Deck 1 Flashcards
What does the tongue of a pt with pernicious anemia look like?
Beefy red on the outer edges, smooth and irritated.
What is the glucose level in DKA that is considered an improvement?
Below 300
What precautions are required for tuberculosis?
Airborne - TB, measles, varicella, varicella zoster.
Which illnesses required droplet precautions?
Flu, rubella, pneumonia, streptococcal pharyngitis, pertussis, mumps.
Which illnesses require contact precautions?
Vanco-resistant enterococci, staphylococcus aureus, RSV, scabies, c. diff.
What lab value would cause a provider to withhold gentamycin?
WBC
Temperature
Blood pressure
Serum creatinine
Serum creatinine because the med is nephrotoxic.
Hormone replacement therapy for perimenopause has what adverse effects?
Calf pain
Numbness in the arms
Intense headache
What is the pain killer meperidine contraindicated for?
Pain in older adults because it can result in CNS toxicities.
Symptoms of autonomic dysreflexia?
BP increases by 20 to 40 points
Your heart rate slows.
A pounding headache (often the first symptom).
Sweating above the level of injury.
Bladder or bowel problems.
Red, blotchy skin above the level of injury.
Symptoms of what are reduced by feverfew?
Migraine. Can also increase the risk of bleeding.
What can ginkgo biloba cause?
Increased bleeding
What supplement is effective against joint pain?
Glucosamine
What root is effective against nausea?
Ginger
In what part of the anatomy would Zenker’s diverticulum be performed?
Neck - Zenker’s diverticulum develops when the muscle between the throat and esophagus, known as the cricopharyngeus muscle, over-tightens, causing the throat above it to pouch out. Overtime, the pouch can enlarge as the muscles below it tighten excessively. Food can catch in this pouch or it can cause an obstruction.
How often should a patient be moved to prevent pressure injuries?
q 1-2 hrs
Manifestations of disequilibrium syndrome from hemodialysis?
Restlessness
Dysrhythmias
Seizures
N/V
Fatigue
Headache
Postoperative instructions for mastectomy.
Drain will be removed when output is 25 ml or less over 24 hrs.
Exercise the right arm 24 hr after surgery
Elevate arm on pillow to promote lymphatic fluid return
HOB to 30° to promote drainage
How does a TENS unit relieve pain?
A tingling sensation replaces the pain
Recommendation for AIDS pts regarding cleaning toothbrush, flossing, eating raw F/V, leaving water at room temp, and taking temperature?
Toothbrush - clean in dishwasher or with bleach q 1 week
No flossing - prevent gum inflammation
Avoid eating raw f/v
Avoid drinking liquids that are standing at room temp for > or = 60 min.
Take temp daily
In what order should the nurse perform the following actions for a pt who has a gastric hemorrhage and is going into shock?
Insert an NG tube
Admin O2
Administer famotidine
Initiate IV therapy with large-bore catheter
Admin O2
Initiate IV therapy
Insert NG tube
Admin famotidine
What is the testing protocol for sputum in TB?
q 2-4 weeks until 3 negative cultures are reported.
A client with MRSA should be bathed with what?
Chlorhexidine.
Should a pt flex the foot hourly after total knee arthroscopy?
Yes.
Steps in administering metered-dose inhaler
Breathe in slowly and deeply
Hold breath for 10 sec after inhaling
Rinse case and cap with warm running tap water/vinegar q1 day
Wait 1 min between puffs
