Adult Health Flashcards

1
Q

What is Sjorgren’s Syndrome

A

Chronic autoimmune disorder affecting moisture producing exocrine glands.

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2
Q

S/S of Sjorgen’s Syndrome

A
Dry skin
Rashes
Dry Cough
Vaginal dryness
Painful Intercourse
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3
Q

What type of blood cells will be elevated in cases of allergic reactions

A

Eosinophils

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4
Q

Why are cancer patients at increased risk for SIADH

A

Cancer cells sometimes excrete ADH

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5
Q

S/S of fat embolism

A
  • S/S of hypoxia/resp. distress
  • neuro changes/confusion
  • petechai rash on neck, chest, or axilla
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6
Q

S/S of compartment syndrome

A

-increasing pain despite opioid use

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7
Q

How can athletes with asthma avoid exacerbation during strenuous activity

A

Take an inhaled bronchodilator 20 minutes beforehand

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8
Q

How much chest tube drainage per hour warrants notifying the HCP

A

> 100ml

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9
Q

Why is high urine output a priority assessment finding in a client on TPN

A

May indicate hyperglycemia

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10
Q

Priority actions to take if a med error occurs

A

Assess and stabilize client

Notify HCP

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11
Q

What does a Low Pressure Limit Alarm mean on a ventilator

A

Less pressure required to move air. May indicate loss of airway, leak or cuff leakage. PRIORITY

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12
Q

Standard therapy for pt after Transient Ischemic Attack

A

Aspirin or other anti-platelet therapy

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13
Q

Priority action when you enter a client’s room and find them unresponsive but they have a DNR

A

Assess Apical Pulse

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14
Q

Priority intervention in sickle cell crisis

A

IV fluid replacement followed by supplemental O2 therapy

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15
Q

Priority intervention for client in hypercapnic respiratory failure

A

BIPAP

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16
Q

What CBC value will be elevated in clients with severe COPD?

A

RBC’s (Polycythemia)

Due to compensation for low O2 levels.

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17
Q

Appropriate skin care for client undergoing teletherapy

A

Avoid sun exposure
Wash with lukewarm water and mild soap
Wear soft loose fitting clothing

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18
Q

Signs of arterial insufficiency

A
  • Non-healing toe ulcer
  • Diminished pulses in affected limb
  • Shiny, hairless areas
19
Q

Signs of Venous Insufficiency

A
  • Brownish discoloration
  • Chronic edema
  • Leathery appearance
  • Common on inside of ankle area
20
Q

Immediate intervention for client with critically high potassium levels.

A

Calcium Gluconate. Does not reduce K levels but does stabilize the myocardium

21
Q

Sign that a thoracic aortic aneurysm is increasing in size

A

difficulty swallowing

22
Q

Positioning for a patient with pneumonia

A

affected side up

23
Q

Bubbling in the water seal chamber of a chest tube drainage device indicates:

A

Air leak

24
Q

Bubbling in the suction control chamber of a chest tube drainage device indicates:

A

Normal Function

25
Q

Initial action when a client goes into V-Tach (Ventricular Tachycardia)

A

Assess pulse.

Determines whether CPR/Defib or Syncronization is needed.

26
Q

When drawing up insulin, which should you draw first

A

Regular (Clear)

27
Q

How long should Clopidogrel be discontinued before surgery

A

5-7 days

28
Q

Appropriate precaustions for bacterial meningitis

A

Droplet (Surgical mask NOT N95)

29
Q

Dysarthria

A

Slurred speech

30
Q

S/S of Malignant Hyperthermia

A

Generalized Muscle Rigidity
Hypercapnia
Hyperthermia

31
Q

Treatment for Malignant Hyperthermia

A

Dantrolene
Cooling Blanket
Fluid resuscitation

32
Q

Malignant Hypothermia

A

Post-op or Mid-Op. Inheritied muscle condition triggered by anesthesia.

33
Q

Expected Findings in a client just admitted to PACU

A
  • pinpoint pupils
  • Difficult to arouse
  • mild hypothermia or hyperthermia (WITHOUT muscle rigidity)
34
Q

Why is heavier menstrual flow for clients on Tamoxifen a priority concern?

A

May indicate Endometrial Hyperplasia which can lead to uterine cancer.

35
Q

When should colostomy bags be emptied?

A

when 1/3 full

36
Q

Which colostomytypes need irrigation?

A

Descending and sigmoid. Stool is no longer mostly liquid by that point.

37
Q

What causes Bell’s Palsy

A

Inflammation or damage of Cranial Nerve VII (Facial)

38
Q

What time are statins normally taken?

A

In the evening. Most Cholesterol is synthesized at night.

39
Q

Clostridium Difficile is a contraindication for what drug class

A

PPI’s (-prazoles)

40
Q

In what direction should you irrigate a wound bed?

A

From least to most contaminated area

41
Q

What does dullness on lung percussion indicate?

A

Pleural effusion

42
Q

What does hyperresonance on lung percussion indicate?

A

Pneumothorax

43
Q

how is Hep B spread

A

B for Body Fluids! (Except Urine)

44
Q

Contact precautions for client with shingles.

A

Airborne (N95, Negative pressure room,