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MED/SURG Level 4
| Question | Answer |
|---|---|
| ENHANCES IRON ABSORPTION | VITAMIN C |
| S/S OF IRON DEFICIENCY ANEMIA | TACHYCARDIA PICA DYSPNEA PAGOPHAGIA(ice) |
| TREATMENT OF ANEMIA | INCREASE IRON INTAKE AIMAL PROTEIN DRIED BEANS FORTIFIED GRAINS AND CEREALS DRIED FRUIT |
| TORCH | T=TOXOPLASMOSIS O= HEP B,SYPHILIS,VARICELLA,HERPES R=RUBELLA C=CYTOMEGALOVIRUS H=HERPES |
| MOST COMMON WHEN A PERSON CONTRACTS HEAD AND NECK MUSCLES | TENSION HEADACHE |
| A SUDDEN BRIEF EPISODE OF NEUROLOGIC IMPAIRMENT CAUSED BY BLOCK OF CEREBRAL FLOW | TIA - STROKE |
| WEAKENED AREAS IN THE BLOOD VESSEL WALL. A CONGENITAL OR SECONDARY TO HTN AND ATHEROSCLEROSIS | ANEURYSM |
| AN ABNORMAL SOUND CAUSED BY BLOOD FLOWING OVER ROUGH SURFACE OF ONE OR BOTH CAROTID ARTERIES | BRUIT |
| MEDICATION FOUND TO LIMIT NEUROLOGIC DEFICITS WITHIN A 3 HOUR WINDOW | TPA |
| WARMTH PROMOTES= COOL APPLICATIONS= | VASODILATION REDUCE BLOOD FLOW (CONSTRICTS) |
| S/S OF TIA | TEMPORARY LIGHT HEADEDNESS FACIAL DROOPING CONFUSION SPEECH DISTURBANCES LOSS OF VISION DIPLOPIA |
| WHY IS ASPIRIN GIVEN PROPHYLACTICALLY? | ANTIPLATELET AGGREGATE, PREVENTS BLOOD CLOTS FROM FORMING |
| HOW ARE PT.S WITH ANEURYSM MEDICALLY MANAGED? | BED REST, ELEVATE HEAD OF BED TO REDUCE ICP |
| WHEN THE HEAD IS STRUCK, AND DUAL BRUISING FROM THE BLOW, CAUSING A RICOCHET EFFECT | COUNTRECOUP INJURY |
| TO DETECT ANY CSF IN DRAINAGE , THE NURSE DOES WHAT? | USE A GAUZE AND CATCH IT, TO LOOK FOR HALO SIGN |
| WHAT NEUROPROTECTIVE DRUG BLOCKS EFFECTS OF GLUTAMATE | GABAPENTIN |
| WHAT IS THE PURPOSE OF BURR HOLES? | TO RELIEVE PRESSURE, REMOVE THE CLOT, AND STOP THE BLEED |
| COMMON SITES FOR SPINAL CORD INJURY | CERVICAL AND LUMBAR VERTEBRAE |
| MANNITOL | OSMOTIC DIURETIC=ICP |
| WHY ARE BASILAR SKULL FRACTURES DANGEROUS? | IT CAN INTERFERE WITH CSF FLOW AND CAN OPEN PT UP TO MENINGITIS |
| S/S OF BASILAR SKULL FRACTURE | RHINORHEA, OTORRHEA, RACCOON EYES |
| WHAT IS DILANTIN(PHENYTOIN) USED FOR? | SEIZURES |
| HOW DO YOU REPOSITION A PT WHO HAS HAD BACK SURGERY? | LOG ROLL |
| THE URGE TO VOID OCCURS WHEN THE BLADDER CONTAINS HOW MUCH? | 150 TO 300 ML |
| INCREASES FECAL BULK AND PULLS WATER INTO THE FECES | FIBER |
| PROCESS ASSOCIATED WITH IMMOBILITY | CALCIUM DEPLETION |
| HOW DO YOU MONITOR FOR DEHYDRATION IN A PT WITH NEURO DEFICITS? | MEASURE I & O, WEIGH PT |
| OLDER ADULTS WHO HAVE URINARY RETENTION | BEHAVIOR CHANGE |
| WHAT IS DONE FOR CHRONIC CONSTIPATION | INCREASE FLUIDS, ADD BRAN TO DIET, EXERCISE |
| HOW DO YOU REDUCE HEMOSTASIS AND THROMBOPHLEBITIS? | CHANGE PATIENTS POSITION |
| HOW DO YOU GIVE PSYLLIUM(METAMUCIL)? | GIVE AT MEALTIME |
| CONCUSSION ARE... | DIFFUSE SWELLING AND MICROSCOPIC BRAIN INJURY |
| CHRONIC TRAUMATIC ENCEPHALOPATHY | NEURODEGENERATION REPEATED CONCUSSIONS LONG TERM EFFECTS- DEMENTIA, DEPRESSION,PARKINSONS DISEASE, EARLY ALZHIEMERS |
| S/S OF CONCUSSION | BRIEF LAPSE IN LOC TEMPORARY DISORIENTATION HEADACHE BLURRED VISION IRRITABLE DIZZINESS |
| WHAT DO YOU NOT GIVE A HEAD INJURY? | MORPHINE, DEMEROL |
| S/S OF CONTUSION(COUP INJURY) | HYPOTENSION RAPID WEAK PULSE SHALLOW RESP SEIZURES |
| A NURSE LOOKS FOR WHAT IN THE NEURO STATUS OF POSSIBLE HEAD IJURY.. | LOC AND PUPILLARY RESPONSE |
| EPIDURAL HEMATOMA= SUBDURAL HEMATOMA= | ARTERIAL BLEED VENOUS BLEED- PROGRESSIVELY GETS WORSE |
| STUFF ABOUT ICP | DISRUPTS BLOOD FLOW, CAUSES BRAIN TO BE ISCHEMIC AND HYPOXIC. AFFECTS RESP., HR, TEMP, AND NERVE FUNCTION |
| POST -OP CARE after brain surgery | POSITION ON UNAFFECTED SIDE V/S Q 15-30 MONITOR BODY TEMP( HYPERTHERMIA) RESTRICT FLUIDS USE CODEINE TEACH PT ABOUT"CLICK" |
| SPINAL SHOCK - AREFLEXIA | LOSS OF SYMPATHETIC REFLEX BELOW LEVEL OF INJURY 30- 60 MIN NO PERSPIRATION BELOW LEVEL OF INJURY RESP. FAILURE |
| LYMPH NODES | AXILLA,GROIN, NECK,AND LARGE VESSELS |
| S/S OF LEUKOPENIA | FEVER, SORE THROAT, CHILLS |
| SCHILLINGS TEST | USED TO DIAGNOSE PERNICIOUS ANEMIA, MACROCYTIC ANEMIA, AND MALABSORPTION |
| WHAT IS HEMATOPOIESIS? | MANUFACTURE AND DEVELOPMENT OF BLOOD CELLS |
| Reduces physical discomfort but does not alter a disease progression | Palliative care |
| Kubler-Ross - death and dying stages | 1. Denial 2. Anger (Why) 3. Bargaining 4. Depression 5. Acceptance |
| Caused by mechanical, chemical, thermal, or electrical injuries or disorders affecting bones, joints, muscles, skin. | Somatic pain |
| The amount of pain a person endures once the threshold has been reached. | Pain tolerance |
| Morphine Sulfate, Oxycontin, Dilaudid, Ultram | Opiod analgesics |
| Dexamethasone, prednisone | Corticosteroids |
| WBC's and other cells produce this in response to viral infections. | Interferon |
| Standard practice for IV solutions | Reduce potential for infection by replacing solutions every 24 hours even when there is still fluid in bag. |
| Delivers 60 gtt/ml | Microdrip |
| Gravity infusion | Must elevate the solution at least 18 to 24 inchesabove infusion site |
| Swelling at the site , discomfort, decreased infusion rate, cool skin | Infiltration(extravasation) Restart IV and elevate the arm |
| Phlebitis | Redness , warmth Restart IV, apply warm compresses |
| These occur generally within the first 5 to 15 minutes of infusion | Transfusion reaction of blood |
| Midazolam(Versed), Nembutal, Seconal, Diazepam | Sedatives |
| Decrease respiratory tract secretions, dry mucus membranes, and interrupt vagal stimulation | Anticholinergics Scopolamine, Atropine, Robinul |
| Post- operative complications | Hemorrhage, shock, Hypoxia, Aspiration Remember your A, B, C 's |
| Hypervolemia | Weight gain, elevated BP, increased breathing effort, wet lungs, edema |
| Electrolytes that are of main concern | Sodium, potassium, calcium, magnesium |
| This is treated by IV combination of regular insulin and glucose and acts within 30 minutes | Severe hyperkalemia |
| This is evidenced by tingling in the extremities and the area around the mouth, + Chvostek's sign, and Trousseau sign | Hypocalcemia |
| Hypermagnesemia (Calcium gluconate is antidote) | Flushing, warmth, hypotension, lethargy, drowsiness, bradycardia, depressed respiratory, and coma |
| Deep and rapid breathing(Kussmaul's)- compensatory mechanism to rid the body of CO2 and thus prevent carbonic acid from forming | Metabolic acidosis |
| Acid -Base Balance |
Created by:
shanda.brown
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