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ATI neclex
| Question | Answer |
|---|---|
| When start doing digital rectal exams for males to detect prostate cancer? | After 50 |
| This is a good early sign of prostate cancer and should be preformed anually for men over 50? | Prostate specifc antigen |
| Hypotonic dehydration is what sodium level? | low |
| How long is it ok for a baby to have apnea? | if less than 20 seconds it is ok! |
| grunting of a newbron indicates? | resp distress |
| Steps for going up stairs with crutches? | Stand in tripod position, transfer weight to crutches, then put unaffected leg on stairs, then advance the affected leg and cruthches |
| Do you decrease fluid in someone with preeclampsia? | no |
| BP in hemolytic transfusion reaciton? | low |
| a how much border around a sterile field is considered unsterile? | 1 inch |
| BP potentially in estradiol? | high so watch out for headaches |
| What is more important to report a diminished appetite or clinet feeling agitated? | Lack of apetite as it comes before in maslows |
| memory loss can indicate? | increased ICP |
| The affected extremity in a continous passive motion machine should remain? | in a neutral position |
| if you are not going to breast feed make sure to not? | express any milk |
| involuntary muscle movements are termned? | ataxia |
| how are toe nails trimmed? | Straight across |
| Can you put lotion on a person with PADs feet? | yes to prevent crakcing! |
| chlorpromazine is a? | antipyhicotic |
| people with this have fluctuating level of conciousness | delerium |
| is the person with delerium often aware of cognitive changes? | yes |
| can you use iodine to cleanse a wound? | NOO its toxic |
| Valporic acid (antiseizure drug) may cause what? | hepatotoxicity so monitor liver levels!! |
| fluid filled vesicles on trunk and extremities is usally? | chicken pox |
| Folowing a esophagogastroduodenoscopy the pt has a hoarse voice what do you do? | nothing it is normal |
| Cool and clammy skin after a esophagogastroduodenoscopy | cause for concern could be a perforated bowel/sign of hypovolemic shock |
| Cool and clammy skin is a s/s of? | Hypovolemic shock |
| A low grade fever after a esophagogastroduodenoscopy may indicate? | dehydration from being npo for so long |
| agonal breathing generally means? | you wont survive |
| What are maternal complications from a vacumm assited birth? | lacerations to cerivx/perineal |
| may be caused by abnormal adherance of the placenta to the to the uterine wall? | Retained placenta |
| A mom is receiving oxytocin for labor induction and the nurse notes variable decels on the monitor what do you do first? | Position mom on left side to releive cord compression after that 2. discontinue oxytocin |
| Variable decels means? | cord compression so if see turn mom on left side to alleviate the compression |
| radiation therapy produces a dry shiny red area intervention? | wash with mild soap and water. NO dressing |
| WBC indicator of peritonitis? | if REALLY high like 21,000 |
| this may impede absorption of iron? | milk |
| To check if an infant needs CPR where do you do it? | Check the brachial pulse |
| amitrypline is a tricylcic antidepressant what s/e are common? | anticholinergic like dry mouth and consitpation |
| after administration of eye drops instruct the client to? | Close the eyes for 1 min to enhance absorption |
| How long must you wait between admin of two different eye meds? | 10 mins |
| decrease what in chrons? | fiber |
| Muscle damage is what pressure ulcer? | IV (4) |
| Partial thickness skin loss is what pressure ulcer? | Stage 2 |
| Visible subcutaneous tissue is what pressure ulcer | stage 3 |
| Tendon exposure is what pressure ulcer? | IV (4) |
| Echopraxia is? | repeating back what someone says |
| Variable acels are? | A good thing |
| those who have osteoporosis usaly have what weight? | small thin frame |
| those with a sedentaary lifestyle are? | at risk for osteoporosis |
| bright red lochia is normal? | right after birth |
| an elevated temp right after birth? | normal |
| boggy uterus? | NOT normal massage it to prevent blood loss |
| if mom is rh positive and kid is rh negative? | NOT a problem no intervention needed |
| if mom is rh negative an has a spontaneous abortion? | problem as we will never know what fetuses blood type is |
| when give first dosage or rhogam? | 28 weeks |
| cold to a edmatous joint in pt with RA? | yay! |
| A dressing aturated with sanguineous dressing 1 day post op total hip? | CALL doc client is at greatest risk for hemmorhage |
| theophyline is a? | bronchodilator |
| s.s of theophylline toxicity? | hypotension, tachycardia and anorexia |
| if NS is running and you need to give cephazolin? | piggy back it |
| before intravenous pyleogram this is admistered the night before? | laxative |
| first thing when wound dehises? | stay with client and call for help, then applly sterile gauze and then position with knees bent |
| do clients with a UTI require fetal heart monitoring? | no |
| peper increases risk for? | infection |
| suction for no more than how many passes? | 3 |
| the reason the med error occured would be on the? | incident report |
| does mag sulfate decrease contractions? | yes |
| What intervention is needed for early decels? | nothing just monitor |
| Blood loss is more common in UC or chrons? | UC |
| weight loss is more common in UC or chrons | chrons |
| for both chrons and UC follow a diet low in? | reidue (including fiber) |
| S/E of anticholinergic like oxybutyin? | blurred vision, dry eyes and dry mouth |
| Anticholinergics may increase? | IOP |
| aMITRYPTLINE is used for depression it can cause what s/e | anticholinergic s/e |
| ciprofloxin a fluroquinlone is asscoiated with? | tendon rupture |
| take cipro with milk? | no |
| is rantidine hepatotoxic? | it can be |
| take rantidine wuth food? | does not matter |
| how to dispose of nitro patch? | fold in half and throw in closed container |
| Pulse rate to hold a beta blocker? | apical less than 60 |
| overdose of atropine is tx with? | physostigime |
| Benztropine is used for? | tx eps of antipyhotics |
| serious adverse effect of ace inhibitor? | neutropenia |
| can you take nsaids with ace inhibitors? | no |
| Buporprion is an antidpressant s/e? | stimulation- insomnia, agitation, tremors and mania |
| Statins and reports muscle weakness? | Asess creatine kinase levels as rhabdomyolosis is a s/e of statins |
| Oprevelkin is a drug that does what? | Stimulates bone marrow to produce platlets |
| mannitol an osmotic diuretic can precipitate? | HF |
| manifestation of apsirin toxicity (salicysm) | tinnitus |
| isoniazid is a drug to tx tuberculosis is it hepatotoxic? | yes |
| a person taking methylpredisone should avoid? | grapefruit juice as it increases absorption |
| ergotamine is used to tx migraines when take it? | imediatly after onset of headache |
| mectrolpromide does what? | stimulates the gut |
| adverse effect of mectropromide? | sedation |
| fluxotine (prozac can cause what muscle problem? | muscle twitching |
| is athathisa asscoiated with eps? | yes |
| adverse effect of ace inhibitor electorlyte wise? | hyperkalemia |
| What to do in flail chest? | position for optimal lung expansion (not on affected side) and prepare for ventilation! |
| what type of airflow is used in tuberculosis | negative |
| can you srink alchol with ciprofloxin? | yes |
| can you have antacids with cirpofloxin? | not together |
| do corticosteroids increase risk for osteporosis? | yes |
| do estrogen replacement therapy increase risk for osteporosis? | no it decreases the risk |
| avoid what drink with ace inhibitors? | grapefruit |
| prefilled enxoparin injection and there is an air bubble? | leave it in |
| a thyroid storm is what? | excessive hyperthryoidism when BP gets too high |
| after auscultating a murmur what is first step? | listen on left side to murmur again |
| after a masectomy when instruct the pt to do exercises of the affected arm? | 24 hours after surgery |
| When will drain be removed after a maseconmy? | when 25 ml of output or less of 24 hour period |
| position after masecotmy? | elevate the arm |
| after total hip dont flex hip more than? | 90 degrees |
| this drug works by coating the stomach lining | sulfracate |
| painful ulcerations point to? | PAD |
| Pain while resting | PAD, pain is releived by dangling feet off of bedside |
| dependent rubor? | PAD |
| hair loss of lower legs? | PAD |
| during thoracentesis if you cant sit overbed table with arms resting on table have pt? | side lying |
| after a thoracentsis encourage the client to? | take deep breaths to rexpand the lung |
| feverfew interacts with? | Naproxen (as both impair platlet agregatiion) |
| first thing to do in anaphlyatic shock? | give o2 high flow nonrebreather, then epi |
| wait how long between puffs of inhaler? | 1 min |
| priority intevention if someone is having a seizure? | PUT them in a side lying position to ensure an airway!!! |
| caused by rapid removal of fluids during dialysis? | disequlibrium syndrome |
| positive pressure ventilation can do what to BP? | decrease it as it presses on artery |
| normal pacemaker spike | spike then qrs or spike and then p wave |
| first thing to do if client cannot void after surgery? | assess with a bladder scanner |
| those with a urtetrostomy tell them to cut the opeining of the skin barrier? | 1/8th inch wider than the stoma |
| each dose of metamucil should be followed with? | water |
| intervention for SVT besides adenosine? | synchronized cardioversion |
| increase fiber in what IBD or IBS? | IBS |
| TOPICAL estrogen may help those with? | incontinence |
| can you give meds in an arterial line? | NO |
| Decreased peristalis is manifestation of what electolte imbalance? | Hypokalemia |
| pulse in hypernatremia? | boundin |
| exercise with venous insuffinceny? | yes |
| first thing in blood admin is to? | check the order |
| What hemisphere of a stroke to show impulsivness? | Right sided |
| anxiety, guilt and expressice aphasia is congruent with what sided stroke? | left sided |
| Steps of going up stairs on crutches? | first place body weight on crutches, next advance good leg up stair, shift weight from crutches to unaffected leg and finally bring crutches and affected leg up stairs |
| is facial witching hyper or hypo kalemia? | hyper |
| hold breath how long after using an inhaler? | 10 secs |
| fluid retention common on vent? | yes |
| Vital signs in alchol withdrawl? | hypertension, fever and tachycardia |
| emotions in alchol withdrawl? | agitated |
| donezpil is for? | Alzeheimers |
| When take donezipil? | in the evening for best results |
| is an alcholic responsible for the disorder? | no just the recovery |
| Having a sponser before discharge does what? | Increases chance of sucess |
| Tranylcypromine aka? | nardate (MAOI) |
| Those taking tranclypromine (nardate) should avoid? | other the counter cold meds like phenylephrine as can precipitate hypertensive crises |
| do those with PTSD have a lot of friends? | no they isolate themselves |
| a temp lower than what requires hostplization? | 96.8 |
| HR less than what requires hospitlization? | 40 |
| weight loss more than _____- in 3 months requires hospitlization? | 30% |
| used in immediate treatment of withdrawl from alchol as it decreases tremors, stablizes vital signs and more? | benzos |
| those undergoing light therapy for treatment of depression can cause sensitivity to light so? | make sure you wear sunglasses when going outdoors |
| doing the least restrictive therapy first is what ethical principle? | nonmalifence |
| Speding adequate time with a client who is verbally abusive is example of? | justice (spend time with "hard" clients as well as "good" it is fair or just |
| can physical therapy help with ADLS? | yes and asess mobility |
| clozapine may cause? | agranulocytosis (low WBC) |
| how does operant therapy work? | provide positive reinforcement in response to desired behaviors |
| seclusion has to have prescription renewed every? | 4 hrs for max of 24 hours |
| behavior should be documented how often in pt in seculsion? | every 30 mins |
| what triggers disascoiatve amnesia? | a traumatic event |
| when renew restraints for adult? | 4 hours |
| restraints renewed for 9-17 year old? | 2 hours |
| with in how long of being on restraints doe the doctor need to physically see the pt? | 1 hour |
| is phenytoin given during ECT? | no its an anticonvulsant and we want to induce a seizure |
| during an ect it is important to? | monitor the heart rythym |
| lets go back and look at this point is what therapeutic technique? | focusing |
| screening programs that identify those at risk are what type of prevention? | Secondary prevention |
| tremors and lithium therapy? | fine tremors expected, coarse =toxcity |
| excessive clingness and submissiveness is what personality disorder? | dependent |
| emotional lability is what personality disordeR? | borderline |
| confabulation is a manifestation of? | dementia |
| easily distracted is a manifestation of ? | delerium |
| older children responsible for younger children is an example of? | boundary issue |
| Reviewing key points of the discussion is what therapeutic technique? | summarizing |
| aphasia is manifestation of? | dementia |
| Refers to measures such as proper diet, proper exercise and immunizations that prevent the occurence of a specfic disease? | Primary prevention |
| Refers to actions aimed at early detection of disease that can lead to interventions to prevent disease Progression | Secondary prevention |
| Activites that limit disease progression like rehab | Tertiary prevention |
| glucose levels in alchol withdrawl? | hypoglycemia |
| An adventitous crises is when? | A external disaster occurs |
| A situational crises is when? | an unexpected event like car accident occurs |
| The right to individualized treatment is part of the? | code of ethics/mental health act |
| Temp in those with opiod withdrawl? | hyperthermia |
| Rhinorhea and flu like symtoms is seen in? | opiod withdrawl |
| This can be used when a rapid definitivve response for a sucidal client is needed? | ECT |
| ect does NOT work for those in? | situational problem |
| If a client says she is mourning the loss of her hair first step? | discuss the importance of hair with client (asess) |
| Dextroamphetimine can cause anorexia so when administer this drug? | right after eating |
| The last dose of dexrtoapmephtime should be given before ___________- of bedtime | last dose 6 hrs before bedtime |
| Atomoxetine is what kind of drug? | used to treat adhd |
| Greatest complication with atomoxetine? | LIVER damage, so if you see dark urine you need to report it! |
| amityptline is a tricylcic antidepressants that can produce what effects? | anticholinergic effects SO monitor for urinary retention |
| How to assess spiritual needs? | in a conversational like manner |
| respecting clients right to make individual choices is? | autonomy |
| Posturing is what kind of shizophrenic symptom? | Negative |
| Concrete thinking (inability to think abstractly) is what kind of symptom? | positive |
| Sudden interuption in clients though (thought blocking) is what symptom of schizophrenia? | negative |
| echolalia is what s/s of schizoprhenia? | positive (repeating what a person says) |
| report of a night cough on someone taking a beta blocker may mean? | early indication of HF and adverse efect of med, call doc |
| Visual spatial deficts occur in what sided stroke? | right |
| herniation of espohagus midline of neck is called? | Zenkers diverticulum |
| nitroglycerine does what to preload and after load? | decrease it |
| dopamine does what to CO? | increase it |
| first thing to do in hemmorhage state? | give o2 |
| If you aspirate blood while doing an iM injection? | then dispose of medication it is contaminated!!! |
| How do you cange a PICC line dressing? | pull from side to side and meet in the middle |
| before and after med admin in a picc line do what? | flush with 10 ml NS |
| After a cardiac cath there is a hematoma, decrease pulse rate in affected extremity what do you do? | apply firm pressure to hematoma to stop bleeding |
| for non copd aim for o2 to be at? | 95% |
| anxious and restless and on a vent? | tell them not to fight the vent |
| excesive and continous bubling in water seal chamber means? | a leak |
| urine in anaphylatic shock? | incontinence |
| Heart rate in autonomic dysreflexia? | low |
| S/S of autonomic dysreflexia? | Hypertension, throbbing headache, marked diaphoresis above level of injury, blurred vision, nasal congestion, and nausea |
| what kind of dressing to a clean granulating wound? | hydrocolloid/transparent film |
| What kind of syringe is used to cleanse a clean granulating wound? | 30 ml syringe |
| what can morphine cause to urine? | retentions |
| since lactulose causes diarhea it has the potential adverse effect of? | hypokalemia and dehydration |
| levothyroxine can be inhibited with admin of waht med? | calcium |
| ginko bibloa can interact with what type of meds? | anticoagulants |
| GLucosamine can interact with what meds? | anticoagulants |
| Vitamin C can cause a false negative in? | fecal ocult stool |
| smooth red beefy tongue | pernicious anemia |
| specific gravity in hypertonic dehydration? | increased |
| Regualr movement of joints in RA is required to prevent? | stifness |
| Amylase in pacreatitis is? | elevated |
| Calcium and mag levels in pancreatits is? | low |
| in terms of orders AC means? | before meals |
| in terms of orders HS means? | before bedtime |
| BP in cardiogenic shock? | decreased as there is extremely low CO |
| CLots after turp? | irrigate |
| Before taking verapmil have clients do what? | take pulse and BP |
| Can verapmil lower pulse? | yes |
| do you have to withold anticoagulants before a cardioversion? | NO as it may be helpful to prevent blood clots |
| What med must be held if cardioversion is planned as it increases risk of ventricular irritability | DIGOXIN |
| why drink milk if you have gout? | it increases urinary ph |
| Where is mcburneys point? | right lower quad pain there means appendicitis |
| sutures in mouth dont do what? | insert anything in it |
| for lice seal in plastic bag for? | 2 weeks |
| Intervention for tinea pedis? | wear sandals it gets air in but not plastic ones! |
| permethrin is used to? | treat scabies |
| Uncontrolable movements of the face are indicative of what type of cerebral palsy? | Non spastic |
| S/S of spastic cerebral palsy? | Positive babiski, ankle clonus (rythimic flexion of foot), exagerated stretch reflexes, contractures (do to tightening of the muscles) |
| Sametrol is an inhaler used when? | Daily to prevent attacks |
| How do a peak expiratory flow meter? | do it twice daily 3 times each, take the highest number |
| To determine how a kid is responding to asthma therapy this is done and how often? | Pulmonary function tests and every year |
| Why is napping with juvenile arthritis bad? | It causes stifness so avoid!! |
| What kind of matress should someone with juvenile arhtritis have? | firm |
| use what kind of gauge for a 4 year old? | 24 to minimize pain |
| What age can FACES pain scale be used? | 3 years and older |
| Admister eye drops how long before eye ointment? | 3 mins |
| how apply eye cream? | inner to outer canthus |
| rasians have a ton of? | iron |
| does milk have a lot of iron? | no |
| A nurse should refer a infant who is ________- and not babling to a more extensive hearing exam? | 7 months |
| if a kid has uninteligable speech by what age requires a hearing exam? | 2 years |
| when can you liberally apply sunscreen to kids? | 6 months |
| the spf for kids needs to be at least? | 15 and waterproof |
| sodium polystrene sulfonate is another name for? | Kayexelate (lower potassium levels) |
| where should harness be positioned in baby? | at or just below shoulder level |
| do what if a kid has a partial thickness burn on right arm? | cleanse with mild soap and water |
| immediate postop perforated apendcidits expect what bowel wise? | absence of peristalis (as bowel function needs to return) |
| normal color for NG tube? | green/clear |
| after surgery for mekel diverticulum expect? | passage of dark red stool with mucus |
| Prior to lumbar punction apply what? | 60 mins prior apply topical analgesic |
| warm mist humidifier for epiglotis? | NOOO can have humidfied o2 via face mask tho |
| How does a child best understand time? | when compared to something in a sheduled routine like mealtime or bedtime |
| when describing time to a child make sure it directly relates? | to them |
| Koplicks spots are seen in? | measles |
| You can not give the LIVE flu vacine to what pts? | asthmatics |
| Specfic gravitiy in SIADH? | Concentrated |
| Sodium in SIADH? | low |
| Mental confusion is number one sign of? | hyponatremia |
| first thing in anaphylaxis? | EPI |
| Position after lumbar puncture? | flat in bed to prevent spinal headache |
| what age likes push pull toys | toddlers |
| sweep or mop floors in asthmatics? | mop |
| can humidification trigger asthma? | yes |
| meals in HF pts? | small and frequent |
| Normal ESR? | less than 30 mm/hr FOR ADULTS |
| normal CRP? | 6.8-820 mcg |
| normal RBC? | 4.7- 6.1 |
| Increased CRP or ESR after open fracture may indicate? | Osteomyletis |
| low sodium iniate? | Seizure precautions |
| cooling blankets to toddlers? | NO they shiver and goes bad |
| best way besides tylenol to lower temp in toddler? | have them wear minimal clothing |
| when after cardiac cath can pressure dressing be removed? | day after procedure |
| after cardiac cath a kid must wait how long before taking a tub bath? | 3 days |
| when tunneled PICC is not in use flush daily with? | heparin |
| CVC that does NOT need heparin? | Groshong |
| Bed rest for rheumatic fever? | YES |
| Currant jelly like stool? | Intusuception |
| Diarrhea or constipation? in intusupetion? | Diarhea as leaking of blood and mucus into the intestinal mucosa |
| Steatorhea is manifestation of? | Cystic fibrosis |
| Besides currant jelly like diarhea two other s/s of intusuception? | vommiting and lethargy |
| while adults suction for 10 seconds or less suction how long in infants? | 5 seconds or less |
| if you have mono restrict activites for how long to protect spleen? | 2 months |
| What virus causes mono? | epstein barr |
| reccomended tx for diper dermatits | zinc oxide |
| how store epi pens? | room temp |
| if you give epi and your child does not respond well? | give a second dose |
| when does Moro, rooting and tonic neck reflex diapear? | 5 months |
| at 18 months the vocab should consist of at least how many words | 10 |
| pulling on ears, increased fussiness, decreased sleeping and increased drooling? | teething |
| what teeth erupt first? | lower central insciors |
| increased curvature of thoracic spin is? | kyphosis |
| increased curvature of lumbar spine | lordosis |
| a unilateral rib hump? | scoliosis |
| vommiting may indicate what toxicity? | dig |
| regular insulin is given when? | 30 minutes before eating |
| when can child spread butter? | 6 years |
| WHEN can a kid cut a shape using scicors? | 4 years |
| when can a kid idenitfy right versus left? | 6 years |
| when can draw a stick figure with 7 body parts? | 5 |
| Best place for pulse ox in infancy? | big toe |
| glucose levels in bacterial menigits? | decreased |
| when should infant say a word? | 10 month |
| when roll a ball? | 11 month |
| how to test if bike is right side for kid? | should be able to stand on balls of feet while sitting on bike |
| bikers should always ride in the? | direction of traffic |
| when can you start using deltoid? | 18 months |
| loud harsh murmur? | VSD |
| heart rythym in kawasaki? | tachycardia with a gallop |
| Eye manifestations in kawsaki? | red eyes and xeropthalmia (dry eyes) |
| Fat in cystic fibrosis should be? | increased |
| used to replace ADH? | demopressin |
| If a mother has a fourth degree perineal laceration absolutely do NO give? | Rectal supposotories |
| How often have prego women check pulse when exercising? | every 10 min |
| When introduce rice cereal? | 4-6 months |
| Epigastric pain is an indicator of? | Preclampsia and indicates liver involvement, URGENT |
| This drug enhances uterine contractlity | Oxytocin |
| Would giving Oxytocin for a postpartum women with a cervical laceration help? | NO as it only contracts uterus not cervix |
| Is it ok to let newborn sleep in car seat during the day? | NO they should be supine |
| How check water temp of bath? | with elbow not hand |
| Should you encourage rooming in for the first couple weeks after the baby is born? | Yes but NEVER put in bed |
| First step of lepolds maneuver? | See which presenting part is in the uterin fundus (should be the but) |
| During this part of lepolds the nurse finds the fetal back and irregulaly shaped fetal parts? | 2ncd step |
| In this part of lepolds the nurse determines the presenting part in the pelvis (should be head | 3rd |
| In this part of lepolds, the nurse asesses the cephalic prominence to determine attidude of head | 4th |
| at end of first trimester where is baby? | just above the symphisis pubis |
| What if a prego mom gets fifth disease? | nothing you can do just monitor baby |
| interventions for variable decels? | have them change position |
| You can not use a cervical ripening agent in what stage? | active labor |
| ATI says normal heart rate of fetus at 26 weeks? | 110-160 |
| What is normal fundal height? | same in cm as gestational age plus or minus 2 |
| Tingling and numbness in hand at 15 weeks? | Normal |
| bloody noses early in pregnancy is? | normal |
| Abdominal cramping may indicate? | Spontaneuous abortion or ectopic pregancny especially when early in pregnancy |
| benign edematous area of the scalp does not require intervention | Caput succedaneum |
| Jaundice when in newborns is bad? | If it is within the first 24 hours after birth. After 24 hours it is ok before hand can be a RH problem |
| First action in hypovolemic shock in postpartum lady? | Massage fundus |
| foods that decrease N/V in pregnancy? | high carbs |
| advise to eat foods at what temp to avoid nausea/vommiting | cool |
| Why don't advise those with N/V to brush teeth after eating? | could trigger gag reflex |
| Prego women has a seizure after turning to side first intervention? | put o2 on so baby gets oxygen |
| Dont apply what to baby undergoing phototherpy? | any type of lotion |
| a fine rash while under phototherapy is? | normal |
| amneorhea is what sign of pregancny? | presumptive |
| bloddy show is what sign of labor? | a true sign, go to hospital |
| a positive contraction stress test indicates what must be done? | biophysical profile |
| birth weight of baby if mom took SSRI? | low |
| pain does what to pupils? | dilate |
| compress to be applied for dvt? | warm |
| when inserting diapgragm have a empty? | bladder |
| leave a diaphragm in how long after sex? | 6 hours |
| do you need a consent for universal newborn screening? | no |
| what is collected for newborn screening? | blood |
| premature infants have a delayed development of liver enzymes which could result in a? | false positive newborn screenin |
| After a mom with gestational diabetes has the kid do they still need insulin? | NO there sugars go back to normal |
| instructions for postpartum mom with gestational diabetes? | get a 2 hour oral glucose tolerance test in 12 weeks and every 3 years as you are at a higher risk of getting type 2 diabetes |
| Terbutaline is used to stop preterm labor an adverse effect? | hypokalemia and hypotension and hyperglycemia |
| how is terbutaline admistered | every 4 hours to stop labor |
| during second and third trimester increase protein by | 70 grams/day |
| how increases cals in pregnancy? | 340 extra for second trimester and 450 extra third trimester |
| How much folic acid given to prevent NTD? | 600 MCG |
| Normal weight of newbron? | 5- 9 lbs |
| normal newborn temp? | 97.7 |
| urine protein 2+ indicates? | preclamsia |
| What is a amiotomy? | artifical Rupture of membranes |
| Greatest concern after amiotomy? | infection so assess temp |
| following birth hispanics? | bed rest and drink warm drinks |
| a poiteal angle of 90 degrees is an indicator of? | fetal maturity |
| normal length of newborn | 17.7-22 |
| What is spina bifida oculta? | dimpled area over defect and presence of a hairy patch/birth mark (not acutally a protruding sac) |
| Spina bifida manifesta is? | the myelonigecele is visible present and can be open or closed |
| A non stress test is used to measure fetal activity, doing __________ may stimulate the fetus to obtain results? | drinking orange juice (or bevarage high in glucose) |
| Does informed consent need to be obtained for non stres test? | no |
| after ruptute of membranes assess? | fetus |
| The adolsent in the third trimester needs this to support bone growth as they are still developing? | 3-4 servings of dairy each day |
| 4.8 lb weight gain in a week in 38 gestation is? | abdnormal tell doc |
| Wear should retainer clip be on baby? | at babys armpits |
| charecterized by cervical dilation of 4-7 cm and contractions every 3-5 minutes lasting 40-70 seconds | Active phase of labor |
| Charecterized by cervical dilation of 8-10 cm and contractions every 2-3 minutes lasting 45-90 seconds | Transisition phase |
| Charecterized by cervical dilation of 0-3 and contractions every 5 to 30 mins each lasting 45 seconds | Latent phase |
| Charecterized by active pushing with contractions every 1-2 minutes lasting for 90 seconds | Descent phase |
| Taking advil every day when pregnant can cause what adverse effect? | Premature closure of ductus arterious |
| Indomethacin is used to? | close a PDA it is a prostglandin inhibitor like a NSAID |
| what is used to keep a PDA open? | prostoglandin |
| How use bulb syringe? | insert tip into side of infants mouth, do mouth before nose and stop suctioning when the infants sounds become clear |
| How many times a day should a newborn void? | 6-8 times |
| How do you know if the newbron is getting enough milk from breast? | after feeding the newborn appears content |
| when does milk production replace colostrum? | 4 days |
| What is considered positive in a one hour glucose tolerance test? | 130-140 |
| fast how long before a glucose tolerance test? | 12 hours |
| the nurse should instruct the pt to drink the glucose how long before the 1 hour glucose tolerance test? | 1 hour |
| If a one hour glucose tolerance test is considered positive? | She will need to do a 3 hour glucose tolerance test |
| is resp distres a sign of hypo or hyperglycemia in newbrons? | hypoglycemia |
| in newborns is hypotonia or hyper tonia a sign of hypoglycemia? | hypotonia |
| abnormal cry, jitterness, lethargy, poor feeding, apnea and seizures and resp distress are s/s/ of? | hypoglycemia in newborn |
| interventions for early decels? | none monitor |
| What to do if baby is in posterior Ociput position? | You want to rotate it to anterior occuput position so place mom in a hands and knees position it will also take pressure off the back |
| 3 contrainidcaitons for oral contraceptive usage? | Hypertension, migraine headaches and cholesytitis |
| nerve block is often used for? | episotomy |
| a temp above what for newborn is bad? | above 99.5 |
| when should meconium be passed according to ati? | 24-48 hours |
| remove yellow exudate from circumscion? | NO it is part of healing leave it on |
| for mild bleeding after a circumscion teach parents to? | apply light pressure |
| unilateral breast pain may indicate? | Mastitis |
| what is considered a temp for adults? | 100.4 |
| Priotity intervention after a amniocentesis? | monitor FHR |
| Decreased UOP may indicate? | preclampsia |
| those with hyperemisis gravidarum should eat what following a sweet? | protein |
| should those with hypermeisis gravidarum go to bed on empty tummy? | no |
| those with hyperemis gravidarum should eat for? | taste |
| absence of languo indicates? | post maturity |
| too much languo indicates | prematurity |
| Age over what increases risk for preeclampsia? | 40 |
| pregestational diabetes increases risk for? | Preclampsia |
| Renal disease, SLE, and RA are risk factors for? | preclampsia |
| Discussing oral contraceptives would occur during what stage of postpartum? | letting go |
| during this phase postpartum, the client displays dependent and passive behavior, due to excitment and fatigue the client is unable to retain information therfore the nurse should repeat instructions? | Taking in phase |
| During this phase the new mother is focused on herself and her basic needs REFLECTING ON THE BIRTH PROCESS is important in this phase? | Taking in |
| During this phase the mother moves from being dependent to taking on an active role as a mother, she WANTS to learn the proper parenting skills like GIVING BABY A BATH? | Taking hold phase |
| if you have a normal bMI how much weight should you gain in pregnancy? | 30 lbs |
| a nuchal cord (cord around babys neck) can cause? | petachia and brusing over face, head and neck |
| rear facing till? | 2 |
| Can those allergic to sulfa take cipro | yes |
| what would be a CI to taking cipro or any fluroquinlones? | tendonitis as it increases the risk for tendon rupture while on this med |
| Clonzapine (antiphysotic) can do what to lipid levels? | increase them |
| is clonzapine metabolised by kidneys? | nope |
| flushing of skin while on statins is a? | adverse reaction |
| azcetazolamide is used to tx open angle gluacoma adverse effects? | tingling of fingers, weight loss, diarhea and polyurea |
| amphocertin B can damage the? | Kidneys, thus cause hypokalemia |
| Amphocertin B can do what to weight? | weight loss |
| adverse effect of calcium channel blockers? | SOB |
| Phenytoin commonly causes? | gingivial hyperplasia |
| Flumanzenil is antidote for? | benzos |
| first priority when on oxytocin and notices late decels? | turn on side |
| sumatriptan is used for? | migraines |
| Carbamazepine is an anticonvulsant it decreases effect of what drug? | oral contraceptives |
| ketorolac is a? | NSAID |
| monitor for what adverse effect with Ketotolac? | brusing/bleeding |
| how long should a girl keep on the ethinyl estradiol/norelestromin patch? | 3 weeks and take off for a week so you have a mense |
| too much aspirin can do what to resps? | hyperventilate |
| first thing to do if you notice s/s of hypoglycemia? | check glucose!!!!!!!!! then if you cant check it cuz your in the wild give a quick carb |
| atropine eye drops cause pupils to? | dilate |
| cyclobenzaprine is what drug? | treats muscle spasms, taper off it! |
| do beta blockers lower BP? | of course silly |
| Sumatriptan can cause coronory spams resulting in? | angina |
| is naloxone ever presribed for home setting? | NOOO |
| stool softeners are often given with opiods why? | they decrease constipation |
| Grape fruit juice may ____________ the effects of corticosteroids? | increase |
| inflixmab is an immunosupressant often given to who? | chrons pts |
| Rifampin and isoniazid is used to tx? | tuberculosis |
| take ace inhibitors with? | food |
| insulin can be stored at room temp for? | 1 month |
| cyclobenzaprine is tx for muscle spasms what kind of s/e can it have? | anticholinergic |
| admister heparin how far from belly button? | 2 inches |
| For those at risk for colon cancer at what age should they start having colonoscopy? | 50 |
| prepackaged liquid meds should NOT be? | transfered to any other container (med cup or measuring cup) |
| single dose liquid meds should be? | shaked |
| when giving oral meds place client in? | high fowlers |
| what type of exercise is optimal to prevent osteoporosis? | weight bearing exercises like walking |
| smoke how far from an oxygen tank? | NOT IN SAME ROOM/HOUSE outside |
| if you have a bowel movement with urine that is supposed to be saved? | You cant use that urine |
| Fever few should not be prescribed to those on? | warfarin |
| Those with shingles (or any skin infection) should not have? | acupuncture (increases risk for infection) |
| when moving a chair place it on the clients? | stonger side |
| Warmth at IV site indicates? | Phlebitis |
| skin blanching at IV site indicates? | Infiltration |
| Coolness and edema at IV site indicates | infiltration |
| each medication should be disoved in at least how much sterile water? | 30 ml |
| should meds ever be missed together in enteral feeds? | no |
| before administration and between meds do what to enteral feeding tube? | flush with 15-30 ml of sterile water |
| older adults often process information at a slower rate so? | give them plenty of time to ask questions and take in info |
| are pancakes ok on a soft diet? | yes |
| are eggs ok on a mechnaical soft diet? | not fried eggs, poached or scrambled are ok |
| swelling, redness and tenderness in calf think? | thrmbophlebitis |
| dull is a term that describes? | quality |
| for administering ear meds to an adult pull auricle? | up and back |
| cloudy pupils means the client has? | cataracts |
| how place an arm when doing an IV? | in a dependent position so it dilates the veins |
| insert IV cath at what degree? | 10-30 degrees |
| have client sit how when inserting NG tube? | high fowlers |
| synringe size for irrigating wounds? | 30 ml |
| remove antiembolic stockings how often? | at least once per shift |
| make sure there are no _________- in antiembolic stockings? | creases |
| First thing that you do when you find client laying on floor? | check for injuries (assess) |
| having more responsbilities in a role than one can handle? | role overload |
| when a person is unclear about there role? | role ambiguity |
| when a person must assume opposing roles with incompatible expectations | role conflict |
| bruits occur when arteries are? | narrowed |
| can nurses close a wound with sutureS? | no |
| The nurse should lubricate the suction catheter in? | just sterile water! |
| how big should the suction cath be when suctioning a trache? | half the size of the lumen |
| suction pressure should be no more than? | 120 |
| what 3 foods are complete in protein? | cheese, poultry and fish |
| materials to use if on oxygen? | cotton |
| how far away should a gas stove be from an oxygen generation? | 10 feet |
| Shigella requires what precautions? | contact |
| while we use sterile technique for trache care at the hospital at home? | asceptic technique |
| instruct pt when going outdoors with a trache? | use a trache cover |
| when putting on scds place the sleeves? | under the clients legs |
| when apply scds make sure __________ can fit under the sleeves? | 2 fingers |
| a braden score below what means risk for pressure ulcer formation? | 18 |
| low albumin puts a pt at risk for? | poor wound healing and ulcer formation |
| those with a cath should have a conitous urine flow so if the bladder has a lot of urine in it? | irrigate the cath as there is probably a blockage |
| how document intake of ice chips? | calculate half of how much you give so if you give 8 ounces document an intake of 4 ounces |
| for droplet the nurse should wear a mask if within? | 3 feet of client |
| If parents of a child does not want them to have a blood transufsion? | examine your own values on the subject so you are not bias |
| If a parent of a child does not want them to have a blood transfusion can you contact a spirtual advisor to sway them? | not without conset |
| before even attempting to remove sutures you should? | clean sutures along inscion site to prevent infection |
| When setting o2 rates the __________ of the silver ball indicates what level it is at? | middle |
| what kind of lubricant is used with a nasal cannula to prevent drying effects of o2 | water soluble |
| nasal cannulas should have o2 rates no more than? | 6 L/MIN |
| WHAT is used to cleanse the skin before iV insertion? | Chlorehexidine |
| inserting the catheter up to the hub reduces? | the risk of contamination along the length of the catheter |
| after cleansing site for IV insertion should you palpate again? | no will spread infection |
| fluid defect does what to cap refil? | it prolongs it |
| HR in dehydration | tachycardia |
| intubation if DNR? | no |
| abdominal cramping, weakness, headache, and nausea | hyponatremia |
| HR in hyponatremia? | increased as it indicates fluid defict |
| numbness of extremities is seen in what electrolyte disordeR? | hyperkalemia |
| HR in fluid volume excess? | probably tachy unless really bad |
| when going downstairs with crutches what do you do? | go down with the bad first but shift weight to the good side first to support while moving the other leg |
| does your pain radiate is a way to assess the? | pain pattern |
| if the clients veins roll apply traction where? | distal to insertion site |
| if an older person has really fragile veins or skin consider what when inserting an IV? | not using a tourniquet |
| where would an x ray see the NG tube for correct placement? | ed of tube above the pylorus |
| a minor who is married means? | they are emaciciated and can sign informed consent |
| from a legal perspective is a client is deteroriating and a doctor says just to monitor what must you do? | iniate chain of command and contact nurse manager |
| one quart of water is how many ml? | 946 ml |
| one ounce is how many ml? | 30 |
| how far in front should crutches be? | 6 inches |
| Can you get HIV from sharing eating utensils? | NO |
| WHERE test biceps relec? | antecubital space |
| A client with asymetreical thoracic movement after car accident most probably has a? | tesnsion penumo |
| To work on fixing the problem of increased Noscicomial UTIs what is the first step? | Establish best practice guidelines for reducing incidence of UTIs (that way you have a standard to measure preformance) |
| Those who are severly immunocompromised and at risk for infection should have what kind of room? | positive pressure room |
| comlimenting someone to reduce conflict is known as? | smoothing |
| why dont we look over the assignments together and suggest changes? | collaboration |
| to revise a policy after developing the inital plan do what? | determine goals and objectives |
| before transfering a client to wheelchair raise the? | foot plates |
| best way to make sure informed consent is good? | ask client to explain the procedure |
| if you place a non working pump in the hallway what could happen? | another nurse could grab it on accident |
| can you photo copy test results? | no |
| if a LPN tells you a clients BP is really high what do you do? | recheck it |
| STDS that must be reporeted to CDC? | chylmydia, gonorhea, syphilis, neonatal herpes |
| does removal of staples from a surgical wound require infomed consent? | no |
| When delegating what specfic information should be included? | about the task, timeframe, expectation and when to report back to nurse |
| check the residual of a gastromostomy tube requires? | a nurse (assesment) |
| what is an example of a intrApersonal conflict? | i dont know if want to apply for the job or start a family |
| i ask for days off and dont get them but everyone else does, is what kind of conflict? | interpersonal |
| critical pathyway is a way to asess? | cost effective care |
| Those in restraints should be documented on every? | 15 minutes |
| restraints must be renewed how often for adults? | every 4 hours |
| Restints must be renewed how often for those between 9 and 17? | 2 hours |
| for children under 9 | 1 hour renewal |
| Those who have an sealed radiation implant should have visitors limited to? | 30 min/day |
| when caring for someone with a sealed radiation implant and wearing a lead apron avoid? | turning back to client (wear she would be exposed) |
| the nurse should instruct visitors of a pt with a sealed radiation implant to stay how far away? | 6 feets |
| if a UAP does not like her assignment can she help find new ones? | no she does not have the knoweldge to organize the work flow |
| if a uap does not liker her assignment what do you say? | i assign based on job description |
| a qualitive research method that provides additional understanding of participants experiences with emotional variances such as grief and hope | phenonmenology |
| an experimental study is what kind of reasearch | quantitive |
| a quanitive study that uses previously collected data to answer newly formed hypothesis | secondary anylasis |
| after applying a aquathermia pad assess when? | in 15 minutes |
| shigella requires what precautions? | contact |
| those with sucking chest wound in mass casulatiy? | treat first |
| my insurance coverage no longer has lifetime coverage limits is covered under the? | afordable care act |
| when reviewing nurses preformance should they include peer review? | yes |
| is ataxia expected in Multiple sclerosis? | yes |
| how do you auscultate for vascular bruits: | with the bell of stephescope |
| position of pt for abdominal exam? | dorsal recumbanent or prone |
| first stage of conflict process that involves awareness of potential situations that can create conflict? | latent |
| supporting descion to avoid treatment does what for pt? | advocates |
| followign abdominal surgery absent bowel sounds are? | expected |
| according to ati cap refill should be less than? | 2 seconds |
| when someone is talking about a patient either tell them to? | stop or tell nurse supervisor dont clarify as it joins in conversation |
| can o2 tanks be by walls? | no |
| why is the fact that a client has been refusing phyical therapy after a total hip most important to discuss at a confrence with the case manager? | immobility causes many problems like atelectasis |
| synringe used to flush ng? | 60 ML |
| What kind of knot in restraints? | slip |
| how often flush ng tube? | every 4 hours |
| The priority in dehydration? | assess mental status |
| brocoli and kale is high in? | calcium |
| since CO2 causes dilation what BP would you see in resp acidosis? | hypotension |
| using an incentive spirometer would help prevent resp acidosis how? | promoting proper chest expansion and thus keeping the lungs open to be able to get rid of co2 |
| Increased BUN is seen in what state? | dehydration |
| A low hemoglobin or hematocrit may signal what fluid wise? | fluid overload as it results in hemodilution |
| Hyperkalemia AND hyokalemia does what to BP | decreases it |
| Decreased muscle strength is seen in what imbalance? | hyperkalemia |
| intervention for resp alkalosis? | calm them down |
| hypokalemia pulse? | weak thready |
| hyperkalemia pulse? | brady |
| tendon relfexes in hypokalemia? | decreased |
| 1st intervention for resp distress caused by pulm edema? | give high flow o2 |
| Prolonged PR interval and wide QRS complex think? | hyperkalemia also tall peaked t waves |
| What does hypophosphatemia cause? | slow peripheral pulses |
| hyperkalemia does what to gastric mobility? | increase it |
| Soidum think? | mental status change |
| monteluekast is? | prophlatic for asthma not for acute tx |
| What is more important for a client with pulmonary embolism? start cardiac monitoring OR start heparin? | Start heparin! fix the problem |
| Lungs with tumor? | dullness |
| does suctioning increase ICP? | it can |
| if a chest tube disconects? | put in sterile water |
| When systolic bp is ten or more on inspiration this is called | pulsus paradoxous |
| pulssus paradoxus is common in? | cardiac tamponade |
| Surgery within past __________- is contraindicated to thrombolytic therapy? | 3 weeks |
| first step in hypertensive crises? | raise HOB |
| intermittent claudification is a problem with? | arterial ulcers/insufficency |
| Left ventricle failure is associated with cardiomyopathy and s/s are? | activity intolerance |
| Priority assement after a abdominal anuerysm repair and why? | UOP as greatest risk is occlusion or rupture of placed graft meaning no blood flow to kidneys and thus low UOP |
| aptt should not be more than ________ the control | 2 times the control! |
| JVD is s/s of what HF? | right sided |
| weak peripheral pulses is s/s of what HF? | left as not putting enough out |
| do you ever clamp a penrose? | no |
| penrose dressing changes are? | sterile |
| First sensation to come back after spinal anesthesia? | touch |
| How reverse malignant hyperthermia? | dantrolene |
| how instruct to admister demopressen intranasally? | blow nose before hand to ensure adequate intake and then HOLDbreath while releasing applicator as it is absorbed intranasally |
| How detect addisons disease? | ACTH stimulation test it meausers cortisol response to ACTH this is absent in addisons |
| How to detect cushings disease? | urine and serum cortisol levels |
| how detect pheochromcytoma? | 24 hour urine test |
| What fasting blood glucose is considred positve for diabes or bad? | greater than 126 |
| A random glucose with clasic s/s of hyperglycemia that points to diabetes? | 200 |
| Specific gravity in DI? | low specific gravity as it is taken in the urine and thus will be diluted as you are peeing everything out |
| BUN in DI? | Increased as dehydrated |
| Hematocrit in DI? | Increased as you are dehydrated from peeing everything out |
| Thyroid meds should be taken on a? | empty stomach |
| Skin in cushings? | Thin |
| is Hirtuism seen in addisons or cushings? | Cushings as there is increased androgen production |
| Prolythiouracil does what? | supresses thyroid! thus you can gain weight |
| Consume whole milk till what age? | 2 after that do low fat |
| to assses a client with dysphagia swallowing ability gently palpate? | gently palpate the clients throat while swallowing |
| Those with chemo should eat foods at what temp? | room temp or cold |
| Limit meat to how much per day? | 5 OZ |
| do KOSHER DIET eat shrimp? | NO SHELFFISH at all |
| do high fats matter in dumping syndrome? | NO |
| instruct what in regards to fluids in pt with dumping syndrome? | DO NOT drink fluids with meals have them in between meals |
| Why are foods containg pectin good for colostomy? | it thickens consitency of stools |
| fiber in colostomy pt? | low so there is no blockage |
| In cancer pts when discard leftover food? | 3 days |
| fiber in dumping syndrome should be? | low |
| phosphourous in CKD should be? | low |
| fluid in acut glomerulonephritis? | they retain it so limit it to output plus 600 ml |
| insulin when given IV is mixed with? | Dextrose |
| Explain diuretics and CKD? | they are ineffective |
| a rapid decrease in fluid after hemodilayis can result in? | cerebral edema and thus seizures |
| mectoclopromide is used to treat gerd monitor for? | ataxia (an eps symtom) |
| milk of magnesium increases? | gi motility |
| diet before a colonoscopy? | clear liquids for 24 hours and nothing 6 hours prior |
| nuts can be high in? | fat |
| How do H2 receptor blockers work? | inhibit gastric acid secretion |
| diet in diverticulitis? | low in fiber during inflmation period than after subsides increase it |
| pain in diverticulitis is where? | left lower |
| joint pain is a s/s of what hepatitis? | a |
| Pain in duodenol ulcers is? | relived by eating |
| A mass ascoiated with breast cancer is usually? | non moveable |
| subcutaneous nodules is seen with what disease? | rhemuatoid arthritis |
| UOP in SLE? | decreased as kidneys are affected |
| abx decreases effectiveness of? | birth control |
| when can you test for lymes disease? | not till 4 weeks after being bit so often wiat for s/s to appear |
| small purple colored skin lesions? | kapsoi sarcoma an aids defining illness |
| persistent generalized lymphadenopathy is associated with? | aids |
| after cataract surgery if client has to pick something up? | have them bend at knees |
| First step in emergency prepardness plan? | notify the incident commander |
| cold therapy and diabetes? | CI no ice packs to feet |
| when are tricylic antidepressants taken? | at night |
| steps for trache care? | remove inner canula, remove soiled dressing, clean stoma with NS and then change trache colar but college says remove dressing first |
| those prone to uric acid stones should eat? | citrus fruits |
| hemoptysis more than _____________ in a 24 hour period indicates hemmorghe | more than 250 ml |
| s/s of o2 toxicity? | bradypnyea |
| document what for blood admin? | type of product, amount, product number, infusion time and clients response |
| suctioning is? | sterile |
| antidote for cholinerase inhibitora? | atropine |
| coarse hand tremors, confusion ecg changes and sedation point to? | lithium toxicity |
| a tunneled cath does not have a one way valve therefore it is important to? | clamp when not in use to prevent backflow |
| if not using a tunneled cath flush each day with? | heparin |
| postcoital bleeding indicates what cancer? | cervical |
| abdominal bloating and urinary frequency is r/t which cancer? | ovarian cancer |
| deep tendon reflexes in hypokalemia? | decreased |
| where is apendicitis pain/mcurneys point? | right lower quad |
| Halos around lights indicates what eye disordeR? | gluacoma |
| can you have cream cheese on tryamine free diet? | Yes just not aged cheese |
| what does advocacy do? | helps other self actualize, to help them grow personally and professionally |
| bladder spasms after a turp indicates? | obstruction so irrigate to get rid of |
| immediatly before ovulation what occurs temp wise? | it decreases |
| explain abx with CF? | they metabolize drugs more quickly so they require higher amounts of ABX |
| Burkholderia cepacia is what precuation? | contact |
| Doxuburcin a med for breast cancer can cause? | thrombocytopenia so watch for bleeding |
| how inject doxburcin a med for breast cancer? | slowly over 5 mins |
| offering fresh and new ideas as a group member is a? | iniator-contributer |
| What is acromegaly? | pituitary produces too much growth hormone |
| during thoracentesis avoid? | deep breathing as it can puncture the lungs |
| when reccomend a high frequency chest compression vest for a child with CF? | When other methods to get up mucus fail. So if after chest percusion the client only coughs up a small amount of mucus they need it |
| monitor what with risperdone? | liver function |
| how often is blood collected in glucose tolerance test? | every hour |
| diet before a glucose tolerance test? | fast the night before but otherwise unrestricted |
| would those with cor pulmonale have distended neck veins? | yes |
| is facial flushing a s/s of hypoglycemia? | NO |
| WITH romberg test feet are? | together |
| What is up with sodium during burns? | hyponatremia as caps get leaking and it goes into edematous areas |
| what is up with potassium during burns? | increased as cells lyse releasing potassium |
| Dry coarse hair is a s/s of what thyroid condition? | hypothyroidism |
| increased thirst while taking lithium? | s/s of lithium toxicity |
| speaker repeats phrases over and over? | preservation |
| pink throthy sputum think? | pulmonary edema |
| if you have terminal cancer is it consdered leaving against medical advice? | no but refer to social services to try and set up proper care for when discharged |
| maintaining a proper room temp prevents heat loss by? | convention |
| padding a infant scale prevents heat loss via? | conduction |
| placing newborn away from a window prevents heat loss via? | radiation |
| When performing gastric lavage instil how much sterile water? | 300 ml |
| When performing gastric lavage make sure to position the client in what position? | left hand side in case they vomit during |
| can a AP do a gastric feeding through a established gastromy? | yes but no meds |
| acording to ATI gastric PH should be less than? | 4 |
| PT measures? | Warfarin |
| apTT measures | heparin |
| how cleanse skin at stoma site? | with waterand washclotth |
| when getting meds from a vial inject? | air first |
| inability to integrate negative and positive atributes of self or others | splitting |
| Most important step in managing time effectively? | planning so make a list of activites to complete or goals |
| focuses on biomedical research | national institue of health |
| change IV tubing every? | 96 hours |
| what class would increase neutrophils? | granulocyte colony stimulating factor |
| can you turn off a continous passive motion during mealtime? | yes |
| Steps for abdominal assesment? | inspect, auscultate, percuss and palapate |
| clonidine can have what s/e? | anticholinergic like |
| ginseng does what to warfarin? | increase its effectivenes |
| what drug does ginseng decrease its effectivness? | timinolol a anti glaucoma med |
| milk thisle can decrease efectivness of? | birth control |
| how far away stand from snaellen letter for school age! chart? | 10 feet |
| using the snellan letter chart for school age! child with eyeglasses instruct them to/ | keep eyes open during procedure |
| primary risk for hydratiform mole? | hemmorhage |
| position for paracentesis? | upright of high fowlers |
| for two different meds to be given IM what inch? | 2 |
| DEGREE for IM injections? | 90 degrees |
| since risperdone can cause hypotension and dizziness? | implement fall precautions |
| acromegaly is a r/f for? | osteoarthritis |
| to reduce a child with autisms anxiety give what med? | ssri |
| first action in problem with mom and baby? | left lateral |
| contractions of face, neck and back? | acute dystonia s/s of eps |
| Posititon after tonsilectomy? | side lying |
| when using cane step forward with what foot first? | affected |
| when using a cane and steping foraward with the unaffected leg do what first? | place foot past cane |
| how often empty masectomy drain reservoir? | twice a day |
| if an AP says BP is high and you verify bP is high do what? | verify with another device |
| In oxygen toxicity this occurs because the hypoxic drive has been removed? | shallow resps as no drive to breath |
| emotional state in o2 toxicity? | calm as there is no indication of need to breathe |
| infants who weigh less than ___________ should be rear facing? | 20 lbs |
| acceptable premeal glucose? | less than 130 |
| ORAL suctioning is what kind of procedure? | clean SPC says sterile |
| while you shouldnt suction trache whenever can you suction the mouth intermittly? | yes |
| chills sometimes occurs after the fourth stage of labor what should you do? | give warm blankets |
| where should the catheter be clamped in a closed bladder irrigation? | between the injection port and extension tubing` done when a clot is expected |
| during closed bladder irrigation is the catheter ever disconnected from extension tubing? | NEVER |
| is part of discharge planning verifying that arangements for medical equipement has been arranged? | yes |
| IV fluids in bone marrow harvesting? | before and after |
| bP when taking antipyshotics? | decreased |
| cut the opening of the new pouch _________- larger than the stoma? | 1/8th inch |
| when empty stoma puch? | when 1/2 full |
| if you need to suction a trache what part of trache care is it? | the first so you dont ruin your clean dressing |
| filagrastim does what? | increases neutrophil count |
| where should telephone orders be transcribed? | on providers order sheet in medical record |
| example of congitive behavioral technique? | journling |
| guided imagery and biofeedback is what kind of use? | relaxation technique |
| this is given during CPR to prevent med incompatbilities? | NS |
| best indicator of tx with nephrotic syndrome? | decreased proteinuria |
| before admining blood prime line with? | NS |
| Stimulant laxatives should not be admistered to those with? | SCI |
| iF A CLIENT WANTS TO LEAVE against medical advice steps? | Clarify concerns, explain consequences of leaving, and notifiy doctor, then have sign AMA and then document |
| hypokalemia and muscles? | weakness |
| Bp in hypokalemia? | DECREASED |
| Sleepiness or difficulty arousing is a s/s of? | Increased ICP |
| The nurse may suction for up to how many passes? | 3 |
| intese peircing abdominal pain indicates? | pancreatits |
| Pain radiating to the right shoulder? | Choleystisis |
| an IV line is cool to the touch? | measure with other arm to assess for edema (indicator of infiltration) |
| if infiltration occurs do what? | remove IV imediatly, elevate extremity and apply warm compress |
| if phlebitis occurs? | remove IV and apply warm compress |
| a glucose less than what indicates improvement in DKA? | 300 |
| the suregon applies the external fixation device directly to the? | bone |
| to prevent hip flexion contracture advise those with residual limbs to? | maintain in extension |
| if the pao2 is below 80 and client is symtpmatic first intervention? | give o2 |
| what do you do first remove bee stinger or inject epi? | inject epi then remove stinger |
| incentive spirometer is used to prevent? | atelectasis |
| in what direction apply the elastic bandage? | From distal to proximal to promote venous circulation so begin with foot and work way up |
| what dressing would interup if the tissue was clean and granulating | wet to dry |
| what synringe to irrigate a wound? | 30-60 ml syringe |
| how much gastric lavage at a time? | 300 ml |
| what kind of nasogasric tube for gastric lavage? | large bore |
| have client lay on which side with gastric lavage? | LEFT side |
| explain IV tubing for platlets? | smaller filter to prevent trapping of platlets, second filter to remove WBCS, and a shorter tubing to decrease platlet adherance to the lumen |
| lactulose causes excessive stools this can result in what electrolyte imabalnce? | hypokalemia and deyhdration |
| hemolytic transfusion reaction think? | low back pain |
| A client who has 3rd degree burns over 75% of his body should have what color? | blue as they are expected to die and not treated |
| A client with an incomplete amputation of arm would have what tag? | red |
| a client with an object impaled in his eye would receive? | yellow |
| after turp concentrated red urine is? | not ok should be pinkish red |
| should a person with aids get a flu vaccine? | yes they are immunocompromised and need it |
| how often should aids pt clean there toothbrush? | once a week |
| traction weight should not more than,? | 10 lbs |
| findings that indicate greatest risk for hyperthermia first action is? | cooling blanket |
| when use wet to dry dressing? | mechanial debridement |
| when use hydrocolloid dressing? | stage 3 pressure ulcer |
| a nonrebreather max without o2 can be used for? | resp alkalois associated with anxiety |
| fowlers would do what to bp? | decrease it |
| drug used for biliarly colic? | hyrdromorphone |
| First thing to do in any allegic shock? | EPI!!!! |
| what acidodic state can result from shivering? | metabolic acidosis |
| Bp in hypothermia? | increaed |
| a bright wound bed? | means its healing |
| if a counciess child needs an emergency surgery and parents cant be contacted but he is with grandma? | have grandma sign informed consetn |
| advance directevis need to be included in the? | medical record |
| do you need informed consent to insert a catheter? | no |
| can lpns reinforce teaching? | yes |
| Passive flexion of neck causes flexion of leg | Brudinski sign |
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