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adult 3 test 1
| Question | Answer |
|---|---|
| abdominal mass, upper abdomen pulsations, bruit over aneurysm site, ab or lower back pain, possible ab tenderness on deep palpations & lumbar pain that radiates to flank or groin are s/s of? | Abdominal Aortic Aneurysm |
| Severe persistent ab & back pain, weakness, tachycardia, hypotension are s/s of? | ruptured aaa |
| what is the treatment for aaa? | RE-SECTION, BED REST, ANALGESICS, ANTIHYPERTENSIVE & BETABLOCKERS |
| ASSESS CARDIOVASCULAR STATUS, VS, MONITOR I&O'S, LAB VALUES, S/S FOR HYPOVOLEMIC SHOCK, GENTLY PALPATE ABDOMEN FOR DISTENSION, CHECH PERIPHERAL CIRCULATION, CK PULSES, ASSESS PAIN LEVEL & ADMIN MEDS AS PRESCRIBED IS INTERVENTIONS FOR | AAA |
| WHAT IS THE NORMAL RANGE FOR SODIUM (Na) | 135-145MEQ |
| LESS THAN 135MEG IS | HYPONATREMIA |
| GREATER THAN 145MEG IS | HYPERNATREMIA |
| WHAT IS THE NORMAL RANGE FOR POTASSIUM (K+) | 3.5 - 5.0meq |
| LESS THAN 3.5 MEQ IS | HYPOKALEMIA |
| GREATER THAN 5.0 MEQ | HYPERKALEMIA |
| WHAT IS THE NORMAL RANGE FOR CALCIUM (Ca) | 9.0 - 11.0 MEG |
| LESS THAN 9.0 IS | HYPOCALCEMIA |
| GREATER THAN 11.0 IS | HYPERCALCEMIA |
| WHAT IS THE NORMAL RANGE FOR MAGNESIUM (Mg) | 1.3 - 2.1 meq |
| LESS THAN 1.3 IS | HYPOMAGNESEMIA |
| GREATER THAN 2.1 | HYPERMAGNESEMIA |
| USED THE RELIEVE PAIN OF ACUTE ANGINAL ATTACKS, PREVENT ANGINA ATTACKS, TREAT CHRONIC STABLE ANGINA PECTORIS & CONTROL PERIOPERATIVE HYPERTENSIVE ASSOCIATED W/ SURGICAL PROCEDURES IS WHAT DRUG? | NITRATES |
| ________________ARE A ANTIANGINAL DRUG | NITRATES |
| WHAT CAN BE ADMINISTERED SUBLINGUAL (UNDER TONGUE), BUCCAL (IN THE CHEEK), ORAL, IV OR TRANSDERMAL ROUTE | NITRATES |
| THIS CAN BE GIVEN SUBLINGUAL, BUCCAL, TOPICAL, TRANSDERMAL, ORAL OR IV ROUTE IS | NITROGLYCERIN |
| SUBLINGUAL NITOGLYCERIN MAYBE REATED EVERY_____MINUTES UNTIL PAIN IS RELIEVED OR UNTIL PT HAS RECEIVED ____DOSES IN A _____MINUTE PERIOD. | 5 MIN, 3 DOSES & 15 MINUTES |
| NITROGLYCERIN TRANSDERMAL PAD IS APPLIED TO THE SKIN ______ A DAY FOR 10 TO 12 HRS | ONCE |
| WHAT DRUG IS USED FOR INFECTIONS DUE TO SUSCEPTIBLE MICRO-ORGANISMS, SYPHILLIS, GONORRHEA OR PROPHYLAXIS OF RHEUMATIC FEVER | PENICILLIN G |
| WHAT IS USED TO PREVENT THE FORMATION & EXTENSION OF A THROMBUS | ANTICOAGULANTS |
| WARFARIN (COUMADIN) & HEPARIN ARE EXAMPLES OF | ANTICOAGULANTS |
| WHAT INTEREFRES WITH THE MANUFACTURING OF VITAMIN K | WARFARIN (coumadin) |
| WHAT IS USED TO TREAT & PREVENT DVT'S PREVENT & TREAT ARTRIAL FIBRILLATION W/EMBOLIZATIONS, PREVENT & TREAT OF PE, PREVENTION OF THROMBUS FORMATION AFTER VALVE REPLACEMENT SX is | anticoagulants |
| WHAT IS THE ADVERSE REACTION WITH ANTICOAGULANTS? | BLEEDING |
| WHAT IS THE TREATMENT OF WARAFIN (COUMADIN) OVERDOSE | VITAMIN K |
| WHAT DECREASE THE PLATELETS ABILITY TO STICK TOGETHER IN THE BLOOD THUS FORMING A CLOT, USED TO TREAT PTS AT RISK FOR ACUTE COROONARY SYNDROME, MI OR STROKE IS | ANTIPLATELETS |
| WHAT IS USED TO TREAT CARDIAC ARRHYTHMIAS (IRREG HEART BEAT) A-FIB & A-FLUTTER? | ANTIDYSRHYTHMICS |
| WHAT IS THE MOST COMMON SIGN OF A LIVER DISORDER? | JAUNDICE |
| WHAT IS THE NORMAL BILIRUBIN LEVEL? | 0.2 - 1.3 MG/DL |
| IF BILIRUBIN IS GREATER THAN 2.5 WHAT WOULD BE NOTED? | YELLOW DISCOLORATION |
| WHAT ARE THE CLINICAL MANIFESTATIONS OF JAUNDICE? | YELLOW SKIN, SCLERA, DARK COLORED URINE & CHALKY OR CLAY COLORED STOOLS |
| what is damage to the liver causing enlargement, fibrosis scarring & loss of effective hepatic functioning | CIRRHOSIS |
| WHAT ARE THE CAUSES OF CIRRHOSIS? | LAENNEC'S CIRRHOSIS (CHRONIC ALCOHOLISM) VIRAL HEPATITIS, EXPOSURE TO HEPATOTOOXINS, INFECTIONS, CONGENITAL ABNORMALITIES, RIGHT SIDED CHF & IDIOPATHIC |
| WEAKNESS, MALAISE, ANOREXIS, WEIGHT LOSS, PALPABLE LIVER (EARLY) ABDOMINAL GIRTH INCREASES AS LIVER ENLARGES, JAUNDICE, FRUITY OR MUSTY BREATH, ASTERIXIS (HAND FLAPPING), BRUSING & DRY SKIN ARE SIGNS & SYMPTOMS OF | CIRRHOSIS |
| WHAT IS WHEN A ATIENT'S WRIST S & FINGERS ARE OBSERVED T FLAP BECAUSE OF A BRIEF, RAPID RELAXATION OF WRIST DORSIFLEXION? | ASTERIXIS |
| ASTERIXIS IS OBSERVED IN A PT WHO HAS ? | CIRROSIS |
| WHAT ARE SOME COLICATIONS FROM CIRRHOSIS? | ESOPHAGEAL VARICIES & ASCITES |
| WHAT ARE ENLARGED VEINS IN THE LOWER PART OF THE ESOPHAGUS? | ESOOPHAGEAL VARICES |
| WHAT IS THE CARDINAL SIGN OF ESOPHAGEAL VARICIES? | BLEEDING |
| WHAT IS THE TREATMENT FOR ESOPHAGEAL VARICIES? | SOFT DIET, NO ALCOHOL, ANTITUSSIVES & STOOL SOFTNERS, INJECTION SCEROTHERAPY, VARICEAL BANDING, VITAMIN K, BLOOD TRANSFUSIONS, |
| WHAT IS A COLLECTION OF FLUID IN THE PERITONEAL CAVITY? | ASCITES |
| WHAT IS THE MAJOR CONTRIBUTOR TO ASCITES? | PORTAL HYPERTENSION |
| WHAT IS THE TREATMENT FOR ASCITES? | ABDOMINAL PARACENTESIS, IV ALBUMIN, DIURETIC THERAPY, SODIUM-RESTRICTED DIET, POTASSIUM SPARING DIURETIC (ALDACTONE) VITAMIN K, INTERNAL CATH & DRUG THERPY |
| ELIMINATE ALCHOL, ADMINISTER VIT A, B COMPLEX, C & K, AVOID BLEEDING IS NURSING INTERVENTIONS FOR | CIRRHOSIS |
| WHAT WAYS CAN A PT WITH CIRRHOSIS AVOID BLEEDING? | AVOID INJECTIONS, USE SMALL BORE NEEDLES, MAINTAIN PRESSURE SITES FOR AT LEAST 5 MIN, USE ELECTRIC RAZOR, USE SOFT BRISTLE TOOTH BRUSH, CHECK STOOLS FOR BLOOD & PREVENT STRAINING AT STOOL |
| WHAT TYPE OF DIET SHOULD ONE WITH CIRRHOSIS BE ON? | LOW SODIUM LOW FAT & HIGH CARB |
| CONTAMINATED FOOD OR WATER IS A SOURCE FOR WHAT TYPE OF HEPATITIS? | A |
Created by:
jmbosworth1972
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