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Final Exam Flashcards

1
Q

Visual soothing mental picture?

A

Guided imaginary

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2
Q

What do vitamins A,C, & E have in common?

A

They are antioxidants

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3
Q

Physiological change, anaphylactic reaction- causing what to lungs?

A

Bronchoconstiction

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4
Q

Gunshot wound, left femoral Artery- what kind of shock?

A

Hypovolemic

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5
Q

With Acute pain, no meds what’s the best CAM to teach a client ?

A

Relaxation

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6
Q

Assessing client for medication list? What is an essential question to ask ?

A

Any allergies ? Vitamins and herbs are you taking any?

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7
Q

Hypovolemic leads to an adequate tissue perfusion and what?

A

Hypoxia ?

And eventually organ failure

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8
Q

Cariogenic shock, Hypotension- placed in what position?

A

Talenberg or supine with feet elevated

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9
Q

Fluid treatment for hypovolemic shock ?

A

0.9% normal saline

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10
Q

Teaching client self administrating Epi pen - placement of injection

A

Subcutaneous in outer thigh

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11
Q

Relationship between sepsis and age

A

Increase chances with age

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12
Q

Dyspneic, crackles in lungs, fluid volume excess , CHF - what physiologic symptom will be present

A

Increase in blood pressure

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13
Q

Med allergy most at risk for anaphylactic shock?

A

Penicillin

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14
Q

Nursing responsibility for prevention on shock ?

A

Know potential risks for each patient

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15
Q

Warm flushed skin fever increase respiratory rate and heart rate - what diagnosis ?

A

Stage one of septic shock

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16
Q

First line treatment for anaphylactic shock ?

A

Epinephrine

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17
Q

Primary treatment for hypovolemic shock

A

Fluid replacement

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18
Q

Most serious complication for anaphylactic shock

A

Death

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19
Q

Hypovolemic shock - risk for what electrolyte imbalance

A

Hypokalemia

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20
Q

Chemical ware fare agent , extent of injury - what else ?

A

Amount used and time exposed

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21
Q

1st symptoms of radiation sickness

A

Nausea and vomiting and diarrhea and headache

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22
Q

Describe an emergency in health care

A

Medical condition of people who need immediate attention

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23
Q

Triage in ER- what to triage first ?

A

Red tags – severity of illness or injury

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24
Q

CPR in the hospital , promote respiration- what will you use

A

BVM, defibrillator, CAB

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25
Abdominal pain assessment- what 4 things to asses?
PQRST ?? Provokes , quality, radiates, severity, timing
26
Penetrating trauma bowel loops protruding - what do you do?
What sterile gauze with dry sterile gauze over
27
Terrorists attack/triage - multiple choice
Loss of consciousness, chest pain, chest Wound , 3rd° burn wound
28
Terminal cancer and CAM
?Relaxation, biofeedback, healing touch, imagery
29
Epi pen-?
Avoid sun and heat, don’t inject IM or butt , thighs preferred
30
Positive homans sign ?
Embolis
31
A-fib more likely to happen that what?
Five times more likely of stroke
32
D/c teaching with a pacemaker
Medical IDs no contact sports ? | You can set off medical detectors
33
DVT and bedrest
Wear compression stockings SCD
34
D/C teaching thrombophlebitis?
Anticoagulant such as Coumadin. Drink 2-3 quarts of h2o daily Do not cross legs, elevate legs while sitting, avoid sitting or standing long periods, wear support, shift weight back and forth or circulation. Notify PCP ASAP if assumed DVT or PE.
35
Bradycardia- what is it?
Slow heart rate below 60- treat with atropine
36
Pacemaker - d/c teaching
Teach client to take accurate apical and radial pulses Inform client to report dizziness, fainting , or fever Regular pacemaker checks or trans telephonic monitoring
37
Treatment for ventricular fibrillation?
?shock only and atropine
38
Treatment for ventricular fibrillation
Defibrillation and CPR Oxygen, amiodarone (cordarone) given through IV, lidocaine hydrochloride, mag sulfate, can also be cardioverted if peripheral pulses are present or defib if peripheral pulses are absent
39
Treatment for tachycardia
Depends on cause
40
Placement of defibrillation paddles
Upper right below clavicle at apex of heart and lower left
41
Heparin therapy and lab values
DPPT or APTT lab values ?? Partial thromboplastin time. Serum test the identifies abnormalities in clotting pathway. Normal time is 60-70 sec clot time. If >100 higher clot risk. If taking heparin, do PTT test 30-60 mins before dose Heparin will prolong PTT
42
Rheumatic fever
Mitral valve prolapse
43
Mitral stenosis
Valve becomes and the leaflets are thicken which prevents blood flow from flowing freely
44
Hemophilia/bleeding into joints- treatment
Immobilize and put pressure apply ice
45
DIC and treatment
Deseminated intravascular coagulation condition that alternates clotting and hemorrhaging. Administer platelets and packed red blood cells.
46
RBCs and function
Carry oxygen
47
Blood transfusion with what fluid IV?
0.9 % normal saline
48
Platelets and function ?
Clotting factor
49
Anaphylactic reaction- what to give first?
Epinephrine
50
Immunosuppressive (what at risk first)?
Infection
51
Bee sting (what will you ask first)
Ask if hey have ever been stung before
52
SLE- the characteristic sign?
Systemic lupus erythematosus - butterfly rash on face
53
Anaphylactic shock to shellfish (what is most important ?)
Airway
54
SLE- what is it?
Inflammatory disease of collagen contained in connective tissues
55
RBC blood transfusion- signs to tell patient to report immediately?
Hives, trouble breathing, feeling sick malaise
56
Function of skin
Protection , sensation , temp, regulator
57
Brown/dark colored skin- where to asses for pallor ?
Mucus membranes
58
PPE to wear when caring for burn patient ?
Gown, mask, gloves, bonnet
59
Severe burn, less than desirable client status
Hourly urine less than 30mL
60
Diet for atrial dysrhythmias/foods to avoid
No salt , no alcohol , no caffeine
61
Most common cause of altered wound healing
Infection
62
Burns nursing diagnoses
Ineffective airway clearance
63
Lice interventions ?
Shampoo ever 9-10 days
64
Burn and effect on survival
Inhalation injury
65
Dietary and wound healing
Increase protein and calorie intake
66
Contact dermatitis?
Pruritus/ rash
67
Carbuncle
Boil
68
Glasgow coma scale - scoring
Lowest:3-deep coma - 15 is best
69
Stroke/TIA- risks
Hypertension increase risk
70
Parkinson’s - meal safety measurements
Dysphasia - monitor for choking
71
Encephalitis and meningitis- diagnostic testing and nursing interventions
Lumbar puncture CBC
72
Anticonvulsants- client teaching
Use good oral hygiene
73
Head injury and ICP?
ICP-Device used for draining and maintaining adequate O2 levels and perfusion in brain after head injury Closed wound - swelling in brain Open wound - fluid through ears - cerebral fluid S/s- ICP Headache nausea vomiting confusion , increased bp, pupils don’t respond to light , coma, seizures,shallow breathing
74
Back surgery - how to reposition ?
Log roll- supine
75
MS - goals and what causes exacerbations
Periods of emotional or physical stress
76
Spinal cord injuries - what kind of paralysis it can cause ?
Monoplegia - arms and legs Quadriplegia- all four limbs Hemiplegia- arm and leg on same side Paraplegia- both legs T-8?
77
Autonomic dysreflexia - nursing intervention
Fowler’s position - asses bp every few min
78
Hearing aides- what do they help with?
Increase sound and speech but not necessarily clarity
79
Sensorineural, conductive and mixed hearing loss
Inner ear loss
80
Ménière’s disease
State of hearing loss caused by tinnitus or vertigo
81
Internal radiation therapy- nursing interventions
Wear lead apron , prepare everything outside room , several nurses , wear shield , limit time of exposure with pt
82
Tonic clonic seizures- nursing interventions
Asses respiratory status, note time, document if unconscious, prepare suction cover side rail with blankets , loosen clothing
83
PNS- SNS - flight or fight
?pg 791 SNS - Prepares the body for intense physical activity (fight or flight response) PNS- Relaxes the body and inhibits it slows high energy functions ? (Conserves and restores) Fight or flight- Response to stress and prepares the body to react to danger part of the autonomic nervous system. Maintains homeostasis
84
Mental status - what to look for in change of mental status ?
Loc- loss of consciousness

PN3 (4 decks)

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