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NURS215 ExamIII
MsBorstStudyGuideInfo
| Question | Answer |
|---|---|
| Aminoglycosides ("mycins or micins exception-amakacin) and vancomycin can cause serious toxicities such as ________ and __________. | ototoxicity, nephrotoxicity |
| S/S of ototoxicity include: | hearing loss, tinnitus, disequilibrium, vision problems, headaches, lightheaded, dizzy, or disoriented N/V, diarrhea might occur, as can changes in HR and BP |
| S/S of nephrotoxicity include: | dark urine, decreased urine output |
| What is normal/expected hourly urine output? | 30ml |
| What are nursing interventions/considerations for the pt with hyperemesis gravidarum? | monitor F/E, coping |
| With hydatidiform mole B-hCG levels are __________. With ectopic B-hCG levels are __________. | elevated, elevated |
| Magnesium sulfate can be given to prevent seizures in women with _________ or _________. | preeclampsia, eclampsia |
| A _______ _________ can help determine if the cause of pathological jaundice is because the mother's antibodies have bonded to the infant's RBC's. | direct Coombs test |
| What are nursing interventions for a pt with prolapsed cord? | PRIORITY: relieve pressure on the cord to improve fetal blood flow, call for help, call MD, promptest delivery possible |
| How should a mother with prolapsed cord be positioned? | mother's hips higher than head; fetal presenting part toward her diaphragm, knee-chest position, Trendelenberg, hips elevated with pillows in side-lying position |
| Nursing interventions for mastitis include: | educate about latching/positioning, use of ice or warm packs, rest, analgesics, fluid intake=3000ml daily, instruct to continue breastfeeding frequently;especially on affected side q 2-4hrs, completely empty each breast each feeding |
| What are normal newborn VS? | RR 30-60, HR 100-160, BP 60-80, T 36.5-37.2 (ax) |
| Quick table to diagnosis bleeding and s/s | 1st tri- spontaneous(variable,cramping), ectopic(with or w/o,unilateral LQ pain) 2nd tri- trophoblastic(scant/profuse,red/darkbrown,nausea), incompetent cervix(painless,dilation) 3rd tri- previa(painless,dilation), abruptio(painful), preterm labor(pink) |
| S/S of severe preclampsia include: | BP >160/100, proteinuria=3 or 4, oliguria, serum creatinine >1,2, cerebral/visual disturbances, hyperreflexia/clonus, epigastric/RUQ pain, thrombocytopenia |
| Nursing interventions for phototherapy include: | warm environment, feed q 2-3hrs (freq), protect eye, expose as much skin to light as possible |
| When is methotrexate prescribed and what are the contraindications: | ectopic pregnancy to inhibit development of embryo, CI= no alcohol and no folic acid to prevent toxic response, photosensitivity, anyone with blood, liver impairment, preg/lactation women- contraceptives 1 month following d/c |
| Early S/S of postpartum hemorrhaging/hypovolemic shock include: | tachycardia, normal or slightly decreased BP, tachypnea, cool pale skin and MM |
| Later S?S of postpartum hemorrhaging/hypovolemic shock include: | falling BP, cold clammy skin- pallor, urine output less than 30ml/hr, restlessness, agitation, decreased mentation |
| _____________ or TSB __________ on first day of life suggest pathological cause. | visible jaundice, >5 |
| Phototherapy is indicated when TSB is __________> | 5-7 |
| Nursing interventions for a preterm infant with retinopathy include: | monitor pulse ox/O2 |
| What could bulging fontanels in a newborn possibly indicate? | fluid overload, periventricular/intraventricular hemorrhaging, hydrocephalus (congenital), |
Created by:
kgrabo99
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