missed info Flashcards
(139 cards)
1
Q
what to monitor for for transplant rejection
A
creatinine
2
Q
r/f for decreased wound healing is not
A
afib
3
Q
ART moa
A
blocks entry via transfusion inhibitors
4
Q
priority visit in ED for someone in HIV clinic
A
10 liquid stools in 24 hours
5
Q
SATA for someone with pollen allergy
A
dog dander not an answer
6
Q
3 s/s of LATEX anaphylaxis
A
stridor, dizziness, tachycardia
7
Q
which precautions for someone with HIV
A
standard
8
Q
for central lines SATA 2
A
wash hands and disinfect port thats it
9
Q
first thing to ask if someone has angioedem and swelling
A
can you breathe
10
Q
before surgery what medication should be discontinues
A
ibuprophen
11
Q
if someone has MRSA why do we use precautions
A
bc it is resistant
12
Q
2 r/f for hyperglycemia
A
infection and inactivity
13
Q
if someone has HHS in the ED what is prioirtyq
A
start an IV
14
Q
4 interventions for SIADH
A
fluid restriction, flat HOB, dly weight, diuretics
15
Q
2 SATA for education to a t2d
A
call hcp if cant keep fluids down
monitor BG
16
Q
4 s/s of DI
A
polydypsia, low BP ,high HR and high Na
17
Q
if pt is diaphoretic and shaky what to do first
A
check BG
18
Q
important for acromegaly
A
say there will be changes in the face
19
Q
most important education for cushings
A
body image
20
Q
thyroid stormm tx
A
beta blockers
21
Q
priority for someone with Low K+ ever
A
cardiac monitoring
22
Q
after thyroidectomy, tx is
A
IV calcium
23
Q
what is important AE of levothyroxine
A
tachycardia
24
Q
pt in the PACU after thryoidectomy what is important to tell HCP
A
if there is neck swelling
25
after hypophyecotmy what is education
no vigorous coughing
26
priority assessment after hypophosectomy
CSF leak - clear discharge from banadages
27
prioriy intervention for SIADH/DI
fluid and electrolytes
28
for RAI what is priorty
educate about s/s of hypothyroid
29
for exothalamos what is main risk
corneal lesions
30
if someone has diabetes what to educate them on regarding medicine
rededucate if they say they can stop taking their insulin/corticosteroid
31
what is tx for addisions
high dose corticosteorids
32
DKA vs HHS
kuusmall respirations
33
who is most at risk for hypoglycemic unwareness
old person taking propanolol
34
odanestron used when during chemo
30 min before
35
for hodgkins what will be present
anemia present at time od diagnosis
36
SATA for myeloma labs
high BUN, high Ca thats it
37
most important when giving packed RBC
check ID
38
- Before starting a transfusion of packed red blood cells for an older anemic patient, the nurse would arrange for a peer to monitor his or her other assigned patients for how many minutes when the nurse begins the transfusion?
15 min
39
- The nurse notes a physician's order written at 10:00 AM for two units of packed red blood cells to be administered to a patient who is anemic as a result of chronic blood loss. If the transfusion is picked up at 11:30 AM, the nurse should plan to hang the unit no later than what time?
noon
40
priority patient who has neutropenia
neutrpopenia with a fever
41
- It is important for the nurse providing care for a patient with sickle cell crisis to
evaluate effectiventess of opioids
42
- The blood bank notifies the nurse that the two units of blood ordered for a patient is ready for pick up. Which action should the nurse take to prevent an adverse effect during this procedure?
Infuse slowly for first 15 min
43
for a tumor what is most concerning
nonmobile and hard
44
someone in stage 4 needs education if they say
i need hospice
45
someone with myeloma what is prioirty
mobility help (position change help)
46
- The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse
will plan to check the laboratory results for
bilirubin
47
what to do if transfusionn rxn
stop transfusion always
48
- Which action will the admitting nurse include in the care plan for a patient who has
neutropenia?
Check temp every 4 hours – don’t cut out fruits and veggies that’s a trick
49
granulocyte colony factor education
do not shake med - filgrastim
50
- A postoperative patient receiving a transfusion of packed red blood cells develops chills,
fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the
transfusion, what action should the nurse take?
acetaminophen
51
after report who should nurse see first in HIV
sickle cell crisis
52
how does radiation wrok
breaks cellular dna
53
if low WBC what does nurse worry about
infection
54
CL care SATA
10ml syringe, only IV meds, do NOT change dressing EVERYDAY, use heparin or NSS to flush
55
chemo is toxic to
GI, skin, hair, BM
56
if BM supression you will see
infection, bleeding,
57
magesterol does what
stims apetite
58
neutropenic education SATA
electric razor, avoid crowds
59
limitation of chemo is that
cells build resistance
60
to prevent adverse effects like vesication for chemo meds
use central line
61
for external radiation what is most important
skin care
62
- Which poses most risk to nurse for an internal radiation tx?
TIME WITH PT 30 MIN – pick that over the use of their towels etc
63
if someone has malnutriton, how to help with eating
using spices
64
tamoxifen is used when
when tumor responds to estrogen
65
after mastectomy prioirty is what
no BP readings or IV sticks
66
4 education after new ostomy
obtain supplies, sexual activity, how to contact ostomy nurse, diet,
67
malnutrition labs
decreased everything except K+?
68
post op bariatric surgery
full liquids after 48 hours, small amt of low sugar liquids first 25 hours, early mobility, no straws, HOB elevated
69
UC vs chrons
UC is curable
70
aloestron education
notify HCP if having constipation
71
if someone has a colonoscopy when do they need further edcuation
if they say they can drive home after
72
small vs large bowel obstruction
large is abdominal distention- small is vomiting
73
periotnitis prioirty complication is
shock
74
normal NG tube drainage
30ml yellow green
75
diverticulitis education
increase fiber
76
prioirty to monitor for for diverticulitis
peritonitis
77
if pt has pain meds but still has pain,
check IV leak site
78
diverticulitis labs
inc WBC
79
NG tube not producting fluid
check mark for placement
80
pt calls and has LOWER RIGHT abd pain
tell them to be NPO and come to hospital
81
4 education to prevent dumping syndrome
no fluids w meals, lie down after eating, low carb, low sugar
82
why does UC and chrons pt need to be NPO
to promote bowel rest
83
central line safety
don’t pick acetaminophen answer and don’t pick the one where you can mix meds and nutrition formula
84
refeeding prioirty
monitor for hypophopshatemia
85
GERD food to avoid
chocolate
86
when to use antacids
after meals and not with other meds
87
sucralfate use
protective barrier
88
barium swallow education
inc fiber after the test
89
person most at risk for colorectal cancer
fam hx
90
sigmoidostomy produces
normal stool
91
what did pt say who has good idea of diarrhea management
i will wipe perinanal after stools gently
92
persistent vomiting with normal VS
NG tube
93
acute GI blood monitor 2
urine output and Hbg/hct
94
peitonitis patient should be
placed in position with knees flexed
95
dudoenal ulcers
are relived with food
96
if pt has a board like abdomen
take vitals
97
6 effects of malnutriton
dec mobility, slow immune, inc infection, delayed healing, poor coordination, inc fracture risk
98
prioiry for someone with hpylori
abx
99
for cirrhosis what labs to monitor
platlet, albumin, Pt time
100
who cannot take OCP
36 year old smoking 2 packs
101
ascites manifests
peripheral edema and low protein
102
cirrhosis need to monitor what lab
WBC
103
endometriosis education
infertility
104
why can someone not have estrogen alone
can cause endometrial cancer
105
erectile dysfunction causes 4
diabetes,
cardio disease, stresss, meds
106
sildenafil contraindication
NTG
107
cystocele SATA discharge 4
constipation
kegel
no heavy lifting
report fever
108
who is at risk for cholethiasis
pregnant
109
at a daycare person is at risk for
hep A
110
direct acting med education
for hep c- take for 12 weeks
111
hep C meds can
cure HCV
112
pancreatitis avoiding it
no alcohol to prevent attacks
113
NAFLD education
reduce weight
114
to monitor if fluid is moving from vascular to peritoneal
monitor urinary output
115
after parancetesis monitor for
hypotension
116
priority for hepatic encephalopathy
assessing LOC
117
after liver bx
lay pt on right side
118
lactulose moa
traps ammonia to poop it out
119
ERCP pt needs further ed if
they say they can eat before
120
most concering for pt with pancreatitis
shallow respiration
121
pancreatitis important discharge info
take pancreatic enzymes
122
if t tube produces green brown drainage then
thats normal
123
which STI has chancre
syphillis
124
to differentiate primary dysmennorhea and fibroid
do thorough hx
125
someone with bleeding after menopause
come to doc for eval
126
OCP education
ammenorrhea is normal
127
how to dx ovarian cancer
pelvic exam
128
heavy uterine bleeding and ifbroids education
monitor for anemia and consume iron
129
TUPR color is light pink what to do
document
130
education for OCP
take at the same time everyday
131
t/f - uremia causes hyperpigmentation
false
132
role of spiranolactone
decreases aldosterone
133
who should not take HRT
endometrial cancer hx
134
chovtsek/trousseas is what lab
Ca
135
tx for basic UTI
tmp/smx
136
peritoneal dialysis complication
cloudy efferant
137
kidney stones caused by what
oxalae - dark roughage
138
how to dx kidney stones
noncontrast helical CT
139
what are kussmall
rapid deep and regular
