Deck 1 Flashcards

1
Q

Type of stroke associated with seizures

A

Hemorrhagic

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2
Q

Expected findings assessing a client with Parkinson’s Disease

A

Bradykinesia (slow movement)

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3
Q

Nursing actions or care for client needing a “fitting” post-op amputation

A

Preparing amputees stump through using a figure 8 wrap.

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4
Q

Nursing assessment post-op (select all)

A

Check for perfusion, circulatory, clotting. *Pallor (color), temperature (warm or cool), are they feeling any sensation-(skin, temp, sensation)

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5
Q

Role/scope of nurse:informed consent

A

“Are they mentally able to consent”

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6
Q

Pre-op nursing responsibilities (multiple questions)

A

Explain the procedure, answer questions.

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7
Q

Abdominal surgical site complications nursing interventions post op 1 day

A

Evisceration, cover w/gauze that is wet with saline.

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8
Q

How post-op identify return of peristalsis

A

Assess bowel sounds, passing gas.

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9
Q

Recognize signs and symptoms of post-op client that had excess blood loss during surgery

A

Fatigue, low blood pressure, low urinary output, high heart rate, high respiratory rate, slow cap refill.

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10
Q

Post-op teaching for hip arthroplasty

A

Don’t cross your legs

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11
Q

NGN- Nursing actions/interventions for client with post-op hip arthroplasty precautions

A

Turning, coughing, breathing. If feeling nauseous give antiemetic, (Zofran), and give antibiotics.

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12
Q

Expected finding for a client with hip fracture

A

Muscle spasms, “what’s their pain”. (Give antispasmics)

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13
Q

Complications of a femoral head fracture

A

Fat Embolus

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14
Q

Complications requiring immediate intervention s/p application LE cast.

A

Wiggle your toes (“any pain, or tenderness”)

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15
Q

Risk factors for stroke (non-modifiable)

A

Non-modifiable risk factors-genetics-(family history)

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16
Q

Expected manifestations of hemorrhagic stroke (what might the client c/o?)

A

Sudden severe headache, nausea &vomiting, change in level of consciousness.

17
Q

(Add to) NGN-presented charted information, 3 findings that require immediate f/u.

A

(Things you’ll need immediate follow up on)

18
Q

Monitoring clients for common complications post stroke

A

Dysphasia, because of aspiration.

19
Q

Expected early signs and symptoms of increased inter cranial pressure (ICP).

A

Irritability-restlessness

20
Q

Expected early signs and symptoms of meningitis

A

Headache, fever, aches, nausea

21
Q

CN assessment on a client with Meningococcal meningitis

A

Positive Kernig sign, positive brudzinski sign, red macular rash

22
Q

Caring for a client with seizure (select all)

A

Turn patient on side, do not put anything in the patient’s mouth