NCLEX Review 2 Flashcards

(287 cards)

1
Q

Pressure ulcer intervention

A
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2
Q

Conductive hearing and Sensorineural hearing loss

A

Conductive hearing is caused by Obstruction

Sensorineural hearing is caused by impairment of the neeve fibers

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3
Q

Pheochromocytoma may cause

A

Hyperglycemia

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4
Q

Meds that treat hypercalcemia

A

Phosphorus

Calcitonin

IV Biphosphonates

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5
Q

Methotrexate teaching

A

May cause bleeding, bruising easily

Take with folic acid

Avoid large crowds and wash your hands

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6
Q

Alternative treatments for anxiety

A

ST John wort

Kava

Passion flower

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7
Q

A client in pain will have those symptoms

A

Nausea and vomiting

Diaphoresis

Increased pulse

Tachypnea

Increased blood pressure

Increased blood glucose

Dilated pupils (mydriasis)

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8
Q

NG tube irrigation process

A

Draw up to 30 ml of warm water in syringe

Place the tip of the syringe in the tube gently to instill warm water

After instilling water hold the end of the NG tube over an irrigation tray

Observe for return of NG drainage into an available container

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9
Q

What to monitor when client taking clozapine

A

Weight

CBC (depressed wbc neutropenia)

Fasting blood glucose ( hyperglycemia)

Total cholesterol ( hyperlipidemia )

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10
Q

Hpyonatremia may be caused by

A

Addison disease

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11
Q

Hypernatremia signs and symptoms

A
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12
Q

Anthrax is spread

A

Breathing in the infected spores ( bacillus anthracis )

Eating raw or contaminated meat

Cutaneous anthrax ( bacteria enter a cut or scratch in the skin)

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13
Q

Medication for cystic fibrosis

A

Multivitamin

Simvastatin

Salmeterol

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14
Q

Moro reflex is absent by what month

A

6 months

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15
Q

9 months baby expectation

A
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16
Q

Pediculosis treatment need to be

A

Repeated after 7 to 10 days

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17
Q

Panic disorder meds

A

Amitriptyline

Diazepam

Phenelzine

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18
Q

Calcium promote

A

Blood clotting

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19
Q

What landmark to use when measuring abdominal girth in client with ascites

A

Umbilicus

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20
Q

Fluoxetine teaching

A

Take in the morning due to insomnia

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21
Q

Laboratory value that indicate TPN is working

A

Albumin in normal range

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22
Q

Increased risk for geriatric client

A

Glaucoma

Cataract

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23
Q

Harsh , whooshing or blowing sound indicate what heart tones :

A

Heart murmur

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24
Q

Amphitericin B is prescribed for

A

Meningitis

Histoplasmosis

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25
Preventive treatment for amphotericin B infusion
Diphenhydramine Acetaminophen 0.9 saline bolus
26
Lightening ? Ballottement ? Ambivalence ?
Lightening: descent of the fetus toward the pelvic inlet before labor , happen 2-3 weeks before natural onset of labor. Ballottement : is an examination technique where a sudden tap on the cervix during vaginal examination Ambivalence : when mother feel conflicted about the pregnancy in first trimester
27
Lab to monitor in client with cystic fibrosis
Blood glucose , as CF causes damage to pancreas
28
Myxedema coma ( hypothyroidism) lower what
Blood glucose
29
Dicyclomine is used to treat ? Therapeutic response of dicyclomine ?
To treat Irritable bowel Syndrome Therapeutic effect : decreased abdominal cramping associated with IBS
30
Amish patient teaching
They use traditional and alternative health care Funerals are conducted in the home Many choose to live without health insurance Health is believe to be a gift from god
31
Non stress test is used :
To measure fetal heart rate
32
Ultrasound teaching
Require a full bladder, so you may need to fill up your bladder
33
Amniocentesis is used to
Determine gender of the fetus Lung maturity Neural tube defects
34
Chorionic villus is used to
Determined any chromosomal abnormalities , it’s performed at 10 weeks before natural
35
Oral glucose tolerance is used to
Determined if client got gestational diabetes , and it’s performed at 24-48 weeks
36
Meds for acute anxiety attack
Midazolam ( 2-5 minutes rapid onset , short duration 3 to 8 hours
37
Causes of hypocalcemia
38
Diseases that causes phosphorus level to increase
Tumor lysis syndrome Hypoparathyroidism Renal failure
39
Presumptive / probable / positive signs of pregnancy
40
Permissive hypertension during ischemic cerebrovascular accident (CVA) allows blood pressure to up to :
185/110 , so continue to monitor if not over
41
Supraventricular tachycardia meds
Adenosine , follow by rapid push 0.9 % saline
42
Labs to monitor for regular insulin infusion
Hourly blood glucose Potassium
43
Gastrectomy put client at risk for :
Pernicious anemia , so expect cyanocobalamin order
44
Infant with heart rate below than 60 , initial actuon would be
Call a code blue
45
Risk factor for prostate cancer
Diet high in animal fat African american Increased age, after. 40
46
Alendronate expected outcome
Inhibit bone resorption
47
Acute osteomyelitis manifestation
Localized bone pain Fever Swelling to the affected extremities
48
Positive end-expiratory pressure is used to :
Prevent closure of the small airways during expiration
49
Ropinirole is used to treat:
Parkison disease
50
Tetralogy of fallot defects
Ventricular septal defect Overriding aorta Pulmonary Artery stenosis Concentric right ventricular hypertrophy
51
2 cup equal
8 ounces , 240 ml
52
Rubella may increase
Risk for developing congenital heart defect
53
Deficiency anemia expected finding
Tachycardia Pica Pallor Fatigue
54
Botulism is caused by
Neurotoxin produced by clostridium botulinum bacteria
55
Botulism does what ?
Inhibit the release of acetylcholine at neuromuscular junctions
56
Citalopram is prescribed to client with
Depressive and anxiety disorder
57
Citalopram therapeutic action
Increase self esteem
58
Paget disease expected finding
Bone deformity
59
Levels of anxiety
60
Where to assess for jaundice in client with dark skin
Hard palate of the mouth
61
Hyponatremia signs and symptoms
62
Signs of atelectasis
Decreased tactile fremitus
63
Dulaglutide teaching
Has no peak Administer once a week
64
Child with cleft lip is at risk for what complications
Ear infection
65
Acute graft rejection manifestations
Rising AST and ALT Tachycardia , fever , RUQ, flank pain Diminished or change in bile color Increased jaundice
66
Hyperthyroidism ( Graves disease) teaching
Report blood pressure top number that exceeds 140, that’s a sign of thyroid storm
67
Moro reflex disappears at what age
3-6 months
68
Meds for Trichomonas Vaginalis
Metronidazole
69
Succinylcholine is intended to
Cause skeletal muscle paralysis…… It’s also given prior intubation
70
Infiltration
A non-vesicant drug enter the subcutaneous tissue
71
Heart failure manifestation
Tachypnea Diaphoresis Fatigue
72
Avolition is
The inability to sustain goal-directed activities, or lack of motivation
73
Hypothyroidism meds teaching
May cause insomnia , so take same time each day on empty stomach , 30 minutes before breakfast
74
Gastric analysis teaching
Be NPO 8-12 hours before the test
75
TPN teaching
Placing a mask on the client before changing the central line dressing
76
When giving digoxin to infant , the apical heart rate should be at least
90 beats per minute
77
MAOI is intended to treat
major depressive disorder
78
Clostridium difficile precautions type ?
Contact enteric precautions
79
CK-MB, creatine kinase myocardial peak ?
18 hours
80
Thick tenacious secretions that clear with coughing causes
Rhonchi
81
Lisinopril teaching
May cause Hyperkalemia Limit intake of avocados, bananas , apricot , legumes You may notice decrease in your ability to taste food
82
Lyme disease manifestations
Erythema migrans (bull’s eye rash) Fever Headache Sore throat Malaise Lymphadenopathy Fatigue Arthralgia
83
Benefits of delayed cord clamping
Increased blood volume Decreased brain hemorrhage Increase iron stores
84
SBAR
85
CPR teaching
Compression depth of two inches on the center breastine Rate compression should be 100-120 Utilize early defibrillator Carotid pulse check no longer than 10 seconds
86
How to determine gestational age
Ultrasonography
87
Benzodiazepines ( alprazolam ) should be avoided in client with
Hepatic encephalopathy
88
Bacterial pharyngitis is caused by :
Group A beta hemolytic streptococcus
89
Lurasidone is used to treat
Bipolar disprder
90
Beta blocker mechanism of action
Block catecholaminrs from binding to the beta receptor Reduce myocardial oxygen demand
91
Hydrochrolothiazide teaching
May cause photosensitivity, so avoid prolonged sun exposure
92
Cullen sign is a
Discoloration of the abdomen , periumbilical area… And it’s a sign of pancreatitis
93
Carbon monoxide poisoning manifestations
Headache
94
Atrial fibrillation meds
Diltiazem
95
Subinvolution postpartum signs
Boggy uterus Increased bleeding Persistent lochia discharge
96
Most severe side effects of aspirin
Anaphylactic shock
97
Sterile technique teaching
Open sterile package away from my body One inch (2.5 cm) border around a sterile drape can be touched with clean fingers Object placed below waste is considered contaminated
98
RSV Respiratory synctial virus manifestations
Thin nasal secretions Nasal flaring Crackles in lungs
99
Cluster breathing is associated with
Lesions of the medulla or lower pons
100
Meds for akathisia
Propranolol
101
Halo fixator teaching
Report any fever or drainage at pin sites Always keep the wrench taped to the front of the vest When getting out of bed roll the side and on the mattress Wear a cotton t-shirt under the vest to absorb any moisture
102
Complication of acute pericarditis
Cardiac tamponade
103
Before chest physiotherapy the nurse should
Administer prescribed bronchodilator
104
Meds for exacerbation of Rheumatoid Arthritis
Prednisone
105
Valsartan mechanism of action
Antagonizes angiotensin II receptors
106
Urography teaching
Take laxative the night before to clear my bowel
107
Physiological changes during pregnancy
Increase heart size Reduced renal threshold for glucose Decreased esophageal sphincter tone
108
Contraction stress test teaching
You may need to stimulate your nipple during this test
109
Bupropion is contraindicated in client with
Bulimia nervosa Underweight or have history of eating disorder History of high risk for seizures
110
Diabetic foot care
111
Hyphema intervention
Shield the affected eye
112
Adult vital signs
113
Hypercyanotic tet spell meds
Morphine sulfate
114
Mycardial infarction meds
Beta blocker (lol)
115
Ferrous sulfate teaching
Dilute the medication in water or juice Ferrous sulfate make stools appear black
116
Amphotericin B adverse effects
Hypokalemia, so monitor potassium
117
Early, late, variability decer
Early deceleration: when fetal heart rate decrease at the same time as a contraction. Late deceleration: are a decrease in the fetal heart rate that occurs after a contraction Variability : fluctuations from baseline
118
Aripiprazole indication
Schizophrenia
119
What part is being removed during wedge resection
A small, localized portion of the lung
120
Cataract teaching
You may have to quit driving until it get treated
121
Helicobacter pylori meds
Amoxicillin
122
Meds for hypertension associated with nephroblastoma
Enalapril
123
Position to prevent foot drop
Dorsifexion, where the foot is flexed upward , with toes pointing toward the ceiling
124
Meds for management of opioid use disorder
Naltrexone, Methadone , Buprenorphine
125
Treatment for adrenal crisis
Hydrocortisone 5% dextrose with 0.9 % normal saline
126
Normal urine output in children
More than 1.5 mL/kg/hr
127
Cholecystitis pain location
Right upper quadrant, radiating to the right shoulder and scapula
128
How to treat dystonia associated with administration of fluphenazine
Diphenhydramine
129
PET scan (Positron emission tomography) teaching
NPO Blood glucose level below 150
130
What religion practice cremation
Hinduism
131
Cystic fibrosis signs and symptoms
Steatorrhea Meconiun ileus Salty sweat Adventitious breath sounds
132
Severe anxiety manifestations
Feeling of impeding doom
133
U-Wave is caused by which electrolyte
Hypokalemia
134
Peaked T-Wave is caused by which electrolyte
Hyperkalemia
135
Acute mania treatment
Mood stabilizers ( valproic acid)
136
Subtance intoxication signs and syndromes
137
Beta adrenergic (formoterol) may cause
Insomnia
138
Respiratory rate and depth that are irregular and alternate with period of apnea and hyperventilation is what type of rhythm
Cheyne-stokes
139
Kussmaull respiration are characterized by
Respiratory that are abnormally deep , regular and increased in rate
140
Agonal breathing is characterized by
Gasping for air
141
Metformin teaching
May cause GI upset (bloating, loose stools) Monitor vitamin B12 levels Cause weight loss Improve fertility in client with PCOS
142
Kawasaki disease signs and symptoms
May cause systemic vasculitis Cardiac abnormalities (aneurysm) Fever Red, cracked lips , strawberry tongue, cervical lymphadenopathy
143
What to monitor during magnesium sulfate administration
Hyporeflexia Areflexia Respiratory depression Cardiac arrest
144
Dexa scan teaching
Remove all metallic objects
145
ICP meds
Mannitol
146
Trazodone adverse effects
Priapism ( painful , prolonged erection)
147
Hepatic encephalopathy meds
Neomycin Lactulose
148
Pelvic exam teaching
Avoid douching 24 hours before the examination
149
Herpes zoster PPE
Gown Gloves N95
150
Cardiac output formula
Heart rate X Stroke volume
151
Meds that treat allergic reaction from blood transfusion
Epinephrine Diphenhydramine Hydrocortisone
152
Poractant alfa indication
Used as pulmonary surfactant to treat and respiratory distress
153
Strabismus signs
Asymmetrical pin-point lights on pupild
154
Peritonitis client with need
Parenteral nutrition
155
Delirium tremes meds
Clonidine
156
Liver biopsy position
Right lateral
157
Early manifestations of ICP
Vomiting
158
Fluphenazine (antipsychotic) jndication
Schizophrenia
159
Fever associated with antipsychotic (fluphenazine ) is a sign of
NMS , which is a life threatening condition
160
Amniocentesis teaching
Need consent before procedure Rh negative will receive prescribed rhogam Report fever, leaking amniotic fluid , bleeding May be completed at 14 weeks May be completed on high risk pregnancy
161
Signs and symptoms of dialysis disequilibrium
Headache and nausea
162
Trousseau sign is associated with :
Low magnesiuim Low calcium
163
Aortic regurgitation teaching
Increase preload in the left ventricle Causes decrease cardiac output Increases left ventricle end diastolic pressure
164
Prednisone teaching
Make you gain weight Take in the morning with food Experience mood changes while on this medicine
165
Meds that may cause hyperthermia
Halothane Succinylcholine
166
Positive result of clonus example
Rapid , rhythmic muscle contraction
167
Chest tube teaching
Ambulate client with the device below the insertion site Palpate around the insertion site for any crackle or popping
168
Rheumatic fever in pregnancy may cause
Valvular lesion , that may lead to cardiac stress during pregnancy
169
Hepatis A signs and symptoms
Nausea, vomiting , abdominal pain, fever, anorexia , dark urine, scleral icterus, pale stools, jaundice, pruritus
170
Position after kidney biopsy
Lay flat immediately after procedure
171
Typical vs Atypical antipsychotic
172
Agnosia
Inability to identify familiar objects or people
173
Complex partial seizure
Is a seizure that altered awareness for 1-3 minutes
174
Blood pressure in legs teaching
Systolic pressure usually higher by 10-40 mm Hg
175
Left ear myringotomy position
Left lateral recumbent
176
Meds for leg cramps during pregnancy
Magnesium
177
Hydralazine indication
Hypertension
178
Caffeine during pregnancy
Limit to less 200 mg/day
179
Lab to monitor for lithium
Creatine TSH Sodium Thyroid panel Pregnancy test CBC CMP
180
Client with leukemia is at risk for
Bleeding and recurrent infection
181
New onset of fixed and dilated pupil following stroke is a sign of
ICP , so monitor blood pressure
182
Factors that can influence cardiac output
Increased stroke volume Increased blood volume Increased sympathetic stimulation Administration of positive inotropic drugs
183
Laryngotracheobronchitis meds
Nebulized racemic epinephrine
184
Primary prevention Secondary prevention Tertiary prevention
185
Diabetic nephropathy meds
Enalapril
186
Immunization for age 50 and older
Zoster vaccine Seasonal inactivated influenza vaccine
187
Phosphorus and calcium relationship
When one level , the other one decreases
188
Treatment for hirschsprung disease
Pull-through procedure
189
Levothyroxine adverse effects
Heat intolerance Palpitations Insomnia
190
Intussusception sign and symptoms
Red , currant jelly like stool
191
Hyphema position
Semi fowler
192
Halo sign is an indication for :
Basilar skull fracture
193
Ziprasidone indication
Decreased thought of persecution
194
Acute morning sickness meds
Acetazolamide
195
Myocardial infarction meds
Labetalol Morphine sulfate Nitroglycerin
196
Sounds that may auscultate during heart failure
S1 S2 S3
197
Sounds that may be heard during auscultation when patient experiencing myocardial infarction
Crackles
198
Clear liquid diet example
199
Nonstress test indicatiob
Assess fetal condition in third trimester
200
Tremor in hand is a sign of
End stage renal disease
201
Dexamethasone adverse effects
Infection Peripheral edema Insomnia
202
Oxaprozin indication
Osteoarthritis
203
Huntington disease signs and symptoms
Chorea Hallucination Weight loss
204
Guillain Barré syndrome signs and symptoms
Paresthesia
205
Lithium expected finding
Coarse hand tremor
206
Earliest sign of lithium toxicity
Blurred vision
207
Abnormal finding over adult lung tissue
Hyperresonance
208
Colonoscopy teaching
Do not take anything by mouth 4-6 hours before the test
209
NG tube teaching
210
Gerd disease teaching
Wear loose fitting clothes
211
Acute glomerulonephritis signs and symptoms
Proteinuria, hematuria, periorbital enema, weight gain , high blood pressure, decrease glomerular rate GFR
212
Contraindications for beta blockers administration
Cardiogenic shock
213
Bedpan teaching
Placing head of bed 30-60 degrees
214
Diabetes insipidus teaching
Weight yourself everyday Log fluid intake and urine output May need additional dose if you keep urinating a lot Call 911 if develop confusion
215
Vitamin K to neonates teaching
216
Celiac disease signs and symptoms
Steatorrhea Malnutrition Diarrhea Dehydration Electrolyte derangement
217
Celiac disease intervention
Replace fluid and correct electrolytes imbalance
218
Impetigo precautions
Contact
219
Diphteria teaching
Cause by corynebacterium diphtheria Vaccine available at 2 months of age Transmission is via direct contact with the infected person
220
Hypercalcemia may be caused by
Thiazide diuretics Malignancy
221
Acute glomerulonephritis manifestati
Proteinuria Hematuria
222
Angle closure glaucoma
Acetazolamide
223
Meds that causes fall risk
Benzodiazepines Opioids Anticholinergics Antihypertensive
224
Meds that requires second check prior administration
Heparin infusion Regular insulin PCA Oxytocin infusion TPN
225
Atonic seizures characteristics
Cause loss of muscle tone , and result in client collapsing
226
Type of seizures
227
Depot medroxyprogesterone provide contraception for how long
13 weeks
228
Norovirus transmission prevention
Cleaning and desinfection ( bleach ) Spread through direct contact , contaminated surfaces
229
Incident report
230
Rapid and complete bladder drainage put patient at risk for
Bladder spasm
231
Metered dose inhaler expected finding
Tachycardia Tremors Dry mouth Hyperglycemia Monitor for redness soreness and white patches
232
Kava and valerian may cause
CNS depressant , so avoid with meds that causes cns depressant like lorazepam
233
Myelomeningocele what to do to protect the sac :
Cover the sac with moist , saline dressing
234
Walker teaching
Top of the walker should line up with the crease on the inside of their wrist ( with both arm relaxed at the side of their body ) for a proper fit First move the walker forward , then the weaker leg, then the stronger leg
235
Cryptococcosis pneumonia precautions
Standard precautions ( for immunocompromised)
236
Cushing disease is caused by
Increase secretion of adrenocorticotropin hormone
237
Metformin causes
Vitamin B12 deficiency
238
Adrenalectomy meds
Hydrocortisone
239
Breast cancer risk factor
Early menarche Nulliparity Child born after age 30 Late menopause High dose radiation exposure to the chest Previous cancer of the breast , uterus , ovaries.
240
Newborn usually pass mecinium within
48 hours of life
241
Stevens syndrome characteristics
Widespread rash Blisters Peeling of the skin
242
Chlamydia treatment
Doxycycline
243
Colchicine contraindications
Statins
244
Tamsulosin contraindications
Sildnafil Tadalafil Those meds causes drops in blood pressure when taken together
245
Peaked T-Waves is a sign of
Hyperkalemia
246
Ciprofloxacin , levofloxacin teaching ( fluoroquinolones)
Should wear sunscreen and seek shade when outdoors. Ensure adequate fluid intake to decrease risk of crystalluria. Increase risk for tendon rupture , photosensitivity , crystalluria.
247
Eyes drop medication administration teaching
Apply from inner to outer canthus Rest hand holding the eye dropper against the client head Occlude the lacrimal duct for one minute after drop administration
248
ARBS ( losartan) contraindications
Pregnancy , due to risk of fetal injury and death
249
Erythromycin adverse effects
Prolongation of QT intervals which lead to dysrhythmias
250
Phenylephrine teaching
Clean applicator after each use Do not use with history of hypertension or heart disease Used in the short tem
251
Transdermal patch contraception teaching
New patch should be applied each for 3 consecutive weeks. No patch is worn on week 4
252
Nifepidine ( calcium channel blocker) teaching
Relaxes arteries and prevent chest pain Peripheral edema is a common side effect Do not consume grapefruit May cause tachycardia
253
Client taking MAOI must avoid
Taking with SSRI Food containing tyramine (beer, wine, age cheese ) Sympathomimetic meds
254
Benzodiazepines (zolpidem) teaching
May cause sleepwalk
255
Benzodiazepines contraindications
CNS depressants (alcohol, opioid)
256
Uterine tachysysyole intervention
Terbutaline Discontinue oxytocin Administering IV bolus Reposition to the left lateral position
257
Teaching to prevent TORCH infection
Avoiding litter box Wash hand after handling toys and diapers Taking acyclovir for genital herpes Avoid undercooked meats Avoid live vaccine
258
Complications of vacuum assisted delivery
Capcut succedaneum Hyperbilirubinemia Irritability Poor feeding
259
Newborn expected findings
Apnea <= 20 seconds Gagging or sneezing Administering hepatis B before discharge Acrocyanosis Delayed bathing
260
Hyperemesis gravidarum interventions
Perform urine dipsticks for ketones Recommend small frequent meals Providing antiemetics like pyridoxine Teaching on risks for SGA newborns
261
Measles characteristics
3’Cs : cough , conjunctivitis, coryza (nasal congestion) Maculopapular rash that starts at the face
262
Fecal occult blood test teaching
Refrigerate stool samples if not send to the lab within 4 hours Avoid nsaid , red meat , citrus(orange juice) , which can cause inaccurate results
263
Varicella teaching
Requires standard , contact , and airborne precautions Remove PPE in client anteroom to prevent infection transmission
264
Perineal care for client with urinary catheter
Maintaining urinary drainage below the bladder Foreskin retraction Downward cleansing of the penile shaft Circular cleansing of the meatus
265
PEG Tube feeding teaching
Gastric residual volume is assessed to minimize aspiration risk Reinstilling aspired stomach contents prevents nutrients and electrolytes loss PH testing assesses tube placement
266
RSV types of precautions
Contact
267
Risk factors for restraints complications
Compromise circulation (diabetes, snug restraint application) Cause constipation ( immobility, opioids ) Compromise airway (supine position)
268
Varicella room precautions
Private room with negative airflow
269
Signs of dehydration
Dark colored urine Dry mucus membranes Tachycardia Weak thready pulses
270
Fall risk increases with :
Meds that causes dizziness and balance issue ( anti hypertensive , opioids ) Musculoskeletal condition (hemiplegia, arthritis) Environmental hazard (rugs) Impaired bladder function (nocturia)
271
Obstructive sleep apnea is caused by
Upper airway obstruction
272
Obstructive sleep apnea risk factors
Anatomical abnormalities Obesity Menopause
273
Hyponatremia intervention
Preparing oral suction equipment Restricts oral fluid intake Encouraging high sodium diet
274
Dysphagia risk factors
Regular alcohol consumption History of stroke Parkinson disease End of life Esophageal cancer Radiation therapy targeting head and neck Decrease and increase serum calcium
275
Signs of hemolytic transfusion reactions
Fever , flank pain , impending doom
276
Non-rebreather mask teaching
Have vents that open with exhalation and close with inhalation
277
Rubella precaution
Droplets
278
5 P’s to prevent fall
279
Positive pressure ventilation teaching
Perform frequent oral care Obtain intake and output Administer sedation with paralytic Administer stress ulcers prophylaxis Perform range of motion
280
Client with DKA is at risk for
Hypovolemic shock
281
Low cardiac output and high increased systemic vascular resistance means
Constricting vessels to improve blood flow to organs
282
Type of shock
283
Conditions that causes low pressure alarm
Extubation Disconnection in tubing Leaking or deflated ETT cuff
284
To prevent increased ICP
Administer sedation Keep head of bed >=30 Maintain CPP >60 Monitor color and clarity of CSF Level ventriculostomy at the level of tragus Stools softeners prevent straining during bowel movement
285
Meds that improve cardiac output
Dobutamine
286
Dobutamine indication
Treat cardiogenic shock by increased cardiac contractility
287
Vasopressors (epinephrine ) are only given through
CVAD , not VAD