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2140 Final Flashcards

(94 cards)

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1
Q

Protein in the urine during a random urinalysis

A

assessment finding of a diabetic patient with nephropathy

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2
Q

Extreme thirst, flushed skin, and constricted pupils indicate this.

A

hyperglycemic reaction

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3
Q

An HbA1c value of 8.5% in a diabetic client indicates this.

A

poorly controlled blood sugars

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4
Q

A newborn who has macrosomia is at risk for this

A

hypoglycemia

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5
Q

This is the only oral antidiabetic medication that is safe during pregnancy

A

glyburide

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6
Q

The patient with type 1 diabetes knows that she will have to do this for the first three months when she becomes pregnant.

A

increase her insulin dosage

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7
Q

Prompt treatment of this is necessary to save the fetus and the diabetic mother.

A

diabetic ketoacidosis (DKA)

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8
Q

An insulin reading of 180 mg/dL 2 hours after lunch for a woman with gestational diabetes.

A

is too high or needing insulin

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9
Q

This insulin has a duration of 18 to 24 hours.

A

glargine (Lantus)

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10
Q

An appropriate intervention for a patient with gestational diabetes who is having an episode of hypoglycemia

A

What is a carbohydrate snack (e.g. crackers)

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11
Q

The concept of perfusion

A

What is a physiologic process that requires the heart to generate sufficient output to transport blood through patent blood vessels, thus delivering nutrients and oxygen to cells and removing cellular waste

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12
Q

Characterized by hemolysis, elevated liver enzymes, and low platelets

A

What is HELLP Syndrome

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13
Q

A nursing intervention for a preeclamptic patient who is having a seizure

A

maintain patient safety or stay with the patient and have someone call for help

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14
Q

Pregnancy-induced hypertension (PIH).

A

most common medical complication related to pregnancy

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15
Q

Pounding headache, visual changes, and stomach pain in a patient diagnosed with PIH.

A

signs of uncontrolled or worsening PIH?

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16
Q

Increased incidence of preterm labor and perinatal mortality.

A

What is HELLP syndrome

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17
Q

Calcium gluconate

A

antidote for magnesium sulfate

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18
Q

A. Potassium 2.0 mEq/L

B. Sodium 142 mEq/L

A

hypokalemia

normal sodium level

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19
Q

The left side-lying position is used in pregnancy to do this.

A

increase fetal circulation

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20
Q

Patient teaching for a new prescription of hydrochlorothiazide

A

take it in the morning, rise slowly until you know how the medication affects you, or report any muscle cramps

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21
Q

The nurse should suspect this if a preterm infant with respiratory distress syndrome does not improve with oxygen and ventilation

A

hypovolemia and/or shock

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22
Q

Before administering this therapy, the nurse will place an eye shield on the newborn’s closed eyes

A

phototherapy or bili lights

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23
Q

Infants of diabetic mothers are at a higher risk for developing these

A

macrosomia, birth injury, respiratory distress syndrome, hypoglycemia, hypocalcemia, hypomagnesemia, cardiomyopathy, hyperbilirubinemia, and polycythemia? (Students should be able to list 2-3.)

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24
Q

This infant has a greater surface area in proportion to weight.

A

preterm infant

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25
A priority intervention for a patient who presents with bleeding late in pregnancy
assessment of fetal heart rate and/or maternal vital signs
26
Optimal recovery from a D&C for early pregnancy loss may include teaching about these.
iron supplements, community support groups, and/or self-care.
27
The nurse suspects this diagnosis after observing painless red vaginal bleeding.
placenta previa
28
These complications typically occur in the first trimester.
spontaneous abortion, hydatidiform mole, and ectopic pregnancy
29
The diagnosis of dystocia is made at this point in time.
after labor has progressed for awhile
30
The nurse would observe this if a patient presented with a hydatidiform mole.
excessive uterine enlargement
31
A multipara patient who is seen by her obstetrician and a perinatologist receives this type of care.
collaborative intervention
32
Risk for infection due to an immature immune system is related to this.
premature birth
33
Medication often used to treat hypertension in severe preeclampsia
hydralazine
34
The abdomen of a patient experiencing abruptio placentae may be described as this.
hard or board-like
35
A priority nursing intervention after witnessing profuse bleeding after birth.
palpate or massage the uterus
36
Indicates complications after delivery
profuse bleeding, increased bleeding, increase in lochia, or return to bright red blood after becoming pink
37
The nurse suspects this diagnosis after the patient reports sharp fundal pain and discomfort between contractions.
placenta abruptio
38
The most common risk factor for placental abruption is this.
hypertension
39
The risk for shoulder dystocia increases with this maternal condition
diabetes or gestational diabetes
40
The nurse should perform this action first if the umbilical cord is protruding from the vagina.
relieve pressure on the cord
41
Disorientation and tremors are experienced by a patient with this arterial blood gas result (ABG).
respiratory acidosis
42
This describes how a fetus breathes in utero.
the placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream
43
The most appropriate nursing intervention when the nurse's assessment includes the infant turns cyanotic when crying.
contact the provider
44
This substance improves the ability of the baby's lungs to exchange oxygen and carbon dioxide.
surfactant
45
The nurse anticipates this after induction of labor at 43-weeks gestation and the positive finding of meconium-stained fluid with the artificial rupture of membranes
a postmature infant or meconium aspiration, hypoglycemia, and dry, cracked skin
46
This is a priority nursing assessment following a cesarean section.
a respiratory assessment
47
This is a cause of meconium being released into the amniotic fluid.
the fetus becomes stressed
48
This nurse should anticipate this order if an infant experiences meconium aspiration
an antibiotic
49
Patchy infiltrates on a chest x-ray are indicative of this.
aspiration or meconium aspiration
50
Assessment data on a 36 weeks' gestation patient show HR 100 bpm, irregular breathing, bilateral crackles in lower bases, and complaint of difficulty breathing. Nursing interventions should address this concept.
gas exchange
51
Irregular menses, hot flashes, and vaginal dryness are symptoms of this.
menopause
52
Weakness, fatigue, heavy menstrual periods, Hgb 8 g/dL, and Hct 28 g/dL are symptoms of this.
iron-deficiency anemia
53
The most effective primary prevention strategy for preventing STIs.
abstinence
54
The patient with sexual dysfunction is at risk for these 2 disorders.
anxiety and depression
55
When planning nursing interventions, this is the most influential determinant of compliance
individual beliefs
56
When completing a home health visit after birth and a newborn visit, the nurse should include this in her assessment
the assessment of the living situation (e.g. others living in the home, cleanliness, access to basic needs, etc.)?
57
The school nurse should teach high school students about these topics.
abstinence, proper condom/physical barrier application, and sexually transmitted infections?
58
A sexually active teenage girl comes to the clinic and tests positive for a sexually transmitted infection. Provide an example of a therapeutic response when the patient states she is afraid to tell her parents about the infection.
an open-ended question (e.g. you seem scared, would you like to tell me about your relationship with your parents, etc.)
59
The priority nursing intervention when performing an assessment of a patient who reports being sexually assaulted.
accurately document the patient's statements
60
A student nurse could do this to become more comfortable discussing sexuality with patients.
role play
61
The highest priority for a patient who is detoxing
safety
62
Strategies to use in a motivational interview of a patient with a substance abuse problem
encouraging the patient, asking the patient open-ended questions, empowering the patient, encouraging participation, and asking what has/hasn't worked or might work? (You should know 2-3.)
63
A list of community resources is most important to this person.
a victim of intimate partner violence
64
PTSD, depression symptoms, sleep disturbance, acting out, and aggression are signs of this.
abuse
65
The nurse's response to a patient who has been diagnosed as psychotic and is describing visual hallucinations
expressing doubt that the hallucinations exist or not reinforcing that the hallucinations exist
66
Taking an anticholinergic medication with an antipsychotic medication may cause this reaction.
synergistic or respiratory depression
67
A patient was admitted last night who was A&O x4. The patient wakes up during the night and is confused. The nurse would these as possible causes of the confusion.
medications (e.g. narcotics, hypertensives, sedatives, etc.), infection, and hypoxia
68
These are examples of primary prevention for cognitive impairment.
wearing a helmet, wearing a seatbelt, and not doing drugs
69
Manifestations of delirium include these.
change in cognition and sudden onset
70
Mental illness, young male, situational crisis, and prior attempts are warning signs of this
suicide
71
An inability to differentiate reality from nonreality indicates this
psychosis
72
The nurse would teach this about antidepressant medications.
they take at least 4 weeks to become effective and watch for s/s suicidal ideation as the patient regains energy
73
Patient teaching for a patient with a new diagnosis of schizophrenia should include this
medication compliance
74
Leukopenia is a significant adverse reaction to this atypical antipsychotic
clozapine
75
The nurse should teach new parents about this common occurrence that affects many women before discharge to home.
baby blues or mild depression
76
A patient who is newly diagnoses with depression might blame their diagnosis on this.
family history or genetics
77
A priority nursing intervention when caring for a patient who is exhibiting signs of depression
safety or assessing suicidal ideation
78
A treatment for depression when typical pharmacological treatments are not effective
electroconvulsive therapy (ECT
79
In addition to receiving antidepressant therapy, patients may also benefit from this therapy.
cognitive therapy
80
A 3 week postpartum patient reports feeling down, not having energy, and wanting to cry. These findings most likely indicate this.
postpartum depression
81
Blood levels of this mood stabilizer are used to achieve a therapeutic response.
lithium
82
A patient is prescribed 24 mg of a medication. The medication is available in 8 mg/mL. The nurse will administer this many mLs.
3 mL
83
Risk of suicide, not sleeping for days, and having supernatural powers are indicative of this.
bipolar, specifically the manic phase
84
Sleeping 20 hours per day, not being interested in activities, and an attempted overdose are risk factors for this
suicide
85
A switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode occurs through this
relaxation
86
A physical indicator that relaxation techniques have been effective.
a decrease in blood pressure
87
Physical symptoms to assess for the effects of an acute stressor.
epigastric pain, increased/decreased appetite, elevated blood glucose levels, elevated blood pressure, increased respiratory rate, anxiety (new/increased), and insomnia? (You should know 3-4)
88
A change in the type of patients in a particular unit may cause new stressors. Managers could help reduce these stressors by doing this.
educating/informing about the changes
89
A patient's perceived positive and negative life events can be measured with this tool.
coping measurement tool
90
Behavioral changes related to stress may cause irritability, changes in memory, and poor concentration. The nurse may do this when providing patient teaching.
reinforce teaching or re-educate the patient as needed
91
High school students who attend an alternative school may have an increased risk for this.
suicide or suicidal ideation
92
This is a tool used to aid in behavior modification for patients with eating disorders
behavior contract
93
Complications of chronic stress include these.
hypertension, sleep disturbance, decreased immune function, decreased energy, and decreased memory
94
Some examples of appropriate stress management techniques include these
relaxation, exercise, prayer, meditation, spending time with friends, self-care, journaling, etc.

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