Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
EXIT HESI
literally everything
| Question | Answer |
|---|---|
| maslow hierarchy of needs | physiologic, safety, love & belonging, esteem, self-actualization |
| pH | 7.35-7.45 |
| hemoglobin level | M: 13-18 F: 12-16 |
| hematocrit level (%) | M: 37-49 F: 36-46 |
| red blood cells | M: 4.5-5.3 F: 4.1-5.1 |
| white blood cells | 4,500-11,000 |
| platelets | 150,000-400,000 |
| PT (coumadin/warfarin) | 11-12.5 seconds |
| aPTT (heparin) | 60-70 seconds |
| BUN | 5-25 |
| creatinine | 0.5-1.5 |
| glucose | 70-110 |
| cholesterol | <200 |
| newborn bilirubin | 1-12 |
| sodium | 135-145 |
| potassium | 3.5-5.0 |
| total calcium | 8.5-10.5 |
| magnesium | 1.5-2.5 |
| chloride | 95-105 |
| osmolality | 280-300 |
| ALT | M: 10-55 F:7-30 |
| AST | M:10-40 F:9-25 |
| phosphorus | 3-4.5 |
| albumin | 3.5-5 |
| specific gravity | 1.005-1.030 |
| glycosated hemoglobin (hemoglobin A1c) | ideal: 4-6% <7% is okay this is over last 120 days or 3 months |
| therapeutic range for dilantin | 10-20 |
| therapeutic range for lithium | 0.5-1.5 |
| CO2 | 35-45 |
| HCO3 | 21-28 |
| 02 | 80-100 |
| o2 sat | 95%-100% is best. The normal range for COPD patients will be 87%-90%. |
| antidote for digoxin | digiband, activated charcoal |
| antidote for coumadin | vitamin K |
| antidote for benzos | flumazenil |
| antidote for mag sulfate | calcium gluconate |
| antidote for heparin | protamine sulfate |
| antidote for tylenol | mucomist |
| opiate antidote | narcan |
| cholinergic med antidote | atropine |
| RN only tasks | blood administration (2 nurses to verify), clotting factors, sterile dressing changes and other sterile procedures, assessment that requires clinical judgment, delegation of duties |
| standard precautions | wash hands before and after care. wear clean gloves. wear face shield, mask or eye protection if splashes of fluid is expected. wear gown in care could result in splashes of fluid. handle soiled equipment carefully |
| airborne precautions | for patients with measles (rubeola), varicella (including disseminated zoster), and TB client in private negative pressure room, wear N95 respiratory when giving care, mask on client during transport |
| droplet precautions | diptheria, mycoplasma pneumoniae, pertussis, mumps, rubella, steptococcal pharyngitis, pneumonia, scarlet fever. patient in private room, wear mask if within 3 feet of patient, mask on patient during transport |
| contact precaution | C.diff, e.coli, shigella, hep A, RSV, parainfluenza virus, herpes simplex, iimpetigo, pediculosis and scabies. special precaution for VRE. private room, wear gloves and change after coming in contact with infectious material, wash hands, wear gown |
| rifampin | turns urine and body fluids orange |
| pyridium | orange/red/pink urine |
| fruity breath | DKA [diabetic ketoacidosis] |
| salty skin | cystic fibrosis |
| no grapefruit juice | statins or calcium channel blockers |
| hold dig when.. | heart rate is below 60 in adults or below 100 in children. |
| education for patient started on ACEI | remain in bed for 3 hours after beginning medication |
| pulmonary air embolism prevention | trendelenburg and laying left lateral to trap air. |
| first priority for head trauma or seizures | AIRWAY |
| peptic ulcer pain is... | relieved by food |
| gastric ulcer pain is... | worsened by food |
| Turner's sign | blue discoloration of flanks in pancreatitis |
| Cullen's sign | blue discoloration of periumbilical area in pancreatitis |
| hold tube feed if... | residual greater than 100 ml |
| nursing interventions for retrained patient | make sure you can fit two fingers under restraints and check circulation every 30 mins or hour. |
| antibiotic trough | drawn 30 mins before antibiotic |
| antibiotic peak | drawn 30-60 mins after given |
| increased energy levels in previously depressed patient | increased risk of suicide or suicidal thoughts |
| MAOI hypertensive crisis with | foods containing tyramine |
| before beginning MAOI.. | make sure SSRI and TCA's have been discontinued for at least 2 weeks. |
| atypical antipsychotics | less EPS, work on positive and negative symptoms |
| hypoventilation causes | too much CO2-->acidosis |
| hyperventilation causes | too little CO2-->alkalosis |
| adequate urine output for competent heart and kidney function | 30 ml/hr |
| diet for renal failure | restrict protein |
| spironolactone | potassium sparing diuretic, watch for hyperkalemia |
| MONA | oxygen, morphine, nitrates and anticoaglants; MI treatment |
| chest tube falls out | put end in sterile water |
| isotonic solutions | D5W, lactated ringers, 0.9% normal saline |
| normal saline ONLY with... | blood products and dilantin |
| rapid acting insulin | lispro (humalog) and aspart (novolog) onset: 5-15 mins peak: 60-90 mins |
| short-acting insulin | regular (human) onset: 30-60 mins peak: 2-3 hours |
| intermediate acting insulin | isophane insulin (NPH) onset:1-2 hours peak: 6-12 hours |
| long acting insulin | insulin glargine (lantus) onset: 1 hour peak: 14-20 hours dont mix!! |
| call doctor post-op if... | urine output <30 ml/hr, systolic BP <90, temp >100 or <96 |
| post-op vitals | Q15 mins for first hour, Q30 mins next 2 hours, Q1 next 4 hours then Q4 hours prn |
| heart cath position | HOB flat to decrease tension on femoral artery, HOB no more than 30 degrees. Keep affected leg straight for 4-6 hours, bedrest 6-12 hours |
| enema position | Left sims to allow flow into sigmoid colon |
| have patient do this when removing chest tube | valsava maneuver or bear down as if having a bowel movement. |
| chest tube stops flunctuating... | lung may have reinflated |
| senstaken blakemore tube | for esophageal varices, keep scissors at bedside in case of respiratory distress. |
| keep at bedside of trach patients | ambu bag and obturator |
| NG suction turned off for this long after given PO meds | 30 mins |
| NG tube length | end of nose --> to earlobe --> xiphoid process |
| stage 1 decubitus ulcer | redness only |
| stage 2 decubitus ulcer | partial thickness |
| stage 3 decubitus ulcer | full thickness and subcutaneous tissue |
| stage 4 decubitus ulcer | involves muscle and bone |
| increased ICP | change in level of responsiveness is a big indicator in increased ICP. monitor for any sudden changes in behavior |
| 5 P's of neuro status | pain, pallor, pulse, parathesias, paralysis |
| tensilon test | if positive effect=myasthenia gravis if negative effect=cholinergic crisis tensilon is high alert because it can cause cardiac dysrhythmias |
| ELISA and western blot | HIV |
| sweat test used for | cystic fibrosis |
| spasm induced by BP cuff | trousseau's sign |
| facial spasm after facial nerve tap | Chvostek's sign |
| +Chvostek's sign and +Trousseau's sign are indicative of... | hypocalcemia |
| currant jelly stool | intussusception |
| Reed-Sternberg Cells | Hodgkin's |
| posterior fontanel closes by... | 8 weeks |
| anterior fontanel closes by... | 12-18 months |
| moro reflex disappears at... | 4 months |
| infants can turn over... | at 5-6 months |
| infants can sit unsupported by... | 8 months |
| crawling occurs at... | 10 months |
| walking occurs around... | 10-12 months |
| toilet training | around 18 months-2 years |
| 2-3 word sentences can be formed at... | around 2 years |
| scoliosis | milwaukee brace...worn 23 hrs/day over clothing |
| FACES pain scale | measures pain in children |
| Hirschsprung's disease | lack of peristalsis b/c of lack of ganglion cells. suspected if no meconium within 24 hours of birth or there is presence of foul smelling ribbon-like stool |
| PO iron is.. | given on empty stomach with citrus juice, given through straw to avoid teeth staining, causes tarry stools. |
| sickle cell disease | HYDRATION is priority. dehydration, high altitudes, extremes in temperature and stress can cause sickle cell crisis. VERY PAINFUL |
| tonsillitis post-op | frequent swallowing is indicative of bleeding. highest risk of bleeding is first 24 hours to 5-7 days because of sloughing of scabs. inform patient to avoid red liquids and straws. |
| acyanotic cardiac anomalies | VSD, ASD, PDA, Coarc of aorta, aortic stenosis |
| cyanotic cardiac anomalies | transposition of great vessels, tetrolagy of fallot, truncus arteriousis. Polycythemia is common because of compensation of blood cells from disturbance in blood flow in the heart |
| tetrology of fallot | pulmonic stenosis, VSD, overriding aorta, right ventricular hypertrophy. TET spells relieved by swatting or knee to chest position |
| day 1 of mentrual cycle | bleeding |
| ovulation is on the... | 14th day |
| cycle is | 28 days long |
| sperm survives for | 3-5 days |
| eggs available for | 24 hours |
| fertilization occurs in the.. | fallopian tubes |
| normal weight gain during pregnancy | 25-30 lbs |
| TORCH | toxoplasmosis, other, rubella, cytomegalovirus, HPV |
| polyhydraminos and macrosomia | large fetus-->diabetes |
| umbilical cord consists of.. | 2 arteries, 1 vien |
| folic acid dificiency= | neural tube defects |
| gravida | # of pregnancies regardless of outcome |
| para | # of deliveries [not kids] after 20 weeks gestation |
| naegele's rule | subtract 7 days from last period, subtract 3 months, add a year-->estimated due date |
| true labor | contractions that intensify with movement, lower back pain that radiates to abdomen, dilation and effacement |
| reactive non stress test | means healthy fetus. heart rate increases when stimulated |
| contraction stress test or oxytocin challenge | bad result=late decels (positive test) good result=no late decels (negative test) |
| stage 1 of labor | beginning of contractions to full dilation and effacement |
| stage 2 of labor | full dilation to delivery |
| stage 3 of labor | placental delivery |
| stage 4 of labor | 1-4 hrs after delivery |
| fetal heartbeat heard.. | 8-12 weeks by doppler 15-20 weeks by fetoscope |
| fetal movement or quickening occurs... | at 14-20 weeks |
| patient begins to show at.. | 14 weeks |
| early decels | head compression |
| variable decels | cord compression=not good |
| late decels | utero-placental insufficiency=BAD |
| nursing care for variable/late decels | change mom's position, stop pitocin, administer o2, call doctor |
| newborn eye care | erythromycin ointment for gonorrhea prevention |
| pudendal block | decreases pain in vagina, no help with contractions |
| epidural block | blocks ALL pain, patient will have warmth or tingling in ball of foot or big toe |
| wbc count after delivery | often elevated up to 25,000 for first 10 days |
| suctioning infants | suction mouth and then nose |
| moro reflex | startle reflex, occurs up to 4 months |
| rooting reflex | up to 4 months |
| babinksi reflex | up to 18 months |
| palmar grasp relfex | lessens around 4 months |
| vitamin K given to newborns to... | aid in clotting factors, stomach isnt mature enough to produce clotting factors. vastus lateralis IM injection |
| abruptio placentae | dark red blood with rigid abdomen |
| placenta previa | painless bright red bleeding |
| DIC | cotting factors used as comensatory mechanism to stop bleeding, hemorrhage results |
| pre-eclampsia | htn, proteinuria, edema |
| eclampsia | same as pre-eclampsia but patient can also have seizures and become comatose |
| type of diabetic control for pregnant clients | insulin only, no PO diabetic maintenance |
| foods w/ potassium | bananas, dried fruit, citrus, potatoes, legumes, tea and peanut butter |
| vitamin C foods | potatoes, citrus, cantaloupe |
| foods w/ calcium | milk, cheese, green leafy veggies, legumes |
| foods w/ sodium | canned foods, processed foods, seafood, salt |
| foods w/ folic acid | liver, citrus, green leafy veggies |
| foods w/ iron | green leafy veggies, red meat, organ meat, eggs, whole wheat, carrots |
| foods w/ mag | nuts, green leafy veggies, whole grains |
| fall precaution | room close to station, assess orientation to room, keep room uncluttered, keep at least 2 side rails up, non-skid footwear, good lighting, consistent bathroom schedule |
| neutropenic precaution | no plants/flowers, no sick visitors, no raw veggies, avoid crowds, strict hand hygiene |
| bleeding precautions | use electric razor, avoid foods rich in vitamin K, soft bristled toothbrush, limit contact sports, use small bore needles, hold pressure for at least 5 mins, avoid straining during bowel movements and assess stool for occult stool, avoid NSAIDS |
Created by:
jessicadavis1