More Random from quizzes Flashcards by Sara Ranck

Pillow placement while supine

NEVER under knees. Compromises blood flow

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Risk factors for developing breast cancer

Increased exposure to estrogen due to:

Early menarche before age 12
Late menopause after 50
Nulliparity - no pregnancies

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Food option for confused client who is suspicious of others

Packaged so they can see the person open it!

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Best food for manic patients

Finger foods

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Addisons disease

Adrenal insufficiency
- Too little cortisol and aldosterone
Nursing interventions:
- Increased sodium 
- Administer fludrocortisone - steroid
- Monitor I's and O's
- Daily weight

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Glucocorticoids important to remember

These are steroids!

Do not stop suddenly! Taper dose

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Sign of pre-eclampsia

Puffy face
Proteinurea
Severe headaches
Changes in vision
N/V
Decreased UO
SOB
Increased wt
Edema

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Lacto-ovo vegetarian diet

No meat

Yes eggs and dairy

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S/S of multiple sclerosis

Fatigue, blurry vision, leg weakness, electric shock sensations when bending neck forward

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Lyme disease
Toxoplasmosis
Histoplasmosis

Lyme disease: Ticks - target shaped rash
Toxoplasmosis: Cat litter
Histoplasmosis: Bird manure

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Anaphylactic response S/S

Swelling in throat, face, mouth
Scratchy throat
Wheezes and stridor in breath sounds
Increased, weak/thready pulse
Decreased BP (leading to shock)

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PT in cast: S/S of INFECTION

Hot spots

Cold toes would be S/S of neuromuscular or cardiovascular issue

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ECT (electroconvulsive therapy)

Done under general anesthesia that causes small seizures

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Food with purines

Meats: Liver, bacon, veal and venison
Seafood: Sardines, muscles, codfish, scallops, trout, haddock

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Dissociative amnesia

Caused by trauma or stress
Unable to recall personal information
DO NOT remind of forgotten past. Just happy memories and likes/dislikes

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Toddler with bowel issues

Take to bathroom after every meal. Peristalsis occurs after eating.

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Retinal detachment

Eye floaters or sudden flashes of light

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Glaucoma

Tunnel vision

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Macular degeneration

Central vision loss

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Meningococcal meningitis precuations

Droplet precautions!

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PT and PTT

Measure clotting times

Get checked before biopsy or surgery

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Guillan-Barre syndrome

Eventual paresis (partial paralysis) and paralysis. Monitor respiratory status!

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Nephrotic syndrome diet

Low sodium and increased proteins

Kidney disorder where you pass too much protein in your urine

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Normal INR

Warfarin INR

Normal: 0.8-1.1
Warfarin: 2.0-3.0

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Paresthesia

Numbness and tingling

Best position for gastric reflux

Reverse trandelenburg

Luncheon meats

Linked to gastric cancer because they contain preservatives such as nitrates

Chelating agents

Used to treat the client with poison from lead or iron

Activated charcoal and gastric lavage

Remove noncorrosive poisons

What kind of restraints would you use for a child getting a cleft palate repair

Elbow restraints.... least restrictive!!!

Betablockers (LOL) side effect in patients with COPD

Can cause bronchospasms

End-stage renal failure side effect

Causes itching because of uric acid crystals on skin

Meniere's disease diet

LOW SODIUM! High salt diet worsen's disease | Vertigo - inner ear

Neuroleptic Malignant Syndrome | S/S

Adverse reaction to antipsychotic drugs | S/S: Fever, altered mental status, muscle rigidity, autonomic dysfunction

Chlorpromazine

Antipsychotic

Hemophilia

Condition where blood does not clot normally | Do not take NSAIDS... cause prolonged bleeding time

After a seizure how is condition of patient

Drowsy | BP elevated

Hirschsprung's disease

Affects large intestine and makes it difficult to pass stool. Congenital disease

What drugs do you give to clients withdrawing from alcohol

Clonazepam and lorazepam | Both benzodiazepines!

Methadone

Given to client withdrawing from opiates

Regular insulin

Onset is 30 minutes

Zantac (Ranitidine)

Antacid - treats GERD and stomach ulcers

Tetracycline contraindication

INFANTS

Major complication of lupus

Nephritis

Prevent curvature of spine due to parkinson's

Lie prone periodically without pillow

Pancreatitis diet

Increase calories and protein, decrease fat

Pernicious anemia

Vit B12 deficient

Nontropical sprue

Celiac disease other name

How do you know if digoxin is working?

Urine output has increased

Common complaint of patient with abdominal aortic aneurysm

Frequently complain of pulsations in periumbilical area or "feeling heart beat" in abdomen

Acute adrenal crisis

Show symptoms of hypovolemia and shock | Adrenal glands produce cortisol!

Baby with jaundice

"push" fluids between feedings to flush excess biliruben

NG suction is effective when?

When abdomen is soft and nondistended

Tremulousness

Vibrating slightly, quivering, trembling | Sign of hypoglycemia

Multiple Sclerosis symptoms

DOUBLE VISION! (Diplopia)

Diplopia

Double vision

Renal calculi

Kidney stone Can be related to gout Both are a result of increased amounts of uric acid

Cimetidine

Prevents development of ulcers

Prednisone

Common side effect is gastric ulcers

Romazicon

Treats benzodiazepine overdose

Blood test for H. Pylori

No special prep is needed

Oral potassium

Give with juice or other drink to prevent gastric upset and disguise taste

Sulfamylon cream

Used for burn patients. Very painful to administer pain meds 30 min before!

Autonomic Dysreflexia

Dangerous syndrome that develops in pt's with spinal chord injuries. It is a sudden onset of HTN MEDICAL EMERGENCY STimulus can be bowel, bladder distention or irritation, or any painful, irritating or strong stimulus including environmental changes or a draft. Check for pressure sores with high blood pressure

Hydralazine

Treats HTN

Pt on suicide watch

Don't be predictable! Visit them often, like every 15 min, but don't be on a scheduled routine.

Saturated fats

Should be less than 10% of calories

Pernicious anemia

With no B12, body produces abnormally large RBC's

Where is b12 found?

Meat, fish, eggs, milk

Sign of disturbed body image

Being a perfectionist! School, sports, hobbies, etc

Decontamination

First remove clothes Warm shower Spend minute or so using soap from head to toe then rinse after Takes about 5-6 minutes (not 15!)

Hyponatremia

At risk for seizures!!

Co-dependant people

People pleasers!!