DO CLIENTS WITH CHF HAVE TO WEAR TO DECREASE VENOUS STASIS IN THE LEGS? TED HOSE
HOW OFTEN SHOULD ANTI-EMBOLISM HOSE(TED) BE REMOVED? DAILY
WHEN DURING THE DAY SHOULD TED HOSE BE APPLIED? BEFORE THE CLIENT GETS OUT OF BED
IS IT OKAY TO USE POWDER WITH TED HOSE? YES
SHOULD U MASSAGE THE CALVES OF THE CLIENT WITH CHF? NEVER
BEFORE YOU GIVE DIGITALIS, WHAT ACTION MUST YOU TAKE? MEASURE THE APICAL PULSE
IF THE ADULT CLIENTS APICAL PULSE IS BELOW 60, WHAT SHOULD YOU DO? DO NOT GIVE DIGITALIS--FOR A CHILD DONT GIVE IF PULSE UNDER 70; FOR AND INFANT DONT GIVE FOR PULSE UNDER 90
WHAT DAILY MEASUREMENT BEST INDICATES THE AMOUNT OF FLUID THE CLIENT IS RETAINING? DAILY WEIGHT
SHOULD CLIENTS WITH CHF HAVE A FOLEY? YES, ON DIURETICS AND FLUID BALANCE IS IMPORTANT
WHAT COMPLICATION IS COMMON IN CHF? PULMONAY EDEMA
WHEN THE CLIENT IS TAKING DIURETICS WHAT MINERAL IS THE CHF CLIENT MOST LIKELY TO LOSE? POTASSIUM-----K+
YOU SHOULD TELL THE CLIENT WITH CHF TO IMMEDIATELY REPORT TO HIS DOCTOR IF HE GAINS _________ POUND IN ONE WEEK. 3 LBS
NAME THE 4 MOST COMMON TOXIC EFFECTS OF DIGITALIS. ANOREXIA, N & V---VERY COMMON YELLOW VISION, ARRHYTHMIA
SHOULD HEARING AIDS BE REMOVED BEFORE GOING FOR SURGERY? YES, BUT JUST BEFORE SURGERY
HEARING AIDS ARE MORE USEFUL IN SENSORY OR CONDUCTIVE HEARING LOSS. CONDUCTIVE
SOME WOMEN EXPERIENCE DISCOMFORT WHEN WEARING CONTACT LENSES DURING PREGNANCY OR MENSTRUAL PERIODS. (T/F) TRUE
SHOULD A CLIENT SLEEP WITH THE HEARING AID IN PLACE NO
WHAT ARE THE 2 MOST COMMON CAUSES OF WHISTLING AND SQUEALING OF A HEARING AID? LOOSE EARMOLD, LOW BATTERY
WHAT SOLUTION SHOULD BE USED TO CLEAN A HEARING AID? SOAP AND WATER
WHAT SOLUTION IS BEST TO USE IF YOU INTEND TO REMOVE A CLIENTS CONTACT LENSES STERILE SALINE
HEARING AIDS MAKE SOUNDS MORE DISTINCT AND CLEAR. (T/F) FALSE, THEY ONLY AMPLIFY---MAKE IT LOUDER, THEY DO NOT CLARIFY
CAN YOU USE ALCOHOL ON THE EARMOLD OF A HEARING AID? NO, IT DRIES AND CRACKS IT
THE CONNECTING TUBE OF A HEARING AID CAN BE CLEANSED WITH ___________. A PIPE-CLEANER
WHAT IS THE MOST COMMON COMPLICATION OF MALPOSITIONED LENSES IN THE COMATOSE OR CONFUSED PT? CORNEAL ULCERATION
IN AN EMERGENCY SITUATION WHEN HARD CONTACT LENSES ARE UNABLE TO BE REMOVED WHAT SHOULD THE NURSE DO? SLIDE THE LENS ENTIRELY OVER THE SCLERA--GET IT OFF THE CORNEA
1 KG = ______CC 1000
1 INCH = ________CM 2.5
1 ML = ________CC 1
1 TSP = ________CC 4 TO 5
1 G = ______MG 1000
1 L = __________CC 1000
1 OZ = _________CC 30
1 KG = _________LB 2.2
1 TBS = ________CC 15
1 TBS = ________TSP 3
1 GM = _________GR 15
1 GR = ________MG 60
CUSHINGS SYNDROME IS _______ SECRETION OF _______, _______ AND ________ _______ BY THE _______ ________. OVER SECRETION; GLUCOCORTICOIDS, MINERALCORTICOIDS, ANDROGENIC HORMONES ADRENAL GLAND
IS CUSHINGS THE BLOOD SUGAR IS (INCREASES/DECREASED). INCREASED
IN CUSHINGS THE SODIUM LEVEL IS (INCREASED/DECREASED). INCREASED
IN CUSHINGS SYNDROME, THE CLIENT DEVELOPS ___________ FACE. MOON
IN CUSHINGS SYNDROME, THE TRUNK IS _________ AND THE EXTREMITIES ARE__________. OBESE, THIN
WHAT IS SEEN ON THE ABDOMEN OF THE PATIENT WITH CUSHINGS? STRIAE----PURPLE HORIZONTAL LINES
MEN WITH CUSHINGS DEVELOP ___________. GYNECOMASTIA
WHAT IS GYNECOMASTIA? FEMALE TYPE BREASTS
WOMEN WITH CUSHINGS DEVELOP _________. HIRSUTISM, AMENORRHEA
WHAT IS HIRSUTISM? HAIR WHERE YOU DONT WANT IT
THE CUSHINGS SYNDROME PATIENT WILL HAVE A _________ ___________ ON THEIR UPPER BACK. BUFFALO HUMP
THE CUSHINS SYNDROME PATIENT WILL HAVE (INCREASED/DECREASED? BLOOD PRESSURE. INCREASED, REMEMBER RETAINING WATER AND SODIUM
CUSHING CLIENTS WILL HAVE (INCREASED/DECREASED) RESISTANCE TO INFECTION. DECREASED
THE CUSHINGS SYNDROME PATIENT WILL HAVE ________ NATREMIA, ________ KALEMIA, ________ GLYCEMIA. HYPER, HYPO, HYPER
CHRONIC _________ THERAPY IMITATES CUSHINGS. STEROID
CUSHINGS MAN--MOON FACE WITH INFECTION AND BUFFALO HUMP ON BACK, BIG TRUNK, THIN EXTREMITIES, LOSES POTASSIUM, KEEPS GLUCOSE, SALT, HAS STRIATIONS ON ABDOMEN, AND BREASTS. (T/F) TRUE
IS CF(CYSTIC FIBROSIS) HEREDITARY? YES
WHAT GLANDS ARE AFFECTED IN CF? EXOCRINE GLANDS
WHAT IS THE APPEARANCE OF THE STOOL IN A CLIENT WITH CF? FAT, FROTHY, FOUL-SMELLING, FLOATING, STEATORRHEA
WHAT ARE THE TOP 2 NURSING DIAGNOSES FOR A CLIENT WITH CF? DECREASED AIRWAY CLEARANCE;ALTERATION IN NUTRITION OR ALTERATION IN ABSORPTION
WHAT IS THE CLASSIC TEST FOR CF? IONTOPHORESIS---SWEAT TEST
IN WHICH TWO SYSTEMS/ORGANS ARE THE MOST PROBLEMS IN CF? LUNGS, PANCREAS
HOW DOES THE CLIENT EVALUATETHE ACTIVITY OF THEIR PANCREAS? OBSERVE STOOLS FOR STEATORRHEA
WHAT IS THE TYPICAL DIET FOR THE CF CLIENT? HIGH CALORIES, HIGH PROTEIN, MODIFIED FAT
THE MAJOR PROBLEM IN CF IS ________. INCREASED VISCOSITY OF THE SECRETIONS OF EXOCRINE GLANDS LEAD TO OBSTRUCTION
THE MOST COMMON INTERVENTION FOR THE CF CLIENTS WITH A DIAGNOSIS OF DECREASED AIRWAY CLEARANCE IS ______________. POSTURAL DRAINAGE
WHAT VITAMINS NEED TO BE REPLACED IN CF? FAT SOLUBLE IN WATER SOLUBLE FORM---A, D, E, K
WHAT DO CF CLIENTS NEED TO DO (INGEST) IN HOT WEATHER? TAKE NaCl TABLETS
THE CHILD WITH A DIAGNOSIS OF CF PROBABLY HAD A HISTORY OF _________ __________ AT BIRTH. MECONIUM ILEUS---BOWEL OBSTRUCTION DUE TO THE THICKNESS OF THE STOOL
WHY IS THE CHILD WITH CF RECEIVING PANCREAS/CIOKASE/PANCREATIN? THEY ARE ENZYMES WHICH AID ABSORPTION OF NUTRIENTS
WHEN SHOULD THE CHILD WITH CF TAKE HIS PANCREATIN/VIOKASE/PANCREAS? WITH MEALS, SO IT IS IN THE GUT WHILE THE FOOD IS PRESENT, THE WHOLE PURPOSE IS TO INCREASE THE ABSORPTION OF INGESTED FOOD
DEFINE CYSTOSCOPY? DIRECT VISUALIZATION OF THE URETHRA AND BLADDER THROUGH A CYSTOSCOPE
WHAT WOULD U DO IF THE CLIENT HAD ANY ONE OF THE FOLLOWING AFTER CYSTOSCOPY: BLADDER SPASM, BURNING, FREQUENCY? RECORD IT BUT NO NEED TO CALL THE MD
WHAT WOULD U DO IF THE CLIENTS URINE HAD RED BLOOD IN IT AFTER SURGERY? CALL THE MD
WHAT WOULD U DO IF THE CLIENTS URINE WAS PINK TINGED AFTER CYSTOSCOPY? RECORD IT IN THE NOTES, NO NEED TO CALL MD
IS THE CLIENT NPO BEFORE CYSTOSCOPY? NO, NOT UNLESS A CHILD WITH A GENERAL ANESTHETIC---IN FACT WITH ADULTS U SHOULD ENCOURAGE FLUIDS
ARE ENEMAS REQUIRED BEFORE CYSTOSCOPY? NO, BUT MAY BE ORDERED
SHOULD YOU ENCOURAGE FLUIDS AFTER CYTOSCOPY? YES
IS A SIGNED INFORMED CONSENT REQUIRED FOR CYTOSCOPY? YES
WHAT VITAL SIGN CHANGES ARE MOST OMNIOUS AFTER CYTOSCOPY? A FALL IN THE BP AND INCREASE IN THE PULSE--INCREASING HEMMORRHAGE
IS THE CLIENT SEDATED FOR CYTOSCOPY? IT IS DONE UNDER LOCAL ANESTHESIA. GENERAL ANESTHESIA MAY BE USED FOR A CHILD
WHAT DRUGS ARE MOST COMMONLY GIVEN BEFORE CYTOSCOPY? VALIUM OR DEMEROL
THE GOAL OF NURSIING INTERVENTION IN THE OF THE VIOLENT CLIENT IS TO PREVENT LOSS OF _________ OR TO RESTORE _________. CONTROL, CONTROL
USE OF ALCOHOL AND/OR DRUGS (DECREASES/INCREASES) RISK OF VIOLENT BEHAVIOR. INCREASES
PACING CAN BE A WARNING SIGN OF POTENTIAL VIOLENCE. (T/F) TRUE, AS IS IN ANY OTHER FOR OF INCREASED MOTOR ACTIVITY
IF THE CLIENT IS BECOMING VIOLENT YOU SHOULD MOVE IN CLOSE TO THEM TO PROVIDE A SENSE OF SECURITY. (T/F) FALSE, ALLOW THEM SPACE OR ELSE THEY CAN GET WORSE
IF THE CLIENT IS NOT YET OUT OF CONTROL, WHAT IS THE # 1 STRATEGY TO TREAT BEGINNING VIOLENCE? DECREASE ENVIRONMENT STIMULI
WHEN APPROACHING A VIOLENT CLIENT THE THING YOU SAY IS..... MY NAME IS ______ AND I AM A NURSE
AFTER IDENTIFYING YOURSELF WHAT DO YOU SAY NEXT? WHAT YOU ARE GOING TO DO AND ASK IF THERE ARE ANY QUESTIONS
WHEN THE CLIENT IS HAVING AN OVERT VIOLENT OUTBURST YOU SHOULD NEVER BE ALONE WITH THEM. (T/F) TRUE
WHEN U SEEK ASSISTANCE TO DEAL WITH THE VIOLENT CLIENT, U SHOULD OBTAIN _________ PERSONNEL. TRAINED
SHOULD U EVER ASK FAMILY OR OTHER PATIENTS TO HELP U PHYSICALLY OVERCOME A VIOLENT CLIENT? NEVER
WHEN A CLIENT IS OVERTLY AND ACTIVELY VIOLENT, THEY ARE GIVEN A CHANCE TO CALM DOWN THEMSELVES BEFORE BEING SUBDUED. (T/F) TRUE, ONCE ENOUGH TRAINED PERSONNEL ARE PRESENT THE CLIENT IS TOLD THAT IF THEY DONT I CONTROL THEMSELVES THEY WILL BE CONTROLLED BY US
TO PROMOTE EFFICIENT AND SAFE ACCOMPLISHMENT OF PHYSICALLY-CONTROLLING A VIOLENT CLIENT IT IS EXTREMELY IMPORTANT THAT..... ONLY ONE PERSON TALK DURING THE PROCEDURES
WHEN A CLIENT IS LOSING CONTROL IT IS VERY FRIGHTENING TO THEM IF THE NURSE SHOWS _______. FEAR
THE BEST STAFF APPROACH TO CONTROL IMPULSIVE OUTBREAKS OF VIOLENCE IS ...... SETTING LIMITS AND DOING IT CONSISTENCY
PURPOSE OF DENFENSE MECHANISMS IS TO REDUCE _________. ANXIETY
WHEN A PERSON IS CONSCIOUSLY CHOOSING TO DISBELIEVE THE TRUTH, THE ARE USING______.
DEFENSE MECHANISMS ARE ALWAYS UNHEALTHY? (T/F) FALSE, IN FACT DEFENSE MECHANISMS ARE OFTEN AND MOST ALWAYS HEALTHY BECAUSE THEY REDUCE ANXIETY
WHEN A PATIENT HATES SOMEONE BUT THEN EXPRESSES THE OPPOSITE EMOTION, IT IS CALLED _________. REACTION FORMATION--YOU FORM THE OPPOSITE REACTION, EX. U LOVE A PERSON AND THAT MAKES U ANXIOUS SO U FORM THE OPPOSITE REACTION AND U IGNORE THEM
WHEN AN ANGRY PATIENT SAYS, " I AM NOT MAD, HE IS, THEY ARE USING __________. PROJECTION
WHEN A PERSON IS UNCONSCIOUSLY CHOOSING TO DISBELIEVE THE TRUTH, THEY ARE USING________. REPRESSION
WHEN THE PATIENT MAKES AN EXCUSE ABOUT SOMETHING BAD THAT HAPPENED, THEY ARE________. RATIONALIZING
WHEN A PATIENT BECOMES DEMANDING AND SELF CENTERED AND ATTENTION-SEEKING, THE DEFENSE MECHANISM USED IS ______________. REGRESSION
DEFENSE MECHANISMS ARE WAYS TO LIE TO YOURSELF. (T/F) TRUE, THEY ALL INVOLOVE SELF DECEPTION
WHEN A PATIENT TELLS ALL KINDS OF DETAILS ABOUT VERY UPSETTING EVENTS BUT ACTS VERY COOL AND CALM, THEY ARE USING __________. INTELLETUALIZATION
WHEN A PATIENT EXPRESSES THEIR EMOTIONS TOWARD ANOTHER OBJECT THEY ARE USING ____________. DISPLACEMENT
THE DEFENSE MECHANISM MOST SUSPECTED OF CAUSING PSYCHOSOMATIC ILLNESS IS __________. REPRESSION
WHAT IS THE MOST IMPORTANT THING TO DO IMMEDIATELY WHEN RETINAL DETACHMENT IS SUSPECTED? BEDREST
DEFINE DETACHED RETINA. SEPARATION OF THE RETINA FROM THE BACK OF THE EYE--THE CHOROID
WHAT IS THE MOST COMMON COMPLICATION OF RETINAL REATTACHMENT? HEMMORRHAGE
WHAT GROUP OF DRUGS ARE GIVEN TO PEOPLE WITH RETINAL DETACHMENT? TRANQUILIZERS
WHAT IS THE MOST COMMON VISUAL DEFECT WITH RETINAL DETACHMENT? A VEIL OR CURTAIN IN THE LINE OF SIGHT
GIVE 3 COMMON CAUSES OF RETINAL DETACHMENT. TRAUMA, AGING, CATARACT SURGERY
DOES THE CLIENT ALWAYS NEED SURGERY FOR RETINAL DETACHMENT? NO, LASERS CAN BE USED, AS CAN FREEZING PROBES
WILL THE CLIENTS EYES BE BANDAGED AFTER RETINAL SURGERY? BOTH WILL BE, ALSO BEFORE SURGERY AS WELL
CAN THE CLIENT RETURN TO WORK AFTER RETINAL SURGERY? NOT FOR 3 WEEKS---AND MAY NOT BE ABLE TO GO BACK TO ACTIVE JOBS 6-8 WEEKS AFTER THAT
WHAT ENVIRONMENTAL CHANGE IS MOST APPROPRIATE FOR CLIENTS AFTER RETINAL REATTACHMENT? DIMMED LIGHTING
WHAT ARE THE TWO NON SURGICAL TREATMENTS DONE FOR RETINAL REATTACHMENT? LASER PHOTO COAGULATION CRYOSURGERY--FREEZING
GIVE TWO ODD VISUAL SENSATIONS THAT THESE CLIENTS HAVE. FLASHES OF LIGHT--FLOATERS
NAME A SURGICAL PROCEDURE DONE FOR RETINAL DETACHMENT. SCLERAL BUCKLING
WHEN DOES ANTERIOR FONTANEL CLOSE? 18 - 24 MONTHS
INFANTS BIRTHWIEGHT SHOULD _______ IN 6 MONTHS. DOUBLE
INFANTS BIRTHWEIGHT SHOULD ______ IN 1 YR. TRIPLE
INFANTS RESPIRATORY RATE IS ______ TO ______ BREATHS PER MINUTE 30 - 60
UNFANTS HEART RATE IS _____ TO ______ PER MIN. 110 - 160
WHICH ARE THE FIRST TEETH TO ERUPT? LOWER CENTRAL INCISORS
WHEN DOES INFANTS TEETH FIRST ERUPT? 4 TO 6 MONTHS
WHAT AGE CAN INFANT FOLLOW AN OBJECT WITH ITS HEAD? 2 MONTHS
WHAT AGE ARE CHILDREN FIRST AFRAID OF STRANGERS? 6 - 7 MONTHS
WHAT AGE DOES AN INFANT WALK ALONE? 14 - 15 MONTHS
WHAT AGE DIES AN INFANT HAVE A PINCER GRASP? 12 - 13 MONTHS
WHAT AGE CAN AN INFANT ROLL OVER? 4 - 5 MONTHS
WHAT AGE CAN AN INFANT SIT UP UNASSISSTED? 6 - 8 MONTHS
WHAT AGE DOES AN INFANT STAND ALONE? 12 - 13 MONTHS
WHAT AGE DOES AN INFANT CRAWL? 8 - 9 MONTHS
WHAT AGE DOES AN INFANT WALK HOLDING ONTO FURNITURE? 10 - 11 MONTHS
WHAT VISUAL EXPERIENCES WILL PATIENTS WITH DIGITALIS TOXICITY HAVE? YELLOW/GREEN HALOS AROUND LIGHTS
THE SIGNS OF LITHIUM TOXICITY ARE ______ (MUSCLE SYMPTOM), ________ (ABDOMINAL SIGN), AND THIRST. TREMOR, NAUSEA AND VOMITING
LITHIUM CARBONATE IS GIVEN FOR _______ DISORDER. BIPOLAR(MANIC-DEPRESSIVE)
WHEN A PATIENT IS ON LITHIUM YOU MUST WATCH FOR A DECREASE IN ________. SODIUM
THEOPHYLLINE IS A BRONCHO-_______ USED TO TREAT _______. DILATOR, ASTHMA
DIGITALIS TOXICITY EXISTS WHEN BLOOD LEVELS EXCEEDS ________. 2.0 ng/dl
THE EARLIEST SIGN OF DIGITALIS TOXICITY IS ..... NAUSEA AND VOMITING WITH HEADACHE
IS THEOPHYLLINE TOXIICITY LIFE-THREATENING? YES
LITHIUM TOXICITY OCCURS WHEN BLOOD LEVELS ARE HIGHER THAN __________mEq/L. 2.0
THE SIGNS OF THEOPHYLLINE TOXICITY ARE ________ (GI), ________(HEART), AND _______(MUSCLE). NAUSEA AND VOMITING (COFFEE GROUND EMESIS) TACHYCARDIA, TREMORS
WHAT IS THE THERAPEUTIC BLOOD LEVEL OF THEOPHYLLINE? 10 - 20
DIGITALIS IS A CARDIAC _______, USED TO ______ THE CONTRACTION OF CARDIAC MUSCLE. GLYCOSIDE, INCREASE
THEOPHYLLINE TOXICITY EXISTS WHEN THE BLOOD LEVEL IS ABOVE _______. 20
ECTOPIC PREGNANCY IS IMPLANTATION OF A FERTILIZED OVUM _______ THE ______. OUTSIDE, UTERUS
THE MOST COMMON SITE FOR ECTOPIC PREGNANCY IS IN THE ______ _______. FALLOPIAN TUBE--90%
HAVE INTRAUTERINE DEVICES TO PREVENT PREGNANCY EVER BEEN LINKED TO ECTOPIC PREGNANCY? YES, SO HAVE PELVIC INFECTION
WHAT IS THE MOST COMMON SIGN OF FALLOPIAN TUBE ECTOPIC PREGNANCY? UNILATERAL PELVIC PAIN
WHAT IS THE MOST DANGEROUS SIDE EFFECT/COMPLICATION OF FALLOPIAN ECTOPIC PREGNANCY? RUPTURE OF THE FALLOPIAN TUBE
IF THE FALLOPIAN TUBE RUPTURES DUE TO ECTOPIC PREGNANCY, NURSING CARE IS THE SAME AS THAT FOR ____________________. SHOCK AND PERITONITIS
THE UTERUS FEELS ______ AFTER RUPTURE OF A FALLOPIAN ECTOPIC PREGNANCY. BOGGY--TENDER, ALSO
THE FIRST SIGN THAT A FALLOPIAN ECTOPIC PREGNANCY HAD RUPTURED IS.... SHARP ABDOMINAL PAIN
ECTOPIC PREGNANCY IS (USUALLY/ALMOST NEVER? CARRIED TO TERM. ALMOST NEVER
THE MOST COMMON MEDICAL-SURGICAL TREATMENT FOR ECTOPIC PREGNANCY IS _______. SURGICAL REMOVAL OF FETUS AND SOME SURROUNDING TISSUE
NAME THE SURGERY PERFORMED FOR ECTOPIC PREGNANCY. EXPLORATORY LAPAROTOMY
WHAT IS ECT(ELCTRO-SHOCK(CONVULSIVE)THERAPY)? THE USE OF ELECTRICAL SHOCK CURRENT DELIVERED TO THE BRAIN TO UINDUCE A SEIZURE THAT TREATS DEPRESSION
THE CLIENT IS (AWAKE/UNDER LOCAL ANESTHESIA/UNDER GENERAL ANESTHESIA) DURING ECT. UNDER GENERAL ANESTHESIA---MUST BE ARTIFICIALLY VENTILATED
WHAT CONDITIONS DOES ECT TREAT? DEPRESSION PRIMARILY
IS AN INFORMED CONSENT NECESSARY FOR ECT? YES
NAME THE 3 MOST COMMON COMPLICATIONS OF ECT. ASPIRATION OF EMESIS(MOST COMMON) INTO THE LUNG, DISLOCATIONS OF JOINTS, FRACTURES DUE TO CONVULSION--RARE TODAY
WHAT CLASS OF DRUGS IS GIVEN WITH ECT? MUSCLE RELAXANT--SUCCINYLCHOLINE
WHAT INTELLECTUAL ABILITY IS IMPAIRED AFTER ECT? MEMORY
HOW LONG WILL A CLIENTS MEMORY BE IMPAIRED AFTER ECT? TWO TO THREE WEEKS
IMMEDIATELY AFTER ECT, HOW WILL THE CLIENT NORMALLY ACT? DROWSY, DULL, APATHETIC
IN WHAT POSITION SHOULD THE CLIENT BE IMMEDIATELY AFTER ECT? ON THEIR SIDE--TO PREVENT ASPIRATION
WHAT TYPICAL PRE-OP TYPE OF ORDERS WILL BE ORDERED BEFORE ECT? NPO AFTER MIDNIGHT-- REMOVE DENTURES, CLIENT TO VOID BEFORE SURGERY, SIDE RAILS UP
THE CONCULSION (SEIZURE) THAT THE ELECTRICAL CURRENT PRODUCED IS VIOLENT. (T/F) FALSE, IT USED TO BE, BUT IT ISNT ANY MORE WITH THE USE OF MUSCLE RELAXANTS
WHAT DOES EEG(ELECTROENCEPHALOGRAM) MEASURE? MEASURES ELECTRICAL ACTIVITY GENERATED BY THE BRAIN
SHOULD THE CLIENT WASH HIS HAIR BEFORE AN EEG? YES
WHEN ARE THERE ACTIVITY RESTRICTIONS AFTER AN EEG? ONLY WHEN SEDATIVES ARE USED, AND THEN ITS ONLY NECESSARY TO KEEP SIDE RAILS UP
WHAT WOULD U TELL A CLIENT WHO SAYS WHAT IF I GET SHOCKED DURING MY EEG? THAT IS IMPOSSIBLE SINCE THE TEST MEASURES ELECTRICAL ACTIVITY COMING FROM HIM, NEVER TO HIM
DOES A CLIENT HAVE TO BE NPO BEFORE AN EEG? NO, THEY SHOULD NEVER BE NPO, IT COULD CAUSE HYPOGLYCEMIA AND ALTER THE EEG RESULTS
WHAT INSTRUCTIONS ARE MOST IMPORTAN TO GIVE A CLIENT DURING AN EEG? TRY NOT TO MOVE
WHAT SHOULD THE CLIENT DO AFTER AN EEG? WASH THEIR HAIR
SHOULD SEDATIVES BE GIVEN BEFORE AN EEG? ONLY IF ORDERED AS A PRE-TEST MEDICATION
HOW MUCH SLEEP SHOULD THE CLIENT GET THE NIGHT BEFORE AND EEG? AT LEAST 4 - 5 HOURS---UNLESS IT IS A SLEEP DEPRIVATION EEG
DO U NEED A SIGNED INFORMED CONSENT FOR AN EEG? NO
SHOULD CAFFEINE BE LIMITED BEFORE AN EEG? YES. IT SHOULD BE ELIMINATED FOR 24 HOURS BEFORE THE TEST
WHAT WILL EXCESSIVELY FATTY STOOL BE LIKE? LARGE, PALE, FOUL-SMELLING, GREASY
WHAT ARE LARGE, PALE, FOUL-SMELLING, GREASY STOOLS CALLEd? STEATORRHEA
NAME 3 TYPES OF PARASITES ABNORMALLY FOUND IN STOOL. ROUNDWORM, TAPEWORM, PINWORM
WHAT DOES OCCULT BLOOD IN FECES MEAN? BLEEDING SOMEWHERE IN THE GI TRACT
ARE FATS A NORMAL CONSTITUENT OF FECES? YES, BUT IT SHOULD BE WNL
A DECREASE IN UROBILIN IN STOOL RESULTS IN A STOOL THAT IS __________ _________. CLAY-COLORED
NAME TWO THINGS FOR WHICH STOOL SPECIMENS ARE TESTED. OCCULT BLOOD, FAT, OVA AND PARASITES
IS BLOOD A NORMAL CONSTITUENT OF FECES? NO
WHAT IS MELENA? A BLACK, TARRY STOOL INDICATING A GI BLEED
WHAT POSITION IS BEST FOR CLIENTS WITH EMPHYSEMA UNDER NORMAL CIRCUMSTANCES? SEMI-FOWLERS OR HIGHER
WHAT FLOW RATES OF O2 ARE APPROPRIATE FOR THE CLIENT WITH EMPHYSEMA? LOW FLOW--<2.5L/MIN; NEVER EXCEED 2.5L IN COPD
IF A CLIENT WITH EMPHYSEMA HAS A SEVERE DYSPNEIC EPISODE WHAT POSITION IS BEST? SITTING UPRIGHT WITH ARMS FOLDED ON THE OVERBED TABLE
WHAT WILL U OBSERVE ON THE HANDS OF THE CLIENT WITH EMPHYSEMA? CLUBBING OF THE FINGERNAIL BEDS
IN EMPHYSEMA, THE ALVEOLI ARE OVER-______ AND UNDER-_______. OVER-ENLARGED, UNDER-VENTILATED SO THAT AIR IS TRAPPED IN ALVEOLI
THE DEVELOPMENT OF EMPHYSEMA IS MOST ASSOCIATED WITH A HISTORY OF _____________. SMOKING
IN EMPHYSEMA, THE APPETITE ________ THE WEIGHT ________ AND THE ANTERIOR-POST DIAMETER OF THE CHEST _________. DECREASES, DECREASES, INCREASES
WHAT IS THE INCREASE IN ANTERIOR-POSTERIOR DIAMETER OF EMPHYSEMA CALLED? BARREL CHEST
THE PERSONS WITH EMPHYSEMA HAVE ________, ____________ LIP AND (SLOW/RAPID) BREATHING. GRUNTING, PURSED, RAPID
WHAT DIETARY PRESCRIPTION IS MOST APPROPRIATE FOR THE CLIENT WITH EMPHYSEMA? FREQUENT SMALL MEALS TO PREVENT TIRING
WHAT FLUID ORDER SHOULD THE EMPHYSEMA CLIENT HAVE? 3 LITERS OF FLUID PER DAY(THIS IS AN INCREASE)
THE CLIENT WITH EMPHYSEMA IS (RUDDY/PALE/CYANOTIC). CYANOTIC
GIVE ANOTHER NAME FOR HYPERTHYROID. GRAVES DISEASE
GIVE ANOTHER NAME FOR HIGH GROWTH HORMONE IN A CHILD. GIGANTISM
GIVE ANOTHER NAME FOR OVER SECRETION OF MINERALOCOTICOIDS ONLY. CONNS DISEASE
GIVE ANOTHER NAME FOR LOW GROWTH HORMONE. PITUITARY DWARFISM
GIVE ANOTHER NAME FOR HIGH GROWTH HORMONE IN AN ADULT. ACROMEGALY
GIVE ANOTHER NAME FOR UNDERSECRETION OF ADRENAL CORTEX. ADDISONS DISEASE
GIVE ANOTHER NAME FOR HYPOTHYROID IN AN ADULT. MYXEDEMA
GIVE ANOTHER NAME FOR OVER SECRETION OF ADRENAL CORTEX. CUSHINGS SYNDROME
GIVE ANOTHER NAME FOR OVER SECRETION OF ADRENAL MEDULLA. PHEOCHROMOCYTOMA
GIVE ANOTHER NAME FOR HYPOTHYROID ID A CHILD. CRETINISM
GIVE ANOTHER NAME FOR OVER SECRETION OF ACTH. CUSHINGS DISEASE
WHAT IS ENDOMETRIOSIS? GROWTH OF ENDOMETRIAL TISSUE OUTSIDE OF THE UTERUS
ENDOMETRIOSIS MOST COMMONLY OCCURS IN WOMEN BETWEEN AGES OF _______ AND ______. 25 - 40
AFTERM MENOPAUSE, ENDOMETRIOSIS (DECREASES/INCREASES) DECREASES
WHAT IS THE MOST COMMON SIDE EFFECT OF ENDOMETRIOSIS? DYEMENORRHEA, PAINFUL MENSTRUATION
WHAT IS THE MAJOR COMPLICATION OF ENDOMETRIOSIS? INFERTILITY
WHAT DIAGNOSTIC PROCEDURE CONFIRMS THE DIAGNOSIS OF ENDOMETRIOSIS? LAPAROSCOPY
WHAT CLASS OF DRUG IS MOST COMMONLY USED TO TREAT ENDOMETRIOSIS? ANDROGENS
WHICH ANDROGEN DRUG IS MOST COMMONLY USED TO TREAT ENDOMETRIOSIS? DANAZOL
WOMEN WITH ENDOMETRIOSIS SHOULD BE COUNSELED TO USE (TAMPONS/PADS)DURING MENSTRUATION. PADS ONLY
WILL CLIENT DIE OF ENDOMETRIOSIS? WHAT WOULD U SAY? NOT LIFE THREATENING
WHAT ADVICE IS BEST FOR WOMEN WITH ENDOMETRIOSIS WHO WANT TO HAVE CHILDREN? DO NOT POSTPONE PREGNANCY, MAY NOT BE ABLE TO HAVE CHILDREN
WHAT IS THE #1 DANGER OF EPIGLOTTIS? AIRWAY OPBSTRUCTION
EPIGLOTTIS MOST COMMONLY OCCURS IN CHILDREN FROM AGE _____ TO ______. 1 - 8 YRS OLD
WHAT ORGANISM CAUSES EPIGLOTTIS? HEMOPHILUS INFLUENZA B
WHAT LEVEL OF FEVER IS PRESENT IN EPIGLOTTIS? OVER 102
WHAT SYMPTOMS ARE CLASSIC EPIGLOTTIS? MUFFLED VOICE, DROOLING, STRIDOR
WILL A CHILD WITH EPIGLOTTIS COUGH? NO, THERE WILL BE A LACK OF SPONTANEOUS COUGH
HOW WILL THE CHILD WITH EPIGLOTTIS BREATHE? LEANED FORWARD WITH FLARING NOSTRILS
IF A CHILD IS SUSPECTED HAVING EPIGLOTTIS SHOULD U PUT A TONGUE DEPRESSOR IN THEIR MOUTH TO LOOK? NO, NEVER PUT ANY INSTRUMENT IN THE CHILDS MOUTH UNLESS U ARE PREPARED TO DO AN IMMEDIATE INTUBATION
WOULD U DO A THROAT CULTURE? NO, NEVER PUT ANYTHING IN THEIR MOUTH
IF EPIGLOTTIS IS SUSPECTED, WHAT SHOULD THE PARENTS BE TOLD? TO TAKE THE CHILD TO THE ER AS SOON AS POSSIBLE
WHAT DRUG IS USED TO FIGHT EPIGLOTTIS? PENICILLIN, AMPICLLIN
CHILDREN WITH EPIGLOTTIS OFTEN NEED A TRACHEOTOMY, WHAT BEHAVIOR WOULD INDICATE THE NEED FOR A TRACHEOTOMY? RESTLESSNESS, INCREASED HEART RATE, AND RETRACTIONS
WHAT IS RECOMMENDED FOR PREVENTION OF IT? ALL CHILDREN TWO MONTHS AND OVER SHOULD RECEIVE AN H. INFLUENZA B VACCINE
AUTONOMY VS. SHAME AND DOUBT(NAME THE STAGE) TODDLER
INDUSTRY VS INFERIORITY(NAME THE STAGE) SCHOOL AGE
18 - 25 YRS(NAME THE STAGE) YOUNG ADULT
SAYS NO(NAME THE STAGE) TODDLER
ENCOURAGE CREATIVITY AND COLLECTING THINGS(NAME THE STAGE) SCHOOL AGE
GIVE CHOICES(NAME THE STAGE) TODDLER
CENTERS ON HAVING BASIC NEEDS MET (NAME THE STAGE) INFANCY
18 MONTHS - 3 YRS (NAME THE STAGE) TODDLER
3 - 6 YEARS (NAME THE STAGE) PRE-SCHOOLER
12 - 20 (NAME THE STAGE) ADOLESCENT
INTIATIVE VS GUILT (NAME THE STAGE) PRE-SCHOOLER
6 - 12 YRS OLD (NAME THE STAGE) SCHOOL AGE
TRUST VS MISTRUST (NAME THE STAGE) INFANCY
PEER GROUP IMPORTANT (NAME THE STAGE) ADOLESCENT
ENCOURAGE FANATASY (NAME THE STAGE) PRE-SCHOOLER
IDENTITY VS ROLE CONFUSION (NAME THE STAGE) ADOLESCENT
INTIMACY VS ISOLATION (NAME THE STAGE) YOUNG ADULT
BIRTH - 18 MONTHS (NAME THE STAGE) INFANCY
DEFINE EGD(ESOPHAGOGASTRO-DUODENOSCOPY). INSERTION OF A FIBER OPTIC SCOPE TO VISUALIZE THE ESOPHAGUS, STOMACH AND DUODENUM
WHAT CAN BE DONE DURING AN EGD BESIDES VISUALIZATION? REMOVE POLYPS, TAKE SPECIMENS, COAGULATE BLEEDING VESSELS
CAN EGD BE DONE ON AN UNCOOPERATIVE CLIENT? NO
DOES CLIENT NEED TO HAVE THE SIDE RAILS UP AFTER EGD? YES, UNTIL SEDATIVE EFFECTS OF VALIUM HAVE WORN OFF
CAN AN EGD BE DONE ON CLIENTS WITH GI BLEEDING? YES
IS THE CLIENT SEDATED BEFORE EGD? YES, WITH VALIUM(DIAZEPAM) OR ANOTHER SEDATIVE
WHAT PRE-TEST ACTIVITES MUST BE PERORMED BEFORE THE EGD? REMOVE DENTURES, EYEGLASSES, SIGN CONSENT, NPO AFTER MIDNIGHT
IS AND EGD A FASTING PROCEDURE? YES, AFTER MIDNIGHT
WHEN CAN AN EGD CLIENT BEGIN TO EAT AFTER THE TEST? WHEN GAG REFLEX RETURNS (KNOCKED OUT WITH XYLOCAINE)
WHAT DRUG IS GIVEN TO ANESTHETIZE THE PHARYNX? XYLOCAINE( A LOCAL ANESTHETIC)
WHAT ARE COMPLICATIONS OF EGD? PERFORATION OF GUT, ASPIRATION SECONDARY TO EMESIS, REPIRATORY ARREST (DUE TO VALIUM)
WHAT 2 DISCOMFORTS ARE COMMON DURING AN EGD? VOMITING AND GAGGING
WHAT IS THE MOST DANGEROUS COMPLICATION OF AN EGD? SECONDARY RESOPIRATORY ARREST (VALIUM)
WHAT IS THE MOST COMMON COMPLAINT AFTER AN EGD? SORE THROAT
WHICH 2 GROUPS OF THESE DRUGS CAUSE PHOTOPHOBIA?(CARBONIC ANHYDRASE INHIBITORS, ANTICHOLINERGICS, MIOTIC, MYDRIATIC) MYDRIATICS--ANTICHOLINERGICS
WHICH OF THESE CLASSES OF DRUGS CAUSES CONTACT DERMATITIS? MIOTICS
WHAT DO MYDRIATICS DO FOR THE EYE? DILATE THE PUPIL(MY D RIATIC----D FOR DILATE)
WHAT DO MIOTICS DO FOR THE EYE? CONSTRICT THE PUPIL
WHAT DOES CARBONIC ANHYDRASE INHIBITORS DO TO THE EYE? DECREASE PRODUCTION OF AQUEOUS HUMOR AND THUS DECREASES INTRAOCULAR PRESSURE
NAME THE MOST COMMON SIDE EFFECT OF CARBONIC ANHYDRASE INHIBITORS? DIURESIS
WHAT DO MIOTICS DO FOR THE EYE? CONSTRICT THE PUPIL
NAME ONE MYDRIATIC? NEO SYNEPHRINE OR ATROPINE
WHAT DO ANTICHOLINERGICS DO FOR THE EYE? DILATE THE PUPIL, CYCLOPEGIA, PARALIZES ACCOMMODATION
WHYAT IS CYCLOPLEGIA? PARALYSIS OF THE IRIS/PUPIL
WHICH TWO OF THESE CLASSES OF DRUGS CAUSE TACHYCARDIA? MYDRIATICS, ANTICHOLINERGICS (SYMPATHETIC EFFECTS)
WHAT IS THE MOST COMMON USE FOR ANTICHOLINERGICS IN THE EYE? TO CAUSE CYCLOPLEGIA, DILATION, ALLOWING EYE EXAM
HOW SHOULD EYE OINTMENTS BE GIVEN? PLACED ON THE LOWER INNER EYE LID, THEN HAVE CLIENT CLOSE EYES
NAME TWO ANTICHOLINERGICS USED IN THE EYES? CYCLOGEL, ATROPINE
NAME ONE CARBONIC ANHYDRASE INHIBITOR. DIAMOX
HOW SHOULD EYE DROPS BE GIVEN? PLACE DROPS INTO THE LOWER CONJUNCTIVAL SAC
HOW IS THE FLOW OF THE EYE IRRIGATIONAL FLUID DIRECTED? FROM INNER CANTHUS TO OUTER CANTHUS
NAME 2 MOITICS. PILOCARPINE, TIMPOTIC ( OR ANY DRUG ENDING IN -LOL)
DEFINE NUCLEAR FAMILY. A FAMILY OF PARENTS AND THEIR OFFSPRING
WHEN DOES A NUCLEAR FAMILY BECOME AN EXTENDED FAMILY? WHEN AUNTS AND UNCLES OR GRANDPARENTS LIVE WITH THE FAMILY
IN AMERICA, THE FAMILY IS THE BASIC UNIT OF SOCIETY. (T/F) TRUE
GIVE THE 2 MAJOR ROLES OF THE FAMILY IN SOCIETY. TO PROTECT AND SOCIALIZE
WHAT PERCENTAGE OF NORTH AMERICAN FAMILIES ARE SINGLE-PARENT? 50%
90% OF SINGLE-PARENT FAMILIES ARE HEADED BY A __________. FEMALE
IN WHAT STEP OF NURSING PROCESS DOES THE NURSE ASK THE FAMILY ABOUT THEIR BELIEFS ON ILLNESS? ASSESSMENT PHASE
WHAT IS THE FIRST THING A NURSE MUST DO TO HELP FAMILIES IN CRISIS? NURSE MUST FIRST EXAMINE HER OWN VALUES
INCREASING DIETARY FIBER INTAKE LOWERS THE RISK OF _________ OF THE __________. CANCER, COLON
FOODS LOSE SOME OR ALL OF THEIR FIBER WHEN THEY ARE _______, _______, _______, OR _______. PROCESSED, COOKED, PEELED, REFINED
WHOLE GRAINS AND GRAIN PRODUCTS ARE (HIGH/LOW) IN FIBER. HIGH
FRUITS ARE (HIGH/LOW) IN FIBER. HIGH
VEGGIES ARE (HIGH/LOW) IN FIBER HIGH
MILK AND MILK PRODUCTS ARE (HIGH/LOW) IN FIBER. LOW
MEATS ARE (HIGH/LOW) IN FIBER. LOW
NUTS, SEEDS, AND LEGUMES ARE (HIGH/LOW) IN FIBER. LOW
WHICH HAS THE HIGHEST FIBER? GRAINS, FRUITS, VEGGIES OR NUTS. GRAINS, ESPECIALLY BRAN
WHEN A PERSON INCREASES FIBER IN THE DIET THEY SHOULD DO SO _________. SLOWLY
SIDE EFFECTS OF A HIGH FIBER DIET INCLUDE ___________ AND THE MALABSORPTION OF _______. GAS(FLATUS), MINERALS
OF MILLED BREAD, ENRICHED BREAD, FORTIFIED BREAD, AND WHOLE GRAIN BREAD; WHICH IS THE HIGHEST IN FIBER? WHOLE GRAIN
WHAT TYPES OF HERPES VIRUS CAUSES GENITAL HERPES? HEPRES SIMPLEX II
NAME THE 2 MOST COMMON WAYS GENITAL HERPES IS TRANSMITTED? SEXUAL INTERCOURSE/CONTACT; THROUGH BIRTH
HOW LONG IS THE INCUBATION PERIOD OF GENITAL HERPES? 3 - 7 DAYS (ABOUT THE SAME FOR GONORRHEA)
WHAT DO LESION OF HERPES LOOK LIKE? FLUID FILLED VESICLES
WHAT ARE THE 2 MOST COMMON SITES FOR HERPES? ON THE GENITALS AND THE MOUTH
WHAT DRUG IS USED TO TREAT HERPES? ACYCLOVIR(OR GANCYCLOVIR, FAMCICLOVIR, PENCICLOVIR, CLALCYCLOVIR)
THE CLIENT SHOULD KEEP THE LESIONS (DRY/MOIST). DRY
WHAT PRECAUTTIONS SHOULD THE PERSON WITH HERPES TAKE IN REGARD TO SEXUAL INTERCOURSE? NO INTERCOURSE WHILOE THE VESICLES AER EVIDENT
WHEN IS C-SECTION DELIVERY INDICATED IF THE MOTHER IS INFECTED WITH HERPES? IF THE VESICLES ARE PRESENT, THEN C-SECTION IS INDICATED
HOW LONG WILL IT TAKE FOR THE VESICLES TO HEAL? 2 - 4 WEEKS
GLAUCOMA IS AN EYE DISORDER IN WHICH THERE IS _______ INTRAOCULAR PRESSURE IN THE ______CHAMBER. INCREASED, ANTERIOR
THE INCREASE IN PRESSURE IS DUE TO AN IMBALANCE IN THE FORMATION AND DRAINAGE OF _______ HUMOR FROM THE ANTERIOR CHAMBER. AQUEOUS
GLAUCOMA AFFECTS (ONE/BOTH) EYES, USUALLY. BOTH(IT IS A BILATERAL DISEASE)
THE MOST COMMON VISUAL FIELD DEFECT IN GLAUCOMA IS ___________. CENTRAL VISION (LOSS OF PERIPHERAL VISION--ALSO CALLED TUNNEL VISION)
WHAT ARE THE TWO TYPES OF GLAUCOMA? OPEN-ANGLE, CLOSED ANGLE
WHICH ONE IS THE TYPICAL TYPE AND THE ONE U SHOULD KNOW WELL? OPEN-ANGLE---90% OF ALL CASES
OPEN-ANGLE GLAUCOMA IS SEEN MOST COMMONLY IN _______ LIFE. LATER
OPEN-ANGLE GLAUCOMA IS (PAINLESS/PAINFUL); WHEREAS CLOSED-ANGLE IS (PAINLESS,PAINFUL). OPEN IN PAINLESS; CLOSED IS PAINFUL
WHAT DRUGS (CLASS) ARE GIVEN TO TREAT GLAUCOMA? MIOTICS--THESE CONSTRICT THE PUPIL (REMEMBER: IN GLAUCOMA DO NOT DILATE THE PUPIL)
NAME TWO MIOTICS. PILOCARPINE, TIMOPTIC, (OR ANY OTHER FRUG ENDING IN - LOL)
WHY IS DIAMOX GIVEN TO GLAUCOMA PATIENTS? IT IS A DIURETIC THAT DECREASES AQUEOUS HUMOR PRODUCTION THUS LOWERING INTROCULAR PRESSURE
WHAT TYPE OF DRUGS ARE CONTRAINDICATED FOR GLAUCOMA PATIENTS? ANY DRUGS THAT DILATE THE PUPILS ARE BAD (EX. MYDRIATICS)
CAN SURGERY BE DONE FOR GLAUCOMA? YES
WHAT DO U DO IF THE PT COMPLAINS OF SEVERE OCULAR PAIN AFTER SURGERY? CALL THE MD---HEMORRHAGE INTO EYE IS MORE LIKELY
GONORRHEA IS THE MOST COMMON VENERAL DISEASE NEXT TO CHLAMYDIA. (T/F) TRUE
GONORRHEA CAN INFECT THE EYES. (T/F) TRUE
GONORRHEA CAN LEAD TO STERILITY. (T/F) TRUE, IN WOMEN
GONORRHEA OCCURS MOST COMMONLY IN PEOPLE ______ TO ________ YEARS OF AGE. 19 - 35 YRS OF AGE
THE ALMOST EXCLUSIVE WAY GONORRHEA IS TRANSMITTED TO AN INFANTS EYES IS THROUGH ___________. THE BIRTH PROCESS, FROM MOTHER TO INFANT EYES
WHAT IS THE NAME FOR THE GONORRHEA CONJUCTIVITS THAT NEONATES GET DURING BIRTH? OPHTHALMIA NEONATORUM
IN MALES, WHAT IS THE MOST COMMON SIGN OF GONORRHEA INFECTION? DYSURIA OR PURULENT DISCHARGE
HOW LONG IS THE INCUBATION PERIOD OF GONORRHEA? 2 - 8 DAYS
WHICH SEX IS MOST LIKELY TO BE ASYMPTOMATIC WITH GONORRHEA? WOMEN
WHAT IS THE MOST COMMON SYMPTOM OF GONORRHEA IN FEMALES? GREENISH--YELLOW DISCHARGE FROM THE VAGINA
WHEN DOES THE PURULENT DISCHARGE OF OPHTHALMIA NEONATORUM BEGIN? 2 - 3 DAYS AFTER BIRTH
WHAT IS THE MOST SERIOUS COMPLICATION OF OPHTHALMIA NEONATORUM? BLINDNESS
GONORRHEA IS CAUSED BY A GRAM (NEGATIVE/POSITIVE) ORGANISM? NEGATIVE
THE DRUG OF CHOICE FOR GONORRHEA IS ___________. PENECILLIN--IF RESISTANT ORGANISM, CIPROFLOXACIN
WHY IS PROBENECID GIVEN BEFORE ADMINISTRATION OF PENECILLIN? TO PREVENT THE EXCRETION OF PENECILLIN AND THEREBY PROLONG ITS ACTION
OW IS THE PENECILLIN GIVEN (WHAT ROUTE)? IM
WHAT IS PELVIC INFLAMMATORY DISEASE? INFECTION OF THE REPRODUCTIVE TRACT IN THE FEMALE, USUALLY BUT NOT ALWAYS AN ADVANCED STAGE OF GONORRHEAL INFECTION
HOW IS PELVIC INFLAMMATORY DISEASE TREATED? BY IV PENECILLIN
IN WHAT POSITION SHOULD A PT WITH PELVIC INFLAMMATORY DISEASE BE POSITIONED? SEMI- TO HIGH- FOWLERS TO KEEP THE INFECTION IN THE PELVIS
WHAT DRUG IS GIVEN TO NEONATETO PREVENT GONORRHEAL CONJUNCTIVITIS? ERYTHROMYCIN OR TETRACYCLINE DROPS IN THE EYES
THE SEQUENCE OF GRWOTH AND DEVELOPMENT IS PREDICTABLE. (T/F) TRUE
THE RATE OF GROWTH AND DEVELOPMENT IS EVEN. (T/F) FALSE, IT GOES IN SPURTS AND IS OFTEN VERY UNEVEN
GROWTH AND DEVELOPMENT IS A PEDIATRIC CONCERN ONLY. (T/F) FALSE
HEREDITY DETERMINES MOST GROWTH. (T/F) TRUE
ENVIRONMENT DETERMINES MOST DEVELOPMENT. (T/F) TRUE
THE RATE A PERSON GROWS AND DEVELOPS IS PREDICTABLE. (T.F) FALSE, THE SEQUENCE IS MORE PREDICTABLE THAN THE RATE
HEREDITY HAS NO INFLUENCE ON DEVELOPMENT. (T/F) FALSE, IT IS A SECONDARY INFLUENCE (IT IS NOT THE PRIMARY INFLUENCE--ENVIRONMENT IS)
THE HEART IS A (FAST/SLOW)GROWING ORGAN. SLOW
WHICH COMPONENT OF GROWTH AND DEVELOPMENT IS PREDICTABLE: TIME OF ONSET, LENGTH OF STAGE, EFFECT OF STAGE, AND SEQUENCE OF STAGE? SEQUENCE
WHAT IS MEANT BY THE PHRASE--GROWTH AND DEVOLPMENT IS CEPHALOCAUDAL? GROWTH AND DEVELOPMENT STARTS WITH THE HEAD AND MOVES TO THE EXTREMITIES.
GROWTH AND DEVELOPMENT OCCURS FIRST IN _______ BODY PARTS AND PROGRESSESS TO _____ BODY PARTS. PROXIMAL, DISTAL
IN WHICH PHASE IS GROWTH AND DEVLOPMENT MOST RAPID--INFANCY OR ADOLESCENCE. INFANCY
THE PROPORTION OF THE BODY THAT IS WATER (RISES/FALLS) WITH AGE? FALLS, IN INFANTS IS 70% WATER AND ADULT IS 58%
AN INFANTS STOMACH IS (MORE/LESS) ACID THAN ADULTS. LESS
LYMPHOID TISSUE MEANS GROWS STEADILY THROUGHOUT LIFE. (T/F) FALSE, IT DECREASES IN MASS AFTER ADOLESCENCE
AN ADULTS HEIGHT BEGINS TO DECLINE AFTER THE AVERAGE AGE OF __________. 30
THE BRAIN IS FULLY MATURE IN SIZE AT BIRTH. (T/F) FALSE, BUT BY THE END OF THE FIRST YEAR OF LIFE YOU WILL HAVE ALL THE BRAIN CELLS U WILL EVER HAVE
BY WHAT AGE DO MOST CHILDREN HAVE ALL THEIR DECIDUOUS TEETH? BY THE END OF THE SECOND YR OF LIFE
WHAT IS THE #1 FINDING WITH GUILLIAN-BARRE? PROGRESSIVE ASCENDING PARALYSIS
WHAT CAUSES THE PARALYSIS OF GB? DEMYELINATION OF PERIPHERAL NERVES( UNKNOWN CAUSE)
WHAT KIND OF INFECTION PRECEDES GUILLIAN-BARRE? VIRAL
THE PATIENT COMPLETELY RECOVERS FROM GUILLIAN-BARRE. (T/F) FALSE, THERE ARE USUALLY RESIDUAL EFFECTS BUT THEY DO RECOVER MOST OF WHAT WAS LOST
RECOVERY USUALLY OCCURS WITHIN _______ TO _____MONTHS. 4 - 6 MONTHS
WHAT IS THE FIRST SYMPTOM OF GUILLIAN-BARRE? CLUMSINESS IN AMBULATION(FUNCTION IN LEGS AND FEET IS LOST FIRST)
WHAT IS THE BIGGEST DANGER OF GUILLIAN-BARRE? RESPIRATORY ARREST SECONDARY TO DIAPHRAGMATIC PARALYSIS
IN THE SCUTE PHASE IT IS VERY IMPORTANT TO ASSESS ______ _____ EVERY 2 HOURS. MOTOR FUNCTION OF ALL MUSCLES (ESPECIALLY THE DIAPHRAGM
BEFORE FEEDING THE PT WITH GUILLIAN-BARRE U MUST __________. CHECK THE GAG REFLEX
WHAT IS THE MOST AGGRESSIVE MEDICAL THERAPY FOR GBS? PLASMA PHORESIS---TO REMOVE ANTIBODIES FROM THE BLOOD
WHAT INFORMATION DOES MEASUREMENT OF SKIN FOLD THICKNESS YIELD? THE AMOUNT OF BODY FAT
IN GENERAL, MALES HAVE A HIGHER RISK OF HEART DISEASE THAN FEMALES. (T/F) TRUE
POST-MENOPAUSAL FEMALES HAVE A LOWER RISK OF HEART DISEASE THAN MALES AGED 25 - 40. (T/F) FALSE. THEY HAVE A HIGHER RISK
FAMILY HISTORY OF DIABETES INCREASES THE RISK OF HEART DISEASE. (T/F) TRUE
FAMILY HISTORY OF LIVER DISEASE INCREASES THE RISK OF HEART DISEASE. (T/F) FALSE
CIGARETTE SMOKING INCREASES THE RISK OF HEART DISEASE. (T/F) TRUE
ORAL CONTRACEPTIVES DECREASES THE RISK OF HEART DISEASE. (T/F) FALSE, USE INCREASES THE RISK
ROUTINE EXERCISE DECREASES THE RISK OF HEART DISEASE. (T/F) TRUE
WHAT IS DONE IN A GRAFT FOR HEMODIALYSIS? A BLOOD VESSEL IS SUTURED BETWEEN AN ARTERY AND A VEIN
WHAT IS DONE IN AN AV FISTULA? A SURGICAL ANASTOMOSIS IS MADE BETWEEN THE ARTERY AND A VEIN
DOES ANYTHING EXIT THE SKIN IN AN AV FISTULA? NO
HOW LONG CAN AN AV FISTULA BE USED? INDEFINITELY
WHO IS MOST LIKELY TO RECEIVE A GRAFT FOR DIALYSIS? PEOPLE WITH DIABETES MELLITUS
HOW OFTEN DO CLIENTS WITH RENAL FAILURE UNDERGO DIALYSIS? 3 TIMES PER WEEK
IS HEMODIALYSIS SHORT TERM OR LONG TERM? BOTH--BUT MOST SHORT TERM DIALYSIS IS ACHIEVED BY HEMODIALYSIS
HOW LONG DOES THE AVERAGE DIALYSIS LAST? 4 - 6 HOURS
WHAT ARE THE 3 WAYS TO GAIN ACCESS TO THE CIRCULATION IN HEMODIALYSIS? AV SHUNT, AV FISTULA, AV GRAFT
WHAT IS THE MOST COMMON SITE FOR AN AV SHUNT? RADIAL ARTERY TO RADIAL VEIN
WHAT SHOULD BE AVOIDED IN THE ARM OF THE CLIENT WITH AN AV SHUNT? NO VENIPUNCTURE OR BLOOD PRESSURE ALLOWED IN THE ARM WITH A SHUNT,GRAFT, OR FISTULA
WHAT SYNDROME RESULTS WHEN TOO MUCH FLUID IS EXCHANGED DURING HEMODIALYSIS TOO QUICKLY? DISEQUILIBRIUM SYNDROME
WHAT ARE THE SYMPTOMS OF DISEQUILIBRIUM SYNDROME? CHANGE IN LOC, NAUSEA, VOMITING, HEADACHE, AND TWITCHING
DOES ANYTHING EXIT THE SKIN IN AN AV SHUNT? YES, THE PLASTIC TUBE THAT CONNECTS THE ARTERY AND VEIN IS OUTSIDE THE ARM
HOW LONG CAN AN AV SHUNT BE USED? JUST FOR A FEW WEEKS
HEMOPHILIA IS A _______ DISORDER. BLEEDING
HEMOPHILIA A IS A DEFICIENCY OF FACTOR # ______. VIII
DURING AN ACUTE BLEEDING EPISODE, YOU SHOULD APPLY _______ FOR 15 MINTUES AND APPLY _______. PRESSURE, ICE
THE INHERITANCE PATTERN FOR HEMOPHILIA IS: SEX-LINKED RECESSIVE
IN HEMOPHILIA, THE PTT IS (UP/DOWN); THE COAGULATION OR CLOTTING TIME IS (UP/DOWN); AND THE PLATELET COUNT IS (UP/DOWN). UP (INCREASED OR LONGER); UP(INCREASED OR LONGER); NEITHER(HEMOPHILIA DOES NOT AFFECT PLATELETS)
WHAT DOES HEMARTHROSIS MEAN? BLEEDING INTO THE JOINTS
DURING BLEEDING INTO THE JOINTS YOU SHOULD (MOBILIZE/IMMOBILIZE) THE EXTREMITY. IMMOBILIZE TO PREVENT DISLODGING IN CLOTS THAT DO FORM
TO TREAT HEMARTHROSIS YOU SHOULD ______ THE EXTREMITY ABOVE THE ______. ELEVATE, HEART
WHAT IS THE NAME OF FROZEN FACTOR VII GIVEN TO HEMOPHILIACS? CRYOPRECIPITATE
ONCE U HAVE STOPPED THE BLEEDING INTO THE JOINT HOW LONG SHOULD THE PT WAIT BEFORE BEARING WEIGHT OR DOING RANGE OF MOTION? 48 HRS
WHAT DRUG CAN U APPLY TOPICALLY TO STOP BLEEDING? EPINEPHRINE, OR THE TOPICAL FIBRIN FOAM
WHICH OF THESE SYMPTOMS ARE NOT SEEN IN HEMOPHILIA? PROLONGED BLEEDING, PETECHIA, ECCHYMOSIS OR HEMATOMA? PETECHIA
HEPATITIS IS AN _______, ________ DISEASE OF THE _____________. ACUTE, INFLAMMATORY, LIVER
HEPATITIS A, B, C AND D ARE ALL (BACTERIAL/VIRAL) DISEASES. VIRAL
AN EARLY SIGN OF HEPATITIS A IS _______. ANOREXIA OR FATIGUE
EARLY STAGE HEPATITIS OFTEN LOOKS LIKE THE ________. FLU
IN LATER STAGES OF HEPATITIS, THE ________ TURNS DARK. URINE
WHAT DOES PRE-ICTERIC MEAN? THE STAGE BEFORE THE PATIENT EXHIBITS JAUNDICE
WHAT IS THE ICTERIC STAGE? WHEN THE PT EXHIBITS JAUNDICE
WHAT SKIN SYMPTOMS DO U SEE IN HEPATITIS? (GIVE 2) PRURITIS(ITCHING), JAUNDICE(BOTH ARE DUE TO BILIRUBIN ACCUMULATION)
WHICH DISEASE HAS MORE SEVERE SYMPTOMS HEPATITIS A OR HEPATITIS B? HEPATITIS B
PATIENTS WITH HEPATITIS HAVE AN AVERSION TO __________. CIGARETTES
IN HEPATITIS THE ________ ARE LIGHT COLORED. STOOLS: REMEMBER THE URINE IS DARK AND STOOLS ARE LIGHT. (BILIRUBIN ENDS UP IN THE SKIN AND URINE INSTEAD OF THE STOOL WHERE IT SHOULD HAVE GONE.)
IS HEPATITIS A IMMUNIZATION GIVEN BEFORE OR AFTER EXPOSURE? AFTER (PROPHYLAXIS, 1 SHOT)
IS HEPATITIS B VACCINE GIVEN BEFORE OR AFTER EXPOSURE? BEFORE( IN 3 SEPARATE DOSES)
WHAT IS THE COMMON NAME FOR HERPES ZOSTER? SHINGLES
WHAT TYPE OF RASH OCCURS WITH SHINGLES? A VESICULAR RASH OVER THE PATHWAY OF A SENSORY NERVE
HOW LONG DOES IT TAKE FOR SHINGLES TO HEAL? 30 DAYS
WHO IS MOST AT RISH FOR GETTING SHINGLES? PEOPLE WHO HAVE NEVER HAD CHICKENPOX
WHAT IS THE MOST COMMON SUBJECTIVE SYMPTOM OF SHINGLES? PAIN,PAIN,PAIN
WHAT 3 DRUGS ARE GIVEN FOR SHINGLES? ACYCLOVIR(ANTI-INFECTIVE);TEGRETOL(ANTICONVULSANT--GIVEN TO STABILIZE NERVE CELL MEMBRANES); STEROIDS (ANTI-INFLAMMATORY)
WHAT OTHER DISEASE IS RELATED TO SHINGLES? CHICKENPOX
WHAT ORGANISM CAUSES SHINGLES? VARICELLA--HERPES ZOSTER
WHAT IS THE #1 NURSING DIAGNOSIS WITH SHINGLES? ALTERATION IN COMFORT; PAIN; #2 IMPAIRED SKIN INTEGRITY
WHICH TYPES OF CLIENT SHOULD HAVE THEIR TOENAILS TRIMMED ONLY BY AN MD? DIABETICS, PERIPHERAL CASCULAR DISEASE, VERY THICK NAILS
TWO PURPOSES OF BED BATH ARE? CLEANSE THE SKIN, PROVIDE COMFORT
THE TYPICAL HOSPITAL CLIENT (CHOULD/SHOULD NOT) WEAR THEIR DENTURES. SHOULD
WHAT TYPE OF MOVEMENT SHOULD BE USED FOR CLEANSING EYES? INNER TO OUTER CANTHUS
BEFORE APPLYING ELASTIC HOSE THE NURSE SHOULD....... ELEVATE THE CLIENTS LEGS FOR 3 TO 5 MIN TO DECREASE VENOUS STASIS
CLIENTS ON WHAT CLASS OF DRUGS SHOULD USE AN ELECTRIC RAZOR? ANTICOAGULANTS(HEPARIN/COUMADIN/LOVENOX)
WHEN A CLIENT IS UNABLE TO HOLD HIS DENTURES FIRMLY IN HIS MOUTH, THE NURSE SHOULD..... LEAVE THEM OUT
HOW OFTEN SHOULD MOUTH CARE BE PERFORMED FOR THOSE CLIENTS ON OXYGEN? EVERY 2 HRS
SHOULD LINENS BE SHAKEN OR PATTED INTO PLACE DURING BED MAKING? WHY OR WHY NOT? NO, BOTH SHAKING AND PATTING SPREAD MICRO-ORGANISMS
HOW SHOULD A CLIENTS TOENAILS BE TRIMMED? STRAIGHT ACROSS
ARE NURSES PERMITTED TO GIVE PERINEAL CARE TO CLIENTS OF THE OPPOSITE SEX? ES
CLIENTS ON WHAT TYPE OF THERAPY MUST USE A SAFETY BLADE RAZOR(NON ELECTRIC)? OXYGEN THERAPY, SINCE AN ELECTRIC RAZOR COULD CAUSE SPARKS
HOW SHOULD A NURSE CARRY SOILED LINEN? IN A NEAT BUNDLE HELD AWAY FROM THE BODY
WHEN GICING A BED BATH, ON WHICH BODY PART SHOULD THE NURSE BEGIN? THE EYES
GIVE 3 REASONS FOR GIVING A BACK RUB. COMFORT, STIMULATE CIRCULATION, RELAXATION, STIMULATE MUSCLES
THE GREATEST DANGER IN PLACING WATER IN THE MOUTH OF THE UNCONSCIOUS PATIENT DURING ORAL HYGIENE IS..... ASPIRATION
WHEN SHAVING A CLIENT, WATER USED SHOULD BE MORE (HOT/COLD) THAN BATH WATER? HOT
WHAT DOES EVENING OR HOUR OF SLEEP(HS) CARE CONSIST OF? ORAL HYGIENE, WASHING FACE/HANDS, BACK RUB, AND TIGHTENING LINENS
WHAT IS DENTRIFICE? AGENTS WHICH PROMOTE ADHERENCE OF DENTURES TO GUMS, EX. POLYGRIP
WHAT IS SORDES? CRUSTS ON THE TONGUE AND GUMS DUE TO IMPROPER ORAL HYGIENE
WHAT ACTION WILL FACILITATE THE TRIMMING OF BRITTLE TOENAILS? SOAKING IN WARM WATER
SHOULD THE CLIENT ROLL THE ELASTIC STOCKING DOWN TO WASH LEGS? WHY OR WHY NOT? NO, IT CAN CAUSE A CONSTRICTING BAND ABOUT THE ANKLE/FOOT
ELASTIC STOCKINGS SHOULD BE REMOVED FOR THE BATH. (T/F) TRUE
WHEN SHOULD A PT PUT ON TED HOSE? BEFORE GETTING OUT OF BED (BEFORE THE SWELLING OCCURS)
HYPEREMESIS GRAVIDARUM IS _________ AND __________ VOMITING THAT PERSISTS INTO THE ________ TRIMESTER. SEVERE AND PROLONGED; 2ND TRIMESTER(NORMAL VOMITING SHOULD BE GONE BEFORE 2ND TRIMESTER)
GIVE 3 POSSIBLE CAUSES OF HYPEREMESIS GRVIDARUM. PANCREATITIS, MULTIPLE PREGNANCY, HYDATIDIFORM, MOLE
HAS HYPEREMESIS GRAVIDARUM EVER BEEN ASSOCIATED WITH MIXED FEELINGS ABOUT PREGNANCY. YES, INCREASED INCIDENCE OF IT IN WOMEN WHO ARE AMBIVALENT ABOUT PREGNANCY
WHAT ARE THE TWO MOST COMMON COMPLICATIONS OF HYPEREMESIS GRAVIDARUM? ELECTROLYTE IMBALANCE( DEHYDRATION), STARVATION
WHAT IS THE INITIAL DIET ORDER FOR CLIENTS WITH HYPEREMSIS GRAVIDARUM? NPO
WHAT ARE DOCTORS CAUTIOUS IN USING ANTIEMETICS TO TREAT HYPEREMESIS GRAVIDARUM? THEY DONT WANT TO HARM THE FETUS
WHAT ARE THE INSTRUCTIONS GIVEN TO CLIENTS RECOVERING FROM HYPEREMESIS GRAVIDARUM IN RELATION TO MEALTIME? REMAIN SEATED UPRIGHT FOR 45 MIN AFTER EACH MEAL
WHAT IS THE BIGGEST CHALLENGE IN NURSING CARE OF THE CLIENT WITH HYPEREMESIS GRAVIDARUM? GETTING THEM TO EAT
HYPERTENSION IS AN ________ OR SUSTAINED ELEVATION IN THE (SYSTOLIC/DIASTOLIC)________. INTERMITTENT, DIASTOLIC BLOOD PRESSURE
HYPERTENSION IS OFTEN FATAL IF UNTREATED.(T/F) TRUE
HYPERTENSION IS MORE COMMON IN BLACKS OR WHITES? BLACKS
AGING DECREASES THE RISK OF HYPERTENSION. (T/F) FALSE, IT INCREASES THE RISK
OBESITY INCREASES THE RISK OF HYPERTENSION. (T/F) TRUE
ORAL CONTRACEPTIVES (INCREASE/DECREASE/DOES NOT EFFECT) THE BLOOD PRESSURE INCREASE
WHAT FOUR ORGANS DOES HYPERTENSION AFFECT MOST? BRAIN(STROKE), EYES(BLINDNESS), HEART(MI), KIDNEY(RENAL FAILURE)
HOW MANY MEASUREMENTS MUST BE MADE BEFORE U CAN SAY A PERSON HAS HYPERTENSION? AT LEAST THREE
WHAT BP IS CONSIDERED TO BE HYPERTENSION? ANYTHING GREATER THAN 140/90MM Hg
WHICH PRESSURE IS MOST DAMAGING, AN INCREASED (SYSTOLIC, DIASTOLIC)? AN INCREASED DIASTOLIC
WHEN A DR TAKES THREE DIFFERENT BP READINGS AT DIFFERENT TIMES, HOW FAR APART MUST THE MEASUREMENT BE MADE? AT LEAST ONE WEEK
CAN HYPERTENSION BE CURED? NO, JUST TREATED
WHAT CLASS OF DRUG IS USED FIRST TO TREAT HYPERTENSION? DIURETICS
NAME THE TWO MOST COMMON DIETARY PRESCRIPTIONS USED TO TREAT HYPERTENSION. CALORIE REDUCTION FOR WEIGHT LOSS, AND SODIUM RESTRICTION
WHAT TWO NON-DIETARY LIFESTYLE CHANGES ARE USED COMMONLY TO TREAT HYPERTENSION? DECREASE STRESS, INCREASE ACTIVITY
WJEM U TAKE THE BP OF THE CLIENT WITH HYPERTENSION U WOULD MEASURE ________, WITH THE CLIENT _______, _______ AND ________/ BOTH ARMS, LYING, SITTING, AND STANDING
WHAT DO CAFFEINE AND SMOKING DO TO BP? INCREASE IT
WHAT IS THE #1 SIDE EFFECT OF ANTIHYPERTENSIVES? OTHOSTATIC HYPOTENSION(MEANS U FEEL EERAK WHEN U RISE TO A STANDING POSITION BECAUSE YOUR BP FALLS)
WOULD VASODILATORS OR VASOCONSTRICTORS TREAT HYPERTENSION? VASODILATORS(DECREASES RESISTANCE)
WOULD SYMPATHETIC STIMULATORS OR SYMPATHETIC BLOCKERS TREAT HYPERTENSION? SYMPATHETIC BLOCKERS( DECREASE CARDIAC OUTPUT AND DECREASE RESISTANCE)
IN HYPOVOLEMIC SHOCK THERE IS A _____ IN THE CIRCULTATING _________ VOLUME--THIS _______ TISSUE PERFUSION WITH ____________. DECREASE; BLOOD; DECREASES; OXYGEN
WJAT GAUGE CATHETER WOULD U USE TO START AN IV IN HYPOVOLEMIC SHOCK? 16 OR LARGER
WHAT IS THE #1 CAUSE OF HYPOVOLEMIC SHOCK? ACUTE BLOOD LOSS
WHAT HAPPENS TO THE BP IN HYPOVOLEMIC SHOCK? IT DECREASES
WHAT HAPPENS TO THE PULSE PRESSURE IN HYPOVOLEMIC SHOCK? IT NARROWS (BECOMES A SMALLER NUMBER)
HOW DO U CALCULATE THE PULSE PRESSURE? U SUBTRACT THE DIASTOLIC FROM THE SYSTOLIC
IF J.DOES BP IS 100/60. WHAT IS HIS PULSE PRESSURE? 40 (100-60)
WHAT IS THE NORMAL PULSE PRESSURE? 40 + OR - 10
IN HYPOVOLEMIC SHOCK THE LEVEL OF CONSCIOUSNESS(LOC) IS (INCREASED/DECREASED). DECREASED
WHICH HEART RATE IS ASSOCIATED WITH HYPOVOLEMIC SHOCK, BRADYCARDIA OR TACHYCARDIA? TACHYCARDIA
IN HYPOVOLEMIC SHOCK THE OUTPUT OF URINE WILL BE LESS THAN ______ CC PER HOUR. 25 TO 30CC
THE CLIENTS SKIN WILL BE _______, _______, AND ________. COOL, PALE, CLAMMY (DUE TO ARTERIAL CONSTRICTION TO SHUNT BLOOD FROM SKIN TO VIRAL ORGANS)
WHICH ACID-BASE DISORDER IS MOST COMMONLY ASSOCIATED WITH HYPOVOLEMIC SHOCK? METABOLIC ACIDOSIS( DUE TO LACTIC ACID ACCUMULATION--NO OXYGEN=ANEROBIC METABOLISM)
OF ALL OF THE FOLLOWING, WHICH ONES INCREASE IN HYPOVOLEMIC SHOCK? BP, OUTPUT, HEART RATE, pH, LOC, PULSE PRESSURE, RESPIRATORY RATE? ONLY THE HEART RATE AND THE RESPIRATORY RATE
WHAT ARE THE FIRST TWO SIGNS OF HYPOVOLEMIC SHOCK? CHANGE IN LOC AND TACHYCARDIA
WHAT IS THE #1 MEDICAL TREATMENT OF HYPOVOLEMIC SHOCK? REPLACE BLOOD AND FLUIDS
WHAT ARE MAST TROUSERS? PNEUMATIC DEVICE PLACED AROUND THE LEGS AND LOWER BODY THAT IS INFLATED TO FORCE BLOOD CENTRALLY
DO CLIENTS WITH HYPOVOLEMIC SHOCK HAVE TO HAVE A FOLEY INSERTED? YES, TO MEASURE URINE OUTPUT( WHEN OUTPUT IS < 30 CC PER HR THE SHOCK HAS RESOLVED
IN WHAT POSITION WOULD U PLACE A CLIENT IN SUSPECTED HYPOVOLEMIC SHOCK? ON BACK WITH ARMS AND LEGS ELEVATED
HOW OFTEN ARE VITAL SIGNS MEASURED IN HYPOVOLEMIC SHOCK? EVERY 15 MIN
IF THE BP (SYSTOLIC) FALLS BELOW 80 MMHg WHAT WOULD U DO FIRST IN HYPOVOLEMIC SHOCK? INCREASE THE OXYGEN FLOW RATE
WHAT IS A HYSTERECTOMY? IT IS A SURGICAL REMOVAL OF THE UTERUS
HOW LONG MUST A WOMAN WAIT BEFORE HAVING INTERCOURSE AFTER A HYSTERECTOMY? 4 TO 6 WEEKS
ARE ENEMAS COMMON BEFORE A HYSTERECTOMY? YES
IS THE WOMAN LIKELY TO HAVE A FOLEY IN AFTER A HYSTERECTOMY? YES
WHAT WOULD U DO IF THE CLIENT COMPLAINS OF FLANK PAIN(BACK PAIN) AFTER HYSTERECTOMY? CALL THE MD, PROBABLY HAD A URETER TIED OFF ACCIDENTALLY IN SURGERY
WHAT ARE 2 COMMON PSYCHOLOGICAL REACTIONS TO HYSTERECTOMY? GRIEF, DEPRESSION
WHAT CAUSES THROMBOPHLEBITIS AFTER HYSTERECTOMY? VENOUS STASIS IN THE ABDOMEN ( THE WOMAN WAS IN THE VAGINAL LITHOTOMY POSITION FOR HOURS)
WHAT SIGN WOULD INDICATE THE PRESENCE OF THROMBOPHLEBITIS? A HARD, RED SWELLING IN THE POSTERIOR CALF
SHOULD U ASSESS FOR HOMANS SIGN? NO HOMANS SIGN IS NO LONGER RECOMMENDED AS A TEST FOR THROMBOPHLEBITIS BECAUSE IT CAN CAUSE A CLOT TO EMBOLIZE
HOW LONG DOES THE WOMAN HAVE TO BE OFF ORAL CONTRACEPTIVES BEFORE HYSTERECTOMY? ORAL CONTRACEPTIVES SHOULD BE DISCONTINUED 3 TO 4 WEEKS PREOPERATIVELY
HOW LONG SHOULD A WOMAN WAIT BEFORE LIFTING HEAVY OBJECTS AFTER A HYSTERECTOMY? 2 MONTHS
HOW LONG DOES A LADY HAVE TO WAIT BEFORE DRIVING AFTER A HYSTERECTOMY? 3 TO 4 WEEKS
IF THE CLIENT COMPLAINS OF ABDOMINAL GAS AFTER A HYSTERECTOMY, THE BEST INTERVENTION IS ..... AMBULATION
WHAT ARE TWO MAJOR COMPLICATIONS OF A HYSTERECTOMY BESIDES HEMORRHAGE? THROMBUS AND PULMONARY EMBOLUS, URINARY RETENTION
WHAT BODY POSITION SHOULD BE AVOIDED AFTER HYSTERECTOMY? WHY? KNEE FLEXION( BECAUSE IT INCREASES THE CHANCE OF THROMBOPHLEBITIS)
WHEN WILL BOWEL SOUNDS RETURN AFTER A HYSTERECTOMY? AFTER 2 HRS BUT BEFORE 72 HRS
WHAT IS IDIOPATHIC THROMBOCYTOPENIA PURPURA? IT IS A BLOOD DISEASE IN WHICH THERE IS A SEVERE DECREASE IN PLATELETS (UNKNOWN REASON)
WHAT IS THE SPECULATED CAUSE OF ITP? AUTOIMMUNE
WHAT TWO THINGS DO THE CLIENTS WITH ITP COMPLAIN OF BEFORE CLINICAL DIAGNOSIS? BLEEDING GUMS AND EPISTAXIS (NOSE BLEED)
WHAT 2 OBSERVABLE SKIN SIGNS ARE COMMON WITH ITP? ECCHYMOSIS, BRUISES, PETECHIA(SMALL-DOT LIKE HEMORRHAGES)
WHAT ORGAN IS MOST FREQUENTLY REMOVED IN ITP? THE SPLEEN
WHY IS THIS ORGAN REMOVED IN ITP? THE SPLEEN DESTROYS OLD PLATELETS SO IF U REMOVE THE ORGAN THAT DESTROYS PLATELETS, U INCREASE UR PLATELET COUNT
WHAT LAB VALUE IS MOST DECREASED IN ITP? PLATELET COUNT
BECAUSE THESE CLIENTS ARE ON STEROIDS THEY HAVE AN INCREASED RISK OF ...... INFECTION (FUNGAL AND VIRAL PRIMARILY)
TRANSFUSION WITH WHAT PRODUCT ARE COMMON IN ITP? PLATELETS
WHAT IS THE MOST LIFE THREATENING COMPLICATION OF ITP? HEMORRHAGE
NAME THE CLASS OF DRUGS MOST COMMONLY GIVEN TO CLIENTS WITH ITP? STEROIDS(DECADRON, PREDNISONE,HEXADROLSOLUCORTEF); IMMUNOSUPRRESSIVE AGENTS ( IMMURAN)
UNTREATED INCREASED INTRACRANIAL PRESSURE (ICP) CAN LEAD TO BRAIN _______ AND ________. HERNIATION, DEATH
ICP INCREASES WHENEVER ANYTHING UNUSUAL OCCUPIES __________ IN THE CRANIUM. SPACE
THE EARLIEST SIGN OF INCREASED ICP IS ...... CHANGE IN LOC
THE PULSE PRESSURE ________ WHEN ICP IS INCREASED. WIDENS
WHENEVER THERE IS INCREASED ICP THE ________ BP RISES. SYSTOLIC
WHEN THERE IS INCREASED ICP THE ________ BP REMAINS THE SAME. DIASTOLIC
WHICH PULSE RATE IS MOST COMMONLY ASSOCIATED WITH INCREASED ICP? BRADYCARDIA
IN INCREASED ICP THE TEMPERATURE (RISES/FALLS). RISES
DESCRIBE THE RESPIRATORY PATTERN SEEN IN INCREASED ICP. FIRST, CENTRAL HYPERVENTILATION(VERY EARLY ON) AND AT THE END, CHEYNE-STOKES
WHEN ICP IS INCREASED, THE PUPILS FIRST SHOW.... UNILATERALO DILATION WITH SLUGGISH REACTION
EVENTUALLY IN INCREASED ICP THE PUPILS BECOME __________ AND ___________. FIXED AND DILATED
WILL THE CLIENT WITH INCREASED ICP HAVE A HEADACHE? YES
WHAT TYPE OF VOMITING IS PRESENT IN INCREASED ICP? PROJECTILE
WHY DOES HYPERVENTILATION TREAT INCREASED ICP? IT REDUCES CO2 RESULTING IN VASOCONSTRICTION. CO2 IS A CASODILATOR IN THE BRAIN, VASODILATATION WOULD OCCUPY MORE SPACE AND THUS INCREASE ICP MORE
WHEN ICP INCREASES THE PT IS MORE LIKELY TO HAVE FLUIDS (ENCOURAGED/RESTRICTED) RESTRICTED TO DECREASE EDEMA IN THE BRAIN
WHAT IS PAPILLEDEMA AND HOW IS IT RELATED TO INCREASED ICP? IT IS EDEMA OF THE OPTIC DISC, IT IS PRESENT WHEN INCREASED ICP PUSHES BRAIN TISSUE THROUGH THE OPTIC FORAMEN. (U SEE IT WITH AN OPTHALMOSCOPE
WHAT ENVIRONMENTAL CHANGES ARE NECESSARY WHEN THERE IS INCREASED ICP? DARK, CALM, QUIET ENVIRONMENT
WHEN THERE IS INCREASED ICP THE NURSE SHOULD FIRST _______ THE _______ OF THE BED TO ______ DEGREES. POSITION, HEAD, 10-30 DEGREES
AFTER POSITIONING THE HOB THE NURSE SHOULD THEN ..... CALL THE DOCTOR
WHAT ACTIVITIES/ACTION MUST BE AVOIDED IN THE CLIENT WITH INCREASED ICP? SNEEZING, COUGHING (NON PRODUCTIVE), STRAINING AT STOOL OR DOIN ANYTHING WHICH REQUIRES THE CALSALCA MANEUVER
WHEN A PT HAS INCREASED ICP THE NURSE SHOULD (HYPER/HYPO) VENTILATE THE PT? HYPERVENTILATE
THE MOST COMMON OSMOTIC DIURETIC USED TO DECREASE ICP IS..... MANNITOL
THE MOST COMMON LOOP DIURETIC GIVEN TO DECREASE ICP IS ..... LASIX
THE MOST COMMON ANTI-INFLAMMATORY DRUG GIVEN TO DECREASE ICP IS ..... DECADRON
IF ANALGESIA IS NECESSARY FOR THE PT WITH INCREASED ICP THE DOCTOR SHOULD ORDER ________. CODEINE
WHY IS CODEINE ALONE USED FOR ANALGESIA IN INCREASED ICP? BECAUSE IT DOES NOT DEPRESS RESPIRATION OR LOC AS MUCH AS OTHER NARCOTICS, AND IT SUPPRESSES COUGH
WHAT BODY SYSTEM IS ATTACKED BY MONONUCLEOSIS? LYMPHATIC
WHAT BLOOD COUNT WILL BE ELEVATED IN MONONUCLEOSIS? LYMPHOCYTES INCREASE, MONOCYTES INCREASE, GRANULOCYTES DECREASE
HOW LONG IS THE AVERAGE RECOVERY FROM MONONUCLEOSIS? THREE WEEKS
WHAT TWO MEDICATIONS ARE GIVEN TO CLIENTS WITH MONONUCLEOSIS? ASA---STEROIDS IF A BAD CASE
WHAT ORGANISM CAUSES MONONUCLEOSIS? EPSTEIN-BARR HERPES VIRUS
GIVE 4 SYMPTOMS OF MONONUCLEOSIS? SORE THROAT, MALAISEM STIFF NECK(NUCHAL RIGIDITY) AND NAUSEA
GIVE 3 NURSING MEASURES FOR CARE OF CLIENTS WITH MONONUCLEOSIS? REST, ASA, FLUIDS
WHAT AGE GROUP MOST COMMONLY GETS MONONUCLEOSIS? 15 TO 35
WHAT ORGAN SHOULD DNOT BE PALPATED IN THE CLIENT WITH MONONUCLEOSIS? THE SPLEEN, IT COULD RUPTURE WHICH MAY LEAD TO SHOCK AND DEATH
HOW IS MONONUCLEOSIS TRANSMITTED? RESPIRATORY DROPLETS
UPON PHYSICAL EXAM OF A CLIENT WITH MONONUCLEOSIS, U FIND ..... INCREASED TEMPERATURE, ENLARGED LYMPH NODES, SPLENOMEGALY
NAME 2 COMPLICATIONS OF MONONUCLEOSIS? HEPATITIS, RUPTURED SPLEEN, MENINGOENCEPHALITIS
SHOULD U SHAMPOO THE SCALP AND HAIR OF THE PT BEFORE CRANIAL SURGERY? YES
WHAT SHOULD U DO WITH THE HAIR SHAVED FROM THE SCALP PRE-OPERATIVELY? SAVE IT FOR THE PT
IF SURGERY WAS SUPRATENTORIAL (CEREBRAL, PITUITARY) POSITION THE PT ________ POST-OP. ON BACK OR NON OPERATIVE SIDE, WITH HOB UP
IF THE SURGERY WAS INFRATENTORIAL (CEREBRAL,BRAINSTEM) POSITION THE CLIENT.... KEEP HOB FLAT
SHOULD THE CLIENT TURN, COUGH, DEEP BREATHE AFTER A CRANIOTOMY? TURN EVERY 2 HRS, DEEP BREATHE EVERY HR, NO COULD ( COULD CAUSE INCREASED ICP)
SHOUL THE CLIENT WITH CRANIAL SURGERY HAVE FLUIDS FORCED OR RESTRICTED? RESTRICTED TO 1500CC
WHAT ARE THREE COMMON COMPLICATIONS OF CRANIOTOMY? DIABETES INSIPIDUS (FRONTAL CRANIOTOMY), INCREASED ICP, MENINGITIS
IF THE POST-OP CRANIOTOMY PT HAS A HIGH TEMP IN THE FIRST 48 HRS POST-OP, IT IS PROBABLY DUE TO____________. INCREASED ICP, ESPECIALLY HYPOTHALMUS(REMEMBER SURGICAL WOUND INFECTIONS DONT) OCCUR INTIL DAY 3 OR 4, POST OP INFLAMMATORY TEPS ARE NOT USUALLY OVER 100.8
WHAT DRUG WILL BE USED FOR POST-OP ANALGESIA? CODEINE
WHY IS THE PT TAKING DILANTIN POST-CRANIOTOMY? PREVENT SEIZURES
DESCRIBE TWO WAYS TO DETERMINE IF DRAINAGE POST-CRANIOTOMY IS CSF? TEST FOR GLUCOSE (IF POSSITIVE THEN CSF), WATCH FOR HALO EFFECT ON GAUZE (IF PRESENT THEN CSF)
WHAT PAINFUL PROCEDURE MUST OCCUR AS PART OF IVP (INTRAVENOUS PYELOGRAM)? IV PUNCTURE
DOES THE CLIENT NEED TO EMPTY HIS OR HER BLADDER BEFORE AN IVP? YES
IS THE CLIENT NPO FOR AN IVP? YES AFTER MIDNIGHT
WHAT SUBJECTIVE EXPERIENCES WILL THE CLIENT HAVE AT THE BEGINNING OF AN IVP? HOT FLUSH, SALTY TASTE IN MOUTH 9THESE ARE TRANSITORY AND WILL PASS QUICKLY)
DOES THE CLIENT NEED TO HAVE A CATHETER INSERTED FOR AN IVP? NO
IS A DYE ALWAYS USED DURING AN IVP? YES
WHAT STRUCTURES ARE VISUALIZED DURING AN IVP? KIDNEY, RENAL PELVIS, UTERUS, AND BLADDER
IF THE CLIENT IS ALLERFIC TO IODINE DYE AN IVP CANNOT BE DONE. (T/F) FALSE, THEY WILL JUST GIVE BENADRYL OR STEROIDS FOR A FEW DAYS PRE-TEST
WHAT ? SHOULD BE ASKED TO ASSESS A CLIENTS RISK OF ALLERGIC REACTION E?TO IVP DY IF THE CLIENT IS ALLERGIC TO IODINE OR SHELLFISH
WHAT IS REQUIRED THE EVENING BEFORE AND IVP? AN ACTIVE BOWEL PREP WITH LAXATIVES (OPTIONAL IN INFANTS AND CHILDREN)
WHAT ARE IMPORTANT POST TEST MEASURES AFTER AN IVP? ENCOURAGE FLUIDS, AMBULATE WITH ASSISTANCE
PERFORMANCE OF AN IVP ON WHAT GROUP OF CLIENTS IS MOST DANGEROUS? DEHYDRATED ELDERLY (CAN GET RENAL FAILURE)
INTUSSUSCEPTION IS A CONDITION IN WHICH THE BOWEL _________ INTO ITSELF. TELESCOPES
INTUSSUSCEPTION IS MORE COMMON IN (BOYS/GIRLS). BOYS
NAME 2 WAYS TO CORRECT INTUSSUSCEPTION. BARIUM ENEMA (THE BARIUM PUSHES THE BOWEL STRAIGHT), OR SURGICAL REPAIR
THE MAJOR COMPLICATION OF INTUSSUSCEPTION IS __________ OF THE BOWEL. NECROSIS
INTUSSUSCEPTION OCCURS MOST COMMONLU AT AGE _______ MONTHS. 6
INTUSSUSCEPTION IS COMMONLY SEEN IN CHILDREN WHO HAVE ________ __________. CYSTIC FIBROSIS
DESCRIBE THE CRY OF THE INFANT WITH INTUSSUSCEPTION. PIERCING CRY
IN ADDITION TO EXPERIENCING SEVERE ABDOMINAL PAIN TELL WHAT POSITION THE INFANT WILL ASSUME. PULL LEGS UP TO THE CHEST/ABDOMEN
DESCRIBE THE STOOL OF A CHILD WITH INTUSSUSCEPTION. CURRENT-JELLY STOOL, BLOODY MUCOUS. IF SURGERY IS SCHEDULED AND THE INFANT HAS A NORMAL BOWEL MOVEMENT, SURGERY MAY BE CANCELED. CALL MD
DESCRIBE THE VOMITUS OF A CHILD WITH INTUSSUSCEPTION. BILE STRAINED
WHAT IS THE PRIMARY DIETARY PRESCRIPTION FOR CALCIUM NEPHROLITHIASIS? LOW CALCIUM DIET
FOR THE CLIENT WITH CALCIUM NEPHROLITHIASIS THE DIET SHOULD BE __________ ASH. ACID
IF THE KIDNEY STONE IS CALCIUM PHOSPHATE THE DIET MUST BE LOW IN _______ TOO. PHOSPHORUS
THE PRIMARY DIET TREATMENT FOR URIC ACID NEPHROLITHIASIS IS ___________ _________. LOW PURINE
THE CLIENT WITH URIC ACID NEPHROLITHIASIS SHOULD HAVE A DIET LOW IN __________. METHIONINE
WHAT IS METHIONINE? THE PRESURSOR OF THE AMINO ACID CYSTINE (PRECURSOR=MATERIAL OUT OF WHICH SOMETHING IS MADE)
NAME TWO FOODS HIGH IN METHIONINE. MILK, EGGS
CLIENTS WITH CYSTINE NEPHROLITHIASIS SHOULD HAVE A(N) ________ ASH DIET. ALKALINE
INCREASING FLUIDS OVER 3000CC PER DAY IS MORE EFFECTIVE IN TREATING RENAL CALCULI (KIDNEY STONES) THAN ANY DIETARY MODIFICATIONS (T/F) TRUE, ITS MORE IMPORTANT TO FLUSH THE URINARY TRACT THAN WORRY ABOUT WHAT YOU'RE EATING
WHAT IS THE COMMON NAME FOR LTB(LARYGOTRACHEOBRONCHITIS--LTB)? CROUP
ARE ANTIBIOTICS HELPFUL FOR CROUP? FOR EPIGLOTTIS? FOR CROUP NO. FOR EPIGLOTTIS YES
IS CROUP VIRAL OR BACTERIAL? VIRAL
WITH WHICH CONDITION IS CROUP MOST OFTEN CONFUSED? EPIGLOTTIS
CAN CROUP BE MANAGED AT HOME? CAN EPIGLOTTIS BE MANAGED AT HOME? YES. NO, EPIGLOTTIS IS A MEDICAL EMERGENCY
ARE SEDATIVES USED FOR CHILDREN WITH CROUP? NO, BECAUSE THIS WOULD MASK THE SIGNS OF RESPIRATORY DISTRESS
WHAT CAUSES EPIGLOTTIS? A VIRUS OR BACTERIA? H. INFLUENZA BACTERIA
WHAT IS THE BEST TREATMENT FOR CROUP? COOL MOIST AIR
WHAT SHOULD NEVER BE DONE TO A CHILD WITH EPIGLOTTIS? NEVER PUT ANYTHING IN THE CHILDS MOUTH, EX. A TONGUE BLADE CAN LEAD TO OBSTRUCTION
WHAT ARE THE TYPICAL SIGNS AND SYMPTOMS OF CROUP? BARKING COUGH, INSPIRATORY STRIDOR, LABORED RESPIRATORY PATTERN
WHAT 3 SIGNS TILL U THAT THE CHILD HAS EPIGLOTTIS INSTEAD OF CROUP? MUFFLED VOICE, DROOLING, INCREASED FEVER
WHEN IS CROUP BAD ENOUGH TO BE EVALUATED BY A DOCTOR? WHEN RETRACTIONS, AND HIGH PITCHED STRIDOR ARE PRESENT
WHAT LEAD LEVEL NEEDS INTERVENTION? 50 - 60 MICROGRAMS/DL
WITH WHICH CLASS OF DRUGS WILL A CHILD WITH LEAD POISIONING BE TREATED? CHELATING AGENTS
WHAT DO CHELATING AGENTS DO? THEY INCREASE THE EXCRETION OF HEAVY METALS
THE MOST FREQUENT CAUSE OF LEAD POISIONING IS.... INGESTION OF LEAD-BASED PAINT CHIPS
NAME 3 COMMON CHELATING AGENTS FOR LEAD POISIONING. EDTA, DESFERAL, BAL INOIL
LIST SPECIFIC SYMPTOMS OF LEAD POISIONING SHOW UP IN THE __________ SYSTEM. DROWSINESS, CLUMSINESS, ATAXIA, SEIZURES, COMA, RESPIRATORY ARREST
SYMPTOMS OF LEAD POISIONING SHOW UP IN THE ______ SYSTEM. NEUROLOGICAL
LEUKEMIA IS CANCER OF THE ________-FORMING TISSUES. BLOOD
THE TYPE OF CELL THAT IS MOST COMMON AND PRBLEMATIC IN LEUKEMIA IS _________. IMMATURE WBC
IN LEUKEMIA THE RBC COUNT IS (HIGH/LOW). LOW, BECAUSE THE BONE MARROW IS GOING WILD PRODUCING ALL THOSE IMMATURE WBC'S NO ENERGY OR NUTRIENTS TO MAKE PLATELETS
IN LEUKEMIA, THE PLATELET COUNT IS (HIGH,LOW). LOW, BECAUSE THE BONE MARROW IS GOING WILD PRODUCING ALL THOSE IMMATURE WBC'S--NO ENERGY OR NUTRIENTS TO MAKE PLATELETS
BECAUSE THE RBC'S ARE LOW THE PATIENT WILL EXHIBIT_______ AND _______. PALLOR AND FATIGUE
BECAUSE OF THE IMMATURE WBC'S THE PATIENT IS AT RISK FOR___________. INFECTION
BECAUSE OF LOW PLATELETS, THE PATIENT IS AT RISK FOR ______, ______ AND ______. BRUISING,ECCHYMOSIS,BLEEDING, PETECHIAE
WHAT CAUSES LYMPH GLAD ENLARGEMENT IN LEUKEMIA? ALL THOSE SMALL IMMATURE WBC'S CLOG THE LYMPHATIC SYSTEM
SHOULD U TAKE A RECTAL TEMP ON A CHILD WITH LEUKEMIA? NO
SHOULD U TAKE AN ORAL TEMP ON A CHILD WITH LEUKEMIA? YES, AS LONG AS THEY ARE OVER 4 YRS OLD, IN REMISSION, AND HAVE NO SORES IN THEIR MOUTH
SHOULD THE CHILD WITH ACTIVE LEUKEMIA USE STRAWS, FORKS, CUPS? NO STRAWS, SO FORKS, YES, THEY CAN USE CUPS
THE NURSES PRIORITY IN TRATING A CHILD WITH NEWLY DIAGNOSED LEUKEMIA IS.... DECREASING RISK OF INFECTION
WHEN THE LEUKEMIA CHILD'S PLATELETS AND WBC'S ARE LOW, HIS ACTIVITIES SHOULD BE.... LIMITED
WHEN THE PLATELET AND WBC'S ARE LOW THE NURSE SHOULD NOT INSERT A ...... SUPPOSITORY
ARE IM INJECTIONS AND IV STICKS PERMITTED ON A CHILD WITH LEUKEMIA? WHEN THE PLATELETS AND WBC'S ARE LOW, IM'S ARE TO BE AVOIDED; IV STICKS ARE TO BE LIMITED,AND ONLY DONE WHEN ABSOLUTELY NECESSARY(EX. TO GIVE CHEMOTHERAPY OR MEASEURE BLOOD COUNTS)
WHY ARE CHILDREN ON CHEMOTHERAPY ALSO ON ZYLOPRIM(ALLOPURINOL)? TO PREVENT URIC ACID KIDNEY STONES (REMEMBER WHEN CHEMOTHERAPY KILLS CANCER CELLS, PURINES AND URIC ACID BUILD UP AND COULD CAUSE KIDNEY STONES)
WHY DO SOME CHILDREN WITH LEUKEMIA HAVE JOINT PAIN? THE IMMATURE WBC'S INFILTRATE THE JOINT AND CAUSE INFLAMMATION
WHAT IS ALOPECIA? HAIR LOSS
IF THE PLATELET COUNT IS LOW WHAT DRUG SHOULD THE CHILD NOT TAKE? ASPIRIN
IS THE ALOPECIA OF CHEMOTHERAPY PERMANENT? NO, IT WILL GROW BACK (REMEMBER, THE ALOPECIA OF RADIATION THERAPY IS PERMANENT BECAUSE THE FOLLICLE IS DESTROYED TOO)
WHAT DOES ANC STAND FOR? ABSOLUTE NEUTROPHIL COUNT
WHAT IS THE ANC USED FOR IN LEUKEMIA? IF THE ANC IS BELOW 500, THEN THE PATIENT WILL BE ON PROTECTIVE ISOLATION
WHICH IS USED MORE COMMONLY TO DECIDE IF THE PATIENT SHOULD BE ON ISOLATION: THE WBC OR THE ANC? THE ANC IS MORE RELIABLE AND VALID
BY THE END OF THE FIRST SIX MONTHS OF LIFE AN INFANTS BIRTHWEIGHT SHOULD _________. DOUBLE
BY THE END OF THE FIRST YR OF LIFE AN INFANTS BIRTHWEIGHT SHOULD _________. TRIPLE
THE IDEAL FOOD FOR INFANTS IS _________. BREAST MILK
BREAST MILK CONTAINS SUBSTANCES THAT INCREASE IMMUNITIES. (T/F) TRUE
BOTTLE-FED INFANTS DO NOT BOND WELL WITH THEIR MOTHERS. (T/F) FALSE
THE ONE NUTRIENT THAT COMMERCIAL FORMULAS ARE TYPICALLY LOW IN IS ________. IRON
BREAST MILK DOES NOT CONTAIN IRON. (T/F) FALSE, HOWEVER, IT DOES NOT CONTAIN ENOUGH IRON--SO THEY SHOULD BE FED IRON FORTIFIED CEREAL STARTING AT 6 MONTHS
AT WHAT AGE SHOULD THE INFANT BE FED COWS/GOATS MILK? NOT BEFORE 12 MONTHS
WHAT IS THE MAJOR PROBLEM WITH FEEDING AN INFANT SKIM MILK? THEY DONT GET ENOUGH CALORIES AND DONT GROW. DEHYDRATION FROM EXCESSIVE SOLUTE LOAD AND INABILITY TO CONCENTRATE URINE
WHEN SHOULD THE INFANT BE INTRODUCED TO TEXTURED SOLID FOOD? (WHAT AGE?) 4 TO 6 MONTHS
WHAT IS THE FIRST FOOD THAT AN INFANT SHOULD BE INTRODUCED TO? IRON FORTIFIED RICE CEREAL
WHEN FORCED TO EAT, THE PRESCHOOL CHILD WILL.... REBEL
PARENTS OF PRESCHOOL CHILDREN SHOULD BE TAUGHT THAT AS LONG AS THE CHILDS EATS ______ GOOD NUTRITIOUS MEALS PER DAY, THEY SHOULD NOT MAKE EATING FOOD AN ISSUE. ONE
REFUSAL TO EAT IS COMMON IN PRESCHOOLERS. (T/F) TRUE, BUT STILL OFFER A VARIETY
YOUNGSTERS DEVELOP FOOD PREFERENCES BY.... OBSERVING SIGNIFICANT PEOPLE IN THEIR ENVIRONMENT
SCHOOL-AGE CHILDREN GROW AT A SLOWER RATE THAN INFANTS, TODDLERS OR ADOLESCENTS. (T/F) TRUE
WHAT DIETARY STRATEGY IS MOST APPROPRIATE FOR THE INDUSTRIOUS SCHOOL-AGE CHILD? WHOLESOME SNACKS, BECAUSE THEY ARE OFTEN TOO BUSY TO EAT
GIRLS IN ADOLESCENCE NEED MORE CALORIES THAN ADOLESCENT BOYS. (T/F) FALSE, BOYS NEED MORE CALORIES
ADOLESCENTS SHOULD TAKE VITAMIN SUPPLEMENTS. (T/F) TRUE
MASTITIS AND BREAST ENGORGEMENT ARE MORE LIKELY TO OCCUR IN (PRIMIPARA/MULTIPARA). PRIMIPARA
WHERE DOES THE ORGANISM THAT CAUSES MASTITIS COME FROM? THE INFANTS NOSE OR MOUTH
WHICH ORGANISM MOST COMMONLY CAUSES MASTITIS? STAPH
PROLONGED INTERVALS BETWEEN BREAST FEEDING (DECREASE/INCREASE) THE INCIDENCE OF MASTITIS. INCREASE
CAN TOO-TIGHT BRAS LEAD TO MASTITIS? YES, BY PREVENTING EMPTYING OF DUCTS
MASTITIS USUALLY OCCURS AT LEAST ______ DAYS AFTER DELIVERY. 10
WHEN MASTITIS IS PRESENT THE BREASTS ARE ______, _______, AND ______. HARD, SWOLLEN, WARM
MASTITIS IS ACCOMPANIED BY A FEVER OVER ________. 102
IF MASTITIS IS CAUSED BY AN ORGANISM, WHAT CAUSES BREAST ENGORGEMENT? TEMPORARY INCREASE IN VASCULAR AND LYMPH SUPPLY TO THE BREAST IN PREPARATION FOR MILK PRODUCTION
IF MASTITIS OCCURS 1+ WEEKS AFTER DELIVERY, WHEN DOES BREAST ENGORGEMENT OCCUR? 2 - 5 DAYS AFTER DELIVERY
DOES BREAST ENGORGEMENT INTERFERE WITH NURSING? YES, THE INFANT HAS A DIFFICULT TIME LATCHING ON (GETTING NIPPLE IN ITS MOUTH)
WHAT CLASS OF DRUGS IS USED TO TREAT MASTITIS? ANTIBIOTICS
ANTIBIOTICS ARE USED TO TREAT BREAST ENGORGEMENT. (T/F) FALSE
APPLICATION OF (WARM H2O COMPRESSES/ICE PACKS) IS PREFERRED TREATMENT FOR BREAST ENGORGEMENT. ICE PACKS TO DECREASE SWELLING
THE MOTHER HAS AN OPEN ABSCESS ON HER BREAST, SHE MUST NOT BREAST FEED. (T/F) TRUE
THE MOTHER WITH MASTITIS SHOULD STOP BREAST FEEDING. (T/F) FALSE, THE MOTHER MUST KEEP BREAST FEEDING. (OFFER UNAFFECTED BREAST FIRST)
FOR BREAST ENGORGEMENT, THE NON-BREASTFEEDING MOTHER SHOULD BE TOLD TO EXPRESS BREAST MILK (T/F) NO, THAT WOULD INCREASE MILK PRODUCTION AND WOULD MAKE THE PROBLEM WORSE (WARM COMPRESSES OR A WARM SHOWER TO LET MILK "LEAK" IS OKAY--ICE IS BEST)
WHAT IS THE BEST TREATMENT FOR BREAST ENGORGEMENT? BREAST FEEDING--IT WILL BALANCE SUPPLY AND DEMAND
WHAT IS MASTOIDITIS? INFLAMMATION/INFECTION OF THE MASTOID PROCESS
WHAT IS THE MOST COMMON CAUSE OF MASTOIDITIS? CHRONIC OTITIS MEDIA
WHAT ARE THE 4 SIGNS AND SYMPTOMS OF MASTOIDITIS? DRAINAGE FROM EAR, HIGH FEVER, HEADACHE AND EAR PAIN, TENDERNESS OVER MASTOID PROCESS
WHAT UNUSUAL POST-OP COMPLICATION CAN RESULT FROM MASTOIDECTOMY? FACIAL NERVE PARALYSIS DUE TO ACCIDENTAL DAMAGE DURING SURGERY (LAW SUIT TIME)
WHAT SHOULD U DO TO ASSESS FOR FACIAL NERVE PARALYSIS POST-MASTOIDECTOMY? HAVE THE PT SMILE AND WRINKLE FOREHEAD
WHAT IS THE MEDICAL TREATMENT OF MASTOIDITIS? SYSTEMIC ANTIBIOTICS
WHAT IS THE SURGERY FOR MASTOIDITIS CALLED? SIMPLE OR RADICAL MASTOIDECTOMY
WILL A SIMPLE MASTOIDECTOMY WORSEN HEARING? NO, A RADICAL MASTOIDECTOMY MAY
SHOULD THE NURSE CHANGE THE POST-MASTOIDECTOMY DRESSING? NO, REINFORCE IT. PHYSICIAN CHANGES FIRST POST-OP DRESSING
WHAT IS A COMMON SIDE EFFECT OF MASTOIDECTOMY? DIZZINESS(VERTIGO)
WHAT IS A MAJOR NURSING DIAGNOSIS POST-MASTOIDECTOMY? SAFETY
IN THE CHAIN OF INFECTION, HAND WASHING BREAKS THE MODE OF ________. TRANSMISSION
THE BEST WAY TO DECREASE NOSOCOMIAL INFECTION IS STERILE TECHNIQUE. (T/F) FALSE, HAND WASHING IS THE BEST WAY
STERILE GLOVED HANDS MUST ALWAYS BE KEPT ABOVE THE WAIST.(T/F) TRUE
WHEN PUTTING ON THE SECOND OF A SET OF STERILE GLOVES, U SHOULD GRASP THE CUFF. (T/F) FALSE, REACH UNDER THE CUFF WITH THE TIP OF THE GLOVED FINGERS
WHEN PUTTING ON THE FIRST GLOVE OF A SET OF STERILE GLOVES, U SHOULD GRASP THE CUFF. (T/F) TRUE
WHEN PUTTING ON THE SECOND GLOVE OF A SET OF STERILE GLOVES, U MUST NOT USE THE THUMB OF THE FIRST HAND. (T/F) TRUE
AIRBORNE MICROORGANISMS TRAVEL ON _________ OR _________ PARTICLES. DUST OR WATER
ANOTHER NAME FOR MEDICAL SEPSIS IS ..... CLEAN TECHNIQUE
SESITIVITY (SUSCEPTIBILITY) MEANS.... THE SUSCEPTIBILITY OF AN ORGANISM TO THE BACTERIAL ACTION OF A PARTICULAR AGENT
WHEN UNWRAPPING A STERILE PACK HOW SHOULD U UNFOLD THE TOP POINT? AWAY FROM U
VIRULENCE MEANS.... ABILITY OF AN ORGANISM TO PRODUCE DISEASE
ANOTHER NAME FOR A SURGICAL ASEPSIS IS..... STERILE TECHNIQUE
WHAT IS THE BEST LOCATION IN A CLIENTS ROOM TO SET UP A STERILE FIELD? ON THE OVER-BED TABLE
MEDICAL ASEPTIC TECHNIQUES ARE AIMED AT REDUCING THE NUMBER OF ORGANISMS (T/F) TRUE, DOESNT ELIMINATE ALL IT JUST DECREASES THE NUMBER
WHAT DOES BACTERIOSTATIC MEAN? HAVING THE CAPABILITY TO STOP THE GROWTH OF BACTERIA
WHAT DOES BACTERIOCIDAL MEAN? HAVING THE CAPABILITY TO KILL BACTERIA
WHAT DOES NOSOCOMIAL MEAN? INFECTION AQUIRED THROUGH CONTACT WITH CONTAMINATION IN THE HOSPITAL
WHEN POURING LIQUID ONTO A STERILE FIELD U SHOULD POUR FROM A HEIGHT OF ________ TO _______ INCHES ABOVE THE FEILD. 6 TO 8
WHEN U PLAN TO USE GLOVES FOR A PROCEDURE U DO NOT NEED TO WASH HANDS BEFORE IT. (T/F) FALSE, ALWAYS WASH EVEN IF U PLAN TO USE GLOVES
CULTURE MEANS.... GROWING A COLONY OF ORGANISMS, USUALLY FOR THE PURPOSE OF IDENTIFYING THEM.
SURGICAL ASEPTIC TECHNIQUES RENDER AND KEEP ARTICLES FREE FROM ALL ORGANISMS. (T/F) TRUE
U MUST NEVER TURN YOUR BACK TO A STERILE FEILD. (T/F) TRUE
WHAT MUST U DO IF U REACH ACROSS A STERILE FEILD? CONSIDER THE AREA CONTAMINATED AND NOT USE THE ARTICLES IN THE AREA
MICRO-ORGANISMS GROW BEST IN A _______, _______, _________ PLACE. WARM, DARK, MOIST
IT IS COMMON PRACTICE TO REGARD THE EDGES OF ANY STERILE FIELD AS CONTAMINATED. (T/F) TRUE, THE OUTER 1 INCH IS CONSIDERED CONTAMINATED. U MUST NOT TOUCH IT WITH UR STERILE GLOVES
IMMEDIATELY AFTER OPENING A BOTTLE OF STERILE WATER, CAN U POUR IT DIRECTLY INTO A STERILE BASIN? NO, U MUST POUR A FEW CC'S OUT OF A BOTTLE INTO A WASTE CONTAINER BEFORE U POR INTO THE STERILE BASIN.(THIS IS CALLED "LIPPING" THE BOTTLE)
WHICH IS THE BEST METHOD FOR IDENTIFYING CLIENTS ACCURATELY? BY ID NAME BAND
AN EMULSION IS A MIXTURE OF ______ AND _____. OIL AND H2O
SYRUPS AND ELIXIRS ARE OF PARTICULAR CONCERN TO DIABETIC CLIENTS BECAUSE..... THEY CONTAIN SUGARS
ORAL MEDICATIONS HAVE A (FASTER/SLOWER) ONSET OF ACTION THAN IM DRUGS. SLOWER
ORAL MEDICATIONS HAVE A (SHORTER/LONGER) DURATION OF ACTION THAN IM MEDICATIONS. LONGER
HOW SHOULD DRUGS THAT STAIN THE TEETH BE ADMINISTERED? BY A STRAW
A DRUG GIVEN BY A PARENTAL ROUTE ACTS OUTSIDE THE GI TRACT. (T/F) TRUE
NAME THE 4 MOST COMMON PARENTAL ROUTES OF ADMINISTRATIONS. SQ, IM, IV, ID(INTRADERMAL)
WHEN BLOOD IS ADMINISTERED BY IV THE NEEDLE/CATHETER SHOULD BE ________GAUGE. 18 GAUGE
U CAN ADMINISTER UP TO ________ CC OF A DRUG PER SITE BY IM INJECTION IN ADULTS. 3CC
CHILDREN SHOULD RECEIVE NO MORE THAN ______CC PER SITE BY IM INJECTION. 2CC
THE PREFERRED IM INJECTION SITE FOR CHILDREN UNDER 3 IS THE ________ ________. VASTUS LATERALIS
WHY IS THE DORSOGLUTEAL SITE NOT RECOMMENDED FOR IM INJECTION IN CHILDREN UNDER 3 YRS OLD? BECAUSE THE MUSCLE IS NOT WELL DEVELOPED YET
CAN 3 CC OF FLUID BE ADMINISTERED PER IM INTO THE DLETOID OF AN ADULT? NO, MAXIMUM OF 1 CC
THE #1 DANGER WHEN USING THE DORSOGLUTEAL SITE FOR IM INJECTION IS.... DAMAGE TO THE SCIATIC NERVE
THE PREFERRED ANGLE OF INJECTION TO BE USED FOR IM ADMINISTRATION IS _________. 90 DEGREES
THE PREFERRED LENGTH OF NEEDLE TO ADMINISTER AN IM INJECTION IS..... 1 - 2 INCH
THE PREFERRED GAUGE OF NEEDLE FOR IM INJECTION IS.... 21 - 22 GAUGE
WHICH TYPE OF MEDICATIONS ARE GIVEN BY Z-TRACT INJECTION? IRRITATING, STAINING
HOW LONG IS THE NEEDLE KEPT INSERTED DURING Z-TRACT INJECTION? 10 SEC
WHAT MUST BE DONE TO THE EQUIPMENT BEFORE INJECTING BY Z-TRACK METHOD? CHANGE THE NEEDLE
WHEN GIVING A Z-TRACK INJECTION, THE OVERLYING SKIN IS PULLED (UP/DOWN/MEDIALLY/LATERALLY). LATERALLY
SUBCUTANEOUSNINJECTION MUST BE GIVEN AT 45 DEGREES> (T/F) TRUE (FOR BOARDS), FALSE ---WHATEVER ANGLE GETS IT SQ WITHOUT GOIN IM
THE PREFERRED GAUGE OF NEEDLE FOR INJECTION FOR SQ INJECTION IS_________. 25 GAUGE
THE PREFERRED LENGTH OF NEEDLE FOR SQ INJECTION IS _________. 5/8 INCH
THE INTRADERMAL ROUTE IS PRIMARILY USED FOR _______ _______. SKIN TESTING
NAME THE 2 SITES USED FOR INTRADERMAL INJECTION. INNER FOREARM, UPPER BACK
IN GENERAL, THE NURSE SHOULD WEAR GLOVES WHEN APPLYING SKIN PREPARATIONS SUCH AS LOTIONS. (T/F) TRUE
AFTER USING NOSE DROPS, THE CLIENT SHOULD REMAIN _______ FOR _______ MIN. SUPINE, 5
STRICT ASEPTIC TECHNIQUES IS REQUIRED WHEN ADMINISTERING A VAGINAL MEDICATION. (T/F) FALSE--ONLY CLEAN TECHNIQUE OR MEDICAL ASEPSIS IS NECESSARY
BEFORE ADMINISTERING VAGINAL MEDICATIONS THE CLIENT IS MORE COMFORTABLE IF U ASK THEM TO _______. VOID
AFTER ADMINISTRATION OF A VAGINAL DRUG THE CLIENT SHOULD REMAIN _______ FOR ______MIN. SUPINE, 10
RECTALO SUPPOSITORIES WITH AN OIL BASE SHOULD BE KEPT REFRIGERATED. (T/F) TRUE
STRICT STERILE TECHNIQUE IS REQUIRED WHEN ADMINISTERING A DRUG PER RECTUM. (T/F) FALSE, CLEAN OR MEDICAL ASEPSIS
THE BEST WAY TO ENSURE EFFECTIVENESS OF A RECTAL SUPPOSITORY IS TO..... PUSH THE SUPPOSITORY AGAINST THE WALL OF THE RECTUM
A RECTAL SUPPOPSITORY IS INSERTED _____ INCHES IN AN ADULT AND _______ INCHES IN ACHILD. 4, 2
THE SHOULD REMAIN SUPINE FOR 5 MINUTES AFTER HAVING RECEIVED A RECTAL SUPPOSITORY. (T/F) FALSE--THEY SHOULD BE LYING ON THEIR SIDE FOR 5 MIN NOT SUPINE
A SUPPOSITORY GIVEN RECTALLY MUST BE LUBIRCATED WITH A WATER SOLUBLE LUBRICANT. (T/F) TRUE, LUBRICATE FINGERS ALSO
EYE MEDICATIONS CAN BE GIVEN DIRECTLY OVER THE CORNEA. (T/F) FALSE, INTO THE CONJUCTIVAL SAC, NEVER THE CORNEA; HOLD THE DROPPER 1/2 INCH ABOVE THE SAC
EYE DROPS SHOULD BE PLACED DIRECTLY INTO THE _______ _______. CONJUNCTIVAL SAC
TO PREVENT EYE MEDICATIONS FROM GETTING INTO THE SYSTEMIC CIRCULATION U APPLY PRESSURE TO THE _______ FOR ______ SECONDS. NASOLACRIMAL SAC, 10 (PRESS BETWEEN THE INNER CANTHUS AND THE BRIDGE OF THE NOSE)
THE EYE SHOULD BE IRRIGATED SO THAT THE SOLUTION FLOWS FROM OUTER TO INNER CANTHUS. (T/F) FALSE, IT MUST FLOW FROM INNER TO OUTER (ALPHABETICAL)
IF EAR MEDICATIONS ARE NOT GIVEN AT ROOM TEMP THE CLIENT MAY EXPERIENCE..... DIZZINESS, NAUSEA
TO STRAIGHTEN THE EAR CANAL IN THE ADULT THE NURSE SHOULD PULL THE PINNA _____ AND ______. UP AND BACK
TO STRAIGHTEN THE EAR CANAL IN THE YOUNG CHILD UNDER 3 THE PINNA SHOULD BE PULLED _________ AND ________. DOWN, BACK
AFTER RECEIVING EAR DROPS THE CLIET SHOULD REMAIN IN ________ POSITION FOR ________ MINUTES. SIDE LYING, 5
HOW FAR ABOVE THE EAR CANAL SHOULD U HOLD THE DROPPER WHILE ADMINISTERING EAR DROPS? 1/2 INCH
LIQUID DOSES OF MEDICATIONS SHOULD BE PREPARED AT ________ LEVEL EYE
LIQUID DRUGS SHOULD BE POURED OUT OF THE SIDE (OPPOSITE OF/THE SAME AS) THE LABEL. OPPOSITE OF
IT IS SAFE PRACTICE TO ADMINISTER DRUGS PREPARED BY ANOTHER NURSE. (T/F) FALSE
IN ORDER TO LEAVE DRUGS AT THE BEDSIDE U MUST HAVE A PHYSCIANS ORDER. (T/F) TRUE
YOUNG INFANTS ACCEPT MEDICATION BEST WHEN GIVEN WITH A ______________. DROPPER
IT IS SAFE PRACTICE TO RE CAP NEEDLES AFTER INJECTION. (T/F) FALSE, NEVER RE-CAP
WHAT DO U DO IF U GET BLOOD IN THE SYRINGE UPON ASPIRATION? REMOVE THE SYRINGE IMMEDIATELY AND APPLY PRESSURE, U MUST DISCARD THE SYRINGE AND REDRAW MEDICATION IN A NEW SYRINGE
WHEN DO U GIVE TAGAMENT? GIVE WITH MEALS, REMEMBER ZANTAC DOES NOT HAVE TO BE GIVEN WITH MEALS
WHEN DO U GIVE CAPOTEN? GIVE ON EMPTY STOMACH, ONE HOUR BEFORE MEALS (ANTIHYPERTENSIVE)
WHEN DO U GIVE APRESOLINE? GIVEN WITH MEALS (ANTI-HYPERTENSIVE)
WHEN DO U GIVE IRON WITH NAUSEA? GIVE WITH MEALS
WHEN DO U GIVE SULFONAMIDES? TAKE WITH LOTS OF WATER REGARDLESS OF WHETHER U GIVE IT AT MEALTIME OR NOT---BACTRIM, SEPTRA, GANTRICIN, EX. USED TO TREAT UTI
WHEN DO U GIVE CODEINE? TAKE WITH LOTS OF WATER REGARDLESS OF MEALS--TO PREVENT CONSTIPATION
WHEN DO U GIVE ANTACIDS? GIVE ON AN EMPTY STOMACH 1 HR AC AND HS
WHEN DO U GIVE IPECAC? GIVE WITH 200-300 CC WATER--NOT RELATED TO MEALTIME--THIS IS AN EMETIC ( TO MAKE U VOMIT AFTER INJESTION OF POISONS--DONT GIVE IF THE POISONS WERE CAUSTIC, OR PETROLEUM BASED)
WHEN DO U RIFAMPIN? GIVE ON EMPTY STOMACH (ANTI TUBERCULOSIS) REMEMBER RIFAMPIN CAUSES RED URINE
WHEN DO U GIVE A NON-STEROID ANTI-INFLAMMATORY DRUGS? GIVE WITH FOOD (FOR ARTHRITIS)
WHEN DO U GIVE ALDACTONE? GIVE WITH MEALS (K - SPARING DIURETICS)
WHEN DO U GIVE IRON WITHOUT NAUSEA? GIVE ON EMPTY STOMACH WITH ORANGE JUICE TO INCREASE ABSORPTION
WHEN DO U GIVE PENECILLIN? GIVE ON EMPTY STOMACH
WHEN DO U GIVE ERTHROMYCIN? GIVE ON EMPTY STOMACH (ANTIBIOTIC)
WHEN DO U GIVE STOOL SOFTENERS? TAKE WITH LOTS OF WATER REGARDLESS OF MEALTIME
WHEN DO U GIVE GRISEOFULVIN? GIVE WITH MEALS--ESPECIALLY HIGH FAT MEALS (ANTI-FUNGAL)
WHEN DO U GIVE TETRACYCLINE? DO NOT GIVE WITH MILK PRODUCTS, DO NOT GIVE TO PREGNANT WOMEN OR CHILDREN BEFORE AGE 8 OR DAMAGE TO TOOTH ENAMEL OCCURS
WHEN DO U GIVE THEOPHYLLINE DERIVATIVE? GIVE WITH MEALS, EX. AMINOPHYLLINE, THEODUR---(ANTI-ASTHMATIC, BRONCHODILATOR)
WHEN DO U GIVE STEROIDS? GIVE WITH MEALS---REMEMBER TAPER THE PATIENT OFF THESE DRUGS
WHEN DO U GIVE PANCREASE PANCREATIN ISOZYME? GIVE WITH MEALS---THESE ARE ORAL ENZYMES USED WITH CHILDREN WITH CYSTIC FIBROSIS TO INCREASE THE ABSORPTION OF THE FOOD THEY EAT
WHEN DO U GIVE PARA-AMINO SALICYLATE SODIUM (PAS)? GIVE WITH MEALS/FOOD----ANTI TUBERCULOSIS
WHEN DO U GIVE COLCHICINE? GIVE WITH MEALS----ANTI-GOUT, REMEMBER IF DIARRHEA DEVELOPS, STOP THE DRUG
WHEN DO U GIVE THORAZINE? TAKE WITH LOTS OF WATER REGARDLESS OF MEALS TO PREVENT CONSTIPATION. ALL DRUGS THAT END IN -ZINE ARE MAJOR TRANQUILIZERS THAT ALSO CAUSE PSUEDO PARKINSON'S OR EXTRA-PYRAMIDAL EFFECTS
WHEN DO U GIVE CARAFATE AND SULCRAFATE? GIVE ON EMPTY STOMACH 1 HR BEFORE MEALS AND AT BETIME----REMEMBER THESE COAT THE GI TRACT AND INTERFERE WITH THE ABSORPTION OF OTHER MEDICATIONS (GIVE THEM BY THEMSELVES)
WHEN DO U GIVE ALLOPURINOL? GIVE WITH MEALS AND GIVE WITH LOTS OF WATER---ANTI0URIC ACID----USED TO TREAT GOUT AND THE PURINE BUILD UP SEEN IN CHEMOTHERAPY FOR CANCER
DEFINE MENIERE'S DISEASE. AN INCREASE IN ENDOLYMPH IN THE INNER EAR, CAUSING SEVERE VERTIGO
WHAT IS THE FAMOUS TRIAD OF SYMPTOMS IN MENIERE'S? PAROXYSMAL WHIRLING VERTIGO---SENSORINEURAL HEARING LOSS---TINNITUS (RINGING IN THE EARS)
DOES MENIERE'S OCCUR MORE IN MEN OR WOMEN? WOMEN
WHAT SHOULD THE CLIENT DO IF THEY GET AN ATTACK? BED REST
WHAT SAFETY MEASURES SHOULD BE FOLLOWED WITH MENIERE'S? SIDE RAILS UP X4, AMBULATE ONLY WITH ASSISTANCE
WHAT AGE GROUP IN MENIERE'S HIGHEST IN? 40-60
WHAT CAN PREVENT THE ATTACKS OF MENIERE'S? AVOID SUDDEN MOVEMENTS
WHAT ELECTROLYTE IS GIVEN TO PEOPLE WITH MENIERE'S? AMMONIUM CHLORIDE
WHAT IS THE SURGERY DONE FOR MENIERE'S? LABYRINTHECTOMY
WHAT DISEASE OFTEN FOLLOWS LABYRINTHECTOMY? BELL'S PALSY----FACIAL PARALYSIS, WILL GO AWAY IN A FEW MONTHS
WHAT IS THE ACTIVITY ORDER AFTER LABYRINTHECTOMY? BED REST
WHEN SURGERY IS PERFORMED FOR MENIERE'S WHAT ARE THE CONSEQUENCES? HEARING IS TOTALLLY LOST IN THE SURGICAL EAR
WHAT SHOULD THE CLIENT AVOID AFTER AFTER THE LAYRINTHECTOMY? SUDDEN MOVEMENTS AND INCREASED NA FOODS
WHAT TYPE OF DIET IS THE CLIENT WITH MENIERE'S ON? LOW SALT
WHAT TWO CLASSES OF DRUGS ARE GIVEN IN MENIERE'S? ANTIHISTAMINES AND DIURETICS (DIAMOX)
MENINGITIS IS AN INFLAMMATION OF THE ________ OF THE __________ AND SPINAL __________. LININGS, BRAIN, CORD
MENINGITIS CAN BE CAUSED BY _______, _______, AND ________. VIRUSES, BACTERIA, CHEMICALS
THE FOUR MOST COMMON ORGANISMS THAT CAUSE MENINGITIS ARE.... PNEUMOCOCCUS,MENINGOCOCCUS, STREPTOCOCCUS, H. INFLUENZA
THE CHILD WITH MENINGITIS IS MOST LIKELY TO BE (LETHARGIC/IRRITABLE) AT FIRST. IRRITABLE
WHAT VISUAL SYMPTOM WILL THE PATIENT WITH MENINGITIS HAVE? PHOTOPHOBIA (OVER-SENSITIVITY TO LIGHT)
WHAT IS THE MOST COMMON MUSCULO-SKELETAL SYMPTOM OF MENINGITIS? STIFF NECK---NUCHAL RIGIDITY
WILL THE PT WITH MENINGITIS HAVE A HEADACHE? YES
KERNIG'S SIGN IS POSITIVE WHEN THERE IS PAIN IN THE _______ WHEN ATTEMTING TO STRAIGHTEN THE LEG WITH THE ________ FLEXED. KNEE, HIP
WHAT TYPE OF VOMITING IS PRESENT IN MENINGITIS? PROJECTILE
WHAT IS THE DEFINITIVE DIANOSTIC TEST FOR MENINGITIS? LUMBAR PUNCTURE WITH CULTURE OF CSF
IF THE PT HAS MENINGITIS, THE CSF SHOWS _____ PRESSURE, ______WBC, ________ PROTEIN, _______ GLUCOSE. INCREASED, INCREASED, INCREASED, DECREASED
ON WHAT TYPE OF ISOLATION WILL THE PATIENT WITH MENINGITIS BE? CONTACT AND RESPIRATORY PRECAUTIONS
HOW LONG WILL TH PT WITH MENINGITIS BE ON THESE PRECAUTIONS? UNTIL THEY HAVE BEEN ON AN ANTIBIOTIC FOR 48 HRS
THE ROOM OF A PT WITH MENINGITIS SHOULD BE ______ AND ______. DARK AND QUIET
THE CLIENT WITH MENINGITIS CAN DEVELOP _______. SEIZURES
WHAT IS OPISTHOTONOS? ARCHING OF BACK (ENTIRE BODY) FROM HYPEREXTENSION OF THE NECK AND ANKLES, DUE TO SEVERE MENINGEAL IRRITATION
IF A PT HAS OPISTHOTONOS, IN WHAT POSITION WOULD U PLACE THEM? SIDE-LYING
AVERAGE DURATION OF MENSTRUAL FLOW IS ________. THE NORMAL RANGE IS ______ TO ______ DAYS. 5 DAYS, 3-6
AVERAGE BLOOD LOSS DURING MENSTRUATION IS _______CC. 50 - 60 CC
NAME THE TWO PHRASES OF OVARIAN CYCLE. FOLLICULAR PHRASE ( FIRST 14 DAYS), LUTEAL PHASE (SECOND 14 DAYS)
IN THE MENSTRUAL CYCLE, DAY 1 IS THE DAY ON WHICH..... MENSTRUAL DISCHARGE BEGINS
HOW LONG DOES AN OVARIAN CYCLE LAST? AVERAGE OF 28 DAYS
HOW MANY DAYS AFTER OVULATION DOES MENSTRUATION BEGIN? 14 DAYS
WHAT HORMONES ARE ACTIVE DURING THE FOLLICULAR PHASE? FSH AND ESTROGEN
DURING THE LUTEAL PHASE OF OVARIAN CYCLE WHICH OF THE FOLLOWING HORMONES INCREASE: ESTROGEN, PROGESTERONE, OR LH? PROGESTERONE AND LH
WHAT IS THE MAJOR FUNCTION OF THE LUTEAL PHASE OF THE OVARIAN CYCLE? TO DEVELOP AND MAINTAIN THE CORPUS LUTEUM WHICH PRODUCES PROGESTERONE TO MAINTAIN PREGNANCY UNTIL PLACENTA IS ESTABLISHED
IF AN OVUM IS FERTILIZED DURING THE LUTEAL PHASE OF THE OVARIAN CYCLE. HCG(HUMAN CHORIONIC GONADOTROPIN)
DURING MENSTRUATION, THE AVERAGE DAILY LOSS OF IRON IS _______ MG. 0.5 - TO 1.0
WHAT OCCURS DURING THE FOLLICULAR PHASE OF THE OVARIAN CYCLE? IT ACCOMPLISHES MATURATION OF THE GRAAFIAN FOLLICLE WHICH RESULTS IN OVULATION
WHAT TYPE OF ENVIRONMENTAL MODIFICATION IS BEST FOR A MIGRAINE? ASSESSING THINGS THAT BRING ON STRESS AND THEN PLANNING TO AVOID THEM
WHAT TYPE OF PAIN IS TYPICAL OF MIGRAINES? THROBBING
ARE MIGRAINES MORE OR LESS COMMON IN MEN? LESS
BESIDES PAIN, PEOPLE WITH MIGRAINES COMPLAIN OF WHAT OTHER SYMPTOMS? NAUSEA AND VOMITING, AND VISUAL DISTURBANCES
WHAT ARE THE PROCESSES OCCURRING IN MIGRAINES? REFLEX CONTSTRICTION THEN DILATION OF CEREBRAL ARTERIES
WHERE IS THE PAIN OF MIGRAINE MOST LIKELY LOCATED? TEMPORAL, SUPRAORBITAL
NAME A DRUG GIVEN TO TREAT MIGRAINE. SANSERT (METHSERGIDE), CAFERGOT(PROPPHLAXIS: IMIPRAMINE)
ARE MIGRAINE HEADACHES USUALLY UNILATERAL OR BILATERAL? UNILATERAL
WHEN INDERAL IS GIVEN IN MIGRAINE HEADACHE, IS IT USED TO PREVENT OR TREAT AN ATTACK? TO PREVENT, IT DOES NOT TREAT
MS (MULITPLE SCLEROSIS) IS A PROGRESSIVE ________ DISEASE OF THE CNS. DEMYELINATING
MYELIN PROMOTES _______, ______ _______ OF NERVE IMPULSES. FAST, SMOOTH CONDUCTION
WITH DEMYELINATION THE NERVE IMPULSES BECOME _________ AND _______. SLOW, UNCOORDINATED
MS AFFECTS MEN MORE THAN WOMEN. (T/F) FALSE
WHAT AGE GROUP USUALLY GETS MS? 20 - 40
MS USUALLY OCCURS IN (HOT/COOL) CLIMATES. COOL
WHAT IS THE FIRST SIGN OF MS? BLURRED OR DOUBLE VISION
MS CAN LEAD TO URINARY INCONTINENCE. (T/F) TRUE
MS CAN LEAD TO IMPOTENCE IN MALES. (T/F) TRUE
PATIENTS WITH MS SHOULD BE TAUGHT TO WALK WITH A ___________ - __________ GAIT. WIDE-BASED
WHY ARE ADRENOCORTICOTROPIC HORMONE (ACTH) AND PREDNISONE GIVEN DURING ACUTE MS? TO DECREASE EDEMA IN THE DEMYELINATION PROCESS
FOR ACUTE EXACERBATIONS OF MS __________ PER IV IS OFTEN USED. ACTH(CORTICOTROPIN)
WHAT DRUG CAN BE GIVEN TO TREAT URINARY RETENTION IN MS? URECHOLINE, BETHANOCOL
WILL THE MUSCLES OF MS CLIENTS BE SPASTIC OR FLACCID. SPASTIC
WHAT 3 DRUGS CAN BE GIVEN FOR MUSCLE SPASMS? CALIUM, BACLOFEN(LIORESAL), DANTRIUM
PATIENTS WITH MS SHOULD HAVE (INCREASED/RESTRICTED) FLUIDS. INCREASED TO DILUTE URINE AND REDUCE INCIDENCE OF UTI
BACLOFEN CAUSES (CONSTIPATION/DIARRHEA). CONSTIPATION
DANTRIUM CAUSES (CONSTIPATION/DIARRHEA)/ DIARRHEA (HINT: THE D'S GO TOGETHER, DANTRIUM AND DIARRHEA)
THE DIET OF A PT WITH MS SHOULD BE _____-ASH. ACID
WHAT MAJOR SENSE IS AFFECTED MOST IN MS (BESIDES VISION)? TACTILE(TOUCH)---THEY BURN THEMSELVES EASILY
WHICH WILL BRING ON A MS EXACERBATION: OVER-HEATING OR CHILLING? BOTH WILL; BUT THEY TEND TO DO BETTER IN COOL WEATHER (SUMMER WILL ALWAYS BE A BAD TIME FOR MS PATIENTS)
IN MYASTHENIA GRAVIS (MG) THERE IS A DISTURBANCE IN TRANSMISSION OF IMPULSES AT THE ________ _______. NEUROMUSCULAR JUNCTION
THE #1 SIGN OF MG IS ________ _______ ________. SEVERE MUSCLE WEAKNESS
WHAT IS THE UNIQUE ADJECTIVE GIVEN TO DESCRIBE THE EARLY SIGN OF MG? THE EARLY SIGNS(DIFFICULTY SWALLOWING, VISUAL PROBLEMS) ARE REFERRED TO AS BULBAR SIGNS.
MG AFFECTS MEN MORE THAN WOMEN. (T/F) FALSE, AFFECTS WOMEN MORE THAN MEN
WHEN WOMEN GET MG THEY ARE USUALLY OLD OR YOUNG? YOUNG
WHEN MEN GET MG THEY ARE USUALLY OLD OR YOUNG? OLD
WHAT NEUROTRANSMITTER IS PROBLEMATIC IN MG? ACETYLCHOLINE
WHAT CLASS OF DRUG IS USED TO TREAT MG? ANTICHOLINESTERASES
WHAT ENDING DO ANTICHOLINESTERASES HAVE? -STIGMINE
ARE ANTICHOLINESTERASES SYMPATHETIC OR PARASYMPATHETIC? PARASYMPATHETIC
ANTICHOLINESTERASES WILL HAVE (SYMPATHETIC/CHOLINERGIC)SIDE EFFECTS. CHOLINERGIC (THEY WILL MIMIC THE PARASYMPATHETIC NERVOUS SYSTEM)
WHAT SURGERY CAN BE DONE FOR MG? THYMECTOMY (REMOVAL OF THE THYMUS)
THE SEVERE MUSCLE WEAKNESS OF MG GETS BETTER WITH EXERCISE. (T/F) FALSE, IT IS WORSE WITH ACTIVITY
WHAT WILL THE FACIAL APPEARANCE OF A PT WITH MG LOOK LIKE? MASK-LIKE WITH A SNARLING SMILE(CALLED A MYSATHENIC SMILE)
IF A PT HAS MG, WHAT WILL BE THE RESULTS OF THE TENSILON TEST? THE WILL SHOW A DRAMATIC SUDDEN INCREASE IN MUSCLE STRENGTH
BESIDES THE TENISLON TEST, WHAT OTHER DIAGNOSTIC TESTS CONFIRM A DIAGNOSIS OF MG? ELECTROMYLOGRAM(EMG)
WHAT IS THE MOST IMPORTANT THING TO REMEMBER ABOUT GIVING MESTINON AND OTHER ANTICHOLINESTERASES? THEY MUST BE GIVEN EXACTLY ON TIME; AT HOME, THEY MIGHT NEED TO SET THEIR ALARM
DO U GIVE ANTICHOLINESTERASES WITH OR WITHOUT FOOD? WITH FOOD, ABOUT 1/2 HOUR AC; GIVING AC HELPS STRENGTHEN MUSCLES OF SWALLOWING
WHAT TYPE OF DIET SHOULD THE PT WITH MG BE ON? SOFT
WHAT EQUIPMENT SHOULD BE AT THE BEDSIDE OF AN MG PT? SUCTION APPARATUS (FOR MEALS), TRACHEOSTOMY/ENDOTUBE(FOR VENTILATION)
NAME TWO TYPES OF CRISIS THAT A MG PT CAN HAVE? CHOLINERGIC (TOO MUCH MESTINON)
THE #1 DANGER IN BOTH MYASTHENIC AND CHOLINERGIC CRISIS IS _______ _______. RESPIRATORY ARREST
WHAT WORDS WILL THE CLIENT USE TO DESCRIBE THE PAIN OF AN MI? CRUSHING, HEAVY, SQUEEZIN, RADIATING TO LEFT ARM, NECK, JAW, SHOULDER
WHAT IS AN MI? EITHER A CLOT, SPASM OR PLAQUE THAT BLOCKS THE CORONARY ARTERIES CAUSING LOSS OF BLOOD SUPPLY TO THE HEART AND MYOCARDIAL CELL DEATH
WHAT IS THE #1 SYMPTOM OF AN MI? SEVERE CLIENT PAIN UNRELIEVED BY REST AND NITROGLYCERINE
MALES ARE MORE LIKELY TO GET AN MI THAN FEMALES. (T/F) TRUE
DEATH DUE TO MI OCCURS WITHIN _______ OF SYMPTOM ONSET IN 50% OF ALL PTS. ONE HOUR
WHAT PAIN MED IS GIVEN FOR THE PAIN OF AN MI? MORPHINE, DEMEROL, NITROGLYCERINE
WHAT IS THE REASON FOR GIVING POST MI PTS ASA? TO PREVENT PLATELETS FROM FORMING CLOTS IN THE CORONARY ARTERIS
NAME A NEW DRUG WITH ANTI-PLATELET ACTIVITY. PLAVIX
THE 3 MOST COMMON COMPLICATIONS AFTER MI ARE ______ _______, _______ AND ________. CARDIOGENIC SHOCK, ARRHYTHMIA, CHF
GIVE ANOTHER NAME FOR MI. HEART ATTACK
WHAT WILL THE ACTIVITY ORDER BE FOR A POST-MI CLIENT? BED REST WITH BEDSIDE COMMODE
WHAT IS THE MOST COMMON ARRHTHMIA AFTER A MI? PREMATURE VENTRICULAR CONTRACTIONS (PVC'S)
WHAT CARDIAC ENZYMES INDICATE AN MI? ELEVATED CPK, LDH, SGOT
WHAT SERUM PROTEIN RISES SOONEST AFTER MYOCARDIAL CELL INJURY? TROPONIN
DO PEOPLE WITHOUT CELL DAMAGE HAVE TROPONIN IN THEIR BLOOD? NO, IT IS ONLY PRESENT WHEN MYOCARDIAL CELLS ARE DAMAGED
HOW SOON AFTER CELL DAMAGE DOES TROPONIN INCREASE? AS SOON AS 3 HRS (CAN REMAIN ELEVATED FOR 7 DAYS)
WHEN WILL THE CLIENT WITH AN MI BE ALLOWED TO ENGAGE IN SEXUAL INTERCOURSE AFTER AN MI? 6 WKS AFTER DISCHARGE
WILL FLUID RESUSCITATION (ADMINISTERING LARGE AMOUNTS OF IV FLUID) TREAT CARDIOGENIC SHOCK? NO, U MUST USE THE CARDIAC DRUGS (GIVING IV'S AND BLOOD WILL NOT HELP THIS KIND OF SHOCK)
WILL THE CLIENT WITH A MI BE NAUSEATED? DIAPHORETIC? YES, YES
WHAT WILL THE EXTREMITIES OF THE CLIENT WITH A MI FEEL LIKE? COLD, CLAMMY
WHAT IS THE PERMANENT EKG CHANGE SEE POST MI? ST WAVE CHANGES
OF CPK AND LDH WHICH RISES EARLIEST? CPK
WHAT DRUG WILL BE USED TO TREAT PVC'S OF MI? LIDOCAINE
WILL THE CLIENT WITH A MI NEED 100% O2 FOR THEIR ENTIRE STAY IN THE HOSPITAL? NO, JUST MODERATE FLOW (42% OR 3 - 5 LITERS FOR FIRST 48 HRS)
VEGETABLES HISGHEST IN Na+ ARE _______. CANNED VEGETABLES
THE FRUIT FOOD THAT IS THE HIGHEST IN Na+ IS _______. TOMATO SAUCE
AS A RULE, FRESH MEATS ARE ______ IN Na+. LOW
AS A RULE, CANNED MEATS ARE ______ IN Na+. VERY HIGH
AS A RULE, SMOKED FOODS ARE _____ IN Na+. VERY HIGH
AS A RULE, FRUITS ARE ______ IN Na+. LOW
AS A RULE, VEGETABLES ARE ______ IN Na+. LOW
AS A RULE, WHICH ARE HIGHER IN SODIUM....VEGETABLES OR FRUITS? VEGETABLES
AS A RULE, WHICH ARE HIGHER IN SUGARS... VEGETABLES OR FRUITS? FRUITS
AS A RULE, BREADS/CEREALS ARE ______ IN Na+. MODERATELY HIGH
AS A RULE, PROCESSED MEATS AND CHEESES ARE _______ IN Na+. VERY HIGH
MARGARINE IS MUCH LOWER IN Na+ THAN BUTTER. (T/F) FALSE IT IS THE SAME
SALT SUBSTITUES CONTAIN POTASSIUM. (T/F) TRUE, SO BEWARE
AN NG(NASOGASTRIC) TUBE IS INSERTED INTO THE ______ VIA THE ______. STOMACH, NARES
U CAN FEED A CLIENT THROUGH A NG TUBE. (T/F) TRUE
WHEN AN NG TUBE IS BEING USED FOR DECOMPRESSION WHAT IS HAPPENING? THE STOMACH IS BEING EMPTIED OF ITS CONTENTS BY SUCTION
NG TUBES ARE USED TO PUMP THE STOMACH OF DRUG OVERDOSE CLIENTS. (T/F) TRUE
WHAT DOES GAVAGE MEAN? FEED A CLIENT WITH A TUBE
WHAT DOES LAVAGE MEAN? TO CONTINOUSLY IRRIGATE THE STOMACH VIA A NG
WHEN AN NG TUBE IS USED TO STOP GASTRIC HEMORRHAGE, IT IS IRRIGATED WITH _______ ______. ICED TAP WATER
HOW LONG DO U IRRIGATE AN NG WITH ICED TAP WATER WHEN THE STOMACH IS BLEEDING? UNTIL THE IRRIGATING SOLUTION COMES BACK OUT CLEAR
WHAT IS THE MAXIMUM SUCTION LEVEL USED TO DECOMPRESS THE GI TRACT VIA NG? 25 mmHg
WHY ARE SALEM SUMP TUBES BEST SUITED FOR SAFE GASTRIC SUCTIONING? BECAUSE THEY HAVE VENTS THAT PREVENT DAMAGE TO THE GASTRIC MUCOSA
WHEN A NG TUBE IS IN FOR A LONG TIME IT MUST BE REPLACED EVERY _____ TO ______ WEEKS. 2 - 3 WEEEKS
PEOPLE WITH A NG TUBE WILL BREATHE THROUGH THEIR ______. MOUTH (MOUTH CARE IS IMPORTANT)
THE BEST WAY THAT THE NURSE CAN CHECK IF THE NG IS IN THE STOMACH IS..... TO ASPIRATE GASTRIC CONTENTS, AUSCULTATING THE GASTRIC AIR BUBBLE IS THE SECOND BEST WAY.
BEFORE U PUT ANYTHING DOWN THE NG U MUST DO WHAT? U MUST CHECK TO SEE IF THE NG PLACEMENT IS IN THE STOMACH
IN WHAT POSITION SHOULD THE CLIENT BE WHEN A NG IS BEING INSERTED? SITTING UP WITH HEAD SLIGHTLY EXTENDED UNTIL THE TUBE REACHES THE BACK OF THE THROAT THEN HAVE THEM MILDLY FLEX THE NECK TO PUSH THE TUBE IN ALL THE WAY
HOW DO U DETERMINE HOW FAR TO PUT A NG TUBE IN? MEASURE FROM THE TIP OF THE NOSE TO THE BACK OF THE EAR THEN TO THE XIPHOID PROCESS
IN WHAT POSITION SHOULD THE CLIENT BE DURING A CONTINOUS NG TUBE FEEDING? HEAD OF BED MUST BE ELEVATED 30 DEGRESS (SEMI-FOWLERS WOULD BE ACCEPTABLE)
IS NEPHROTIC SYNDROME A DISEASE? NO, IT IS NOT SPECIFIC DISEASE, IT IS A FROUP OF SYMPTOMS THAT CAN RESULT FROM MANY DISEASES
IS THERE ANY HEMATURIA IN NEPHROSIS? NO, THERE IS NO HEMATURIA IN THE -OSES, BUT THERE IS HEMATURIA IN THE ITIS'S.
WHAT ARE THE DIETARY MODIFICATIONS FOR NEPHROSIS? HIGH CARBOHYDRATES, MODERATE PROTEIN, LOW SODIUM
WHAT IS THE #1 NURSING DIAGNOSIS IN NEPHROSIS? GENERALIZED SEVERE EDEMA
WHAT 2 CLASSES OF DRUGS ARE GIVEN FOR NEPHROSIS? STEROIDS, DIURETICS
IS BED REST COMMON IN TREATING NEPHROSIS? IT IS OCCASIONALLY DONE, BUT NMOT NEARLY AS COMMON AS IN ACUTE GLOMERULO-NEPHRITIS, IT USUALLY IS MOST APPROPRIATE WHEN EDEMA IS SEVERE.
IN NEPHROTIC SYNDROME, THE BLOOD PRESSURE WIL BE MOST LIKELY (HYPERTENSIVE/HYPOTENSIVE)? HYPERTENSIVE: REMEMBER IN ACUTE GLOMERULONEPHRITIS, THE BLOOD PRESSURE IS HYPERTENSIVE AS WELL
IN NEPHROTIC SYNDROME, THE URINE IS (FROTHY/VERY DARK OR TEA-COLORED)? FROTHY: REMEMBER IN AGN, IT IS TEA-COLORED
IS SCROTAL EDEMA COMMON IN NEPHROSIS? YES
WHAT IS DONE FOR SCROTAL EDEMA? ELEVATE THE SCROTUM ON A SCROTAL SLING AND APPLY ICE
NAME THE 3 SUB SCALES IN THE GLASGOW COMA SCALE (GCS). BEST EYE OPENING (E), BEST VERBAL RESPONSE (V), AND BEST MOTOR RESPONSE(M)
WHAT IS THE MAXIMUM SCORE ON THE GCS? 15
WHAT IS THE MINIMUM SCORE ON THE GCS? 3
A SCORE EQUAL TO OR BELOW _______ ON THE GCS IS CONSIDERED COMA. 7
PUPILLARY REACTION TESTS CRANIAL NERVE #____. 3
A RESPIRATRORY PATTERN IN WHICH THERE IS ALTERNATIN BETWEEN APNEA AND HYPERVENTILATION IS KNOWN AS ...... CHEYENNE-STOKES
A VALUE OF 20/80 ON CISUAL ACUITY MEANS THAT THE PATIENT CAN SEE AT ________ FEET WHAT NORMAL PEOPLE SEE AT _____ FEET. 20, 80
BABINSKI'S REFLEX IS TESTED BY STROKING THE _______. BOTTOM LATERAL SURFACES OF THE FOOT
IT IS ALWAYS PATHOLOGIC IF A BABINSKI IS NEGATIVE. (T/F) FALSE, NON-WALKING INFANTS NORMALLY HAVE A POSITIVE BABINSKI, WALKIN INFANTS, TODDLERS AND ALL OTHER PEOPLE SHOULD NORMALLY HAVE A NEGATIVE BABINSKI
WHEN A BABINSKI IS POSITIVE THE _____ _____ _____ FLEXES AND THE OTHER ______ FAN OUT. GREAT TOE DORSIFLEXES, TOES
IN DECORTICATE POSTURING, THE LEGS ARE _____ AND THE NECK AND ARMS ARE _____ AND _____ ROTATED. EXTENDED, FLEXED, INTERNALLY
IN DECEBERATE POSTURING, THE LEGS ARE ______ AND THE ARMS, NECK AND BACK ARE ______. EXTENDED, EXTENDED(PRONATED)
A SCORE OF 4 FOR A REFLEX MEANS THAT IT IS __________. HYPERACTIVE
CEREBELLAR FUNCTION IS EVALUATED BY TESTING FOR _______, ______, ______, _____. POSTURE, GAIT, BALANCE, COORDINATION (EX. ROMBERGS SIGN)
DEFINE ASSAULT. A THREAT OR AN ATTEMPT TO MAKE BODILY CONTACT WITH ANOTHER PERSON WITHOUT THAT PERSON CONSENT
DEFINE BATTERY. AN ASSAULT THAT IS CARRIED OUT
DEFINE COMMON LAW. LAW RESULTING FROM COURT DECISION THAT IS THEN FOLLOWED WHEN OTHER CASES INVOLVING SIMILAR CIRCUMSTANCES ARISE
DEFINE MALPRACTICE. AN ACT OF NEGLIGENCE---COMMONLY USED WHEN SPEAKING OF NEGLIGENT ACTS COMMITTED BY A PERSON WORKING IN A CERTAIN PROFESSION, SUCH AS MEDICINE OR NURSING
DEFINE ETHICS. A SYSTEM THAT DEFINES ACTIONS WITH RESPECT TO THEIR BEING JUDGED RIGHT OR WRONG
DEFINE FALSE IMPRISONMENT. UNJUSTIFIABLE RESTRAINT OR PREVENTION OF THE MOVEMENT OR A PERSON WITHOUT PROPER CONSENT
DEFINE MISDEMEANOR. A WRONG OF LESS SERIOUSNESS THAN A FELONY
DEFINE GOOD SAMARITAN LAW. LAW THAT GIVES CERTAIN PERSONS LEGAL PROTECTION WHEN GIVING AID TO SOMEONE IN AN EMERGENCY
DEFINE FELONY. A WRONG OF SERIOUS NATURE
DEFINE NEGLIGENCE. PERFORMING AN ACT THAT A REASONABLE AND COMPARABLE PERSON UNDER SIMILAR CIRCUMSTANCES WOULD NOT DO, OR FAILING TO PERFORM AN ACT THAT A REASONABLE AND COMPARABLE PERSON UNDER SIMILAR CIRCUMSTANCES WOULD DO
DEFINE INVASION OF PRIVACY. A WRONGFUL ACT THAT VIOLATES THE RIGHT OF A PERSON TO LET ALONE
DEFINE LIABLE. BEING ACCOUNTABLE, RESPONSIBLE , OR ANSWERABLE FOR AN ACT
DEFINE LIBEL. A WRITTEN UNTRUTHFUL STATEMENT ABOUT A PERSON THAT SUBJECTS HIM/HER TO RIDICULE OR CONTEMPT
DEFINE SLANDER. A SPOKEN UNTRUTHFUL STATEMENT ABOUT A PERSON THAT SUBJECTS HIM/HER TO RIDICULE OR CONTEMPT
HOW COULD A NURSE BE CONVICTED OF ASSAULT? IF THE CLIENT PERCEIVES THAT THE NURSE INTENDS TO DO A PROCEDURE WITHOUT CONSENT OR JUSTIFICATION
HOW COULD A NURSE BE CONVICTED OF BATTERY? IF THE NURSE WILLFULLY TOUCHED A CLIENT IN ANY MANNER THAT IS WRONG IN SOME WAY
CLIENTS HAVE A RIGHT TO REFUSE NURSING INTERVENTIONS. (T/F) TRUE
UF A NURSE USES RESTRAINTS TO KEEP A CLIENT, WHO IS A DANGER TO HIMSELF IN BED, THE NURSE IS LIKELY TO BE CONVICTED OF FALSE IMPRISONMENT. (T/F) FALSE, U CAN DETAIN/RESTRAIN A PERSON AGAINST THEIR WILL IF THEY ARE: 1. A THREAT TO SELF; 2. A THREAT TO OTHERS
IN ORDER TO LEGALLY SIGN AS A WITNESS TO INFORMED CONSENT, THE NURSE MUST HAVE BEEN PRESENT WHEN THE PHYSCIAN AND CLIENT DISCUSSED THE PROCEDURE. (T/F) FALSE. U ARE ONLY WITNESSING THAT THE PT WAS THE ONE WHO SIGNED THE CONSENT
IT IS NOT NECESSARY FOR THE NURSE TO DETERMINE IF THE CLIENT UNDERSTANDS WHAT THE PHYSICIAN SAID IN ORDER TO WITNESS AN INFORMED CONSENT. TRUE, U ARE ONLY WITNESSING A SIGNATURE
CAN A PT LEGALLY SIGN AN INFORMED CONSENT AFTER THEY HAVE RECEIVED THE PREMEDICATION ANALGESIC FOR A PROCEDURE? NO, THE PT WOULD BE CONSIDERED TO BE UNDER THE INFLUENCE OF A MIND-ALTERING DRUG. THE SONSENT WOULD BE INVALID
NAME 3 GROUPS OF PEOPLE WHO CANNOT GIVE LEGAL CONSENT. MINOR, UNCONSCIOUS CLIENT (EVEN UNDER INFLUENCE OF CNS DRUGS), MENTALLY ILL
IN AN EMERGENCY SITUATION, WHEN CLIENT AND FAMILY CANNOT GIVE CONSENT, CONSENT IS ASSUMED AND TREATMENT PROCEEDS. (T/F) TRUE
THE LEGALITY OF NO CODE OR CLOW CODE ORDERS IS WELL-ESTABLISHED IN THE COURTS. (T/F) FALSE--NO DIFINITIVE POLICY IN THE COURTS EXISTS AT THIS TIME--DEALT WITH ON A CASE-BY-CASE BASIS
ANZIETY-PRODUCING THOUGHTS ARE CALLED______. OBSESSIONS
REPETITIVE ACTIONS DESIGNED TO REDUCE ANXIETY ARE CALLED ________. COMPULSIONS---SUCH AS WASHING HANDS OVER AND OVER, DUSTING FURNITURE 3 HOURS PERDAY, REFUSING TO TURN UR BACK TO ANYONE
WHICH DEFENSE MECHANISM IS MOST CLOSELY ASSOCIATED WITH OBSESSIVE-COMPULSIVE DISORDER? DISPLACEMENT
SHOULD U ALLOW AN OBSESSIVE-COMPULSIVE PERSON TO PERFORM THEIR COMPULSIVE BEHAVIOR? YES, GIVE THEM TIME TO DO THEIR RITUAL AND TRY TO SET A TIME LIMIT AND REDIRECT
SHOULD U EVER MAKE AN OBSESSIVE-COMPULSIVE PERSON STOP THEIR COMPULSIVE BEHAVIOR? NO, THEY WILL BECOME VERY ANXIOUS
IS THE PATIENT WITH OBSESSIVE-COMPULSIVE DISORDER NEUROTIC OR PSYCHOTIC? NEUROTIC---THEY KNOW REALITY
SHOULD U CONFRONT THE OBSESSIVE---COMPULSIVE PT WITH THE ABSURDITY OF THEIR BEHAVIOR? NO, JUST SAY THINGS LIKE YOU WASHED UR HANDS FOR SO LONG U MUST HAVE BEEN VERY ANXIOUS
WHAT SHOULD U DO IF AN OBSESSIVE-COMPULSIVE PT IS ALWAYS LATE DUE TO THEIR RITUALS? GET THEM STARTED EARLIER--FOR EX. IF THEY WASH THEIR HANDS FOR 1/2 HR BEFORE MEALS AND ARE ALWAYS LATE FOR BREAKFAST, JUST GET THEM STARTED 1/2 HR EARLIER
WHAT ARE THE 2 TYPES OF ORAL CONTRACEPTIVES? PROGESTIN ONLY AND COMBINATION PROGESTERONE AND ESTROGEN
HOW MANY DAYS OF THE MENSTRAUL CYCLE DO U TAKE THE PROGESTIN ONLY PILL? ALL 28 DAYS
HOW MANY DAYS OF THE MENSTRUAL CYCLE DO U TAKE THE COMBINATION PILL? U TAKE IT ON DAYS 5-24, BUT NOT ON DAYS 24-28 AND 1-4(8 DAYS OFF)
HOW LONG BEFORE SURGERY MUST U DISCONTINUE ORAL CONTRACEPTIVES? ONE WEEK BEFORE SURGERY
IF A WOMAN FORGETS TOT AKE THJE PILL ONE DAY, WHAT SHOULD SHE DO? TAKE IT AS SOON AS SHE REMEMBERS IT, AND TAKE NEXT PILL AT REGULAR TIME
WHAT IF A WOMAN FORGETS TO TAKE THE PILL FOR TWO DAYS IN A ROW? WHAT SHOULD SHE DO? TAKE 2 PILLS A DAY FOR TWO DAYS IN A ROW AND THEN RESUME NORMAL SCHEDULE
WHAT SHOULD A WOMAN DO IF SHE FORGETS TO TAKE HER PILL 3 DAYS OR MORE? THROW AWAY PACK AND START NEW PACK SAME DAY---USE BACK UP CONTRACEPTIVE METHOD FOR 7 DAYS
IF A WOMAN DOESNT STOP ORAL CONTRACEPTIVES ONE WEEK BEFORE SURGERY SHE IS AT RISK FOR DEVELOPING________. THROMBOPHLEBITIS
PEOPLE WHO SMOKE MORE THAN _______ CIGARETTES PER DAY SHOULD NOT BE ON ORAL CONTRACEPTIVES. 15, BECAUSE IF U SMOKE U HAVE CONSTRICTION OF VESSELS AND THIS POTENTATES THE CHANCES THAT A WOMAN ON ORAL CONTRACEPTIVES WILL GET THROMBOPHLEBITIS
IF A WOMAN ON ORAL CONTRACEPTIVES MISSES A PERIOD, SHOULD SHE STILL TAKE PILLS? YES, HOWEVER IF 2 MISSED PERIOS OCCUR, STOP AND HAVE A PREGNANCY TEST
WILL BREAKTHROUGH BLEEDING, NAUSEA AND VOMITING AND BREAST TENDERNESS GO AWAY WHEN A WOMAN IS ON ORAL CONTRACEPTIVES? YES, AFTER ABOUT 3-6 MONTHS OF TREATMENT
OSTEOARTHRITIS IS A __________ DISEASE OF THE __________. DEGENERATIVE, JOINT
OSTEOARTHRITIS IS MOST COMMONLY CAUSED BY THE WEAR AND TEAR OF LIFE. (T/F) TRUE
THE MOST COMMON SYMPTOM OF OSTEOARTHRITIS IS _________ _________. JOINT PAIN
WHAT 2 JOINTS ARE MOST COMMONLY AFFECTED IN OSTEOARTHRITIS? KNEE AND HIP
TO CONTROL THE PAIN OF OSTEOARTHRITIS ONE SHOULD USE HEAT OR COLD? HEAT
WHAT 3 MEDS ARE USED IN OSTEOARTHRITIS? ASPIRIN, NON-STEROIDAL ANTI-INFLAMMATORY(INDOCIN, IBUPROFEN), STEROIDS
WHAT DO U OBSERVE ON THE FINGERS OF THE CLIENT WITH OSTEARTHRITIS? HEBERDENS NODES
ARE HEBERDENS NODES PAINFUL? NOT IN THE BEGINNING, CAN BE LATER AS SWELLING OCCURS
ARE REST PERIODS AND RANGE OF MOTION EXERCISES APPROPRIATE IN THE CARE OF OSTEOARTHRITIS? YES, REST IS PROBABLY THE MOST EFFECTIVE THING THEY CAN DO
THE PAIN OF OSTEOARTHRITIS IS USUALLY BETTER OR WORSE WITH REST? WITH ACTIVITY? BETTER WITH REST, WORSE WITH ACTIVITY
WHAT AGE GROUP GETS OSTEOARTHRITIS? 60 - 80
OSTEOARTHRITIS IS MORE COMMON IN FEMALES> (T/F) FALSE, IT OCCURS WITH EAQUAL FREQUENCY
FOR CERVICAL OSTEOARTHRITIS THE CLIENT SHOULD WEAR.... A CERVICAL COLLAR
WHAT IS ARTHROPLASTY? JOINT REPLACEMENT
WHAT IS ARTHRODEIS? JOINT FUSION
WHAT IS OTOSCLEROSIS? OVERGROWTH OF SPONGY BONE IN THE MIDDLE EAR THAT DOESNT ALLOW THE BONES OF THE MIDDLE EAR TO VIBRATE
WHAT WILL THE CLIENT WITH OTOSCLEROSIS COMPLAIN OF BESIDES HEARING LOSS? BUZZING OR RINGING IN THE EARS(TINNITUS)
DO PEOPLE HAVE A LOSS OF HEARING WITH THIS? YES
WHAT IS A CORRECTIVE SURGERY FOR OTOSCLEROSIS CALLED? STAPEDECTOMY
SHOULD SIDE RAILS BE UP AFTER STAPEDECTOMY? YES, CLIENT MAY FEEL DIZZY
WHAT SHOULD THE CLIENT AVOID POST-STAPEDECTOMY? COUGHING, SNEEZING, BLOWIND NOSE, SWIMMING, SHOWERS, FLYING
WHAT WARNING SHOULD U GIVE THE CLIENT ABOUT GETTING UP AFTER STAPEDECTOMY? GET UP SLOWLY
WHAT SHOULD THE CLIENT EXPECT REGARDING HEARING POST-STAPEDECTOMY? AN INITIAL DECREASE WITH THE BENEFITS OF SURGERY NOTICEABLE IN 6 WEEKS
WHAT SHOULD THE CLIENT DO IF HE MUST SNEEZE? OPEN HIS MOUTH, THIS DE-PRESSURIZES THE MIDDLE EAR
WHAT TYPE OF HEARING LOSS IS ASSOCIATED WITH OTOSCLEROSIS? CONDUCTIVE
WHICH SEX HAS A HIGHER INCIDENCE OF OTOSCLEROSIS? WOMEN
DO HEARING AIDS HELP HEARING IN OTOSCLEROSIS? YES
WHAT WILL BE THE RESULTS OF THE RINNE TEST IN OTOSCLEROSIS? BONE CONDUCTION WILL BE BETTER THAT AIR CONDUCTION
IS STAPEDECTOMY DONE UNDER GENERAL OR LOCAL ANESTHESIA? LOCAL
UF THE CLIENT COMPLAINS OF DECREASED HEARING AFTER STAPEDECTOMY WHAT WOULD U SAY? IT IS NORMAL DUE TO EDEMA. THE HEARING WILL START TO IMPROVE WITHIN 6 WEEKS
WHICH SIDE WILL THE CLIENT BE ALLOWED TO LIE UPON POST-STAPEDECTOMY? DEPENDS ON MD; OPERATIVE SIDE PROMOTES DRAINAGE, UN-OPERATIVE SIDE PREVENTS GRAFT DISLODGEMENT. DONT MAKE A BIG DEAL OF POSITION POST-OP
WHAT 2 DRUGS ARE COMMONLY GIVEN POST-STAPEDECTOMY? CODEINE/DEMEROL FOR PAIN, DRAMAMINE FOR DIZZINESS
CYSTS ON THE OVARIES ARE USUALLY MALIGNANT. FALSE, USUALLY BENIGN
WHAT IS THE #1 REASON WHY MD'S REMOVE OVARIAN CYSTS? REMOVE BEFORE THEY TRANSFORM INTO MALIGNANT
DO SMALL OVARIAN CYSTS CAUSE SYMPTOMS? NO, ONLY LARGE ONES
COMMON SIGNS OF LARGE OVARIAN CYSTS ARE.... LOW BACK PAIN, PELVIC PAIN, ABNORMAL BLEEDING
WHAT DOES TORSION OF OVARIAN CYST MEAN? TWISTING OF CYST WITH INTERRUPTION OF ITS BLOOD SUPPLY
WHAT IS THE BIG DANGER FROM TORSION? NECROSIS AND RUPTURE OF OVARY
WHAT OTHER DISORDERS RESEMBLE RUPTURE OF OVARIAN CYSTS? APPENDICITIS, RUPTURE OF A FALLOPIAN TUBE PREGNANCY
WHAT AFFECT DO ORAL CONTRACEPTIVES HAVE ON OVARIAN CYSTS? THEY CAUSE IT TO STOP GROWING AND DECREASE IN SIZE
WHAT ARE THE 3 MOST COMMON SIGNS OF OVARIAN CYSTS RUPTURE? PAIN, ABDOMINAL DISTENTION, ABDOMINAL RIGIDITY
COMPARE SIGNS OF NON-RUPTURED OVARIAN CYST. (GIVE 3 FOR EACH) NON RUPTURED:LOW BACK PAIN, DULL PELVIC PAIN, ABNORMAL UTERINE BLEEDING ESPECIALLY WITH MENSTRUATION RUPTURED: ACUTE PAIN, ABDOMINAL DISTENTION, AND ABNORMAL RIGIDITY
AFTER SURGERY TO REMOVE AN OVARIAN CYST THE WOMAN CAN RETURN TO NORMAL ACTIVITES BETWEEN ______ TO _____ WEEKS. 4 - 6 WEEKS
HOW SOON AFTER REMOVAL OF AN OVARIAN CYSTS CAN A WOMAN RESUME SEXUAL INTERCOURSE? 4 - 6 WEEKS
SHOULD A WOMAN DOUCHE AFTER SURGERY TO REMOVE AN OVARIAN CYST? NO, IT IS NOT GOOD TO DOUCHE ON A REGLAR BASIS, IT DESTROYS NATURAL VAGINAL FLORA
WHAT DOES LIGHTENING MEAN? WHEN THE FETAL HEAD DESCENDS INTO THE PELVIS
WHEN DOES IT OCCUR IN PREGNANCY? 2-3 WEEKS BEFORE BIRTH FOR PRIMIP
WHAT IS THE MOST COMMON POSITIVE EFFECT OF LIGHTENING? AFTER IT OCCURS THE WOMAN CAN BREATHE MUCH EASIER
NAME THE 2 EARLIEST SIGNS THAT A WOMAN IS LIKELY IN LABOR? LOW BACK PAIN ABD SHOW (BLOOD TINGED MUCOUS PLUG IS PASSED)
WHAT IS THE RELIABLE OR VALID INDICATION THAT A WOMAN IS IN LABOR? THE ONSET OF REGULAR CONTRACTIONS THAT RESULT IN PROGRESSIVE DILATATION?EFFACEMENT OF THE CERVIX
WHAT ARE THE 2 PROCESSES THAT OCCUR TO THE CERVIX DURING LABOR? EFFACEMENT AND DILATION
WHAT IS THE MEANING OF CERVIAL EFFACEMENT? THE CERVIX THINS
INTO HOW MANY STAGES IS LABOR AND DELIVERY DIVIDED? 4
WHAT IS ACCOMPLISHED DURING THE FIRST STAGE OF LABOR AND DELIVERY? FULL EFFACEMENT AND DILATION
HOW LONG IS THE FIRST STAGE OF LABOR AND DELIVERY FOR A PRIMAGRAVIDA? FOR A MULTIGRAVIDA? 12 HRS, 6 HRS
THE CERVIX IS FULLY DILATED WHEN IT IS ______CM. 10
THE 2ND STAGE OF LABOR AND DELIVERY BEGINS WITH _______ AND ENDS WITH _______ OF THE _______. FULL DILATION, DELIVERY, INFANT
THE 2ND STAGE OF LABOR AND DELIVERY LASTS ______ HRS FOR A PRIMAGRAVIDA AND _______HRS FOR A MULTIGRAVIDA. 1 1/2 HRS, 1/2 HRS
THE 3 STAGE OF LABOR AND DELIVERY ACCOMPLISHES..... EXPULSION OF THE PLACENTA
THE 3RD STAGE OF LABOR AND DELIVERY LASTS..... LESS THAN 1 HR
WHAT OCCURS DURING THE 4TH STAGE OF LABOR AND DELIVERY? RECOVERY
WHEN DOES THE 4TH STAGE OF LABOR AND DELIVERY ENHD? 2 HRS AFTER EXPULSION OF THE PLACENTA
WHAT IS THE AVERAGE BLOOD LOSS DURING LABOR? 500 CC
WHEN THE TERMINOLOGY THE THREE PHASES OF LABOR IS USED, WHAT DOES IT MEAN? IF THE STATEMENT REFERS TO PHASES OF LABOR, IT MEANS THE 3 STEP PROCESSES OF LATENCY, FOLLOWED BY ACTIVE AND TRANSITIONAL
NORMAL LENGTH OF PREGNANCY IS ________ TO _____DAYS. 240, 300
PREGNANCY IS DIVIDED INTO ______TRIMESTERS. 3
DURING THE FIRST TRIMESTER THE WOMAN EXPERIENCES DECREASED OR INCREASED VAGINAL SECRETIONS? INCREASED
WHEN ARE URINE PREGNANCY TESTS POSITIVE? AT THE TIME OF THE FIRST MISSED PERIOD
PRGNANCY TESTS TEST FOR THE PRESENCE OF WHAT HORMONE? HCG (HUMAN CHORIONIC GONADOTROPIN HORMONE)
URINE AND BLOOD PREGNANCY TESTS ARE ENOUGH EVIDENCE TO BE CERTAIN OF PREGNANCY. (T/F) FALSE, THESE TESTS ONLY SUGGEST PREGNANCY
WHAT IS HEGAR'S SIGN? UTERINE SOFTENING
WHAT IS CHADWICKS SIGN? BLUE-TINT TO THE CERVIX
THE FIRST TRIMESTER GOES FROM WEEK _____ TO WEEK _______. 1, 13
THE SECOND TRIMESTER GOES FROM WEEK ______ TO WEEK _______. 14, 27
WHICH WEEK CAN MOTHER FIRST FEEL THE FETUS MOVE? 16TH TO 20TH WEEK, (THE END OF THE 4TH MONTH INTO THE 5TH MONTH)
WHAT IS THE WORD USED TO IDENTIFY THE FEELING THAT THE MOTHER EXPERIENCES WHEN THE FETUS MOVES? QUICKENING
THE 3RD TRIMESTER GOES FROM WEEK _____ TO WEEK _______. 28, 40
IN WHICH TRIMESTER DOES THE WOMAN MOST FEEL BACKACHE? THIRD
WHICH TRIMESTER IS THE FETUS MOST SUSCEPTIBLE TO EFFECTS OF OUTSIDE AGENTS? FIRST
WHAT IS THE NAME OF THE PROCESS IN WHICH OUTSIDE AGENTS CAUSE BIRTH DEFECTIN THE FETUS? TERATOGENESIS
WHICH TRIMESTER IS NAUSEA AND VOMITING MOST COMMON? FIRST
WHICH TRIMESTER DO BRAXTON-HICKS CONTRACTIONS BEGIN? THIRD
WHAT ARE BRAXTON HICKS? USUALLY PAINLESS CONTRACTIONS THAT STRENGTHEN THE UTERUS FOR LABOR
WHICH TRIMESTER DOES VENOUS CONGESTION IN THE LEGS OCCUR? THIRD
WHICH TRIMESTER DOES LINEA NIGRA APPEAR? SECOND
WHAT IS LINEA NIGRA? SINGLE DARK VERTICAL LINE ON THE ABDOMEN
WHICH TRIMESTER DO STRIATIONS OCCUR? SECOND
WHAT ARE STRIATIONS? HORIZONTAL PIGMENTED LINES ON THE ABDOMEN
WHAT IS CHLOASMA? MASK OF PREGNANCY---PIGMENTED ARE ON THE FACE
WHICH TRIMESTER IS CONSTIPATION MOST COMMON? THIRD
IN ADDITION TO THE NARES, WHERE ELSE SHOULD THE NURSE ASSESS FOR SKIN IRRITATION WHEN NASAL CANNULAE ARE IN USE? BEHIND AND ON TOP OF THE EARS
WHAT ARE THE 2 EARLY SIGNS OF HYPOXIA RESTLESSNESS, TACHYCARDIA
WHAT IS THE HIGHEST FLOW RATE APPROPRIATE FOR NASAL CANNULAE? 6 L/MIN
HOW OFTEN SHOULD THE NARES OF A CLIENT WITH O2 BY NASL CANNULAE BE ASSESSED FOR SKIN BREAKDOWN? EVERY 6-8 HRS
WHAT IS THE MAXIMAL O2 FLOW RATE FOR THE CLIENT WITH COPD? 2L/MIN
WHAT ARE THE SIGNS OF O2 TOXICITY? CONFUSION, HEADACHE
WHAT CAN HAPPEN IF THE CLIENT WITH COPD IS GIVEN HIGH FLOW RATE OF O2? THEY MAY STOP BREATHING
WHAT IS THE PROBLEM WITH GIVING HIGH FLOW RATES OF O2 BY NASAL CANNULAE? DRIES THE MUCOUS MEMBRANES
CAN A CLIENT SMOKE IN THE ROOM WHEN THE O2 IS TURNED OFF? NO, THE O2 DELIVERY DEVICE MUST BE REMOVED FROM THE WALL OR THE TANK OUT OF THE ROOM BEFORE A CLIENT CAN SMOKE
WHEN O2 IS ADMINISTERED, IT MUST BE...... HUMIDIFIED
MASKS DELIVER HIGHER OR LOWER CONCENTRATIONS OF O2 THAN NASAL CANNULAE? HIGHER
HOW OFTEN SHOULD THE NURSE CHECK THE FLOW RATE OF THE O2? AT LEAST ONCE PER SHIFT
O2 IS AN EXPLOSIVE. (T/F) FALSE, IT DOES NOT EXPLODE--IT SUPPORTS COMBUSTION
WHAT STRUCTURES IN THE BRAIN ARE MOST AFFECTED IN PARKINSONS? BASAL GANGLIA
THE NEUROTRANSMITTER IMBALANCE THAT CAUSES PARKINSONS IS A _________ IN _________ ________. DECREASE, DOPAMINE ACTIVITY
WHAT DRUGS CAN CAUSE PARKINSON-LIKE SYNDROME? HALDOL, MAJOR TRANQUILIZERS--DRUGS THAT END IN -AZINE
WHAT IS THE CLASSIC MOTOR MANIFESTATIONS OF PARKINSON'S? PILL-ROLLING AND TREMORS
WHAT TYPE OF RIGIDITY IS TYPICAL OF PARKINSON"S? COGWHEEL
PARKINSON'S PTS MOVE FAST OR SLOW? SLOW
WHAT TYPE OF GAIT IS SEEN IN PARKINSON'S? SHUFFLE SLOW GAIT
PTS WITH PARKINSON'S HAVE ________ SPEECH. MONOTONE
PTS WITH PARKINSON'S TEND TO HAVE CONSTIPATION OR DIARRHEA? CONSTIPATION
NAME FOUR DRUGS USED TO TREAT PARKINSON'S? LEVODOPA, SINEMENT, SYMMETROL, COGENTIN, ARTANE, PARLODEL
IN WHAT TYPE OF CHAIR SHOULD PARKINSON'S PTS SIT? FIRM, HARD-BACKED
WHAT TIME OF DAY CAN BE PARTICULARLY DANGEROUS FOR THE PARKINSON'S PT? MEALTIME, DUE TO CHOKING
WHEN A PT IS TAKING LEVODOPA HE SHOULD HAVE ASSISTANCE GETTING OUT OF BED BECAUSE..... OF OTHOSTATIC HYPOTENSION
WHAT VITAMIN SHOULD PTS ON LEVODOPA AVOID? B6, PYRIDOXINE
LEVODOPA SHOULD BE GIVEN WITH OR WITHOUT FOOD? WITH
WHAT MIGHT LEVODOPA DO TO PTS URINE? MAKE IT VERY DARK
THE REMORS OF PARKINSON'S WILL GET BETTER OR WORSE WHEN THEY PURPOSEFULLY MOVE OR PERFORM A TASK? BETTER, THEY TRMOR MORE WHEN NOT PERFORMING AN ACTION
THE CLIENT ON A PCA (PATIENT CONTROLLED ANALGESIA) PUMP IS LESS LIKELY TO HAVE POST-OP COMPLICATIONS THAN THE CLIENT WITHOUT A PCA PUMP. (T/F) TRUE, BECAUSE THE COMFORTABLE PT MOVES AROUND MORE AND IS LESS LIKELY TO GET THROMBOPHLEBITIS, PULMONARY EMBOLUS, FATIGUE, ILEUS AND PNEUMONIA
CLIENTS WITH COPD ARE NOT GOOD CANDIDATES FOR PCA PUMP. (T/F) TRUE, DUE TO EFFECTS OF NARCOTICS ON CENTRAL RESPIRATORY CONTROL
NAME THE 3 MOST COMMON USES OF PCA TECHNIQUES. POST-OP PAIN, CANCER PAIN, SICKLE CELL CRISIS PAIN
PCA PUMPS ALLOW A MORE CONSTANT LEVEL OF SERUM DRUG THAN CONVENTIONAL ANALGESIA. (T/F) TRUE
A MAJOR DISADVANTAGE OF PCA PUMP IS THAT THE CLIENT CAN TAKE TOO MUCH MEDICATION. (T/F) FALSE, IT IS NOT POSSIBLE FOR THE CLIENT TO OVERDOSE TO THE LOCK-OUT FEATURE
CLIENTS ON PCA PUMPS USE MORE MEDICATION THAN THOSE RECEIVING IM INJECTIONS. (T/F) FALSE, THEY USE LESS
A DISADVANTAGE OF PCA PUMPS IS THAT THE CLIENT DOES NOT AMBULATE AS EARLY DUE TO THE MACHINE. (T/F) FALSE, PCA CLIENTS AMBULATE EARLIER AND THEY PULL THEIR MACHINE WITH THEM
WHEN DISCONTINUING A PCA INFUSION IT IS ACCEPTABLE TO DISCARD THE DRUG CARTRIDGE. (T/F) FALSE, THE WHOLE CARTRIDGE SYSTEM MUST BE RETURNED TO THE PHARMACY DUE TO FEDERAL NARCOTIC CONTROL LAWS
COMFORT RANGE OF RELATIVE HUMIDITY IS..... 30-60 %
WHICH PTS SHOULD BE FORBIDDEN TO SMOKE? SMOKE ALONE? THOSE WITH OXYGEN IN THE ROOM, CONFUSE, SLEEPY, DRUGGED CLIENTS
WHEN APPLYING RESTRAINTS REMEMBER TO.... AVOID BRUISING THE SKIN, CUTTING OFF CIRCULATION, ACCIDENTAL ENTANGLING
LIST WAYS TO ENSURE PRIVACY.... USE DRAPES AND SCREENS DURING CARE IN SEMI-PRIVATE ROOMS
PLASTIC PILLOW CASES ARE _________(DISADVANTAGES) HOT AND SLIPPERY
WHEN USING RESTRAINTS WITH CLIENTS WHO OBJECT, DONT FORGET ABOUT _________ __________. FALSE IMPRISONMENT
INDIVIDUALS WHO ARE ILL ARE _________ SNESITIVE TO NOISE THEN INDIVIDUALS WHO ARE WELL. MORE
WHEN U ARE NOT AT THE BEDSIDE THE BED SHOULD ALWAYS BE..... IN THE LOWEST POSITION
CAN NURSES BE HELD LIABLE FOR AN ACCIDENT RESULTING FROM A CLIENT NOT BEING TOLD HOW TO USE THE CALL LIGHT? YES
DANGERS ASSOCIATED WITH DRAFTS ARE.... CIRCULATION OF MICRO-ORGANISMS ON AIR CURRENTS
THE FIRST THING A NURSE SHOULD DO WHEN A CLIENT OBJECTS TO SIDE RAILS IS.... EXPLAIN WHY THEY ARE BEING USED
THE COMFORT RANGE OF TEMP IS.... 68-74 DEGREES
IS HAVING THE CLIENT VERBALLY IDENTIFY HIMSELF CONSIDERED ADEQUATE FOR SAFETY? NO, ONLY IDENTIFICATION BANDS ARE ACCEPTABLE
BED SIDE RAILS SHOULD BE UP FOR THE FOLLOWING INDIVIDUALS.... ELDERLY CLIENTS, UNCONSCIOUS, BABIES, YOUNG CHILDREN, RESTLESS, CONFUSED
THE SYMPTOMS OF SENSORY OVERLOAD AND SENSORY DEPRIVATION ARE.... FEAR, PANIC, DEPRESSION, INABILITY TO CONCENTRATE, RESTLESSNESS, AGITATION
IF A FAMILY MEMBER ASKS TO HAVE THE SIDE RAILS DOWN WHILE THEY ARE IN THE ROOM U SHOULD..... REMEMBER THAT U ARE RESPONSIBLE FOR THE CLIENTS SAFETY---NOT HIS FAMILY, IT MIGHT BE UNWISE TO PERMIT THIS
PILLOWS ARE STERILIZED BETWEEN USES. (T/F) FALSE
WHAT IS THE COMMON NAME FOR PEDICULOSIS? LICE
WHAT IS A COMMON FINDING WITH PEDICULOSIS PUBIS? REDDISH-BROWN DUST IN THE UNDERWEAR
WHAT COMMON HOUSEHOLD SOLUTION IS USED TO REMOVE NITS? VINEGAR. NITS ARE THE EGGS OF LICE THAT ADHERE TO THE HAIR SHAFT
WHAT SHAMPOO IS USED FOR LICE? KWELL
WHERE ARE HEAD LICE MOST COMMONLY FOUND? AT THE BACK OF THE HEAD AND BEHIND THE EARS
ON WHAT DO LICE FEED? BLOOD
AFTER TREATMENT HOW LONG DO U HAVE TO INSPECT FOR LICE? INSPECT FOR 2 WEEKS TO BE SURE THAT THEY ARE ALL GONE
WHAT IS THE MOST COMMON SYMPTOM OF LICE? ITCHING
WHAT IS THE MOST DANGEROUS TOXICITY OF KWELL? CNS TOXICITY
WHAT IS TYPICAL OF THE LESIONS OF PEMPHIGUS? FOUL-SMELLING, BLISTERS BREAK EASILY, SEEN IN THE ELDERLY, CAUSE UNKNOWN
WHAT IS THE CHARACTERISTIC LESION OF PEMPHIGUS? LARGE VESICULAR BULLAE
WHAT ARE BULLAE? LARGE BLISTERS
WHAT CHEMICAL IS ADDED TO THE BATH WATER OF A CLIENT WITH PEMPHIGUS? POTASSIUM PERMANGANATE
WHAT PRECAUTION MUST BE TAKEN WITH POTASSIUM PERMANGANATE? BE CAREFUL THAT NO INDISSOLVED CRYSTALS TOUCH THE CLIENT; IT WILL BURN THE SKIN
WHAT IS THE TYPICAL SKIN CARE OF PEMPHIGUS? COOL WET DRESSINGS
WHAT UNSUAL NURSING DIAGNOSIS IS HIGH PRIORITY IN PEMPHIGUS? ALTERATION IN FLUID AND ELECTROLYTE BALANCE
WHAT ARE THE TOP THREE NURSING INTERVENTIONS IN PEMPHIGUS? ORAL CARE, PROTECTION FROM INFECTION, ENCOURAGING HIGH FLUID INTAKE
WHAT KINDS OF FLUIDS WILL CLIENTS WITH PEMPHIGUS DRINK BEST? COLD FLUIDS
WHAT DRUGS ARE MOST COMMONLY USED? STEROIDS
SHOULD STEROIDS BE GIVEN WITH MEALS? ALWAYS
WHAT IS THE #1 CAUSE OF DEATH IN PEMPHIGUS? OVERWHELMING INFECTION
DEFINE PERITONEAL DIAYLSIS. (PD) THE REMOVAL OF WASTES, ELECTROLYTES AND FLUIDS FROM THE BODY USING THE PERITONEUM AS A DIALYZING MEMBRANE
WHEN PD IS BEING USED THE CLIENT MUST BE ON HEPARIN. (T/F) FALSE, U DO NOT NEED TO BE HEPARINIZED FOR PERITONEAL, BUT U DO NEED TO BE HEPARINIZED FOR HEMODIALYSIS
HOW LONG DOES ONE EPISODE/COURSE OF PD LAST? COULD BE 10 HRS
WITH PD THERE IS A HIGH/LOW RISK OF PERITONITIS? HIGH
WHEN FLUID ACCUMULATES IN THE ABDOMEN DURING PD WHAT PROBLEM DOES THE CLIENT EXPERIENCE FIRST? DYSPNEA--SOB OR DIFFICULTY BREATHING, DUE TO THE INABILITY OF THE DIAPHRGM TO DESCEND
WHAT NUTRIENT IS LOST IN HIGHEST AMOUNTS DURING PD? PROTEIN
CAN A CLIENT WHO HAD RECENT BOWEL SURGERY GET PD? NO
SHOULD A CLIENT WHO IS HAVING BREATHING PROBLEMS RECEIVE PD? NO
WHAT BODY SURFACE MUST BE PUNCTURED TO ADMINISTER PD? THE ABDOMEN
THE SOLUTION INTRODUCED INTO THE PERITONEUM DURING PD IS CALLED? DIALYSATE
BEFORE ALLOWING THE DIALYSATE TO FLOW INTO THE PERITONEAL CAVITY IT MUST BE ________ TO __________ TEMPERATURE. WARMED, BODY
BEFORE PD IT IS IMPORTANT THE CLIENT BE...... WEIGHED, TO ASSESS WATER LOSS OR GAIN
WHAT FORCE IS USED TO INTRODUCE THE DIALYSATE INTO THE PERITONEUM? GRAVITY ONLY, NO PUMPS
HOW FAST DOES THE DIALYSATE USUALLY FLOW INTO THE PERITONEUM? IN 10 MIN
HOW LONG IS THE DIALYSATE ALLOWED TO REMAIN IN THE PERITONEUM BEFORE IT IS DRAINED OUT? IN 15 - 30 MIN
HOW LONG DOES IT USUALLY TAKE FOR THE DIALYSATE TO DRAIN OUT OF THE PERITONEUM? 10 MIN (10 MIN FLOW IN, 30 MIN IN ABDOMINAL CAVITY, 10 MIN FLOW OUT=TOTAL OF 50 MIN)
IF THE DIALYSATE DOES NOT DRAIN OUT WELL, U WOULD FIRST..... HAVE THEM TURN SIDE TO SIDE
WHAT COLOR IS THE DIALYSATE WHEN IT COMES OUT? STRAW COLORED--CLEAR
SHOULD U RAISE THE HOB TO INCREASE DRAINAGE OF THE DIALYSATE? YES
HOW OFTEN DO U MEASURE VITAL SIGNS DURING PD? EVERY 15 MIN DURING THE FIRST CYCLE AND EVERY HR THERAFTER
CAN A CLIENT ON PD: SIT IN A CHAIR? EAT? URINATE? DEFECATE? YES TO ALL
IF TOO MUCH FLUID IS REMOVED DURING PD, THE CLIENT WILL EXPERIENCE...... DECREASED BLOOD PRESSURE (HYPOTENSION)
IF THE CLIENT ABSORBS TOO MUCH OF THE DIALYSATE THE CLIENT WILL EXPERIENCE.... INCREASED BP (CIRCULATORY OVERLOAD)
IF THE CLIENT COMPLAINS OF DYSPNEA DURING PD U WOULD FIRST _________, THEN _________. SLOW THE FLOW, ELEVATES HOB
IF THE CLIENT COMPLAINS OF ABDOMINAL PAIN DURING THE PD U WOULD FIRST..... ENCOURAGE THEM TO MOVE ABOUT
CLOUDY DRAINAGE IN THE DIALYSATE MOST COMMONLY MEANS..... PERITONITIS, (NOT GOOD, CALL MD)
WHAT WOULD U DO IF U NOTICED A SMALL AMOUNT OF BLOOD COME OUT IN THE FIRST FEW BOTTLES THAT WERE INFUSED? NOTHING, THIS IS NORMAL; THE BLOOD IS DIE TO THE INITIAL PUNCTURE OF THE ABDOMEN
WHAT PRECAUTIONS ARE IMPORTANT IN THE CARE OF THE CLIENT RECEIVING PD? YES
HOW HIGH SHOULD THE DIALYSATE BAG BE WHEN ITS BEING INFUSED? SHOULDER HEIGHT
WHAT PRECAUTIONS ARE IMPORTANT IN THE CARE OF THE CLIENT RECEIVING PD? SAFETY, BECAUSE THEY GET DIZZY
IS I&O IMPORTANT TO RECORD DURING PD? YES
WHAT FACTOR DO CLIENTS WITH PERNICIOUS ANEMIA LACK? INTRINSIC FACTOR. IT HAS NO OTHER NAME
WHAT VITAMIN IS NOT ABSORBED IN A PT WITH PERNICIOUS ANEMIA? B-12
WHAT IS ANOTHER NAME FOR VITAMIN B-12? EXTRINSIC FACTOR
WHY ISNT VIT B-12 ABSORBED IN PERNICIOUS ANEMIA? BECAUSE THESE PTS LACK INTRINSIC FACTOR
WHAT HAPPENS WHEN PTS WITH PERNICIOUS ANEMIA DONT ABSORB VITAMIN B-12? THEIR RBC'S DO NOT MATURE AND THEY BECOME SERIOUSLY ANEMIC
WHAT OTHER DISEASE CAN BE CONFUSED WITH PERNICIOUS ANEMIA? ANGINA PECTORIS
WHAT ARE SOME CLASSIC AND UNIQUE SIGNS OF PERNICIOUS ANEMIA? BEEFY RED TONGUE, NUMBNESS AND TINGLING OF THE HANDS, SORES IN THE MOUTH AND CHEST PAIN
WHAT IS THE MEDICAL TREATMENT FOR PERNICIOUS ANEMIA? IM INJECTIONS OF VITAMIN B-12
HOW LONG MUST THE CLIENT RECEIVE THIS MEDICAL TREATMENT? FOR THE REST OF LIFE
CAN WE CURE PERNICIOUS ANEMIA? NO, JUST TREAT THE SYMPTOMS
WHAT UNIQUE URINE TEST IS DONE TO DIAGNOSE PERNICIOUS ANEMIA? THE SCHILLING TEST
IS IT OKAY TO GIVE B12 ORALLY TO A CLIENT WITH PERNICIOUS ANEMIA? NO, IT WILL NEVER BE ABSORBED DUE TO A LACK OF INTRINSIC FACTOR
WHAT NEUROLOGIC TEST DO THEY DO FOR THIS ANEMIA? THE ROMBERG TEST ( A TEST FOR BALANCE), IN NORMAL PEOPLE THIS TEST IS NEGATIVE, IN THE CLIENT WITH PERNICIOUS ANEMIA THIS TEST IS POSITIVE
WHAT IS CONSERVATION? IN WHAT STAGE DOES IT DEVELOP? WHEN THE CHILD REALIZES THAT NUMBER, WEIGHT, VOLUME REMAIN THE SAME EVEN WHEN OUTWARD APPEARANCES CHANGE, CONCRETE OPERATIONAL
WHAT IS THE AGE RANGE OF FORMAL OPERATION THINKING? 12 - 15
WHAT IS THE SENSORI-MOTOR STAGE OF INTELLECTUAL DEVELOPMENT? IT IS THE INTELLECTUAL STAGE OF CHILDREN FROM BIRTH TO 2 YRS
WHAT IS THE AGE RANGE OF CONCRETE OPERATIONAL THINKING? 7 - 11
WHAT IS THE AGE RANGE OF PRE-OPERATIONAL THINKING? 3 - 6
WHAT IS THE CLASSIC PATTERN IN FORMAL OPERATIONAL THINKING? ABSTRACT REASONING
WHAT IS EGOCENTRICITY? IN WHAT AGE IS IT FOUND? THE CHILD VIEWS EVERYTHING FROM HIS FRAME OF REFERENCE, COMMON IN PRE-OPERATIONAL THINKING
IN PLACENTA PREVIA THE PLACENTA IN IMPLANTED _______ THAN IT SHOULD BE AND LAYS OVER THE ___________ _________. LOWER, CERVICAL OS
WHAT IS THE CLASSIC SYMPTOM OF PLACENTA PREVIA? PAINLESS 3RD TRIMESTER BLEEDING (HINT PAINLESS PLACENTA PREVIA)
IN WHOM IS PLACENTA PREVIA MOST LIKELY TO OCCUR? PRIMIGRAVIDA'S OR MULTIGRAVIDA'S? MULTIGRAVIDA'S
WHAT IS MEANT WHEN THE PHYSICIAN/NURSE USE THE TERMS TOTAL (COMPLETE)OR PARTIAL (INCOMPLETE) INREFERENCE TO PLACENTA PREVIA? TOTAL OR COMPLETE: PLACENTA COVERS WHOLE CERVICAL OPENING PARTIAL OR INCOMPLETE: PLACENTA COVERS ONLY PART OF THE CERVICAL OPENING
WHAT ARE THE 3 COMPLICATIONS OF PLACENTA PREVIA? SHOCK, MATERNAL DEATH, FETAL DEATH
WHAT IS THE BEST AND SAFEST WAY TO CONFIRM PLACENTA PREVIA? ULTRASOUND
SHOULD A WOMAN WITH PLACENTA PREVIA BE HOSPITALIZED? YES, ALWAYS IF BLEEDING
IF A SURGEON DELAYS DOING A C-SECTION FOR PLACENTA PREVIA IT IS DUE TO: (REASON FOR DELAY). IMMATURITY OF THE FETUS ( THEY WILL WANT THE CHILD TO MATURE)
AS SOON AS PLACENTA PREVIA IS DIAGNOSED, MOST PREGNANCIES WILL BE TERMINATED VIA C-SECTION IF THE FETUS IS MATURE. (T/F) TRUE
IF A WOMAN IS ADMITTED WITH ACTIVE BLEEDING WITH PLACENTA PREVIA U SHOULD MONITOR FETAL HEART TONES____________. CONTINUOUSLY VIA FETAL MONITOR
IT IS NOT NECESSARY TO USE ELECTRONIC FETAL MONITORING WHEN THERE IS ACTIVE BLEEDING IN PLACENTA PREVIA. (T/F) FALSE, INFANT MUST ALWAYS BE MONITORED
WILL A WOMAN WITH ACTIVE BLEEDING IN PLACENTA PREVIA BE GIVEN ANY SYSTEMIC PAIN RELIEF DURING LABOR? NO, THEY DONT WANT TO DEPRESS THE FETUS
IF U WERE TOLD TO START THE IV ON THE WOMAN ADMITTED FOR PLACENTA PREVIA, WHAT GAUGE NEEDLE WOULD U USE? 18 GAUGE, OR ANY OTHER ONE LARGE ENOUGH TO ADMINISTER BLOOD
PNEUMONIA IS AN __________ IN THE ___________ _____ ___________. INFECTION, ALVEOLI OF LUNGS
PNEUMONIA IS ONLY CAUSED BY BACTERIA. (T/F) FALSE, IT CAN BE CAUSED BY VIRUSES AND ASPIRATION
WHICH BLOOD GAS DISORDER IS MOST COMMON IN PNEUMONIA? RESPIRATORY ALKALOSIS, BECAUSE THE HYPERVENTILATION BLOWS OFF MORE CO2 THAN THE CONSOLIDATION TRAPS IN THE BLOOD
WHAT IS POLYCYTHEMIA VERA? A BLOOD DISEASE IN WHICH THERE IS AN INCREASE IN ERYTHROCYTES, LEUKOCYTES AND PLATELETS
WHAT IS THE TYPICAL COMPLEXION OF A CLIENT WITH POLYCYTHEMIA VERA? RUDDY RED, ALMOST PURPLE
WHAT PROCEDURE IS DONE TO RELIEVE SYMPTOMS IN POLYCYTHEMIA VERA? PHLEBOTOMY
WHAT IS PHLEBOTOMY? DRAIN OFF 200-500 CC OF BLOOD FROM BODY (OPPOSITE OF TRANSFUSION)
WHAT TYPE OF DIET WILL PEOPLE WITH POLYCYTHEMIA VERA BE ON? LOW IRON
WHAT ARE THE 3 SIGNS OF THIS DISEASE? HEADACHE, WEAKNESS, ITCHING
IS HEMOGLOBIN INCREASED OR DECREASED IN THIS DISEASE? INCREASED
WHAT ORAL PROBLEM WILL PEOPLE WITH POLYCYTHEMIA VERA HAVE? BLEEDING MUCOUS MEMBRANES
WHAT ORGAN WILL BE ENLARGED IN POLYCYTHEMIA VERA? THE SPLEEN, BECAUSE IT IS DESTROYING THE EXCESSIVE RBC'S
DUE TO INCREASED DESTRUCTION OF RBC'S SEEN IN THE POLYCYTHEMIA VERA WHAT BLOOD LEVEL WILL BE INCREASED? URIC ACID LEVELS WILL BE HIGH (REMEMBER--URIC ACID LEVELS ARE ALWAYS HIGH WHEN CELLS ARE BEING DESTROYED AS IN HEMOLYSIS, CHEMO, OR RADIATION THERAPY)
WHAT DRUG IS MOST COMMONLY USED IN POLYCYTHEMIA VERA? MYLERAN--(THIS IS USUALLY USED FOR BONE MARROW CANCER)
HOW OFTEN SHOULD THE CLIENT COUGH AND DEEP BREATHE POST-OP? EVERY 2 HRS
HOW OFTEN SHOULD THE POST-OP PT TURN? EVERY 2 HRS
HOW OFTEN SHOULD THE PT USE THE INCENTIVE SPIROMETER? EVERY 1 - 2 HRS
HOW OFTEN SHOULD THE NURSE AUSCULTATE THE LUNG SOUNDS POST-OP? EVERY 4 HRS
HOW OFTEN SHOULD THE BEDRIDDEN POST-OP PT DO LEG EXERCISES? EVERY 2 HRS
THE POST-OP PT SHOULD VOID BY ____ HRS POST-OP OR U MUST CALL THE MD. 6-8
WILL THE TYPICAL POST-OP CLIENT HAVE LUNG SOUNDS? BOWEL SOUNDS? INCREASED TEMP? LUNG--YES, BOWEL--NO, LOW GRADE TEMP---YES
UNLESS CONTRAINDICATED THE PT SHOULD BE OUT OF BED NO LATER THAN ______ HRS POST-OP. 24
DEEP VEIN THROMBOSIS IS MOST COMMON IN WHAT TYPE OF SURGERY? LOW ABDOMINAL OR PELVIC
THE MOST COMMON COMPLICATION OF DEEP VEIN THROMBOSIS IS ___________ ___________. PULMONARY EMBOLISM
THE BEST WAY TO PREVENT THROMBOPHLEBITIS IS TED HOSE. (T/F) FALSE, AMBULATION/EXERCISE ARE THE BEST WAY
WHAT IS PARALYTIC ILEUS? PARALYSIS OF THE BOWEL DUE TO SURGERY (COMMON ESPECIALLY IN THE ABDOMINAL SURGERY)
IF A POST-OP PT COMPLAINS OF GAS AND CRAMPING U SHOULD FIRST ________ THEN ________. ASSESS THEN AMBULATE
THE TYPICAL POST-OP INFLAMMATORY TEMP ELEVATION IS IN THE RANGE OF ____________. 99.8 TO 101
THE ONSET OF POST-OP INFECTION IS ON THE ________ OR ________ DAY POST-OP DAY. 2ND TO 3RD, NEVER BEFORE THAT (REMEMBER ELEVATED TEMP EARLIER THAN THE 2ND POST-OP DAY IS NOT INFECTION)
DEFINE DEHISCENCE? SEPARATION OF THE INCISIONAL EDGES
DEFINE EVISCERATION? PROTRUSION OF ABDOMINAL CONTENTS THRU A DEHISCENCE
WHAT DO U DO FOR DEHISCENCE? DECREASE HOB (BUT NOT FLAT); CAN STERI STRIP, THEN CALL MD
WHAT DO U DO IN ORDER FOR EVISCERATION? DECREASE HOB(BUT NOT FLAT), COVER WITH STERILE GAUZE MOISTENED WITH STERILE SALINE, CALL MD
WHAT IS THE PREFIX ANTE- MEAN? BEFORE IN TIME OR PLACE (EX. ANTPARTAL---BEFORE GIVING BIRTH)
WHAT IS THE PREFIX IM-; IN- MEAN? NOT OR INTO
WHAT DOES THE PREFIX INTRA- MEAN? OCCURRING WITHIN
WHAT DOES THE PREFIX INTER- MEAN? BETWEEN
WHAT DOES THE PREFIX PER- MEAN? THROUGHOUT, COMPLETELY, A LARGE AMOUNT
WHAT DOES THE PREFIX EC- MEAN? OUT OF
WHAT DOES THE PREFIX E-; EX MEAN? OUT FROM, AWAY FROM, OUTSIDE
WHAT DOES THE PREFIX ISO- MEAN? A COMBINING FORM MEANING EQUAL
WHAT DOES THE PREFIX PARA- MEAN? SIMILAR, BEDSIDE
PREGNANCY (DECREASES/INCREASES) THE BODYS INSULIN REQUIREMENTS? INCREASES
CAN PREGNANCY CONVERT A NON-DIABETIC WOMAN INTO A DIABETIC WOMAN? YES
WHAT NAME IS GIVEN TO DIABETES THAT IS BROUGHT ON BY PREGNANCY? GESTATIONAL DIABETES
DIABETES WITH PREGNANCY IS (MORE/LESS)COMMON AS THE WOMAN AGES. MORE
WHAT IS THE #1 CAUSE OF INFANT ILLNESS WHEN THE MOTHER HAS DIABETES? HYPOGLYCEMIA
WHEN IS INFANT HYPOGLYCEMIA MOST LIKELY TO OCCUR DURING LABOR AND DELIVERY? IN THE HOURS IMMEDIATELY FOLLOWING DELIVERY
HORMONES OF PREGNANCY WORK AGAINST INSULIN. (T/F) TRUE
A SIGN OF GESTATIONAL DIABETES IS EXCESSIVE (WEIGHT GAIN/WEIGHT LOSS) WEIGHT GAIN
(OBESE/VERY THIN) WOMEN ARE MOST LIKELY TO BECOME DIABETIC DURING PREGNANCY. OBESE
IN GESTATIONAL DIABETES THE CLIENT EXPERIENCES A (DECREASE/INCREASE) IN THIRST. INCREASE (POLYDIPSIA)
IN GESTATIONAL DIABETES THE CLIENT EXPERIENCES A (DECREASE/INCREASE) IN URINE OUTPUT. INCREASE (POLYURIA)
GESTATIONAL DIABETES IS ASSOCIATED WITH (HYPERTENSION/HYPOTENSION). HYPERTENSION
GESTATIONAL DIABETES IS ASSOCIATED WITH WHAT OB HISTORY? PREVIOUS LARGE BABY (OVER 9LBS), UNEXPLAINED STILLBIRTH, MUSCARRIAGE, CONGENITAL ANOMALIES
WOMEN WHO HAVE GESTATIONAL DIABETES TEND TO DELIVER INFANTS WHO ARE (SMALL/LARGE). LARGE FOR GESTATIONAL AGE
FESTATIONAL DIABETES TEND TO GET _________ INFECTIONS. MONILIAL (YEAST) INFECTIONS
WHAT TEST CONFIRMS THE DIAGNOSES OF GESTATIONAL DIABETES? 3 HR GLUCOSE TOLERANCE TEST
WHAT ARE THE TWO MAIN TREATMENT METHODS IN GESTATIONAL DIABETES? DIET, INSULIN
HOW OFTEN SHOULD A WOMAN VISIT THE DOCTOR PRENATALLY IF DIABETES IS PRESENT? TWICE A MONTH, THEN ONCE PER WEEK IN THE 3RD TRIMESTER
HOW MANY POUNDS PER WEEK IS THE DIABETIC ALLOWED TO GAIN THE 2ND AND 3RD TRIMESTERS? 1 LB PER WEEK
IS SEVERE CARBOHYDRATE RESTRICTION REQUIRED IN GESTATIONAL DIABETES? NO, IT COULD LEAD TO KETOSIS
OF PROTEIN, FAT, AND CARBOHYDRATES, WHICH ONES (PERCENT-WISE) INCREASE IN THE DIET OF GESTATIONAL DIABETES? PROTEIN, FAT
WHEN IS INSULIN USED IN THE TREATMENT OF GESTATIONAL DIABETES? WHEN DIETARY CONTROL DOES NOT KEEP THE BLOOD SUGAR WITHIN NORMAL LIMITS
IF INSULIN IS USED, THE DOSE IS THE SAME IN ALL 3 TRIMESTERS. (T/F) FALSE, IT VARIES
ORAL HYPOGLYCEMICS SHOULD NEVER BE USED DURING PREGNANCY. (T/F) TRUE, THEY CAUSE BIRTH DEFECTS (TERATOGENIC)
WHEN SHOULD A DIABETIC BE DELIVERED? BETWEEN 37 AND 39 WEEKS
WHAT IV SOLUTION IS USED DURING LABOR FOR THE DIABETIC? D5W
THE MOTHER'S INSULIN REQUIREMENTS WILL (FALL/RISE) MARKEDLY AFTER DELIVERY. FALL
DURING PREGNANCY WHAT COMPLICATION IS MOST DANGEROUS FOR THE FETUS OF A DIABETIC? KETOSIS
IF KETOSIS IS A BIG PROBLEM FOR THE BABY DURING PREGNANCY WHAT IS THE BIG PROBLEM AFTER DELIVERY? HYPOGLYCEMIA
WHY IS HYPOGLYCEMIA SUCH A DANGEROUS PROBLEM? BRAIN CELLS DIE WITHOUT GLUCOSE, BRAIN DAMAGE
(MULTI,PRIMI) GRAVIDA CLIENTS ARE MOST LIKELY TO GET PIH(PREGNANCY-INDUCED HYPERTENSION). PRIMIGRAVIDA
WHICH AGE GROUP(S) ARE MOST LIKELY TO EXPERIENCE PIH? PTS UNDER 18 OVER 35
WHEN DOES PRE-ECLAMPSIA USUALLY BEGIN IN PREGNANCY (WEEK)? AFTER 20 WEEKS
NAME THE 3 SYMTOMS OF PIH? HYPERTENSION, WEIGHT GAIN(EDEMA), PROTEINURIA
IF PRE-ECLAMPSIA IS MILD WILL THE WOMAN BE HOSPITALIZED? NO, JUST REST AT HOME
WHAT TYPE OF DIET IS INDICATED FOR A WOMAN WITH PRE-ECLAMPSIA? INCREASED PROTEIN/NORMAL SALT INTAKE(NO RESTRICTION TYPICALLY)
WHAT MEASUREMENT MUST THE WOMAN WITH PRE-ECLAMPSIA MAKE EVERY DAY? SHE MUST WEIGH HERSELF
WHAT IS THE ACTIVITY ORDER FOR A WOMAN WITH SEVERE PRE-ECLAMPSIA? BED REST
WHAT IS THE BEST POSITION FOR THE CLIENT WITH SEVERE PRE-ECLAMPSIA? LEFT SIDE LYING
WHAT IS THE DIETARY ORDER FOR THE WOMAN WITH SEVERE PRE-ECLAMPSIA? LOW SALT, HIGH PROTEIN
ARE DIURETICS USED FOR WOMEN WITH PE-ECLAMPSIA? YES
WHEN A WOMEN US HOSPITALIZED FOR SEVERE PRE-ECLAMPSIA THE SHOULD TEST THE..... #1 REFLEXES, THE URINE FOR PROTEIN
WHEN PRE-ECLAMPSIA GETS WORSE THE DEEP TENDON REFLEXES WILL BE (HYPER/HYPO)-REFLEXIA. HYPER-REFLEXIA
PRE-ECLAMPSIA MAKES THE NEUROMUSCULAR SYSTEM MORE OR LESS IRRITABLE? MORE
WHAT VISION PROBLEM DO WOMEN WITH PRE-ECLAMPSI HAVE? BLURRED VISION
WHAT TYPES OF PRECAUTIONS WILL BE IN EFFECT FOR A WOMAN WITH SEVERE PRE ECLAMPSIA? SEIZURE PRECAUTIONS
NAME 5 THINGS INCLUDED IN SEIZURE PRECAUTIONS. SUCTION MACHINE IN ROOM, O2 IN ROOM, PADDED RAILS UP X4, MUST STAY ON UNIT, AMBULATION WITH SUPERVISION ONLY, NO MORE THAN 1 PILLOW
WHEN IS PRE-ECLAMPSIA CALLED ECLAMPSIA? ONCE CONVULSIONS HAVE OCCURRED
IN ECLAMPTIC CLIENT WHAT OMINOUS SIGN ALMOST ALWAYS PRECEDED A SEIZURE? SEVERE EPIGASTRIC PAIN
WHAT ARE THE 3 MAJOR TREATMENT OBJECTIVES IN ECLAMPSIA? DECREASE BLOOD PRESSURE, CONTROL CONVULSIONS, DIURETICS
THE URINE OUTPUT OF THE ECLAMPTIC CLIENT WILL (DECREASE/INCREASE). DECREASE
HOW WOULD U PALPATE THE UTERUS TO SEE IF THE ECLAMPTIC WOMAN WAS HAVING CONTRACTIONS? PLACE THE HAND FLAT ON THE ABDOMEN OVER THE FUNDUS WITH THE FINGERS APART AND PRESS LIGHTLY
PREMATURE RUPTURE OF MEMBRANES (PROM) IS A ________ BREAK IN THE AMNIOTIC SAC ______ THE ______ OF CONTRACTIONS. SPONTANEOUS, BEFORE, ONSET
USUALLY LABOR STARTS WITHIN _______ HRS OF RUPTURE OF MEMBRANES. 24
WHAT IS THE DANGER SIGN WITH PROM? INFECTION
HOW WOULD U TELL IF THE WOMAN WITH PROM HAD AN INFECTION? MATERNAL FEVER, FETAL TACHYCARDIA, FOUL SMELLING VAGINAL DISCHARGE
TO TEST FOR AMNIOTIC FLUID THE NURSE SHOULD CHECK THE __________ OF THE FLUID. pH
AMINOTIC FLUID IS (ACIDIC/ALKALINE) ALKALINE
BEING ALKALINE MEANS HAVING A (HIGH/LOW) pH? HIGH
AMNIOTIC FLUID TURNS NITRAZINE PAPER DEEP _________ (COLOR). BLUE
WHEN PROM OCCURS, THE AGE OF THE FETUS MUST BE DETERMINED. tHE BEST WAY TO ASSESS LUNG MATURITY IS TO CHECK THE ______ RATIO. L/S (LECITHIN/SPHINGOMYELIN)
AN L/S RATIO GREATER THAN _________ INDICATES LUNG MATURITY. 2.0
IF LABOR DOES NOT BEGIN WITHIN _______ HRS AFTER PROM, LABOR WILL LIKELY INDUCED. 24
IF PROM OCCURS BEFORE VIABILITY, WHAT IS THE TYPICAL MANAGEMENT? TERMINATION OF PREGNANCY
IF PROM OCCURS AFTER VIABILITY BUT BEFORE 36 WEEKS, WHAT IS THE TYPICAL MANAGEMENT? HOSPITALIZE, WATCH FOR INFECTION, TRY TO GAIN TIME FOR THE INFANT TO MATURE
IF THERE ARE ANY SIGNS OF INFECTION AFTER PROM, WHAT MUST OCCUR IMMEDIATELY? DELIVERY OF THE FETUS
PROM ALWAYS OCCURS IN A GUSH OF FLUID. (T/F) FALSE
THE WOMAN MUST AVOID SEXUAL INTERCOURSE IF PROM HAS OCCURRED. (T/F) TRUE
WHAT IS SELF-DISCLOSURE? WHEN THE NURSE TELLS THE PT PERSONAL INFORMATION ABOUT SELF
IS IT ALWAYS BAD FOR THE NURSE TO SELF-DISCLOSE? NO, U CAN SELF-DISCLOSE AS LONG AS U DO IT CAUTIOUSLY AND U ARE 100% SURE IT IS THERAPEUTIC
IF THE NURSE USES SELF-DISCLOSURE IT SHOULD BE __________ AND THE CONVERSATION SHOULD BE...... SHORT, QUICKLY REFOCUSED BACK ON THE PT
INSIGHT MEANS THE ABILITY OF THE PT TO _______ HIS PROBLEM. UNDERSTAND
DURING WHAT PHASE SHOULD THE NURSE EXAMINE HIS/HER OWN FEELINGS? PRE-INTERACTION PHASE
FLIGHT OF IDEAS IS WHEN THE PT CHANGES TOPICS OF CONVERSATION _________. RAPIDLY
THE BASIS FOR A THERAPEUTIC NURSE/PT RELATIONSHIP BEGINS WITH THE ______, SELF-_______ AND _______ _______. NURSE'S, AWARENESS,SELF-UNDERSTANDING
WHAT ARE THE STEPS OF THE NURSE/PT THERAPEUTIC RELATIONSHIP? PRE-INTERACTION PHASE, ORIENTATION PHASE, WORKING PHASE, TERMINATION PHASE
SHOULD THE NURSE SELF-DISCLOSE IF THE PT ASKS THE NURSE TO? NO, NOT UNLESS IT IS SPECIFICALLY THERAPEUTIC
THE NURSE SHOULD INTRODUCE INFORMATION ABOUT THE END OF THE NURSE/PT RELATIONSHIP DURING THE _________ PHASE. ORIENTATION PHASE
TEMINATION PHASE BEGINS IN THE ________ PHASE. ORIENTATION
PULMONARY EDEMA IS ACCUMULATION OF _______ IN THE LUNG. FLUID
PULMONARY EDEMA IS A COMMON COMPLICATION OF ________ DISORDERS. CARDIVASCULAR
PULMONARY EDEMA USUALLY RESULTS FROM ________ ______ FAILURE. LEFT VENTRICULAR
WHAT FORCE CAUSES THE PULMONARY EDEMA IN LEFT VENTRICULAR FAILURE? INCREASED HYDROSTATIC PRESSURE IN THE PULMONARY CAPILLARIES
CAN LETTING IV'S RUN IN TOO FAST CAUSE PULMONARY EDEMA? YES, IN THE CLIENT WITH POOR CARDIOVASCULAR FUNCTION
WHAT ARE THE FOUR CLASSIC SIGNS OF PULMONARY EDEMA? DYSPNEA ON EXERTION, PAROXYSMAL NOCTURNAL DYSPNEA, ORTHOPNEA, COUGHING
WHAT IS MEANT BY DYSPNEA ON EXERTION? SHORTNESS OF BREATH WHEN ACTIVE
WHAT IS MEANT BY PAROXYSMAL NOCTURNAL DYSPNEA? SUDDEN EPISODES OF DIFFICULTY BREATHING
WHAT IS MEANT BY ORTHOPNEA? SHORTNESS OF BREATH WHEN LYING FLAT
IS HEART RAST FAST OR SLOW IN PULMONARY EDEMA? FAST, TACHYCARDIA
WHAT WILL THE NURSE AUSCULTATE OVER THE LUNGS WHEN PULMONARY EDEMA OCCURS? CRACKLES(RALES)
WHEN PULMONARY EDEMA IS SEVERE WHAT DOES THE SPUTUM LOOK LIKE? BLOODY AND FROTHY
WHAT DRUG IS USED IN PULMONARY EDEMA TO REDUCE FLUID IN THE LUNGS? A DIURETIC(LASIX)
WHAT DRUG IS USED TO INCREASE VENTILATION IN CLIENTS WITH PULMONARY EDEMA? AMINOPHYLLINE (BRONCHODILATOR)
IS O2 GIVEN IN PULMONARY EDEMA? YES
SINCE PULMONARY EDEMA IS CAUSED BY LEFT VENTRICULAR FAILURE WHAT DRUG IS GIVEN? DIGITALIS
WHY IS MORPHINE GIVEN TO CLIENTS WITH PULMONARY EDEMA? TO DECREASE APPREHENSION AND DECREASE PRELOAD, THIS RESTS THE HEART
IF YOUR CLIENT SUDDENLY GOES INTO PULMONARY EDEMA WHAT WOULD U DO FIRST? ELEVATE THE HOB, THEN INCREASE OXYGEN, THEN CALL MD
PULMONARY EMBOLUS IS AN OBSTRUCTION OF THE PULMONARY ________ BED BY A DISLODGED ________ FOREIGN SUBSTANCE. CAPILLARY, THROMBUS
WHERE DO THE EMBOLI THAT CAUSE PULMONARY EMBOLUS USUALLY COME FROM? THE LEGS
BESIDES A THROMBUS WHAT ELSE CAN CAUSE AN EMBOLUS IN THE LUNG? AIR, FAT, TUMOR CELLS
WHAT TREATMENT MODALITY CAN LEAD TO PULMONARY EMBOLUS? BED REST
WHAT CLASS OF DRUGS CAN LEAD TO PULMONARY EMBOLUS? ORAL CONTRACEPTIVES
WHAT HEART PROBLEM CAN LEAD TO PULMONARY EMBOLUS? ATRIAL FIBRILLATION (RIGHT ATRIAL FIBRILLATION CAUSES PULMONARY EMBOLUSD; ATRIAL FIBRILLATION CAUSES CEREBRAL EMBOLUS)
WHAT GENETIC DISORDER CAN LEAD TO PULMONARY EMBOLUS? SICKLE CELL ANEMIA
WHAT IS THE FIRST SIGN OF PULMONARY EMBOLUS? DYSPNEA
THE DYSPNEA OF PULMONARY EMBOLUS IS ACCOMPANIED BY _________ _____________. PLEURITIC PAIN
DOES THE HR INCREASE OR DECREASE IN PULMONARY EMBOLUS? INCREASE
WITH SEVERE PULMONARY EMBOLUS THE CLIENT WILL LOOS AS THOUGH THEY ARE ___________. IN SHOCK
WHAT ARE THE TWO MAJOR TREATMENTS OF PULMONARY EMBOLUS? O2 ANTICOAGULANTS
NAME THE ANTICOAGULANT GIVEN FOR IMMEDIATE ANTICOAGULATION BY IV OR SQ ROUTE. HEPARIN
A DRUG FOR LONG TERM ANTICOAGULATION I ANY DISORDER WOULD BE? COUMADIN
WHAT 2 LAB TESTS MONITOR COUMADIN THERAPY? PROTHROMBIN TIME(PT) AND THE INR
WHEN COUMADIN IS THERAPEUTIC, THE INR SHOULD BE BETWEEN ______ AND _______. 2.0 - 3.0
WHAT IS LOVENOX? IT IS A LOW-DOSE HEPARIN USED FOR ANTICOAGULATION IN POST-OP THROMBOPHLEBITIS PREVENTION NOT USED FOR PULMONARY EMBOLUS
HEPARIN THERAPY IS MONITORED BY DAILY MEASUREMENT OF THE ____________. PTT(PARTIAL THROMBOPLASTIN TIME)
EFFECTIVE HEPARIN THERAPY RAISES THE PTT TO APPROXIMATELY __________ TIMES NORMAL. 2 1/2
CLIENTS ON HEPARIN SHOULD USE AN ELECTRIC RAZOR OR A SAFETY RAZOR? ELECTRIC RAZOR
WHAT IS THE BEST WAY TO PREVENT PULMONARY EMBOLUS IN POST-OP PTS? EARLY AMBULATION
IS IT APPROPRIATE TO MASSAGE THE LEGS OF THE CLIENT TO PREVENT PULMONARY EMBOLUS? NO, NEVER
HEPARIN IS USED IN THE ACUTE PHASE OF PULMONARY EMBOLUS. WHAT DRUG IS USED FOR 6 MONTHS AFTER PULMONARY EMBOLUS? COUMADIN
COUMADIN THERAPY IS MONITORED BY WHAT DAILY TEST? PT (PROTHROMBIN TIME)
WHAT IS PYELONEPHRITIS? A BACTERIAL INFECTION OF THE KIDNEYS
WHICH ORGANISM CAUSES MOST PYELONEPHRITIS? E. COLI
NAME THE SYMPTOMS THAT PYELONEPHRITIS AND CYSTITIS HAVE IN COMMON? FREQUENCY, URGENCY, BURNING, CLOUDY, FOUL, SMELLING URINE
WHAT MEDICAL INTERVENTION IS NECESSARY IN PYELONEPHRITIS? IV ANTIBIOTICS FOR 1 OR 2 WEEKS, MUST GET URINE CULTURE 2 WEEKS AFTER ANTIBIOTIC THERAPY IS OVER
HOW DOES PYELONEPHRITIS DIFFER FROM CYSTITIS IN MEANING? CYSTITIS MEANS A BLADDER INFECTION; PYELONEPHRITIS MEANS AN INFECTION OF KIDNEY PELVIS
WHAT CAUSES OR PRECEDES PYELONEPHRITIS? CYSTITIS ALWAYS DOES
WILL THE CLIENT WITH PYELONEPHRITIS HAVE DAILY WEIGHTS? YES, AS WOULD ANY CLIENT WITH A KIDNEY PROBLEM
NAME THE 5 SIGNS AND SYMPTOMS THAT PYELONEPHRITIS HAS THAT CYSTITIS DOES NOT HAVE? FEVER, FLANK PAIN, CHILLS, INCREASED WBC, MALAISE
WHAT IS THE BIG DANGER WITH PYELONEPHRITIS? PERMANENT SCARRING AND KIDNEY DAMAGE
HOW IS PYELONEPHRITIS PREVENTED? BY PREVENTING OR TREATING ALL CYSTITIS(UTI'S)
WILL THE CLIENT WITH PYELONEPHRITIS HAVE HEMATURIA? IT IS COMMON BUT NOT ALWAYS PRESENT
THE PT WITH PYELONEPHRITIS WILL HAVE (HYPERTENSION/HYPOTENSION)? HYPERTENSION
WHERE IS THE PYLORIC SPHINCTER? AT THE DISTAL (DUODENAL) END OF THE STOMACH
WHAT DOES STENOSIS MEAN? NARROWED
WHAT IS DONE TO CORRECT PYLORIC STENOSIS? SURGERY (PYLOROMYOTOMY)
IN WHAT POSITION SHOULD THE CHILD WITH PS BE DURING FEEDINGS? HIGH FOWLER'S
THE FEEDINGS FOR AN INFANT WITH PYLORIC STENOSIS SHOULD BE THICK OR THIN? THICKENED
WHAT TEST IS DOEN TO CONFIRM A DIAGNOSIS OF PYLORIC STENOSIS? UPPER GI SERIES (BARIUM SWALLOW)
THE INFANTS ARE PRONE TO DEVELOP ________ AND FAILURE TO _________. DEHYDRATION, THRIVE
WHY DOES THE PYLORIC VALVE BECOME STENOSED IN THIS DISEASE? IT HYPERTOPHIES
IN WHAT POSITION SHOULD A CHILD BE AFTER A FEEDING? RIGHT SIDE WITH HOB UP
THE INFANT APPEARS ______ EVEN AFTER VOMITING? HUNGRY
WHAT DO U SEE DURING AND AFTER FEEDING? PERISTALTIC WAVES FROM LEFT TO RIGHT
IS THE VOMITING PROJECTILE OR NON-PROJECTILE? IS THE VOMITING BILE-STAINED OR NOT BILE-STAINED? PROJECTILE, NOT BILE STAINED
WHAT ASSESSMENT FINDING IS FOUND UNDER THE RIGHT RIB CAGE? AN OLIVE SIZED BULGE (THE HYPERTROPHIED PYLORUS)
THE SYMPTOMS OF PYLORIC STENOSIS MOSTLY COMMONLY APPEAR AT AGE _____ TO _____. 4 - 6 WEEKS
DESCRIBE THE TYPICAL CHILD WITH PYLORIC STENOSIS? FIRSTBORN, FULL TERM, WHITE BOYS
WHAT IS THE #1 DIFFERENCE BETWEEN SEALED AND UNSEALED RADIATION? BOTH ARE INTERNAL FORMS OF RADIOTHERAPY HOWEVER, IN SEALED, A SOLID OBJECT IS PLACED IN A BODY CAVITY; IN UNSEALED A RADIOACTIVE SUBSTANCE IS INJECTED IN LIQUID FORM INTO A VEIN
WHAT ARE THE 3 PRINCIPLES THE NURSE USES TO PROTECT SELF WHEN CARING FOR A CLIENT WITH A SEALED RADIOACTIVE IMPLANT? TIME, DISTANCE, SHIELDING
WHAT IS ANOTHER NAME FOR EXTERNAL RADIATION THERAPY? BEAM OR X-RAYS
WHAT IS THE DIFFERENCE BETWEEN EXTRNAL RADIATION TREATMENT AND INTERNAL RADIATION TREATMENT? IN EXTERNAL THE TUMOR IS BOMBARDED WITH X-RAYS AND NOTHING IS PLACED IN THE BODY; IN INTERNAL THERE IS SOME RADIOACTIVE SUBSTANCE INTRODUCED INTO THE BODY
OF SEALED INTERAL, UNSEALED INTERNAL, AND EXTERNAL RADIATION TREATMENT, WHICH IS MOST DANGEROUS FOR THE NURSE? SEALED INTERNAL THEN UNSEALED INTERNAL, EXTERNAL RADIATION TREATMENT IS OF NO DANGER TO THE NURSE UNLESS THE NURSE IS IN THE RADIATION TREATMENT ROOM DURING THE TREATMENT
SHOULD PREGNANT NURSES PROVIDE CARE FOR A PT RECEIVING UNSEALED INTERNAL RADIOTHERAPY? MAYBE, AS LONG AS THEY DONT CONTACT BODY SECRETIONS
SHOULD PREGNANT NURSES CARE FOR A PT RECEIVING SEALED INTERNAL RADIOTHERAPY? NEVER. (LAWSUIT TIME!)
WHAT SKIN PRODUCTS SHOULD THE PT RECEIVING EXTERNAL RADIOTHERAPY AVOID? NO OINTMENTS WITH METALS LIKE ZINC OXIDE, NO TALCUM POWDER
DESCRIBE THE HYGIENE MEASURES THAT U TEACH THE PT RECEIVING EXTERNAL RADIOTHERAPY? USE PLAIN WATER ONLY, NO SOAPS, PAT DRY, CAN USE CORNSTARCH FOR ITCH
WHAT ARE THE MAJOR SIDE EFFECTS OF RADIOTHERAPY? PRURITIS, ERYTHEMA, BURNING, SLOUGHING OF SKIN,ANOREXIA, NAUSEA AND VOMITING, DIARRHEA, BONE MARROW DEPRESSION
WHEN THE PT IS RECEIVING RADIOACTIVE IODINE WHAT PRECUTIONS IS/ARE MOST IMPORTANT? WEAR GLOVES WHILE IN POSSIBLE CONTACT WITH URINE, SPECIAL PRECAUTIONS TAKEN TO DISPOSE OF THE URINE
RAPE IS A CRIME OF PASSION. (T/F) FALSE, IT IS A VIOLENT ACT
MOST RAPES OCCUR INVOLVING TWO PEOPLE OF DIFFERENT RACES. (T/F) FALSE, USUALLY THE SAME RACE
WHEN MUST PSYCHOLOGICAL CARE OF THE RAPE VICTIM BEGIN? IN THE EMERGENCY ROOM
NAME THE 2 PHASES OF RAPE TRAUMA SYNDROME? DISORGANIZATION PHASE, RE-ORGANIZATION PHASE
IMMEDIATELY AFTER RAPE, A WOMAN WHO IS CALM AND COMPOSED IS ADJUSTING WELL. (T/F) FALSE, CALMNESS AND A COMPOSED ATTITUDE ARE SIGNS OF RAPE TRAUMA SYNDROME, (CALM PERSON IS JUST AS DISORGANIZED AS THE CRYING AND UPSET LADY)
NAME THE 3 PHYSICAL SYMPTOMS OF RAPE TRAUMA SYNDROME. GI IRRITABILITY, ITCHING OR BURNING ON URINATION, SKELETAL MUSCLE TENSION, *DONT FORGET PAIN
VICTIMS OF RAPE OFTEN BLAME __________. THEMSELVES
IN THE LONG TERM REORGANIZATION PHASE THE WOMAN IS LIKELY TO CHANGE___________. RESIDENCE OR/AND TELEPHONE NUMBER
IN THE LONG-TERM REORGANIZATION PHASE THE WOMAN IS LIKLEY TO EXPERIENCE_______ DURING SLEEP. NIGHTMARES
IN THE LONG-TERM REORGANIZATION PHASE THE WOMAN HAS FOUR COMMON FEARS. NAME THEM.... 1.INDOORS OR OUTDOORS (DEPENDING ON WHERE THE RAPE OCCURRED 2. BEING ALONE OR IN CROWDS 3. PEOPLE BEING BEHIND THEM 4. SEXUAL FEARS
BEFORE EVIDENCE FROM THE WOMAN'S BODY CAN BE GATHERED FOR RAPE, _________ ________ MUST BE COMPLETED. CONSENT FORMS
SHOULD A FEMALE STAFF MEMBER BE PRESENT WHEN THE RAPE VICTIM IS BEING EXAMINED? ALWAYS
THE RAPE VICTIM REQUIRES ONLY A PELVIC EXAM AND A HEAD TO TOE EXAM IS NOT DONE, SO THE CLIENT IS NOT STRESSED. (T/F) FALSE, THE EXAM IS A VERY LONG, INVASIVE HEAD TO TOE EXAM
DURING EXAM THE VAGINAL SPECULUM IS LUBRICATED BEFORE IT IS PLACED IN THE VAGINA. (T/F) FALSE, LUBRICATION COULD ALTER THE EVIDENCE
WHAT DRUG IS OFTEN USED TO PREVENT PREGNANCY AFTER RAPE? KITS APPROVED BY FDA: PREVEN (LEVONORGESTREL $ ETHINYL ESTRADIOL) OR PLAN B: LEVONORGESTREL (LESS N&V)
WHEN WORKING WITH A RAPE VICTIM THEY SHOULD BE TREATED WITH _________ AND ________. DIGNITY AND RESPECT
AFTER RAPE, A WOMAN NEEDS FOLLOW-UP EXAM/TEST FOR _______ _______ ________. SEXUALLY TRANSMITTED DISEASES (STD'S)
AFTER DISCHARGE CONTACT WITH THE RAPE VICTIM IS MAINTAINED VIA THE ________. TELEPHONE
RAYNAUD'S IS AN ARTERIAL OR VENOUS DISEASE? ARTERIAL DISEASE CHARCTERIZED BY SPASMS
WHAT PART OF THE BODY IS MOST AFFECTED IN RAYNAUD'S? THE FINGERS
RAYNAUDS AFFECTS MALES OR FEMALES MOSTLY? WOMEN (YOUNG)
WHAT 3 THINGS PRECIPITATE A RAYNAUDS ATTACK? EXPOSURE TO COLD, EMOTIONAL STRESS, TOBACCO USE
THE DIGITS IN RAYNAUD'S ARE HOT OR COLD? COLD
WHAT WILL THE FINGERS LOOK LIKE? PALE, SOMETIMES BLUE
WHAT WILL U FIND WHEN U ASSESS THE LEGS OF THESE PTS? WEAK/ABSENT PULSES, COOL, PALE, LOSS OF HAIR, SHINY THIN SKIN
WHAT 3 SENSATIONS WILL THE CLIENT EXPERIENCE? PAIN, NUMBNESS, TINGLING
WHAT SHOULD THE CLIENT WITH RAYNAUD'S AVOID? COLD WEATHER. (THEY SHOULD WEAR GLOVES AND STOP SMOKING)
IN THE RECOVERY ROOM (PACU) THE PT SHOULD BE POSITIONED..... ON EITHER SIDE
WHAT REFLEX IS COMMONLY ROUTINELY TESTED IN THE RECOVERY ROOM? GAG REFLEX
WHEN WILL THE ARTIFICIAL AIRWAY BE REMOVED IN THE RECOVERY ROOM? WHEN THE GAG REFLEX RETURNS
VITAL SIGNS ARE MEASURED _____ IN THE RECOVERY ROOM. EVERY 15 MIN
IN THE RECOVERY ROOM THE HEAD SHOULD BE.... TO THE SIDE WITH THE CHEEK AND NECK EXTENDED SLIGHTLY DOWN
IN THE RECOVERY ROOM THE NECK SHOULD BE... SLIGHTLY EXTENDED
CAN POST-OP PAIN MEDS BE GIVEN IN THE RECOVERY ROOM? YES
GIVE 3 STAGES OF ACUTE RENAL FAILURE? OLIGURIA, DIURETIC, RECOVERY
DEFINE RENAL FAILURE? INABILITY OF THE KIDNEY TO EXCRETE WASTES AND MAINTAIN FLUID AND ELECTROLYTE BALANCE
WHAT IS THE BIG DANGER IN RENAL FAILURE? HYPERKALEMIA AND ITS EFFECT ON THE HEART
WHAT IS ANURIA? LESS THAN 50CC OF URINE OUT IN 24 HRS
WHAT IS OLIGURIA? LESS THAN 500CC OF URINE OUT IN 24 HRS
WHAT ARE THE DIETARY MODIFICATIONS FOR THE RECOVERY PHASE OF ACUTE RENAL FAILURE? INCREASED CARBOHYDRATES, INCREASED PROTEIN
WHAT ARE THE DIETARY MODIFICATIONS FOR THE DIURETIC PHASE OF ACUTE RENAL FAILURE? INCREASED CARBOHYDRATES, PROTEIN. MODERATE POTASSIUM AND SODIUM. (MAY NEED TO INCREASE FLUIDS IF DIURESIS RESULTS IN DEHYDRATION)
WHAT ARE THE DIETARY MODIFICATIONS FOR THE OLIGURIC PHASE OF ACUTE RENAL FAILURE? INCREASED CARBOHYDRATES, DECREASED PROTEIN, DECREASED SODIUM, DECREASED POTASSIUM, DECREASED WATER
WHAT IS THE FIRST PHASE IN ACUTE RENAL FAILURE? THE OLIGURIC PHASE
IN THE OLIGURIC PHASE, BLOOD VOLUME IS ________, SODIUM IS _______, AND POTASSIUM IS _________. HIGH, HIGH, HIGH
HOW LONG DOES THE OLIGURIC PHASE LAST? 7 - 10 DAYS
IN THE DIURETIC PHASE: BLOOD VOLUME IS ______, SODIUM IS________, AND POTASSIUM IS________. LOW, LOW, LOW
HOW LONG DOES THE DIURETIC PHASE USUALLY LAST? 3 - 4 DAYS, MAXIMUM TIME IS 2 - 3 WEEKS
IN THE DIURETIC PHASE: URINE OUTPUT CAN = ______ TO ______ LITERS/24HRS. 4 - 5 LITERS PER 24 HRS
WHICH IS MORE DANGEROUS, OLIGURIA, OR ANURIA? WHY? OLIGURIA, BECAUSE SINCE U ARE LOSING MORE FLUIDS U ARE ACTUALLY HEMOP-CONCENTRATING THE HYPERKALEMIA MORE
RESPIRATORY DISTRESS SYNDROME OCCURS IN FULL-TERM INFANTS. (T/F) FALSE, IT OCCURS IN PREMATURE INFANTS
RESPIRATORY DISTRESS SYNDROME HARDLY EVER OCCURS AFTER WEEK _____- OF GESTATION. 37
RESPIRATORY DISTRESS SYNDROME IS ALSO KNOWN AS.... HYALINE MEMBRANE DISEASE(HMD)
THE CAUSE OF RDS IS A LACK OF ______. SURFACTANT
SURFACTANT _____ SURFACE TENSION INSIDE_____. DECREASES, ALVEOLI
SURFACTANT PREVENTS THE _______ OF THE ALVEOLI. COLLAPSE
LACK OF SURFACTANT CAUSES THE NRONATE TO LOSE LUNG CAPACITY WITH EACH _______. BREATH
DEATH FROM RESPIRATORY DISTRESS SYNDROME MOST COMMONLY OCCURS WITHIN _____ HRS OF BIRTH. 96
WITHIN MINUTES OF BIRTH WHAT 3 RESPIRATORY DIFFICULTIES OCCUR? RETRACTIONS, NASAL FLARING, AND GRUNTING
WHAT MEDICATION IS GIVEN? BY WHAT ROUTE? SURVANTA (SURFACTANT) VIA ET TUBE. REPEAT DOSES ARE OFTEN REQUIRED
WHAT ACID/BASE DISORDER IS SEEN IN RESPIRATORY DISTRESS SYNDROME? RESPIRATORY ACIDOSIS (CO2 IS RETAINED)
WHAT WILL U AUSCULTATE OVER THE LUNGS OF THE NEONATE WITH RESPIRATORY DISTRESS SYNDROME? DECREASED LUNG SOUNDS WITH CRACKLES
WHAT LAB TEST ASSESSES THE RISK OF RESPIRATORY DISTRESS SYNDROME? L/S RATION (LECITHIN/SPHINGOMYELIN RATIO)
WHAT L/S RATIO INDICATES FETAL LUNG MATURITY? 2/1
WHAT OTHER TEST IS USED TO CONFIRM FETAL LUNG MATURITY? AMNIOTIC FLUID IS ANALYZED FOR PRESENCE OF PG
SEVERE CASES OF RESPIRATORY DISTRESS SYNDROME REQUIRES VENTILATION WITH_______. PEEP(PASITIVE AND EXPIRATORY PRESSURE) AND CPAP(CONTINUOUS POSITIVE AIRWAY PRESSURE), TO KEEP THE ALVEOLI OPEN WHILE ON THE VENTILATOR. HIGH FREQUENCY JET VENTILATION IS SOMETIMES USED.
WHAT MAY BE ADDED TO THE IV TO CORRECT THE ACIDOSIS? BICARBONATE
HIGH FLOW RATES OF O2 DELIVERED IN RESPIRATORY DISTRESS SYNDROME CAN CAUSE _______ _______. RETROLENTAL FIBROPLASIA ( AN EYE PROBLEM)
RETROLENTAL FIBROPLASIA CAN RESULT IN ______. BLINDNESS FROM RETINAL DAMAGE
HIGH VENTILATORY PRESSURES RESULT IN WHAT CHRONIC LUNG PROBLEM? BRONCHO-PULMONARY DYSPLASIA
AT WHAT TIME OF YEAR DOES RHEUMATOID ARTHRITIS FLARE UP? SPRING
AS WITH ANY INFLAMMATORY DISEASE CLIENTS WITH RHEUMATOID ARTHRITIS HAVE A LOW-______. GRADE FEVER
WHAT FACTOR IS PRESENT IN THE BLOOD WHEN THE CLIENT HAS RHEUMATOID ARTHRITIS? THE RHEUMATOID FEVER
AS IN MOST INFLAMMATORY DISORDERS, THE WBC COUNT IS __________. THIS IS CALLED ________. ELEVATED, LEUKOCYTOSIS
AS IN MOST INFLAMMATORY DISEASES THE CLIENT HAS AN ____________ ERYTHROCYTE SEDIMENTATION RATE. INCREASED
DURING AN EXACERBATION (FLARE-UP) OF RHEUMATOID ARTHRITIS U SHOULD SPLINT THE JOINTS IN (EXTENSION/FLEXION) EXTENSION
WHAT TYPE OF CHAIR SHOULD BE USED FOR RHEUMATOID ARTHRITIS CLIENTS? A CHAIR WITH A HIGH SEAT, ARMRESTS AND ONE IN WHICH THE KNEES ARE LOWER THAN THE HIPS
IN RHEUMATOID ARTHRITIS THE CLIENT SHOULD AVOID POSITIONS OF ________ AND SOME POSITIONS OF _________. FLEXION, EXTENSION
WHENT HE CLIENT WITH RHEUMATOID ARTHRITIS IS IN REMISSION U SHOULD APPLY (HEAT/COLD) TO THE JOINT. HEAT
DURING AN EXACERBATION OF RHEUMATOID ARTHRITIS U SHOULD APPLY (HEAT/ICE). ICE
RHEUMATOID ARTHRITIS IS MORE COMMON IN FEMALES THAN IN MALES (T/F). TRUE, UNLIKE OSTEOARTHRITIS, RHEUMATOID ARTHRITIS OCCURS THREE TIMES MORE COMMONLY IN WOMEN
PEOPLE WITH RHEUMATOID ARTHRITIS (USUALLY/NEVER) EXPERIENCE REMISSION OF SYMPTOMS. USUALLY
RHEUMATOID ARTHRITIS IS A ________, _______ DISEASE. CHRONIC INFLAMMATORY
RHEUMATOID ARTHRITIS ATTACKS THE _______, _______, _______,_______, AND ________ _______. JOINT, MUSCLES, TENDONS, LIGAMENTS, BLOOD VESSELS
WHERE ARE THE NODULES OF WHEUMATOID ARTHRITIS FOUND IN CONTRAST TO THE HEBERDEN'S NODES OF OSTEOARTHRITIS? THE NODES OF RHEUMATOID ARTHRITIS ARE SUBCUTANEOUS NODULES USUALLY ON THE ELBOWS (VENTRAL FOREARM), HERBEDEN'S NODES OF OSTEOARTHRITIS ARE ON THE FINGERS
WHICH JOINTS OF THE FINGERS ARE MOST AFFECTED BY RHEUMATOID ARTHRITIS? THE PROXIMAL INTERPHALANGEAL JOIN (PIP)
CLIENTS WITH RHEUMATOID ARTHRITIS HAVE A DEFORMITY OF THE WRIST/HAND CALLED? SWAN-NECK DEFORMITY
THE MAINSTAY OF RHEUMATOID ARTHRITIS THERAPY IS THE DRUG __________/ ASPIRIN
ACTIVITY (INCREASES/DECREASES) THE PAIN OF RHEUMATOID ARTHRITIS. DECREASES ( THIS IS TH EOPPOSITE OF OSTEOARTHRITIS WHERE ACTIVITY INCREASES THE PAIN.)
REMISSIONS OF RHEUMATOID ARTHRITIS LAST FOR THE REST OF THE PTS LIFE. (T/F) FALSE, THEY USUALLY HAVE RECURRENCE AND WHEN IT RE-OCCURS IT USUALLY COMES BACK WORSE
DYSPNEA IS (LEFT/RIGHT) SIDED CHF. LEFT
COUGH IS (LEFT/RIGHT) SIDED CHF. LEFT
ASCITES IS (LEFT/RIGHT)SIDED CHF. RIGHT
POSITIVE HEPATOJUGULAR REFLUX IS (LEFT/RIGHT) SIDED CHF. RIGHT
LOW CARDIAC OUTPUT IS (LEFT/RIGHT)SIDED CHF. LEFT
S3 AND S4 GALLOPS IS (LEFT/RIGHT) SIDED CHF. LEFT
CRACKLES IS (LEFT/RIGHT) SIDED CHF. LEFT
PULSES ALTERNANS IS (LEFT/RIGHT)SIDED CHF. LEFT--STRON PULSE THEN A WEAK PULSE ALTERNATIVELY
PALPITATIONS IS (LEFT/RIGHT) SIDED CHF. LEFT
FATIGUE IS (LEFT/RIGHT) SIDED CHF. LEFT
WEIGHT GAIN IS (LEFT/RIGHT) SIDED CHF. RIGHT
DIAPHORESIS IS (LEFT/RIGHT) SIDED CHF. LEFT
JUGULAR VEIN PULSTATIONS IS (LEFT/RIGHT) SIDED CHF. RIGHT
NECK VEIN DISTENTION IS (LEFT/RIGHT) SIDED CHF. RIGHT
HEPATOMEGALY IS (LEFT/RIGHT) SIDED CHF. RIGHT
EDEMA IS (LEFT/RIGHT)SIDED CHF. RIGHT
ABDOMINAL DISTENTIONS IS (LEFT/RIGHT) SIDED CHF. RIGHT
SCOLIOSIS IS A _______ CURVATURE OF THE __________. LATERAL, SPINE
SCOLIOSIS IS MOST COMMON IN THE _______ AND ______ SECTIONS OF THE SPINAL COLUMN. THORACIC AND LUMBAR
SCOLIOSIS IN THE THORACIC SPINE IS USUALLY CONVEX TO THE (LEFT/RIGHT). RIGHT
SCOLIOSIS IN THE LUMBAR SPINE IS USUALLY CONVEX TO THE (LEFT/RIGHT). LEFT (*HINT: CURVE LEFT IN LUMBAR)
WITH WHICH OTHER TWO SPINE DEFORMITIES IS SCOLIOSIS ASSOCIATED? KYPHOSIS(HUMPBACK) LORDOSIS(SWAYBACK)
WHAT IS KYPHOSIS? HUMPBACK IN THE THORACIC AREA
WHAT IS LORDOSIS? SWAYBACK IN THE LUMBAR REGION (LUMBAR, LORDOSIS)
WHAT IS THE DIFFERENCE BETWEEN STRUCTURAL AND FUNCTIONAL SCOLIOSIS? STRUCTURAL---U ARE BORN WITH; FUNCTIONAL--U GET FROM BAD POSTURE
WHAT AGE GROUP SHOULD BE ROUTINELY SCREENED FOR SCOLIOSIS? YOUNG TEENS
WHAT ARE THE 3 SUBJECTIVE COMPLAINTS OF CLIENTS WITH SCOLIOSIS? BACK PAIN, DYSPNEA, FATIGUE
WHAT TEST/EXAM CONFIRMS THE DIAGNOSIS OF SCOLIOSIS? X-RAYS OF THE SPINE
WHAT TYPE OF BRACE IS MOST COMMONLY USED FOR SCOLIOSIS? MILWAUKEE
NAME 4 EXERCISES USED TO TREAT MILD SCOLIOSIS? HEEL LIFTS, SIT-UPS, HYPEREXTENSION OF THE SPINE, BREATHING EXERCISES
WHAT KIND OF TREATMENT IS DONE FOR SEVERE SCOLIOSIS? SURGICAL FUSION WITH ROD INSERTION
WHAT TYPE OF CAST IS USED POST-OP? RISSER CAST
WHAT KIND OF ROD IS USED TO FIX CURVATURE? HARRINGTON ROD
SCOLIOSIS MOST COMMONLY AFFECTS _________ _______ (TYPE OF CLIENTS.) TEENAGE FEMALES
HOW MANY HOURS A DAY SHOULD THE CLIENT WEAR A MILWAULKEE BRACE? 23
WHAT SOLUTION SHOULD BE USED ON THE SKIN WHERE THE BRACE RUBS? TINCTURE OF BENZOIN OR ALCOHOL NO LOTIONS OR OINTMENTS----U WANT TO TOUGHEN THE SKIN NOT SOFTEN IT
CLIENTS WITH MILWAULKEE BRACE SHOULD AVOID VIGOROUS EXERCISE. (T/F) TRUE
HOW OFTEN SHOULD THE NEUROVASCULAR STATUS OF THE EXTREMETIES OF A CLIENT IN A RISSER CAST BE MEASURED? FRESH POST-OP? EVERY 2 HRS
WHAT IS A COMMON COMPLICATION OF A CLIENT IN A BODY CAST(LIKE THE RISSER CAST)? CAST SYNDROME
WHAT IS CAST SYNDROME? NAUSEA, VOMITING, AND ABDOMINAL DISTENTION THAT CAN RESULT IN INTESTIONAL OBSTRUCTION
WHAT GROUP OF PEOPLE GET CAST SYNDROME? ANYONE IN A BODY CAST
WHAT IS THE TREATMENT FOR CAST SYNDROME? REMOVAL OF THE CAST, NG TUBE TO DECOMPRESS, NPO
HOW WOULD U, THE NURSE ASSESS FOR DEVELOPING CAST SYNDROME? ASK THE CLIENT IF THEY ARE EXPERIENCING ANY ABDOMINAL SYMPTOMS----KEEP TRACK OF BOWEL MOVEMENTS AND PASSING FLATUS(IF NOT HAVING BMS OR PASSING FLATUS, CAST SYNDROME IS SUSPECTED)
WHAT CAUSES CAST SYNDROME , SPECIFICALLY IN A RISSER CAST? HYPEREXTENSION OF THE SPINE BY A BODY CAST, THE HYPEREXTENSION INTERRUPTS THE NERVE AND BLOOD SUPPLY TO THE GUT
THE INHERITANCE PATTERN OF SICKLE-CELL ANEMIA IS _____________ ____________. AUTOSOMAL RECESSIVE
WHAT DOES HETEROZYGOUS MEAN? IT MEANS U ONLY HAVE ONE DEFECTIVE GENE FROM ONLY ONE PARENT
PEOPLE WHO ARE (HETERO/HOMO) ZYGOUS HAVE SICKLE CELL TRAIT. HETERZYGOUS
WHAT DOES HOMOZYGOUS MEAN? IT MEANS U HAVE THE DEFECTIVE GENE FROM BOTH PARENTS
PEOPLE WHO ARE (HETERO/HOMO) ZYGOUS HAVE SICKLE CELL DISEASE. HOMOZYGOUS
PEOPLE WITH SICKLE CELL TRAIT ONLY CARRY THE DISEASE, THEY DO NOT HAVE SYMPTOMS. (T/F) TRUE, USUALLY IT HAS OCCURRED THAT IN TIMES OF SEVER STRESS, THE TRAIT DOES CAUSE SOME SYMPTOMS BUT NOT USUALLY
WHAT ARE THE #1 AND #2 CAUSES OF SICKLE CELL CRISIS? HYPOXIA, DEHYDRATION
THE MOST COMMON TYPE OF CRISIS THAT OCCURS IN A ___________-___________CRISIS. VASO-OCCLUSIVE
IN VASO-OCCLUSIVE THE VESSELS BECOME MORE OCCLUDED WITH __________ ___________. ABNORMAL RBC'S
THE ABNORMAL HEMOGLOBIN PRODUCED BY PEOPLE WITH SICKLE CELL ANEMIA IS CALLED Hgb ________. Hgb S----IT SICKLES
WHAT SHAPE DOES Hgb S MAKE THE RBC'S? CRESCENT SHAPE
WHY DO THE CRESCENT SHAPED RBC'S CAUSE OCCLUSION OF THE VESSELS? THEY CLUMP TOGETHER AND CREATE A SLUDGE
WHARE THE THE TOP 3 PRIORITIES IN CARE OF THE CLIENT WITH SICKLE-CELL CRISIS? OXYGENATION, HYDRATION,AND PAIN CONTROL
WHAT ACTIVITY ORDER WILL THE CLIENT WITH SICKLE CELL CRISIS HAVE? BED REST
OF TYLENOL, MORPHINE, DEMEROL, ASPIRIN, WHICH IS NEVER GIVEN TO SICKLE CELL PATIENTS? ASPIRIN----IT CAN CAUSE ACIDOSIS WHICH MAKES THE CRISIS AND SICKLING WORSE
AT WHAT AGE IS DEATH MOST LIKELY IN SICKLE CELL ANEMIA? YOUNG ADULTHOOD
SICKLE-CELL ANEMIA SYMPTOMS DO NOT APPEAR BEFORE THE AGE OF _______ MONTHS DUE TO THE PRESCENCE OF ________ _______. 6; FETAL HEMOGLOBIN
SICKLE CELL ANEMIA IS MOST COMMONLY SEEN IN (BLACKS/WHITES). BLACKS
SHOULD A CHILD IN SICKLE-CELL CRISIS WEAR TIGHT CLOTHES? NO, IT CAN OCCLUDE VESSELS EVEN MORE
SPINAL CORD INJURIES ARE MORE COMMON IN MALES. (T/F) TRUE
IN WHAT AGE RANGE IS SPINAL CORD INJURY MOST COMMON? 15 TO 25
THE #1 GOAL IN EMERGENCY TREATMENT OF SPINAL CORD INJURY IS..... IMMOBILIZATION OF THE SPINE
WHEN HALO TRACTION IS BEING USED TO IMMOBILIZE THE SPINAL CORD THE CLIENT IS ALLOWED TO________. AMBULATE
WHEN THE PT WITH SPINAL CORD INJURY IS IN TONGS OR ON A STRYKER FRAME OR ON A CIRCOELECTRIC BED THEY ARE ON..... ABSOLUTE BED REST
THE TWO MOST COMMON SURGERIES USED TO TREAT SPINAL CORD ARE _______ AND _______ _______. LAMINECTOMY AND SPINAL FUSION
WHAT IS SPINAL SHOCK? IT IS A COMMON OCCURRENCE IN THE SPINAL CORD INJURY IN WHICH THE SPINAL CORD SWELLS ABOVE AND BELOW THE LEVEL OF INJURY
WHEN DOES SPINAL SHOCK OCCUR? IMMEDIATELY OR WITHIN 2 HRS OF INJURY
HOW LONG DOES SPINAL SHOCK LAST? 5 DAYS TO 3 MONTHS
WHEN THE SPINAL CORD INJURY IS AT LEVEL OF ______ TO _____ THE PT WILL BE QUADRIPLEGIC. C1 TO C8
WHEN SPINAL CORD INJURY IS BETWEEN _______ AND _______, THERE IS PERMANENT RESPIRATORY PARALYSIS. C1 AND C4
CAN THE PT WITH SPINAL CORD INJURY AT C7 LEVEL HAVE RESPIRATORY ARREST? YES, BECAUSE EVEN THOUGH HIS INJURY WAS BELOW C4, SPINAL SHOCK CAN LEAD TO LOSS OF FUNCTION ABOVE THE LEVEL, HOWEVER HE WILL NOT BE PERMANENTLY VENTILATOR DEPENDENT--HE WILL BREATHE ON OWN ONCE SPINAL SHOCK GOES AWAY
SPINAL CORD INJURY IN THE THORACIC/LUMBAR REGIONS RESULT IN _______ PLEGIA. PARAPLEGIA
IF AIRWAY OBSTRUCTION OCCURS AT THE ACCIDENT SITE AND U SUSPECT SPINAL CORD INJURY, WHAT MANEUVER IS USED TO OPEN THE AIRWAY? MODIFIED JAW THRUST
IN SPINAL CORD INJURY NEVER ________ THE NECK. MOVE,HYPEREXTEND
HOW SHOULD U CHANGE THE POSITION OF THE SPINAL CORD INJURY PT AFTER HE HAS AN ORDER TO BE UP? WHY? SLOWLY, BECAUSE OF SEVERE ORTHOSTATIC HYPOTENSION (THEY USE A LIFT TABLE)
FOR THE PT WITH A NEUROGENIC BLADDER U SHOULD STRAIGHT CATHETERIZE EVERY _________HOURS. EVERY 6 HRS
THE PT WITH SPINAL CORD INJURY WILL HAVE (FLACCID/SPASTIC) MUSCLES. SPASTIC
NAME 3 DRUGS USED TO TREAT SPASMS? VALIUM, BACLOFEN, DANTRIUM
WHAT IS AUTONOMIC DYSREFLEXIA OR HYPERREFLEXIA? A COMMON COMPLICATION OF QUADRIPLEGICS IN RESPONSE TO A FULL BLADDER OR BOWEL
WHAT ARE THE VITAL SIGN CHANGES SEEN IN AUTONOMIC DYSREFLEXIA? SWEATING, HEADACHE, NAUSEA, AND VOMITING, GOOSEFLESH, AND SEVER HYPERTENSION
WHAT DO U DO FIRST FOR THE CLIENT EXPERIENCING AUTONOMIC DYSREFLEXIA? RAISE HOB
WHAT DO U DO FOR SECOND IN THE PATIENT EXPERIENCING AUTONOMIC DYSREFLEXIA? CHECK THE BLADDER, CHECK THE BOWEL
DO U NEED TO CALL THE DR FOR AUTONOMIC DYSREFLEXIA? NO, ONLY CALL THE DR IF DRAINING THE BLADDER AND REMOVING IMPACTION DOES NOT WORK
WHAT IS THE #1 TREATMENT FOR AUTONOMIC DYSREFLEXIA? DRAIN THE BLADDER, EMPTY THE BOWEL
WHAT IS THE PURPOSE OF RESTRICTING ACTIVITY AFTER SPINAL TAP? TO PREVENT HEADACHE DUE TO CSF LOSS
SHOULD THE CLIENT DRINK AFTER A SPINAL TAP? YES, ENCOURAGE FLUIDS TO REPLACE CSF
DO U NEED AN INFORMED CONSENT FOR A SPINAL TAP? YES
SHOULD CSF CONTAIN BLOOD? NO
DOES THE CLIENT HAVE TO BE NPO BEFORE A SPINAL TAP? NO
WHAT IS THE NORMAL COLOR OF CEREBROSPINAL FLUID? CLEAR, COLORLESS
INTO WHAT SPACE IS THE NEEDLE INSERTED DURING A SPINAL TAP? SUBARACHNOID SPACE
CAN THE CLIENT TURN SIDE-TO-SIDE AFTER A SPINAL TAP? YES
IN WHAT POSITION SHOULD THE CLIENT BE DURING A SPINAL TAP. LATERAL DECUBITUS(ON THEIR SIDE)POSITION AND KNEES TO CHEST
IDENTIFY THE ACTIVITY RESTRICTION NECESSARY AFTER LUMBAR PUNCTURE? LIE FLAT FOR 6 TO 12 HRS
WHAT ARE THE TWO PURPOSES OF A SPINAL TAP? TO MEASURE OR RELIEVE PRESSURE AND OBTAIN A CSF SAMPLE
DOES THE CLIENT HAVE TO BE SEDATED BEFORE A SPINAL TAP? NO
DEFINE ANTIBIOTIC. A DRUG THAT DESTROYS OR INHIBITS GROWTH OF MICO-ORGANISMS
DEFINE ASEPSIS. ABSCENCE OF ORGANISMS CAUSING DISEASE
DEFINE ANTISEPTIC. A SUBSTANCE USED TO DESTROY OR INHIBIT THE GROWTH OF PATHOGENS BUT NOT NECESSARILY THEIR SPORES (IN GENRAL SAFE TO USE ON PERSONS)
DEFINE DISINDECTANT. A SUBSTANCE USED TO DESTROY PATHOGENS BUT NOT NECESSARILY THEIR SPORES (IN GENERAL NOT INTENDED FOR USE OF PERSONS)
DEFINE BACTERCIDE. SUBSTANCE CAPABLE OF DESTROYING MICRO-ORGANISMS BUT NOT NECESSARILY THEIR SPORES
DEFINE BACTERIOSTATIC. SUBSTANCE THAT PREVENTS OR INHIBITS THE GROWTH OF MICRO-ORGANISMS
DEFINE ANAEROBE. MICRO-ORGANISMS THAT DO NOT REQUIRE FREE OXYGEN TO LIVE
DEFINE AEROBE. MICRO-ORGANISMS REQUIRING FREE OXYGEN TO LIVE
DEFINE PATHOGEN. MICRO-ORGANISMS THAT CAUSES DISEASE
DEFINE CLEAN TECHNIQUE. PRACTICES THAT HELP REDUCE THE NUMBER AND SPREAD OF MICRO-ORGANISMS (SYNONYM FOR MEDICAL ASEPSIS)
DEFINE STERILE. AN ITEM ON WHICH ALL MICRO-ORGANISMS HAVE BEEN DESTROYED
DEFINE COAGULATE. PROCESS THAT THICKENS OR CONGEALS A SUBSTANCE
DEFINE HOST AN ANIMAL OR A PERSON UPON WHICH OR IN WHICH MICRO-ORGANISMS LIVE
DEFINE PORTAL OF ENTRY. PART OF THE BOFY WHERE ORGANISMS ENTER
DEFINE CONTAMINATE. TO MAKE SOMETHING UNCLEAN OR UNSTERILE
DEFINE SURGICAL ASEPSIS. PRACTICES THAT RENDER AND KEEP OBJECTS AND AREAS FREE FROM ALL MICRO-ORGANISMS(SYNONYM FOR STERILE TECHNIQUES)
DEFINE MEDICAL ASEPSIS. PRACTICES THAT HELP REDUCE THE NUMBER AND SPREAD OF MICRO-ORGANISMS(SYNONYM FOR CLEAN TECHNIQUES)
DEFINE SPORE. A CELL PRODUCED BY MICRO-ORGANISMS WHICH DEVELOPS INTO ACTIVE MICRO-ORGANISMS UNDER PROPER CONDITIONS
WHICH HAND SHOULD HOLD THE SUCTION CATHETER? WHICH SHOULD HOLD THE CONNECTING TUBE? THE DOMINANT, THE NON-DOMINANT
THE NURSE SHOULD USE (MEDICAL/SURGICAL) ASEPSIS DURING AIRWAY SUCTION? SURGICAL ASEPSIS (STERILE TECHNIQUE)
WHAT KIND OF LUBRICANT SHOULD BE USED ON THE SUCTION CATHETER? STERILE WATER-SOLUBLE
SHOULD THE SUCTION BE CONTINUOUS OR INTERMITTENT? INTERMITTENT TO PREVENT MUCOSAL DAMAGE
FOR HOW LONG SHOULD SUCTION BE APPLIED DURING ANY ONE ENTRY OF THE CATHETER? 10 SECONDS
HOW OFTEN SHOULD THE NURSE CLEAR THE TUBING DURING SUCTIONING? AFTER EACH PASS/ENTRY/REMOVAL
WHICH WAY WOULD U TURN THE CLIENT HEAD TO SUCTION THE RIGHT MAINSTREAM BRONCHUS? THE LEFT MAINSTREAM BRONCHUS? TO THE LEFT, TO THE RIGHT
THE BEST CLIENT POSITION DURING AIRWAY SUCTIONING IS ____________. SEMI-FOWLERS
THE SUCTION SHOULD BE DELIVERED WHILE (INSERTING/REMOVING) THE CATHETER. WHILE REMOVING THE CATHETER
WHAT OUTCOMES WOULD INDICATE THAT SUCTIONING WAS EFFECTIVE? CLEAR EVEN LUNG SOUNDS, NORMAL VITAL SIGNS
HOW OFTEN SHOULD THE CLIENTS AIRWAY BE SUCTIONED? WHEN IT NEEDS TO BE, FOR EXAMPLE MOIST LUNG SOUNDS, TACHYCARDIA, RESTLENESS (HYPOXIA),INEFFECTIVE COUGH
THE UNCONSCIOUS CLIENT SHOULD ASSUME WHAT POSITION DURING SUCTIONING? SIDE-LYING FACING NURSE
IF NOT CONTRAINDICATED, WHAT ACTION BY THE NURSE BEFORE SUCTIONING WOULD MOST LIKELY REDUCE HYPOXIA DURING SUCTIONING? ADMINISTER A FEW BREATHS AT 100% OXYGEN BEFORE BREATHING
WHAT SOLUTION SHOULD BE USED TO CLEAR THE TUBING DURING SUCTIONING? STRERILE SALINE
WITH WHAT SIZE CATHETER SHOULD AN ADULTS AIRWAY BE SUCTIONED? 12 TO 16 FRENCH
HOW MUCH SUCTION SHOULD BE USED FOR AN INFANT? LESS THAN 80 MMHg
HOW MUCH SUCTION SHOULD BE USED FOR A CHILD? 80 - 100 mmHg
HOW MUCH SUCTION SHOULD BE USED FOR AN ADULT? 120 - 150 mmHg
CHILDREN ARE AT ______ RISK FOR SUICIDE. LOW
ADOLESCENTS ARE (LOW/HIGH) RISK FOR SUICIDE. HIGH
YOUNG ADULTS ARE (LOW/HIGH) RISK FOR SUICIDE. HIGH TO MODERATE
PEOPLE BETWEEN 25-50 YRS ARE (LOW/MODERATE/HIGH) RISK FOR SUICIDE? MODERATE
PEOPLE OVER 50 YRS ARE (LOW/HIGH) RISK FOR SUICIDE. HIGH
THE PATIENT WHO HAS A DEFINITE PLAN IS (LOW/HIGH)RISK FOR SUICIDE. MODERATE TO HIGH, DEPENDS UPON FEASIBILITY AND EASE OF PLAN
THE USE OF PILLS MAKES THE PATIENT (LOW/MODERATE/HIGH) RISK FOR SUICIDE. MODERATE
THE PT WHO HAS NO DEFINITE PLAN IS (LOW/HIGH) RISK FOR SUICIDE. LOW
THE USE OF ________, ______ AND ______ TO KILL SELF, MAKE HIGH RISK SUICIDE. GUNS, ROPES, KNIVES
WHO IS AT HIGHER RISK FOR SUICIDE, A MAN OR A WOMAN? MAN
OF MARRIED, DIVORCED, SEPARATED, WHICH MARITAL STATUS IS HIGHEST RISK FOR SUICIDE? LOWEST RISK FOR SUICIDE? HIGHEST----SEPARATED THEN DIVORCE LOWEST----MARRIED
THE GOAL OF ACTION WHILE THE SUICIDAL PATIENT IS STILL ON THE PHONE IS TO GET ________ PERSON ______ THE _______. ANOTHER PERSON ON THE SCENE( THIS IMMEDIATELY DECREASES RISK) REMEMBER: PEOPLE WHO ARE ALONE ARE ALWAYS HIGH RISK
WHAT ARE THE 4 CLASSIC SUICIDE PRECAUTIONS? SEARCH PERSONAL BELONGINGS FOR DRUGS AND ALCOHOL, REMOVE ANY SHARP OBJECTS, REMOVE ANY DEVICE FOR HANGING OR STRANGLING, MUST BE ON CONSTANT ONE ON ONE OBSERVATION (NEVER OUT OF SIGHT)
ONCE THE PATIENT IS ADMITTED FOR ATTEMPTED SUICIDE SHOULD U EVER DISCUSS THE ATTEMPT WITH THEM? NO, U SHOULD NOT FOCUS ON THE ATTEMPT, FOCUS ON THE PRESENT AND FUTURE.
WHAT DOES THE SUFFIX -PATHY MEAN? DISEASE, SUFFERING
WHAT DOES THE SUFFIX -PENIA MEAN? LACK, DEFICIENCY OF
WHAT DOES THE SUFFIX -SECT MEAN? PLASTIC SURGERY ON A SPECIFIED PART
WHAT DOES THE SUFFIX -SCLEROSIS MEAN? HARDENING OF A TISSUE BY; INFLAMMATION, DEPOSITION OF MINERAL SALTS; INFILTRATION OF CONNECTIVE TISSUE FIBERS
WHAT DOES THE SUFFIX -CENTESIS MEAN? PERFORATION OR PUNCTURE
WHAT DOES THE SUFFIX -GENIC MEAN? PRODUCE, ORIGINATE BECOME
WHAT DOES THE SUFFIX -EMIA MEAN? BLOOD
WHAT DOES THE SUFFIX -OTOMY MEAN? CUTTING
WHAT DOES THE SUFFIX -PEXY MEAN? FIXATION OF SOMETHING
WHAT DOES THE SUFFIX -ATRESIA MEAN? CONDITION OF OCCLUSION
WHAT DOES THE SUFFIX -DESIS MEAN? BINGING, FUSING
WHAT DOES THE SUFFIX -CELE MEAN? COMBINING FORM MEANING A TUMOR OR SWELLING OR A CAVITY
WHAT DOES THE SUFFIX -CIS MEAN? CUT, KILL
WHAT DOES THE SUFFIX -RHAPY; -RRHAPY MEAN? JOINING IN A SEAM, SUTURATION
WHAT DOES THE SUFFIX -SCOPE; -SCOPY MEAN? INSTRUMENT FOR OBSERVATION
WHAT DOES THE SUFFIX -OSIS MEAN? INDICATES CONDITION PROCESS
WHAT DOES THE SUFFIX -OMA MEAN? TUMOR
WHAT DOES THE SUFFIX -OSTOMY MEAN? SURGICAL OPENING
WHAT DOES THE SUFFIX -STASIS MEAN? STOPPAGE
WHAT DOES THE SUFFIX -ITIS MEAN? INFLAMMATION
WHAT DOES THE SUFFIX -OLOGY MEAN? STUDY OF; KNOWLEDGE, SCIENCE
WHAT DOES THE SUFFIX -LYSIS MEAN? BREAKING DOWN
WHAT DOES THE SUFFIX -ECTOMY MEAN? SURGICAL REMOVAL OF
WHAT DOES THE SUFFIX -TRIPSY MEAN? CRUSHING OF SOMETHING BY A SURGICAL INSTRUMENT
WHAT DOES THE SUFFIX -ASE MEAN? USED IN NAMING ENZYMES
WHAT DOES THE SUFFIX -GRAM; -GRAPHY MEAN? WRITE, RECORD
SYPHILIS IS SEXUALLY TRANSMITTED. (T/F) TRUE
SYPHILIS FIRST INFECTS THE _______ ______. MUCOUS MEMBRANES
SYPHILIS IS A FATAL DISEASE IF UNTREATED. (T/F) TRUE
WHAT ARE THE STAGES OF SYPHILIS? PRIMARY, SECONDASRY, LATENT, LATE
WHAT ORGANISM CAUSES SYPHILIS? TREPONEMA PALLADIUM
WHAT IS THE LESION LIKE IN PRIMARY SYPHILIS? THE CHANCRE(PRONOUNCED SHANKER)
THE CHANCRES OF SYPHILIS ARE (PAINFUL,PAINLESS). PAINLESS
CHANCRES DISAPPEAR WITHOUT TREATMENT. (T/F) TRUE
LATE SYPHILIS ATTACKS WHICH 3 BODY ORGANS? LIVER, HEART, BRAIN
WHAT TEST CONFIRMS THE PRESCENCE OF SYPHILIS? DARK-FIELD ILLUMINATION OF THE TREPONEMA PALLADIUM
WHAT IS THE TREATMENT OF CHOICE FOR SYPHILIS? PENICILLIN
WHY IS PENICILLIN ADMINISTERED WITH PROCAINE? WITH PROBENECID? PROCAINE MAKES THE SHOT LESS PAINFUL; PROBENECID BLOCKS THE EXCRETION OF PENECILLIN
WHAT IS THE MOST COMMON CIGN OF NEUROSYPHILIS? ATAXIA (GAIT PROBLEMS)
WHAT DOES TENS STAND FOR? TRANSCUTANEOUS ELECTRICAL NERVE STIMULATOR
IS TENS AN INVASIVE PROCEDURE? NO, THE SKIN IS NEVER BROKEN
CAN IT BE USED FOR ACUTE OR CHRONIC PAIN? BOTH
TENS USE IS BASED UPON THE _______ _______ OF PAIN RELIEF? GATE CONTROL
TENS ELECTRODES STIMULATE (LARGE/SMALL) DIAMETER FIBERS. LARGE--THIS IS THE BASIS OF THE GATE CONTROL THEORY
TENS ELECTRODES ARE PLACED ONTO THE ...... SKIN
CAN TENS UNITS BE PLACED OVER AN INCISION TO DECREASE INCISIONAL PAIN? NEVER
PTS WITH WHAT OTHER MECHANIC DEVICE IN USE CANNOT USE TENS. CADIAC PACEMAKER
HOW OFTEN SHOULD THE PT BE TAUGHT TO CHANGE THE TENS ELECTRODES? EVERY DAY
HOW IS A DORSAL-COLUMN STIMULATOR DIFFERENT THAT A TENS UNIT? DORSAL COLUMN STIMULATION ELECTRODES ARE SURGICALLY IMPLANTED BY THE SPINAL CORD, THE PT HAS TO UNDERGO A LAMINECTOMY TO PLACE THE DCS ELECTRODES
IN WHAT GROUP OF CLIENTS IS THORACENTESIS CONTRAINDICATED? UNCOOPERATIVE, BLEEDING DISORDERS
WHAT INSTRUCTION IS MOST IMPORTANT TO GIVE THE CLIENT UNDERGOING THORACENTESIS? DONT MOVE OR COUGH
WHAT IS THORACENTESIS? THE PLEURAL SPACE IS ENTERED BY PUNCTURE AND FLUID IS DRAINED BY GRAVITY INTO BOTTLES--ALLOWS THE LUNGS TO RE-EXPAND
IF A CLIENT HAS A COUGH, WHAT SHOULD BE DONE BEFORE THORACENTESIS? GIVE HIM A COUGH SUPPRESSANT
DOES THORACENTESIS REQUIRE A SIGNED INFORMED CONSENT? YES, IT INVADES A BODY CAVITY
DESCRIBE THE POSITION THE CLIENT SHOULD ASSUME DURING A THORACENTESIS? UPRIGHT WITH ARMS AND SHOULDERS ELEVATED, SLIGHTLY LEANING FORWARD
WHAT IS EXOPHTHALMOS? BULGING OUTWARD OF EYES
TO CARE FOR THE PT WITH EXOPHTHALMOS THE PT SHOULD WEAR _______ _______ AND USE ______ _______. DARK SUNGLASSES, ARTIFICIAL TEARS
RADIOACTIVE IODINE IS GIVEN TO HYPERTHYROID PTS BECAUSE IT ______ ______ PLUS DECREASES PRODUCTION OF ______ ______. DESTROYS TISSUE, THYROID HORMONE
THE #1 PROBLEM WITH USING PROPYLTHIOURACIL IS _________. AGRANULOCYTOSIS
WHAT DO U TEACH TO ALL PTS ON DRUGS WHICH HAVE AGRANULOCYTOSIS AS A SIDE EFFECT? REPORT ANY SORE THROAT IMMEDIATELY
LUGOLS SOLUTION SHOULD BE GIVEN ______ A _______ TO PREVENT STAINING OF THE _______. THROUGH A STRAW, TEETH
LUGOLS SOLUTION DECREASES THE ______ OF THE THYROID GLAD. VASCULARITY
SSKI SHOULD BE GIVEN WITH ______ ______ TO DECREASE THE _______ _______. FRUIT JUICES; BITTER TASTE (SSKI---SUPER SATURATED SOLUTION OF POTASSIUM IODINE)
PTS WITH EITHER HYPO OR HYPER THYROID CAN GO INTO THYROID STORM. (T/F) TRUE
GIVE ANOTHER NAME FOR THYROID STORM? THYROTOXICOSIS, THYROID CRISIS
IN THYROTOXICOSIS, THE TEMP_______; THE HEART RATE ______ AND THE PT BECOMES ________. INCREASES(106); INCREASES; DELIRIOUS/COMATOSE
WHAT IS THE FIRST THING A NURSE DOES WHEN THYROID STORM OCCURS? GIVE OXYGEN
WHAT IS THE SECOND THING A NURSE DOES WHEN THYROID CRISIS OCCURS? CALL MD, CAN PACK IN ICE OR USE HYPOTHERMIA BLANKET
WHAT ARE THE SIDE EFFECTS OF THYROID REPLACEMENT DRUGS? TACHYCARDIA, PALPITATIONS AND OTHER SIGNS SEEN IN HYPERTHYROIDISM
WHY IS LUGOLS SOLUTION GIVEN PRE-OP THYROIDECTOMY? TO DECREASE THE VASCULARITY OF THE GLAND AND MINIMIZE BLOOD LOSS
AFTER THYROIDECTOMY U CHECK FOR WOUND HEMORRHAGE BY.... SLIPPING YOUR HAND UNDER THE NECK AND SHOULDERS
THE #1 COMPLICATION OF THYROIDECTOMY IN THE FIRST 8 TO 12 HRS IS _________. HEMORRHAGE---OR MAYBE AIRWAY
WHEN MOVING FRESH POST-OP THYROIDECTOMY PT U MUST TAKE CARE TO NEVER _____ ______ ______. MOVE THE NECK
POST-OP THYROIDECTOMY PTS WILL HAVE SAND BAGS ON EITHER SIDE OF THE _______ NECK
WHY DO U ASSESS THE POST-OP THYROIDECTOMY PTS VOICE FOR HOARSENESS PERIODICALLY? BECAUSE DURING SURGERY THE SURGEON MAY HAVE NICKED THE RECURRENT LARYNGEAL NERVE. (THIS NERVE IS TESTED ON STATE BOARDS)
WILL THE POST-OP THYROIDECTOMY PT BE ALLOWED TO TALK? HE IS OPN VOICE REST UNLESS U ARE ASSESSING HIS VOICE
WHAT 3 PIECES OF EMERGENCY EQUIPMENT MUST BE IN THE ROOM AFTER THYROID STORM? SUCTION, TRACHEOTOMY SET, OXYGEN
IN WHAT POSITION SHOULD THE POST-OP THYROIDECTOMY PT BE? SEMI-FOWLERS WITH NECK SUPPORTED IN MIDLINE
WHAT CALCIUM IMBALANCE IS COMMON IN THE POST-OP THYROIDECTOMY PT? HYPOCALCEMIA--DUE TO ACCIDENTAL REMOVAL OF THE PARATHYROIDS
WHEN IS HYPOCALCEMIA MOST LIKELY TO OCCUR AFTER THYROIDECTOMY? WHY? THE SECOND AND THIRD POST-OP DAY---BECAUSE IT TAKES AWHILE FOR THE LEVEL TO DROP.
HYPOCALCEMIA WILL CAUSE (TETANY/SEVER MUSCLE WEAKNESS). TETANY
WHAT DRUG IS USED TO TREAT DECREASED CALCIUM? CALCIUM GLUCONATE
WHAT IS CHVOSTEK'S SIGN? A SIGN OF HYPOCALCEMIA, IT IS WHEN U TAP THE CHEEK, THE PT PUFFS OUT THE CHEEKS.(CHvostek AND CHeeks)
WHAT IS TROUSSEAU'S SIGN? IT IS A SIGN OF HYPOCALCEMIA---IT IS WHEN U GET A CARPOPEDAL SPASM OF THE HAND WHEN U APPLY A BLOOD PRESSURE CUFF TO THE LOWER ARM
WHAT IS THE EARLIEST SIGN OF HYPOCALCEMIA? TREMORS/TINGLING
SHOULD U PALPATE THE THYROID OF THE HYPERTHYROID PT AFTER ECTOMY? NO, IT COULD SEND THEM INTO THYROID STORM
CAN DENTAL WORK SEND A HYPERTHYROID CLIENT INTO THYROID STORM? YES, ANY STRESS CAN
GIVE ANOTHER NAME FOR TPN(TOTAL PARENTERAL NUTRITION). HYPERALIMENTATION
HYPERALIMENTATION CONTAINS HYPERTONIC________, _______ ACIDS, ______, _______, AND _______. GLUCOSE, AMINO ACIDS, WATER, MINERALS, VITAMINS
TPN CAN BE SAFELY GIVEN VIA A CENTRAL LINE. (T/F) YES, THIS IS THE PREFERRED ROUTE
TPN CAN BE SAFELY INFUSED VIA A PERIPHERAL IV LINE (T/F). IT CAN, BUT ONLY FOR A VERY SHORT PERIOD--48 TO 72 HRS MAXIMUM
IF A TPN SOLUTION IS RUNNING TOO SLOW AND IS TWO HOURS BEHIND U CAN INCREASE THE RATE 20%. (T/F) NO, NEVER EVER SPEED UP THE RATE
IF A TPN INFUSION RUNS IN TOO FAST IT CREATES A _______OSMALAR IMBALANCE. HYPEROSMALAR--BECUASE OF ALL THE SOLUTES
IT IS OKAY HOWEVER TO SLOW THE RATE DOWN IF THE CLIENT LEAVES THE UNIT. (T/F) FALSE, NEVER SLOW THE RATE DOWN---IT COULD CAUSE HYPOGLYCEMIA
WHAT TESTS MUST THE NURSE PERFORM EVERY 6 HRS WHEN A PT IS ON TPN? #1 ACCUCHECK, #2 URINE GLUCOSE/ACETONE
IV LIPID EMULSIONS CAN BE GIVEN EITHER CENTRAL OR PERIPHERAL. (T/F) TRUE
BE CERTAIN TO SHAKE A LIPID EMULSION BEFORE ADMINISTRATION. (T/F) FALSE, NEVER SHAKE IT, SHAKING DAMAGES THE MOLECULES
INTO WHICH PORT OF A PERIPHERAL IV LINE CAN A LIPID INFUSION BE PIGGYBACKED? THE PORT CLOSEST TO THE INSERTION CATHERTER SITE. MORE RECENTLY, LIPIDS ARE INCLUDED IN THE HYPERLIMENTATION BAG AND THERE IS NO SEPARATE ADMINISTRATION OF THE LIPIDS
WHAT IS MEANT BY TRACHEO-ESOPHAGEAL MALFORMATION? THESE ARE A GROUP OF EONGENITAL BIRTH DEFECTS IN WHICH THE ESOPHAGUS AND TRACHEA ARE MALFORMED
HOW MANY TYPES OF TRACHEO-ESOPHAGEAL MALFORMATIONS ARE THERE? FOUR
WHAT ARE THE 3 MOST COMMON TRACHEOESOPHAGEAL MALFORMATIONS? 1. ESOPHAGEAL ATRESIA--EA 2. TRACHEO-ESOPHAGEAL FISTULA--TEF 3. TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA--TEF W/EA
WHAT IS THE DEFECT CALLED ESOPHAGEAL FISTULA? AN OPENING BETWEEN THE ESOPHAGUS AND THE TRACHEA BUT THE ESOPHAGUS IS CONNECTED TO THE STOMACH AND TRACHEA IS CONNECTED TO THE LUNGS
WHAT IS THE DEFECT CALLED TRACHEO-ESOPHAGEAL ATRESIA WITH FISTULA? THE ESOPHAGUS ENDS IN A BLIND POUCH AND THERE IS NO CONNECTION TO THE STOMACH AND THERE IS A FISTULA BETWEEN THE ESOPHAGUS AND TRACHEA
OF: TRACHEO-ESOPHAGEAL FISTULA, ESOPHAGEAL ATRESIA, AND TRACHEO-ESOPHAGEAL ATRESIA WITH FISTULA, WHICH ONE IS MOST COMMON? TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA
NAME--A BLIND END ESOPHAGUS: THE TRACHEA IS CONNECTED TO THE LUNGS. SIMPLE ESOPHAGEAL ATRESIA
NAME--THE TRACHEA IS CONNECTED TO THE LUNGS, THE ESOPHAGUS IS CONNECTED TO THE STOMACH, BUT THERE IS A HOLE CONNECTING THE TRACHEA AND THE ESOPHAGUS. TRACHEO-ESOPHAGEAL FISTULA
NAME--A BLIND END ESOPHAGUS, THE TRACHEA IS CONNECTED TO THE LUNGS, AND THE TRACHEA AND ESOPHAGUS ARE JOINED. TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA
IF AN INFANT HAS TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA WHAT THREE SIGNS WILL SHOW UP AT THE FIRST FEEDING? THREE C'S---COUGHING, CHOKING, CYANOSIS
IF AN INFANT CHOKES, COUGHS, OR GETS CYANTOIC DURING THE FIRST FEEDING WHAT SHOULD THE NURSE DOT TO ASSESS FOR TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA? ATTEMPT TO GENTLY PASS A CATHETER INTO THE ESOPHAGUS IF U MEET RESISTANCE STOP, THERE MOST PROBABLY IS ESOPHAGEAL ATRESIA
PRIOR TO SURGERY FOR REPAIR OF TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA, HOW IS THE CLIENT FED? THEY ARE NPO BUT FED BY G-TUBE
DOES TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ESOPHAGEAL ATRESIA HAVE TO BE REPAIRED IMMEDIATELY? NO, CAN BE MAINTAINED WITH G-TUBE FEEDINGS AND SUCTIONING UNTIL THEY ARE OLD ENOUGH AND STABLE ENOUGH TO TOLERATE SURGERY
THE #1 PROBLEM FOR INFANTS WITH UN-REPAIRED TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA IS.... ASPIRATION, SECONDARY PROBLEM IS MALNUTRITION
HOW DO U MEET THE ORAL SUCKING NEEDS THAT AN INFANT WITH UN-REPAIRED TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA? USE PACIFIERS, EVEN THOUGH THEY DONT TAKE ANYTHING ORALLY, THEY SHOULD STILL BE ENCOURAGED TO SUCK
HOW SHOULD AN INFANT WITH TRACHEO-ESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA BE POSITIONED? HOB UP 30 DEGREES
SHOULD U SUCTION THE BLIND ESOPHAGEAL POUCH OF ESOPHAGEAL ATRESIA? YES, PRN, OTHERWISE THEY MAY ASPIRATE MUCOUS
WHAT TYPE OF DIET IS ULCERATIVE COLITIS PT ON? CLEAR LIQUID DIET
WHAT TYPE OF REST IS THE ULERATIVE COLITIS PT ON? BED REST
WHO IS GETS ULCERATIVE COLITIS MORE (MEN/WOMEN). WOMEN MOSTLY
WHICH IS ON STEROIDS ULCERATIVE COLITIS OR CHRON'S DISEASE? EITHER OF THEM
WHICH NEEDS I&O MONITORED ULCERATIVE COLITIS OR CHRONS DISEASE? EITHER OF THEM
WHICH HAS BLOODY DIARRHEA ULCERATIVE COLITIS OR CHRONS DISEASE? ULCERATIVE COLITIS
WHICH OCCURS IN YOUNG ADULTS ULCERATIVE COLITIS OR CHRONS DISEASE? ULCERATIVE COLITIS
WHICH ONE HAS A SURGERY WITH ILEOSTOMY CHRONS DISEASE OR ULCERATIVE COLITIS? EITHER OF THEM
WHICH AFFECTS THE RECTUM AND SIGMOID COLON ULCERATIVE COLITIS OR CHRONS DISEASE? EITHER OF THEM
WHICH HAS AN ILEOSTOMY ULCERATIVE COLITIS OR CHRONS DISEASE? EITHER OF THEM
WHICH HAS LESIONS THROUGH ALL LAYERS OF THE BOWEL ULCERATIVE COLITIS OR CHRONS DISEASE? CHRONS DISEASE
WHICH IS TERMINAL-DISTAL-SMALL INTESTINE? (ULCERATIVE COLITIS OR CHRONS DISEASE) CHRONS
WHICH HAS LESIONS FROM PATCHES? (ULCERATVIE COLITIS OR CHRONS DISEASE) CHRONS DISEASE
WHICH USES SULFA DRUGS? (ULCERATIVE COLITIS AND CHRONS DISEASE) CHRONS DISEASE
WHICH HAS GRANULOMAS? (ULCERATIVE COLITIS OR CHRONS DISEASE) CHRONS DISEASE
WHICH HAS DIARRHEA? (ULCERATIVE COLITIS OR CHRONS DISEASE) CHRONS DISEASE
WHICH HAS PAIN AND CRAMPING? (ULCERATIVE COLITIS OR CHRONS DISEASE) CHRONS DISEASE
WHICH HAS A STRING SIGN ON BARIUM ENEMA? (ULCERATIVE COLITIS OR CHRONS DISEASE) CHRONS DISEASE
WHAT IS THE MOST COMMON CLEANSING SOLUTION USED DURING TRACHEOSTOMY CARE? HYDROGEN PEROXIDE
CUT THE OLD TRACH TIES(BEFORE/AFTER) U HAVE SECURED THE NEW TIES IN PLACE. AFTER
IS IT ACCEPTABLE TO SCRUB THE INSIDE OF THE TRACHEOSTOMY CANNULA WITH A BRUSH DURING TRACHEOSTOMY CARE? YES, IT IS DESIRABLE
WHAT ARE THE TWO MAJOR REASONS FOR PERFOMING TRACHEOSTOMY CARE? TO KEEP THE AIRWAY PT, TO KEEP THE STOMA SITE CLEAN(DECREASE INFECTION)
TIE THE ENDS OF THE TRACH TIES IN A (BOW/KNOT/DOUBLE KNOT). ONLY AN DOUBLE KNOT
TRACH CARE IS PERFORMED BY (CLEAN/STERILE) TECHNIQUE. STERILE
WHAT MUST U DO BEFORE PERFOMING TRACH CARE (BESIDES WASH HANDS). SUCTION THE AIRWAY
A PROPERLY SNUG SET OF TRACH TIES ALLOWS _______ FINGERS TO BE PLACED BETWEEN THE NECK AND TIES. ONE
BOTH HANDS MUST BE KEPT STERILE THROUGHOUT THE ENTIRE TRACH CARE PROCEDURE. (T/F) FALSE, ONLY THE DOMINANT HAND REMAINS STERILE
WHEN TRACH SUCTIONING AND CARE IS PERFORMED BY THE CLIENT AT HOME, STERILE TECHNIQUE MUST BE FOLLOWED. (T/F) FALSE, CLEAN TECHNIQUE IS ADEQUATE
WHAT IS ANOTHER NAME FOR TRIGEMINAL NEURALGIA? TIC DOULOUREUX
WHICH CRANIAL NERVE IS AFFECTED IN TRIGEMINAL NEURALGIA? CRANIAL NERVE 5
WHAT IS THE #1 SYMPTOM OF TRIGEMINAL NEURALGIA? EPISODIC, SEVERE ONE-SIDED FACIAL PAIN
WHAT DRUG TREATS TRIGEMINAL NEURALGIA? TEGRETOL
WHAT TRIGGERS ATTACKS OF TRIGEMINAL NEURALGIA? BREEZES, COLD OR HOT FOODS/FLUID, TOOTH BRUSHING, CHEWING, TOUCHING THE FACE, TALKING
IS SURGERY DONE FOR TRIGEMINAL NEURALGIA? YES, NERVE AVULSION(DESTROYING THE NERVE)
WHAT ENVIRONMENTAL MODIFICATIONS ARE NECESSARY IN CARE OF THE PT WITH TRIGEMINAL NEURALGIA? PREVENT DRAFTS OR TEPERATURE EXTREMES
WHAT DIETARY MODIFICATIONS ARE NECESSARY IN THE CARE OF THE PT WITH TRIGEMINAL NEURALGIA? LUKEWARM, SMALL FREQUENT SEMI-SOLIDS
AFTER SURGERY FOR TRIGEMINAL NEURALGIA, THE PTS AFFECTED EYE WILL BE _____ AND THE PT SHOULD CHEW FOOD ON THE _____ SIDE. PROTECTED, UNAFFECTED
WHAT ORGANISM CAUSES PULMONARY TB? MYCOBACTERIUM TUBERCULOSIS
THE MODE OF TRANSMISSION OF THE MYCOBACTERIUM TUBERCULOSIS ORGANISM IS BY______ ______. DROPLET NUCLEI
WHAT LIVING CONDITIONS PREDISPOSE U TO TB? CROWDED, POORLY VENTILATED
THE INCUBATION PERIOD OF TB IS ...... 4 TO 8 WEEKS
WHAT IS THE TYPICAL LUNG LESION OF TB CALLED? A TUBERCLE
IN TB, THE APPETITE IS _____; THE CLIENT_____ WEIGHT AND THE TEMP ______ IN THE _____. DECREASED, LOSES, ELEVATES, AFTERNOON
WHAT IS MANTOUX TEST? AN INTRADERMAL SKIN TEST TO SCREEN FOR TB---CALLED PPD
WHEN SHOULD A MANTOUX TEST BE READ? 48 - 72 HRS AFTER TEST INJECTION
WHAT QUALIFIES AS A POSITIVE MANTOUX? MORE THAN 10MM INDURATION (HARDNESS), REMEMBER REDNESS HAS NOTHING TO DO WITH THE TEST BEING POSITIVE
NAME 3 DRUGS GIVEN TO TREAT TB? ISONIAZID, RIFAMPIN, ETHAMBUTOL
HOW OFTEN AND WHEN DURING THE DAY SHOULD ISONIAZID, RIFAMPIN, AND ETHAMBUTOL BE GIVEN? EVERY DAY, ALL TOGETHER
WHAT IS THE #1 SIDE EFFECT OF ISONIAZID? PERIPHERAL NEURITIS---TAKE VITAMIN B6 TO PREVENT
AFTER HOW MANY WEEKS OF DRUG THERAPY IS THE CLINET CONSIDERED NO LONGER CONTAGIOUS? 2 - 4 WEEKS
WHAT ISOLATION TECHNIQUES ARE REQUIRED FOR TB? MASKS
WHICH TEST IS MOST DIAGNOSTIC FOR TB? SPUTUM FOR ACID-FAST BACILLI
WHAT DOES THE SPUTUM LOOK LIKE IN TB? PURULENT (PUS) FOR HEMOPTYSIS(BLOOD)
WHEN SHOULD U OBTAIN A SPUTUM SPECIMENT FOR ACID FAST BACILLI TB? EARLY AM
THE PURPOSE OF AN UPPER GI SERIES IS TO DETECT _________. ULCERATIONS
WHAT 3 STRUCTURES DOES AN UPPER GI SERIES VISUALIZE? ESOPHAGUS, STOMACH, DUODENUM
DOES BARIUM COME IN DIFFERENT FLAVORS? YES
WHAT IS THE MOST UNCOMFORTABLE ASPECT OF AN UPPER GI SERIES. LYING AND TURNING ON A HARD, FLAT X-RAY TABLE
IS FASTING REQUIRED BEFORE AN UPPER GI SERIES? YES, USUALLY NPO AFTER MIDNIGHT
BARIUM IS _______ IN CONSISTENCY. CHALKY---BITTER TASTE
IF AN ULCERATION DOES NOT REDUCE BY 50 % ON UPPER GI IN 3 WEEKS OF MEDICATION TREATMENT THEN ____________ IS SUSPECTED. MALIGNANCY
WHAT ARE THE 3 CLASSIC VITAL SIGNS? TEMPERATURE, PULSE, RESPIRATION
MEASUREMENT OF VITALS REQUIRES A DR'S ORDERS. (T/F) FALSE
THE TEMP OF THE EXTREMITIES AND SKIN IS (HIGHER/LOWER) THAN THE CORE. LOWER
LIST THE 5 MOST COMMON SITES IN WHICH TO MEASURE THE TEMP. ORAL, AXILLARY, RECTAL, TYMPANIC, TEMPORAL
THE NORMAL ADULT TEMP VIA THE ORAL ROUTE IS..... 98.6
THE NORMAL RECTAL TEMP IS..... 99.6
THE NORMAL AXILLARY TEMP IS..... 97.6
BODY TEMP IS (INCREASED/DECREASED) WITH ACTIVITY. INCREASED
WITH ANY ORAL TEMP DEVICE, THE METER MUST BE ON _______ THE _______, AND THE _______ MUST BE ________. UNDER, TONGUE, MOUTH, CLOSED
IF YOUR CLIENT IS 4 YRS OLD OR YOUNGER, SHOULD U TAKE AN ORAL TEMP? NO
CAN U MEASURE AN ORAL TEMP ON SOMEONE WITH AN NG TUBE IN PLACE? NO
CAN U MEASURE AN ORAL TEMP ON AN UNCONSCIOUS CLIENT? NO
IF THE CLIENT IS FOUND SMOKING, EATING OR DRINKING WHEN U ARE ABOUT TO TAKE A TEMP U SHOULD WAIT ______(AT LEAST). 15 MIN
SHOULD U USE ORAL ROUTE FOR MEASURING TEMP WHEN A CLIENT HAS OXYGEN PER NASAL CANNULAE? YES
PEOPLE ON SEIZURE PRECAUTIONSHOULD HAVE THEIR TEMP MEASURED BY WHICH ROUTE? RECTAL AXILLARY, TYMPANIC OR TEMPORAL
PEOPLE WITH FACIAL TRAUMA SHOULD HAVE THEIR TEMP MEASURED BY WHICH ROUTE? RECTAL OR AXILLARY OR TYMPANIC
CLIENTS AFTER RECTAL SURGERY, SHOULD HAVE THEIR TEMPS MEASURED BY WHICH ROUTE? ORAL, AXILLARY, TYMPANIC OR TEMPORAL
PEOPLE WITH HEART BLOCKS OR CONDUCTION PROBLEMS SHOULD NOT HEAVE THEIR TEMPS TAKEN PER ______. WHY? RECTUM---VAGAL STIMULATION CAUSES MORE HEART BLOCK
WHEN USING A GLASS THERMOMETER IT SHOULD REMAIN IN THE MOUTH FOR _______ MIN. 3 TO 10
WHEN USING A GLASS THERMOMETER IT SHOULD REMAIN IN THE AXILLA FOR ______ MINS. 8 TO 11
WHEN USING A GLASS THERMOMETER IT SHOULD REMAIN IN THE RECTUM FOR _____ MINS. 2 TO 3
IN THE NORMAL ADULT, WHICH IS LONGER, INSPIRATON OR EXPIRATION? EXPIRATION
WHAT IS THE NORMAL RESPIRATORY RATE FOR AN ADULT? 12 TO 20
WHAT IS BRADYPNEA? ANY RESPIRATORY RATE BELOW 10 PER MIN
WHAT IS TACHYPNEA? ANY RESPIRATORY RATE ABOVE 24 PER MIN
IS IT ACCEPTABLE PRACTICE TO COUNT THE NUMBER OF RESPIRATIONS IN 15 SECONDS AND MULTIPLY BY 4 TO GET THE RATE. (T/F) YES, IF THE RESPIRATIONS ARE REGULAR
WHAT IS THE PULSE? THE SURGE OF BLOOD EJECTED FROM THE LEFT VENTRICLE
WHAT IS THE AVERAGE PULSE RATE FOR AN ADULT? 72 PER MIN (60 TO 100)
WHAT RATE CLASSIFIES AS TACHY IN AN ADULT? A RATE ABOVE 100 PER MIN
WHAT RATE CLASSIFIES AS BRADY IN AN ADULT? A RATE BELOW 60 PER MIN
WILL PAIN ALONE INCREASE THE PULSE RATE? YES
WHICH FINGER SHOULD NEVER BE USED TO DETERMINE A PULSE? THE THUMB
WHAT DOES IT MEAN TO MEASURE AN APICAL PULSE? TO AUSCULTATE WITH A STETHOSCOPE OVER THE CHEST TO HEAR THE HEART RATE
IF A PULSE IS IRREGULAR HOW WOULD U DETERMINE THE RATE? COUNT ONE FULL MIN
IF AN APICAL/RADIAL PULSE IS IRREGULAR, HOW WOULD U DETERMINE THE RATE? COUNT FOR 30 SECONDS AND MULTIPLY BY 2
WHAT IS AN APICAL-RADIAL PULSE BE MEASURED? ALWAYS FOR 1 FULL MINUTE
HOW MANY NURSES NEEDED TO MEASURE AN APICAL-RADIAL PULSE? ALWAYS 2 (IT IS NEVER ACCEPTABLE FOR ONE NURSE TO MEASURE THE PULSE FOR A MIN AND THEN MEASURE THE RADIAL FOR A MIN)
WHAT IS A VOIDING CYSTOGRAM? IT IS A SERIES OF X-RAYS TAKEN AS THE PERSON WITH A FULL BLADDER IS ASKED TO VOID. tHE X-RAYS SHOW ANY REFLUX OF URINE BACK UP THE URETERS ( A DYE WAS INJECTED PRIOR TO THIS)
DOES THE CLIENT SEDATED FOR A VOIDING CYSTOGRAM? YES
IS THE CLIENT SEDATED FOR A VOIDING CYSTOGRAM? NO
IS THE CLIENT NPO FOR A VOIDING CYSTOGRAM? NO, JUST CLEAR LIQUID BREAKFAST
WHAT PROBLEMS DOES A VOIDING CYSTOGRAM DIAGNOSE BEST? BLADDER FILLING PROBLEMS, VESICOURETERAL REFLUX
WHAT PRECAUTIONS ARE NECESSARY FOR MALES DURING A VOIDING CYSTOGRAM? SHEILDING THE TESTICLES FROM THE X-RAYS
IS THERE A BOWEL EVACUATION PREP FOR A VOIDING CYSTOGRAM? NO
FOR WHAT REASON ARE MONTGOMERY STRAPS USED? PERMIT U TO REMOVE AND REPLACE DRESSINGS WITHOUT USING TAPE (PROTECTS SKIN)
SUTURES IN GENERAL ARE REMOVED BY THE _____ DAY. 7TH
LEAVING A WOUND OPEN TO AIR DECREASES INFECTION BY ELIMINATING WHAT 3 ENVIRONMENTAL CONDITIONS? DARK, WARM, MOIST
TO REMOVE TAPE ALWAYS PULL (TOWARD/AWAY) FROM THE WOUND? TOWARD (THIS WAY U DONT PUT PRESSURE/PULL ON THE SUTURE LINE)
DEFINE CONTUSION? BRUISE(INTERNAL)
DEFINE DEBRIDEMENT? REMOVAL OF NECROTIC TISSUE FROM A WOUND
WHAT IS THE PURPOSE OF A WOUND DRAIN? REMOVE SECRETIONS FROM THE AREA SO HEALING OCCURS
TO PREVENT GERMS FROM GETTING INTO OR OUT OF A WOUND U SHOULD USE WHAT TYPE OF DRESSING? AN OCCLUSIVE DRESSING
WHAT SOLUTION IS PUT ONTO THE SKIN TO PROTECT IT FROM THE IRRITATING EFFECTS OF THE TAPE? TINCTURE OF BENZOIN
WITH WHAT IS A WOUND CLOSED IN FIRST INTENTION? SUTURES OR STERI-STRIPS, STAPLES
WHAT IS ANOTHER NAME FOR SECOND INTENTION? GRANULATION
WHEN SWABBING AN INCISION U SHOULD START AT THE INCISION OR 1 INCH AWAY FROM THE INCISION? START AT THE INCISION AND MOVE OUTWARD
AFTER U REMOVE SOILED DRESSNGS AND BEFORE U PUT ON THE STERILE DRESSINGS U MUST..... WASH UR HANDS AND PUT ON STERILE GLOVES
WHAT IS MEANT BY THE PHRASE "ADVANCE THE DRAIN 1 INCH"/ U PULL THE DRAIN OUT 1 INCH
AFTER ADVANCING A PENROSE DRAIN U (SHOULD/SHOULD NOT) CUT OFF THE EXCESS DRAIN? SHOULD
WHEN A DRESSING IS SATURATED, GERMS CAN ENTER THE WOUND FROMTHE OUTSIDE. (T/F) TRUE, BY A PROCESS CALLED CAPILLARY ACTION
WHEN IS A BAD TIME TO CHANGE DRESSINGS? MEALTIME
DEFINE LACERATION? CUT
Created by: sweetpea1113 on 2011-03-28



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